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660 NE 98 St (7)BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of thc detailed statement oi isle 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 doilding 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 piogreu of theworir. / /7 Date Owners Name and Address ./..y :.....z t./....4zgezci...2. a N. ,. Registered Architect and/or Engineer_ ....... 7 4 .—... 2 %....-...—mw 7. Name and address of licensed contractor r Locatio_iand legal description of lot to be built on: S'vi E .41( A-NLD /1 Block / ubd Screet and Number ...L..... work is to be done Lot State work to be done and pyos of building fby-frts 4- (il / 0,46/ _27,2 and for no other purpose. Ne Building Remodeling y A ddition Repairi No. of Stories.... Roof Covering To be constructed of Kind co faubsda ion_ Estimated Total cost of improvements $. Zone cubage required Distance.to next ne.irest building Maximum live load to be borne by each floor Permit No..—_. Disapproved (Signed) I hereby submit all the plans and specifications for said building. Al! notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby crrtify that he underst oi labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled and has complied %lid) the provisions thereof, and will require similar compliance from in the work to be performed tinder this permit; and will post or cause to be posted for or notices as are required by the Act. The undersigned agrees to ernploy only su h s pcnnit, as are licensed by Miami Shores Village. RemArks (Signed) 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 .------- — and who, being by mc first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has c refull read the foregoing application, and that he did sign the same, and that all facts therein by him sated re . 1 4 MIAMI SHORES VILLAGE Date Date.. Budding Inspector -.Amount of Permit t. — _Plan Cubage. —Size of Building Lot... cvnt.r of th • ds and accepts his obliga eneral Laws of F contractors or tion on the s on .19e6 se,t2.8 _14 7 10-1 ,1 ! ida Read, Sworn to and Subscribed before me. ons as an employer manent Supplement, s employed by him rk sukh public notice performed under this to me well blown, Notary Public, State of Florida My Commission PLANNING BOARD DATE Member Member Member Date Disapproved Date Cliairinan Member Member Council Approved :(171-:: A charge nf $1.00 will be made for making corrections or changes to this application nfter approval has been obtained from the Board. A rc-iti.pet-tion fee of S1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materiala anu/or workmanship. Owner's Name and Address ..... Disapproved t ....�.� Date. (Signed) .z q MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ur we 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. Registered Architect and /or Engineer �l Name and address of licensed contractor v 'Y ...: --- Location and legal dcscc Option of lot to be built on: Lot. .6 f? Block .b.. // Subdivisio Street and Number where work is to be done 6 ..d I_ State work to be done and p>,rrposc of buildin (by floors)... .� �..1`1 �T Date �J_ /9 0 _ . .__ ..t,A.�, I9Q. (�7 -, /e _ No !! eetr 32 w1 � and for no other purpose. New Building Remodeling Addition Repairs D ES No. of Stories �ia� _ To be constructed of -- Kind of foundation e� Roof C overing Estimated Total cost of improvements $ Z1° °t Amount of Permit $...5 Zone cubage required Distance .to next nearest building 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 i.ahur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent SupJslenaent, 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 su ntzactors, on t ork to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks .Plan Cubage Size of Building Lot 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 (Signed).— AD ei 9 / PC 7 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. ._.g Q Date.. l......b Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires to me well known, PLANNING BOARD DATE Cbair:nan Member \fcrrtber 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 niter approval has he-n obtained fmtn the Plannir.;; Board. A re liopection ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspeetirm or faulty materials and /or workmanship.