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40 NE 98 St1• 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 here' • 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 Engine Name and address of licensed contractor Location and le des to be built . • tion of lot Lot__7V r __ J___a _ Block Subdivision_ Street and Number where work is to be one 'il New Buildin To be constructed of_ T -- APPLICATION FOR BUILDING PERMIT Remodeling Estimated Total cost of improvements $ v __QD G Zone cubage required ..V80 Q 0 Distance to next nearest building Czb o —__ Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. } SS. MIAMI SHORE _AGE - BUILDING INSPECTION D . <TMENT Date v J t t g 7 Amount of Permit $ _Plan Cubage__ _ Size of Buil 'ng Lot R oaring State work to be done and purpose of building (by floors) - Addition Kind of foundation_ f= and for no other purpose. Repairs No. of Sto r�s___,,._� 45 !,. I hereby submit all the lan and specification r said bufidin All notice5 with reference to the building and its construction may be sent to , .4 / a- 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 f. • • • ion on the site of the work s public notice or notices as are required by the Act. The undersigned agrees to employ only suc subc.P tors, on worJ t be p rmed under this permit, as are licensed by Miami Shores Village. Remarks_ ( Signed) _ �_' � 1` •' e ..- 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, upo ' oath deposes and says that he, is the of the above described •nstruction, that he as carefully read the foregoing application, and that he did sign the same, and that all facts therein by him ated . -'true. Permit No � D. �'__ ____L 2 } __- � 4r r _____ f Read, Sworn to and Subscribed before me. /^� Disapproved __ 4---s _._ x Date � (Sign Building pector ( My Commission Expires Notary Public, State of Florida Strttrer,- 1t: 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 and /or workmanship. AprE ,Co E %8 TJ .v /tie- 1 .4 I • 76 - 2E,Q / '4 "; ,¢ %,0 "4- io `8 is C'8 N i‘76.- iii-9 8.5- ,4- 77 71 . (J? '/8 'x .4'o " 7Z7 CD 42/8 " 1) 4" _ /43 (0 ..-- 2/6 1c3 srot.i. 460.1 .Jot ')i- _- 0.s O © ' _, TSLC rE d wx'ao"e 1 Q.e.Oz>z = 2-. co AprE ,Co E %8 TJ .v /tie-