Loading...
75 NE 98 St (11)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 i3uilding 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. Owner's Name and Address ......�'�� %1.. »._ No Street.— e� Registered Architect and /or Engineer Name and address of licensed contractor Location and legal d escription of lot to be built on: Lot 41 .`. - - -AA .. Block Street and Numb ff where work is to be done Permit No. Disapproved (Signed) 2 e g o 7 ate.. Building Inspector Date 3- .2-? 7 PLA Subdivision ..!/Ze- 11,.X! Chairman Member Member ...... Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. i INC BOARD DATE Member Member Member Disapproved State work to be done and purpose of building (by floors) I ' 91'J/ CI Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires or changes to this application after approval 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 $ Sfl1.t Ql1 Amount of Permit S. 4 ••,s'd Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Miaximum 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 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 contract • 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 t e site of the w. such public notice or notices as are required by the Act. The undersigned agrees to employ only such sulofriraato s work to , performed under this pennit, 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 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 has been obtained from when such re- inspection is made necessary by improper notice for inspection oe faulty 7F v MIAMI SHORES VILLAG BUILDING DEPARTM 305- 795 -2204 Building Inspection Request Date Time Type Insp' n ' / frG 4 4 - � Permit No. 1 cL Name Address (J NZ 1& J� Company 3 S Zs Phone # fOAC 3° 355 For Inspector: — Approved L�" Correction ❑ Re- Insp'n Fee ❑ APPLICATION FOR BUILDING PERMIT Owner's Name and Address._..._... - 91/1.4l. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State or to bond an ose of building (by floors) 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. New Building Remodeling Addition MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 4-1") Date , 19 No Street and for no other purpose. 17 1 -1 - /t/L :r .10V- 1 42 4 7(0 feRA Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ 3 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 Florida Workmen's Compensation Act, being Section 5968, 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 insp ion o • e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub ractor or. to be pe formed under this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. j 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. / p /� Permit No (y_i! Date C 1 - v Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida uilding I specto 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.