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165 NE 98 St (7)Owner's Name and Address, t p _, t , Estimated Total cost of improvements $__________ Zone cubage required Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. j ss. MLAMI SHORES VILLAGE Disapproved Date (Signed) BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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 specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Registered Architect and /or.Engineer Name and address of licensed contractor_ Z' 0 14 4-e-.1 N Location and legal description of lot to be built on: Lot Block sion___ r __ Street and Number where work is to be done �``¢ — ;• State work to be done and purpose of building (by floors) a °, Date r No lLar Street Jr /9N /17rcr....„ tie . and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Amount of Permit $ _Plan Cubage _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 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 posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / ��t / / a Remarks ( Signed) 14, t "' 1 ' it f v f er Notary Public, State of Florida 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 fi t duly sworn, upon oath deposes and says that he is the of the above described gbnstruction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated a" flue. Permit No Date Read, Sworn to and Subscribed before me. Building Inspector 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. • 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 specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address �� �[�9 f. u f f Ir4r No._ __� 4,1" Street K IR 98 z t Registered Aichitect and /or Engineer Slj Ca- rQr'k Name and address of licensed contractor a1erKIR __� Location and legal description of lot to be built on: Lot Block Subdivision_ Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling To be constructed of F M' Kind of foundation Estimated Total cost of improvements $ $ se_5 0 w___ 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 ,` r ill.; ro �$� s i" 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 posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks___ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, otary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sword, upon oath de and says that he is the of the above described construction, that he has carefiMly read the foregoing application,(nd that he did sign the same, and that all facts therein by him stated are true. r • MIAMI SHORES VILLAGE 'BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date Permit No Disapproved Date ( Signed) Building Inspector Chairman C Member i kke Notary PubliyF of d My Commission Ettpire d ed Tb u en n Surety Co. Of M. Xs LANNING BOARD DATE .Member Member Member Disapproved Date Member Council Approved Date Date /61.'08 8 19 1 e -S .__J e3 1'11_5_11 KQ ea4 ' r : _Ss;'rA_ and for no other purpose. Addition Repairs No. of Stories • NeQV Roof Covering ittl___!t<__r9i raAr .') t� (Signed) __ Read, Sworn to a 7 Subscribed before m to me well known, 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.