Loading...
1270 NE 98 St (11)cf STATE OF FLORIDA, COUNTY OF DADE. j Ss. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein pecifiedpr not. A copy of approved plans and specifications must be kept at building during progress of the work Owner's Name and Address. AD Registered Architect and /or Engineer... Name and address of licensed contractor Loca ' and le al descriptiionn of lo l b Lnt �'�"'A r�1 - Street and Number where work is to be done NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. Chairman Member Member Council Approved Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date No/ „- Street • i f State work to be done and purpose of building (by floors New Building Remodeling Addition . -._X Repairs To be constructed of KinpOf fat Roof Covering Estimated Total cost of improvements $.00) t —� Amount of Permit $ --- Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts h' of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl and has complied with the provisions thereof, and will require similar compliance fr .,;.1 contract. .. sub in the work to be performed under this permit; and will post or cause to be poste ► or notices as are required by the Act. The undersigned agrees to employ onl s — ' T''�A permit, as are licensed by Miami Shores Village. Ai Remarks (Si4 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are 5* tru Permit No 5� Disapproved (Signed) 1 Building Inspector Date.. -// . – PLANNING BOARD DATE Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Read, Sworn to and Subscribed before me. •- EY • '4 1 °P`, 1:11 - -- -- , 3 and for no other purpose. No. of Stories obligations as an employer 'da, Perin- ent Sup pleent, )ployed in by him h ublic notice under this Notary Public, State of Florida My Commission Expires Owner's Name and Address;/ ` (! Registered Architect and /or Engin er Name and address of licensed contractor.. Location and legal description o' lot to be built on: Lore C s,5 1: . • AlaiT - 07 ' 4P S S Subdiv on Street and Number where work is to be done Disapproved , D ate_- • (Signed) / G= r. �e y`YP' +� B uilding Inspect r MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and speci f ications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether her• specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. BUILDING INSPECTION DEPARTMENT r ,t1 ..' ' 1. :� / z 7 Date v `;-.Tsz Street State work to be done and purpose of building (by floors) . � ., ` x " ' ". y ! i l , G . and for no other purpose. l New Building fry Remodeling Addition Repairs No. of Stories To be constructed of__ ... _e_.,.r -." Kind of foundation G y ivc tq E. Roof Covering / e. / t Estimated Total cost of improvements $ F..0 i2 0 ', , , A u y f P ft $ � .1 L� �0, "— / ) / : Zone cubage required 4.i__ t * u a q Distance to next nearest building - - -_ .0 / '74. / Size of Building Lot . ��{, . - 2, / [j / Maximum live load to be borne by each floor 7:, I., I herel5� s bini all the plans and splFications for said building. All notices with rfferegce to th building its construction may be sent to ; f -1 11 i ,�� �- r 6 t i t c.:7 'f h o r ,_.� + . '` The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be po .r ens bon on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only uch sub .' tors, on work to be under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction. that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._Q__LZ O'" ) Date._, — -- S / Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ...... . Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. / ELECTRICAL PLUMBING ROOFING CI V a >: �.. pxsr of g Architect Contractor or Builder Lam. Descriptt Address of Building This permit is � ifl strict cern statements or wark is iw the tinders Pertaining io the work coy done by bis •amts, servants