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262 NE 98 St (10)STATE OF FLORIDA, COUNTY OF DADE. 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. . Date_-- _______,_ Owner's Name and Address A.,-.L.t....t.,41.%.„ r Registered Architect and /or Engineer � o''''1 e 7 4 �'f'' '"' "� Name and address of licensed contractor 41 ° A Location and legal description of lot to be built on: Lot J'' v- ' 4 •�'s 4 `'v !_ Block_ "_ ° _ Subdivision Street and Number where work is to be done___2_6 ___2?___ State work to be done and purpose of building (by floors) ."-7 CI PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved No._ Street_______ ________ Notary Public, State of Florida -_and for no other purpose. New Building____ - _________ Remodeling Addition Repairs No. of Stories To be constructed of_________ Kind of foundation st Roof Covering � B _ _ 4i.Z_LAmount of Permit $ - -__11 - Estimated Total cost of improvements $_�_______�____ ( Zone cubage required___ 0 °�� ' __Plan Cubage 1/442--e- _/ 7 _� - - -- Distance to next nearest of Building Lot ___ ° o 4. 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 subcontr. ; rs, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks - (Signed) / ^�� k/✓� Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 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 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. 7 7 c MIAMI SHORES VILLAGE 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 Registered Architect and /or Engineer — Name and address of licensed contractor New Building Disapproved To be constructed of___ 0 STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR BUILDING PERMIT Date BUILDING INSPECTION DEPARTMENT Location and legal description of lot to be built on: 1 j" %% �' Block Subdivision Street and Number where work is to be done_ __L % State work to be done and purpose of building (by floors) f3 fir . ; 0 .' / ,? Remodeling Kind of foundation Estimated Total cost of improvements Zone cubage Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. 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. Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized appeared __and for no other purpose. Addition Repairs No. of Stories_______________ G• (Signed) ------------------- -- ------ -- ---- --- --- Building Inspector ....° PLANNING' BOARD r^ Chai _ rman — � Member • r - %' , -A ,-, Member -i 7 Council Approved__________ ____ ____ —`. � c __ =_ Cy __Amount of Permit $___j _Plan Cubage � ?' t:____L ' and who, being by me first duly sworn, upon oath deposes and says that be 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._L —11 e _______ —___ Date_ ' Read, Sworn to and Subscribed before me. is Size of Building Lot Member Member Member _Date Disapproved Date_ No.___ — Street_ t All notices with reference to the building and its construction may / Roof Covering L to administer oaths and take acknowledgments, personally Notary Public, State of Florida My Commission Expires DATE .f sC R 0 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- 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. 1 - k r ,