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269 NE 99 St (8)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. Owners Name and Address . • V Registered Architect and /or Engineer Name and address of licensed contactor Location and legal description of lot to be built on: Lot W4* I le A I Block J 3 Street and Number where work is to be done State work to be done and purpose of building (by floors) Distance to next nearest building MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ate.. C � � Et Subdivision /o1 °S !LeS �C L G 4##(• 9'95 Chair ;ran Member Member ...... Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. Date f x, f' __.. _ _A .. .197 _. No - r Street.L _ Jfr PLANNI'IVC BOARD _.._._....DATE Notary Public, State of Florida ��// and for no other purpose. New Building Remodeling X. Addition Repairs No. of Stories To be constructed of..3 Kind of foundation Roof Covering Estimated Total cost of improvements $. s - s 0 Amount of Permit S , . Zone cubage required 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 Libor 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 pennit1•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 pennit, as are licensed by Miami Shores Village. Remarks (Signed). £P STATE OF FLORIDA, COUNTY OF DADE. j 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. / 7" Permit No.__. o- Date° Ll��--- 7= - - d, Sworn to and Subscribed before me. Disapproved ��11 (Signed) _.L.- Building nspector / y Commission Expires Member Member Member -- . -.. - -- Disapproved Date 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 MIAMI SHORES VILLAGE 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 building 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 regula- tions 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 (e`t Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: �� Block 3 3 � _ Subdivision _r� jj��4 ./41 Street and Number where work is to be done State work to be done and purpose of building (by floors) - -- — 3 -��— - - -- 192 New Building__ Remodeling_ Addition__ — __C______ Repairs No. of Stories_ To be constructed Kind of foundation _ Roof 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 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. ¢ 2 Remarks (Signed) � - 0 ° STATE OF FLORIDA, COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be 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 Date Read, Sworn to and Subscribed before me. Disapproved — __ —_ —_ __ ___ Date (Signed) Building Inspector My Commission Expires Notary Public, State of Florida lk No._ 2 6 Street —_ e rr`' _ _and for no other purpose. to me well known, 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 building 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 regula- tions 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. 6 , Date_ 19 Owner's Name and Address ; No._ _ �/' Street — �� [; ;° Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot L r ' } Block____ii —_ Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. Permit No Disapproved ________________ _ Date (Signed) _ —_ Building Inspector 1 1 MIAMI SHORES VI AGE BUILDING INSPECTION DEPAWPMENT APPLICATION FOR BUILDING PERMIT .—_____-- __- -- -- -� �_- -- — __ --. -- -" - -___ -- --and for no other purpose. New Building —___ Remodeling_________________ Addition___ __!______ Repairs No. of Stories___-- _______ To be constructed of_____— _ —_____ Kind of foundation — ____ —_ Roof Covering__ 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 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 fro pa 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 fd'r 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 (Signed) e Before me, the undersigned authority, a notary public, duly authorized to admini j r oaths and take acknowledgments, personally appea red 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 txu Date Read, Sworn to and Subscribed before me. • Notary Public, State of Florida My Commission Expires _ PLANNING BOARD DATE f/' ChairmaE / 1� s , ", Member nn , �3 " r! t r . . k t -!'!, Member 4(f. / — -�' 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.