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315 NE 98 St (7)Owner's Narne and Address Registered Architect and /or Engi Name and address of licensed contractor Location and legal description of lot to be built on: Lot___— _—.___________ Block_ Subdivision, Street and Number where work is to be done Zone cubage required STATE OF FLORIDA, COUNTY OF DADE. }ss. 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. State work to be done and purpose of building (by floors) _____ Addition Plan Cubage Date__ 'No Repairs No. of Stories________________ New Building Remodeling � _ To be constructed of �__�c_r.__ Kind of foundation Roof Coveziag___ Estimated Total cost of improvements $ -- Amount of Permit $ --)) Distance to next nearest of Building Lot W_._____ __________ _________ ____ _________ 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 frog 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 fo�r 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 ubtgntractor j 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 to administer oaths and take acknowledgments, personally appeared 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.__ __________r____________ Date___ 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 Notary Public, State of Florida k c— — 192 Street.__ and for no other purpose. 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. i Owner's Name and Address Registered Architect and /or Engi Name and address of licensed contractor Location and legal description of lot to be built on: State work to be done and purpose of building (by floors) Distance to next nearest building Permit No.__ Date__ Disapproved M____ ________ Date (Signed) _ _----- __________ ___________ —_� Building Inspector 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 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. Lot Block Subdivision Street and Number where work is to be done Date_�_� No. ____ Street___________________ New Building 72 ( _ Remodeling Addition_______________________ Repairs To be constructed of _ ___ Kind of foundation __ _ ___�_______� Roof Swing__ Estimated Total cost of improvements $ r " _Amount of Permit $ Zone cubage required Plan Cubage _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 frog 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 inspect' n on tlro site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such suhcontract'pr'f t on,, work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires _________y PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved___— ____�_______ �__ Date Disapproved 9 __and for no other purpose. No. of Stories_____________ 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.