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351 NE 98 St (10)- 7 -5 7 3' 23- 8/S:277,& 9 7,723, t.e -87/ 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 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 Registered Architect and/or Engineer 11 Name and address of licensed contractor 4J. A. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Remarks (Signed) Date i .35"x' '.7/2 /6• _ lti 19 No 35 ! Street.• el" 8"5 Location and legal description of lot to be built on: [� p / Lot / (7 ' / '9 Block y / Subdivision ✓h /g__, LW/ / ,4 N LD / / , M e t/' /3 s (3z" Street and Number where work is to be done 35 f A/' T /. State work to be done and purpose of building (by floors), state exterior colors (submit samples) C7) / CI' X7 S7/,Pc---9 x7, /( / 6,ti, /9 TeX) wir //J foJic' /% 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 5 Ce. Amount of Permit S .3 �' ' Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to 6 el'rif-,97 4 ;U€ %c- /O. . 99. /1/1/77,f; , eveLs The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 permit: and w'll post or cause to be poste for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees . employ only c subcontractor . on wor o be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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 foregoin applic: ion. and that he did sign the same. and that all facts therein by him stated are true. Date �� / ►.�i Read, Sworn to and Subscribed before me. Permit No. Disapproved (Signed) Date Notary Public. State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. o Fa.n F_vI ST'"' / Installation ( 1.; Excavate unsuitable,unstable or v unconsolidated subgrade material and compact the area which has been cleared. Then backfill and level with dense graded aggregate suit- able for subbase material (typically 4-6 inches of compacted subbase for light vehicular and pedestrian traffic, increasing to 8 -12 inches for heavy vehicular and industrial use) or as otherwise directed by Site Engineer/ Architect /Landscape Architect. G ) Place bedding course of sharp, normal weight screening or concrete sand to a uniform depth of approxi- .Fr/c SRnS I �' CrosI I 2 C>C< S I C o f - t 6 r/a€ M(et3 Cam, c=2/ C, mately 1'h inches (35mm) leveled to grade. Install Uni Paving Stone units with joints approximately 1 /8 inches (3mm). Where required, cut paving stones with an approved cutter to fit accurately, neatly and without damaged edges. ( 3c. Tamp paving stones with mechanical vibrator uniformly level, true to grade and free of movement. 3d. Fill voids in joints by sweeping in dry masonry sand. A.01 re /47,0etr Composition and Manufacture All Uni Paving Stones are made from a "no-slump" concrete mix with fade - resistant color pigments added to achieve desired colors. Made under extreme pressure and high frequency vibration, Uni Pavers have a compressive strength greater than 8000 psi, a water absorption maximum of 5% and will meet or exceed AS1M C- 936-82 and freeze thaw testing per section 8 of ASTM C- 67 -73. The most popular shapes of Uni Paving Stones are manufactured in 2% inch (60 mm) and 3 inch (80 mm) thicknesses for a variety of applications from light pedestrian to heavy vehicular use. (sodecr .3 r 'VW1NV1/1/P (, j r y/, ,r-e-ze eV # j '���o�T /�''d % Q 6 //