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29 NE 98 St (3)New Building Remodeling To be constructed of C, ,5 ' Kind of foundation Estimated Total cost of improvements $ 1E6 0 Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications fo be sent to 2-9_ �lg _ 9 _ $__44.5 MIAMI SHOR68 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 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. /' 71 W. `,, / Date Ja . 1 8 , 19.4_7 .�C.�" Owner's Name and Address _ .T A54 .. No `2.9 Street l�t_9.84-�t_Z ___ Registered Architect and /or Engineer__ i�_ tr_Arr./_' - '__;:if. Name and address of licensed contractor ti.C_ q.. Location and legal description of lot to be built on: Lot___1_5 _t ____y,__L _ Block__ __ Subdivision a Street and Number where work is to be done 2..9_61 ___gsSS"i'L DT. _ __ - -------------------------------------------------- State work to be done and purpose of building (by floors)____ ( I!_11.7?A14.Gk and for no other purpose. Addition t/ Repairs No. of Stories ( 1? Po Ur_) C.CALG9. - Roof Covering TLL Amount of Permit $ Cubage _ Size of Building Lot said building. All notices with reference to the building and its construction may 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 . . .e pe ormed under this permit, as are licensed by Miami Shores Village. Remarks __ (Signed) 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 Building Inspector P ANNING BOARD_ 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 st d are true. Permit No Date_ `- Disapproved Date ( Signed) Read Swo 1 Not My Commission 7 nd Subscribed before to me well known, 1' ublic, h ^of 4dt M" f t Expire y__ssmminiort expirss J.n vtry I5, Ilbr 11411114 by Itmsncae S IF 1Y G� 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. STATE OF FLORIDA) COUNTY OF DADE )SS G _ T f L� County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Section B -368, Sub - section (d), of the Building Code of Miami Shores Village he desires to build a il7P1/24#YI , Lf/J4 2 � •Z,4 f Y 41; - - on Lot /a? /6 /' Block /1 of subdivision, that he is the owner of said property, and will be the owner of said .jp..077o.N , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: -- 1. File plans and specifications and obtain approval of Village Planning Board and of the Building Inspector. 2. Apply for and secure a permit. 3. Pay the required fees, for license and for permit. 4. Execute the work in accordance with the provisions of the Zoning, Building, Plumbing and Electrical Codes of Miami Shores Village. 5. Apply for inspections. 6. File with the Building Inspector certificates that pro- vision has been made to carry the necessary Workman's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "Contractor ". 10. Execute Builder's Bond. And further this Deponent says not. SUBSCRIBED AND SWORN TO BEFORE ME this day of A.D., 19 1. Signature of Applicant 2. Signature of Officer administering oath. if _ ' 1 1J .� . V of the Village of Miami Shores, 1 2. 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 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 Date Street and Number where work is to be done * /Are7ZZ s ??Ll., Registered Architect and /or Engineer....._ _..../.f� Name and address of licensed contractor t t Location and legal description of lot to be built Lot L _ Z ! t Block Q Subdivision / r 'c'L t SZlnq e State work to be done and purpose of building (by floors)___ No / 9 Street A E - i- g 9 ,19 and for no other purpose. New Building Remodeling. Addition �� Repairs No. of S�ori s To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 0 Amount of Permit $ S 0-- Zone cubage required Plan Cubage.ekeo_ 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 ll The undersigned applicant for this building permit doe hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation )1ct, eing 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 hint 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 so k to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Notary Public, State of Florida 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. to A Q Permit No _7 Z- Date `` l Read, Sworn to and Subscribed before me. Disapproved Date (Signed) 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.