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640 NE 98 St (6)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FO BUILDING PERMIT 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 he complied with, whether herein s¢ecified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Owner's Name and Address L `�- - -�_• OL 11 � 1 t o / No Registered Architect and /or Engineer Name and address of licensed contractor STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary pub peared and who, being by me first duly sworn, upon oat . eposes and says of the above descr' . ed construction, that he has arefully read the f therein by him sta. -d are jrue. Permit No Disapproved (Signed) Building nspector ate PLANNING BOA Chairs Member Member - Council Approved Date or Street ead, Sworn to and Subscribed before me. ,19T3 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _ d(. q - S' T State work to be done nd purpose of building (by floor) �RTA r & 4 - 46 - e - ro M � - t J/ 4 r4f Rc�i A- 1 _ � „i , - 4C.v — 04) J'� and for no other purpose. New Building Remodeling ' 1P Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 0 C Estimated Total cost of improvements $ I d 0 Amount of Permit $___ Zone cubage required Plan Cubage o f - � ,[� 6 Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit ,i the plans and specifications for said building. All notices with reference to the building and its construction .4 ay be sent to m j 'Z C 0 S 17. C-0 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 - duly authorized to administer oaths and take acknowledgments, personally ap- to me well known, lat he is the egoing application, and that he did sign the same, and that all facts Notary Public, State of Florida My Commission Expires DATE Member Member Member 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 materials and /or workmanship. de necessary by improper notice for inspection or faulty ILO g61 2, 2_( t) i L "7 ( L f a Prop Ne Z2)%4S aLF),SS JfiL. DE. .VT1* voal-LS LA-MeV al 41- PlatirereT) PLI1S Waus ?*11r TILE PLoo it C " 4 11 1 - 1 P•Ni I 6 EYNISTIK16.- 11: GARFit-E. 3upicue" wilco- Tali/ 100644 4041,- *.PO - rOt.e. 1) 14 JOG- *14040%) e gEPLACe eitutiNG- LoOvR.4 ta, rr .st Fkuotiu6 FILLICAMWIPA nee v.) IA) p'04.4) RererciTioN tAZf. 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BOX 528 MIAMI, FLORIDA MHAMO SH® ES VBLLAGfE BUILDING INSPECTION DEPARTMENT APPLICA1 1ON FOR B JOLD NG PERMIT 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 Budding Division of Miami Shores Villaac 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 CI-1 s l 0 5 V Date .q P R L / L No. 6 cL c Street. N e Registered Architect and /or Engineer Name and address of licensed contractor•0u T et ,1 LT irz ke N s - / f 0 0 111 Ll.) /4 ✓e - p 1 t A r) Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done iP c ° .E • �� ST State work to be done and purpose of building (by floors) (fi p L vac r K t T k e r C : u e ]- S and for no other purpose. New Building Remodeling t./ Addition Repairs No. of Stories To be constructed of ... .... .. Kind of foundation Roof Covering ob Estimated Total cost of improvements $ ° Amount of Permit $ ' �J 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. -Sc u er N LT I�t 1�Ine vS The undersi, ed 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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such bc ontractors, qn r to be p formed under this permit, as are licensed by Miami Shores Village. Remarks Disapproved 4 Date ( (Signed) 1-5 Building Insp& tor (Signed)- PLANNING BOARD DATE STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, De.s.,rially ap- peared Ro e✓zT S - VoZe -1:T1, to me weil known, and who, being by me first duly sworn, upon oath deposes and says that he is the --C 2 1 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. Permit No 1 e`' `4 ' Date ` ' - ` Read, Sworn to and Sub ribed before me. Notary Public, State of Florida palter V P UBLIC S?AYF OF FLORIDA AY CABER My Commission Expires 447 { ©4409 ' 310 htgXPIRESI5Etz. 5, 1977 BONDED THRU GENERAL INSURANCE UNDERWRIYERR Chairman Member Member Member Mer.i,cr . .. Member Counc.. 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • Disapproved T ) (Signed) Owner's Name and Add r 7 ' — . ® �C Registered Architect and /or Engineer J.'!<✓��.�..G/ Name and address of licensed contractor Location and legal description of lot to be built on: r� r Lot 1 Block 1 Building Inspector 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 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. ,+ Subdivision.... .. Street and Number where work is to be done 6 4"( C State work to be done and purpose of building (by floors) C d and for no other purpose. New Building / . j .- modeling Additi V .-- Repairs ✓ No. of Stories To be constructed of - Kind of foundation. e-1 Roof Covering � Estimated Total cost of improvements $ p00 , ..._ 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 pennit 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 . - /?` �(--'- �`�' Read, Sworn to and Subscribed before me. 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 3 7 y Date 4-"' F ` Notary Public, State of Florida 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 and /or workmanship. tyg ti 5 _ / / � -6 • _fc)/44.Wiq, 610 hZ,F 7 _ 1 5 4-2 _4;) 49" y ! ' Y I , -, '' � /, = // / g 2/ 4 aC / -P: 2 ' 7 ,.--, 2 71,