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29 NE 98 St (4)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. Date June 2 , 19____ 4 8 Owner's Name and Address y'f,___1'at11a11 Edsall No._ 29 Street N. E. 98th St. Registered Architect and /or Engineer Narrie and address of licensed contractor Little Jobbers r 9201 N. Vt. 4th Ave. Location and legal description of lot to be built on: Lot Block Subdivision__ Street and Number where work is to be done 29 N. E. 98th St. State work to be done and purpose of building (by floors) Alteration of arehwa T in living room ,. and for no other purpose. New Building Remodeling X Addition Repairs No. of Stories_____________________ To be constructed of_ Kind of foundation _ Roof Covering Estimated Total cost of improvements $ 12$47 _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. 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 carefkly read the foregoing application, and that he did sigrt the same, and that all facts therein by him stated are true. Permit No 7 0 / ■ Date ( Read, Sworn 'to and Subscribed before me. Disapproved Date __ r Notary Public, State of Florida (Signed) Building Inspector • My Commission Expires PLANNING BOARD DATE Chairman Member " Member Member. _ Member Member 1ci1 Approved Date Disapproved Date - )TE: A charge of $1.00 will be made for making corrections or changes to this application after approval Has been obtained from 'ng Board. cpection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty or workmanship.