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381 NE 98 Stpv (, ' -Application e i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other str ure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, lorida, 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. J ��f - -- ( � o� � Date `/ - - E-> -v�.� , �s- `- - -� , i - - -� - Owner's Name and Address -- – J- _'' � 1 .l 12 L — No. – �Ye- Street_ .,( Name and address of licehsed contractor /„....lL_'_ Location and legal dese icon of lot to be built on: ' Block '54 Subdivisiock, �� Street and Number where work is to be done — , , ii 4 State work to be done and purpose of building (by floors)_ � , and for no other purpose. New Building 6 Remodeling Addition Repairs No. of Stories it 6 To be constructed of r K' � of foundation__ " R 7 • uy�+ 7 ; ( - 1 ..1 hoof C vering- - -q° " ,. Amount of Permit $____ 4 _Plan Cubage ize of B Lot Estimated Total cost of improvements /.Y �> Zone cubage required ,}_ Distance to next nearest building Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. j ss. Member Member Council Approved MIAMI SHORES VILLAGE • BUILDING INSPECTION DEPARTMENT AP FOR BUILDING PERMIT 9 __z I hereby sub it all the plans and specific tions for sod building. All notices with reference to the building and its construction may z � _ %� 1 be sent t o___ �:�. �__ _ _ 6 The and signed applicant for this building permit does hereby certify that he derstands 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.-- 6 replied 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. f ; n • P y 4 Remarks (Signed , Date \Read, Sworn to and Subscribed before me. 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 b me first duly sworn, upon oa •posh s and ys that he is the of the above des ibe constructio that he h ear= ul read e foregoing application, and that he did sign the same, and that all facts therein by him st ed e true / Permit Date_ Disapp `'t Notary Public, State of Florida e__.( - `� / ` Build�g Inspe tor'' Commi ion Expires LANNING OARD 7 DATE Ch irmari • Member __Il Member Member Disapproved 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 b,' improper notice for inspection or faulty materials and /or workmanship. E VA O o _ tr • V �oc� ra Pn 7� j � In L I -- g i o O n G -- , ®r�OE mp a" r^ 0 0 DO a as 43 vc1 gym° Z8 g LT c .- ;11 a� - ro ��5.�d 0©