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290 NE 98 St (3)\ APPLICATION FOR BUILDING PERMIT Application is hereby u 1r1Oc for the approyal of the detailed statement or the plans and specifications herewith submitted for the build • ine or other structure herein iescribed. 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. pAtrami g &fo l lt Cgt,rzaert Date..._...__._ r.. z2, _......_._...._.... , 19. Owner's Name and Address Kirdi 6 Kft I14.6f.4, _.. Q6. 11. f _ No. ..._ ..... .......__ — Registered Architect and /or Engineer.. ail. a k.7.4 iDSrt ,. 16 ®1 4?,)t.. - 74 F##_.P .,. »d. Subdivision. t 4 A r of Street and Number where work is to be done. 9 0 _.O' C /P rr , State work to be done and purpose of building (by floors) i2 .� .b? 1C1'e Do*" o a> per-f. Name and address of licensed contractor it.'tGe ...�,SSts Location and legal description of lot to be built on: Lot 1 -P- ° 2' Block f MIAMI S H O R E S VILLAGE New Bui!ding Remodeling Addition To be constructed of 6-5 ° Kind of foundation N e a gi e e 6 — e� Estimated Total cost of improvements $ 5rt:2.0 Amount of Permit $..... t OP 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 l.tbor under the Florida 'Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and h.ts 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_peruit; 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. Remuks (Signed).. ....8_ . _.6. - 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 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 (ead the foregoing application, and that he did sign the same, and that all facts therein by him stateedd are true. WA Permit No.. , Date %0%, Read, Sworn to and Subscribed before me. Disapproved (Signed) Date Building Inspector BUILDING INSPECTION DEPARTMENT Chairman Member Member .. Council Approved NOTE: A charge of $1.00 will be made for the I i.innir.;; Board. A re-impt .tion fee of $1.00 will be charged materials and /or workmanship. .. PLANNING BOARD DATE Member Member Member ...._ �.._._ and for no other purpose. Repairs No. of Stories Roof Covering 7 f to me well known, Notary Public, State of Florida My Commiuion Expires Date Disapproved Date making corrections 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 BUILDING INSPECTION DEPARTMENT APPLICATION 1 BUILDING PERMIT • Application is hereby made iur 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 c inp ' ce and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of lilorn 11 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 14 e1 C) 7 /0 i 4/ , 19 P Owner's Name and Address _ v C, ( A S No.427 pp 79 Registered Architect and /or Engineer —__QR f(D- Ce"E"4_ _ /!_/f__tQ_4/ �� Name and address of licensed contractor_ V ___ �'F _e4E __!l__4_4„._ 7 _ . :___ z ~'ill✓% Location and legal description of lot to be built on: Lot / % ,• es Block tb5 i Subdivision _ Street and Number where work is to be done__ 02 AV /v. • e_-__ i e 7-: - v z • State work to be done and purpose of building (by floors) C 0 _ Lv._...c 7 e_a_-__e- r 77/77 i s-__7- • ... y STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE and for no other purpos ��✓ -1�b c ` � Tn Addition 3*piti. � No. of Stories / * Tq! be constructed of___C'__ $ Kind of foundation_C'__F__N L'AC__ &__.�___. Roof Covering / I___",_ ,4- Estimated Total cost of improvements $ 7 ,. 0 0 0 Amount of Permit $ Zone cubage required _Plan 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. 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 e work such public . ,tice or notices as are required by the Act. The undersigned agrees to employ only such su ntra on wo be performed j,• this permit, as are licensed by Miami Shores Village. Remarks (Signe ;�/ �� 2? '�� Size of Building Lot Notary Public, State of Florida Building Inspector My Commission Expires 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 car fully read the foregoing application, and that he did sign the same, and that all facts therein by him sfated are ,taue. Permit No Date_ ‘- , Read, Sworn to and Subscribed before me. '')isappraved Date 'ned) PLANNING BOARD DATE Member Member Member Date Disapproved Date ' be made for making corrections or changes to this application after approval has been obtained from charged 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 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. , 19 Owner's Name and Address tiffikitlikiiES.Pife5.4:17rERJ:/2.61....tirtihE Noid22.. e" Street /6 Registered Architect and/or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot4.iL e-44 "L Block 3/ Subdivision Street and Number where work is to be done e 'Z9 0 4 Date et oz 5E State work to be done and purpose of building (by floors) B.4A u IW A/ I At 6- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of .43/Minkftl Kind of foundation Roof Covering Estimated Total cost of improvements $ /47 4-7-- 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 ___CIODF 8 1.1 116 7 / F7'S 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, 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 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 Notary Public, State of Florida (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 $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.