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363 NE 98 St (10)BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING g"ERMIT 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. M /� � Date..._ 3/1 p t . � .... I9.. _ Owner's Name and Address ....... ) L £ l.!.:1./j�.� .. _ — No..... �.3..__. Street .� ... <- .Sl .�La... ..... _ .... ., . Registered Architect and/or Engineer .........„, ,, , -,,,,, uu Name and address of licensed contractor. A - f i t / V . 1 4 , 0 5 C 0 /€ 5 1 7 Cos..4 /? ?, 5'7, 4 Location and legal description of lot to be ¢uilt on: Lot .7,01`,7--,/ Block Street and Number where work is to be done MIAMI SHORES VILL GE Building Inspector Subdivision.. ) -gael nAtL --.. -- �l _- ITe State work to be done and purpose of building (by floors) /-t...P,t;. /Rg AND SF and for no other purpose. New Building Remodeling X Addition Repairs No. of Stories To be constructed ofh4.&11- Cca /eRE3sd of foundation Roof Cgvering Estimated Total cost of improvements $ £(5 C Amount of Permit $L 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../ 7 Eow. o .._....� �9.ki/4f .if.itE. m_z3C// 33/.3 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 Sup dement, 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 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) 919,57' STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Notary Public, State of Florida 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 carefull read the foregoing application, and that he did sign the same, and that all facts therein by him state ar tru Permit No.__._ 1 Date 8 Read, Sworn to and Subscribed before me. Disapproved ► _ -mil `_1 t - Date (Signed) 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 anti /or workmanship. ■ cr,/ Owner's Name and Address .... Registered Architect and/or ngineer... ... . . . . Name and address of licensed contractor. ..... Location and legal description of lot to be built on: Lot... Block Street and Number where work is to be done State work to be done and purpose of building (by Remarks -- - ---- (Sign Permit No / .r' Date Disapproved Dat (Signed) Building Inspect 7 e , NNING BOARD_. __ MIAMB SO=4101 ? ES VdLLAGE BI .:. .DING INSPECTION DEPARTMENT A FL9r, TO N FOR =UILEDONG PERMIT Application is hereby made for th • provaI 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. 74 ' d V Date .- . , g , 192.0 No Street Subdivision floors)-- - - 7�.� __11 N F,D r se-' Q eez. �J_9 f k and for no other purpose. New Building Remodeling Addition Repairs__ ___d,� - � No. of Stories To be constructed of Kind of foundation Roof C vering ... Estimated Total cost of improvements $ 9 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 fot 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 subcopt{actors to performed under this permit, as are licensed by Miami Shores Village. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires__ DATE STATE OF FLORIDA, COUNTY OF DADE. ss ' Before me, the undersigned authority, a notary public, duly authorized to dminister 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 the has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 he' n obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper not e iur in: ,n or faulty materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. Council Approved__ 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. Owner's Name and Address____ _ Registered Architect and /or Engineer_ Name and address of licensed contractor Location and legal description of lot to be built on: Lot_ Block_ Subdivision . 7J1 ` • Street and Number where work is to be done State work to be done and purpose of building (by floors) _and for no other purpose. New Building _________________________ Remodeling Addition Repairs C No. of Stories To be constructed of Kind of foundation Roof Covering_ Estimated Total cost of improvements $____ m ® _e_________—___Amount of Permit $ *y 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) 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 con > ruction, that he has carefully ad the or going application, and that he did sign the same, and that all facts therein by him sjd ar_ T A Permit No.__ w / _. Disapproved ! M' ir l (Signed) �/� /t � B . n zctor V vgLy My Commission Expires__ PLANNING BOARD Chairman Member Member Member Member Member Mate Disapproved Date No._ 3 3 ___ Street_22. _e___Z - Read, Sworn to and Subscribed before me. Notary Public, State of Florida DATE 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.