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285 NE 98 St (12)MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT BUILDING INSPECTION DEPARTMENT 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. /r ' Date ti Owner's Name and Address ._ � _` — 7 N0 g r Street Registered Architect and /or Engineer ��� Name and address of licensed contractor Location and legal description of lot to be built on: �; Lot.__ --2.- 7 3 Block . Subdivision._.��.�./1 4- Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remoo de ling. Addition Repairs No. of Stories To be constructed of..._i!_.t-L.dc&.:5 Kind of foundation L 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 su cogtracJors, on work to be j erformed under this - macQ � Disapproved Date ( Signed) .. permit, as are licensed by Miami Shores Village. Remarks (Signed) Building Insp for Chairman Member Member 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 e. of the above described construction, that he has carefully read the foregoing placation, and that he did sign the same, and that all facts therein by him stated are true. , Qf� /c _ r Permit No l� � Date ..�/!_ ead, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE 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. o C.- Disapproved (Signed) Chairman Member Member _ Council Approved MriAMO SHD ES VOLLA BU .DING INSPECTION ®EPA. F TMIIE 0 0 Location and legal description of lot to be built on: Lot - '1 Block: Subdivision Street and Number where work is to be done oe_s Date ` 6/ Building Inspector My Commission Expires PL ING BOARD__ ___ . ...... DATE Member Member Member Disapproved A PLD tT0 N F Q EnMO(LDB M PEE T 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. Date / Owner's Name and_Address �/�� No c> Street__ Registered Architect and /or Engineer Name and address of licensed contractor mss /7s State work to be done and purpose of building (by floors) lfZ ,.Qse_ .4/473 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kin e'er) fo r�r { jation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ / c, ov 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 his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent 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 subcontractprs, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) 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 11 � ' b Date ____ - Z - Z — C Read, Sworn to and Subscribed before me. Notary Public, State of Florida 1 Date NOTE: A charge of $L00 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 51.00 will be charged when such re- inspection is made necessary by improper not. -e for insp.. rion or faulty materials and /or workmanship. 1 � Council Approved Registered Architect and /or Engineer MHAMO SHORES MOB ,.EziE t t . .DING INSPECTION D A T L T AFFLACPTD N F E3UOL DNO PE 'RIB ' 0 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 spe red or not. A copy of approved plans and specifications must be kept at building during progress of the work. / Date - �/o•� , Owner's Name and Address._.____ 0_g_ -_. . No 2 r Street. 4/t 7 g 37 A Oe_s 1 "' tte. Fro fit /0 � Name and address of licensed contractor_____ ��- �i'� // Location and legal description of lot to be built on: Lot ` � e � 3 Block 3 ' Street and Number where work is to be done /� State work to be done and purpose of building (by floors) 5! 1��_,1�2___ /__/d/_� I and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $_.__ 37,7 .m 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 perf rmed under this permit, as are licensed by Miami Shores Village. Remarks -- -- STATE OF FLORIDA, 4 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 I' " Date / Ea ` "�. Read, Sworn to and Subscribed before me. Disapproved Date_ '-�✓ (Signed) 6 `- Building Inspectoj My Commission Expires 0 Subdivision. 1t'[ /43...44..1. 5 Notary Public, State of Florida P NNING BOARD _ __ . DATE Chairman _... _. _ __ Member Member Member Member Member _Date Disapproved 0 Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has h"en obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper not. ^e for insp& tion or faulty materials and /or workmanship. 2-7'- $