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216 NE 98 St (2)New Building _ ___ _____ ._ Remodeling Disapproved _ Da (Signed) Building Inspec Council Approved _ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT /a65 7 - 4/7 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 o other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vrllag , F orida, and all provisions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and all rules and regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A cop" of approv d plans and specifications must be kept at building during progress of the work. Owner s Name and Address d __ Registered Architect and /or Engineer __ Name and address of licensed contractor Location and legal description of lot to be built on: Lot_ _ _ Block _ __ __.__ _ ___ ___ __ __ __ Subdivision_ Street and Number where work is to be done. p _A� aZ - _ / f State work to be done and pu ose of building (by floors) - 9 ` Addition. To be constructed of _ _ _ ._ Kind of foundation _ .___ __ ___ ____ ___ _ Roof Covering Estimated Total cost of improvements $ ___ _ __ _ _Amount of Permit $ ___- 7 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 permit does hereby certify that h- 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 subcontr •ctors, on ,work to be performed under this permit, as are licensed by Miar. i Shores Village. Remarks- - - (Signed) STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. ___ � .-° - ®__ _ _ Read, Sworn to and Subscribed before me. .� � (� � _ Date_ _ - __ ___ Date Disapproved ___ No__ _____ __ _ ___ Street__ _ 47/A1/4 ,19. NNING BOARD __ DATE Chairman _ ._ __ Member _ Member _ . _ Member Member _ _ Member _ - - - Repairs Notary Public, State of Florida My Commission Expires and for no other purpose. No. of Stories __ _.._._ a ut ____ to me well known, 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- inspectoa 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. BUILDING ❑ DATE MIAMI SHORES VILLAGE, FLORIDA 19 44C. ELECTRICAL PLUMBING ❑ PERMIT N9 7397 Contractor's License No. ROOFING ❑ ❑ Work to be performed under this Permit_ Building A . Owner of f c..' s O y /rr S f .- C C i- 7 (r �/ / Architect / /7C . Contractor or Builder 4 ' 5 ` t � ;: k _ CO A •Z si a 1 "+ • L , 44 ! 7' Legal Lot subdi_ Description 11 Bl vision 1 Building 7 i t t - (, II Value of 11 Amount of �`� Address of Project $ I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statemen or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. t y CONTRACTOR OR BUILDER BY Signed. ( L ( i�4- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compiianc all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au o -s of Miami Shores Village. In aa> cepting this permit I assume responsibility for ell work done by either, myself, ray agent, servant or employee. AUTHORITY A••OT STATE OF FLORIDA, COUNTY OF DADE. Before met t e unfersi peared Permit No , Disapproved ____ _ (Signed) Chain' nan Member Member . Council Approved Street and Number where work is to be done SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. Date_ SO I 2 -) k. .. Owner's Name and Address A3 No._ ------- Street.. Registered Architect and/or Engineer. Name and address of licensed contractor_ 4 t vki i At Location and legal description of lot to be built on: Lot._ Block Subdivision 2- • State work to be done and purpose of building (by floors)... ( LACIAT_IW.%.__Ii. Fe IS Vt. . O5 .. caFm..E. _Aor lrtittc:-' _Ns LA.Kkt,:riki) ", and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation. Covering__ Estimated Total cost of improvements $ 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 fot said building. All notices with reference to the building and its construction may be sent to tj %1:e4,,cLic, &a, The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec:ion 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 fo inspection on the site of the work such public tice or notices as are required by the Act. The undersigned agrees to employ only such contr ctors, on work to J performed und this permit, as are licensed by Miami Shores Village. Remarks__ _ _____ (pried ed au ority, otary public, t ly authorized to administer oaths and take acknowledgments, personally ap- ‹. and who, being by me first duly sworn, upon oath deposes and says that he is the C.ISAlik,ac. 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. Date pate / Building Inspector * ° ... • Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires__ to me well known, PLA N1NG BOARD_ DATE Member Member Member ._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.