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315 NE 98 St (8)Disapproved (Signed) � Building Inspector to Chairman \fcrnbcr Member ...... __ MIAMI SHORES VOILA- E Member Member Member BUILDING INiSPECTION DEPARTMENT APPLICATION FOR UILDBNG PE PLANNI ' BOARD DATE F -) MIT Application is hereby wade 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..._ �L. _ G _._ . _...._ _...... , Name and Address C/7 /1"./a s ._ No. t3 /S.-... StBeet.-424 1 .r . . -. Registered Architect and /or Engineer ifi)..a./t! a., 4p/ . ,, ,,,,,,,,,,, „, „,,.,,.,, •,,,,,,,,_.. ...... Name and address of licensed contractor "Po 44/2.arege .a., Location and legal description of lot to be built on: Lot ,1.6" f - AlBlock '// Subdivision Street and Number where work is to be done 4� d& S s T State work to be done and purpose of building (by floors) / o ... .2.o f/ SRt. 61/7” /°A04//i Ay .3'e -or T” 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 $•• 1 100. 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 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 pennit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, 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 o oing application, and that he did sign the same, and that all facts therein by him stated are Permit No.__.... Date Read, Sworn to and Subscribed before me. otary Public, State of Florida My Commission x . ires 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 fee of $1.00 will be charged when such re- inspection is =do necessary by improper notice for inspection au faulty materials and /or workmanship. i �� I � 1 °� Name and address of licensed contractor peared Z --� 41— Z° 3 4-9 e77 MIAMI SHORES VILLAGE /WC 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 Jan o 22 , 19..57 Owner's Name and Address C.8 T1..�A_�`r�.1Z1�11 - No. _. ..3_155.__.N_AE'Street___ _._it_. Registered Architect and /or Engineer ....... ............Y..1.a.Jiellenbozen Day Lahor Location and description of lot to be built on: s,, /7/ p , , Lot 6: ` f ! !t ; .. JJlock Subdivision --� U, Ne __.c_..� v` Z Street and Number where work is to be done 315 N . E' _, trh.__. t.` State work to be done and purpose of building (by floors) ra. 1ST,` .__RS2oR7...Ad d] . ,.tS1YL.tQ_..Re;d1d-ene.e and for no other purpose. New Building Remodeling Addition .l Repairs No. of Stories One To be constructed of__....C... Kind of foundation Rein t. Cczn.crete Roo Covering Gravel 6-b Estimated Total cost of improvements $ 3. o o Amount of Permit $ ' c ' Zone cubage required plan Cubage Distance to next nearest building. 20 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, Pennanent Su1plement, 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 r • such pu is notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to ormed der 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, dy authori t� administer oaths and take acknowledgments, personally ap- ..... ......................... 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 . o Disapproved Date (Signed) be r m Notary Public, State of Florida Building Inspector My Commission Expires.Notery Public, State of 8 to►+d�at 1 19 Mir corny siorr-expir Bonded by American Surety Go. of N. V. 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 Panning 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. ("L62 rJ 1= . )J,,,c.A...1 L. i 1, ,'c_ ea •Pc9( h A o r, , i o a,g 2.9. S ia.`o S 1 ) iO. z 1 0 F cA—