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372 NE 98 St (4)APPLICATION FOR BUILDING PERMIT Application is hereby uinde for the appro \'al 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 cop of approved plans and specifications must be kept at building during progress of the work. l 1 Date.. Owner's Name and Address '^ .C- e I Registered Architect and /or Engineer 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 T . 7 2 Al State work to be done and purpose of building (by floors) 7 - 0 ( n1 r OO 1 i ;�� I T Li._ _.�.� Remarks __._.._._ (Signed) Permit No.__ Disapproved (Signed) MIAMI SHORES VILLAGE Date. utldtn(Inspector BUILDING INSPECTION DEPARTMENT j ............. 11.,11,_ - . Se ' r ,.. � 02oY. U , r l� / /9 Street._. . _..1._ 1 . Read, Sworn to and Subscribed before me. 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 $ 18S' 0 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 permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent 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 tq 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 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 going application, and that he did sign the same, and that all facts therein by him stated are true. / I. ? 7 2 Date 6 Notary Public, State of Florida My Commission Expires PLA`NNINC BOARD DATE Chairman Member Member Member Member ...... Member Council Approved Date Disapproved Date NOTE: A ch.irge of $1.00 will be made for making corrections or changes to this application after approval has hecn 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. Application is hereby made for the approyal 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. Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done Permit No Date ...7 Disapprove (Signed) Chairman Member Member Council Approved APPLICATION FOR BUILDING PERMIT Building Ins tor MIAMI SHORES VILLAGE 1=t- BUILDING INSPECTION DEPARTMENT Subdivision 372 N.E. 98 St. Date )LANNING BOARD. .. . ..DATE Member Member Member Date Disapproved Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ... 7-8- , E. 98 . Owner's Name and Address . R. H. W“s9r!... No . 372 s N. St Registered Architect and/or Engineer Name and address of licensed contractor_ Brandon Air Conditioning — 2475 W. 8th Lane, Hialeah State work to be done and purpose of building (by floors).. Install (1) 21/2 Ton A.C. with duct work as shown on plans, in existing home. 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 im $ 2,077. 00 Amount mount of Permit $ 6.00 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 foi said building. All notices with reference to the building and its construction may besentto.P... Conklin, Brandon Air Conditioning — 2475 W, 8th Lane, Hialeah • The undersigned applicant for this building permit dot 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 hint 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 publi( notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors,pwojk to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed). STATE OF FLORIDA, COUNTY OF DADE. ss. Before ine, ti r undersigned authority, a notary public, duly authorized to administer oaths and take ar l'aowledgments, 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. Date NuTF: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fro; the Planning Board. A re-inspeel ion fee of $1.00 will he charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.