75 NE 98 St (5)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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. / �i
Date /
Owner's Name and Address. No Street
Registered Architect and /or gineer
Name and address of licensed contractor J� .
Loc ion and a description of lot to be bpilt) on:
Loci? ... _ Block 6( Subdivision...
Street and Number where work is to be done
State work to be done and purpose of building (by floors)_. =s'_
New Building ,Ren eling Additi
i e'
To be constructed of ' Kind of foundation
Estimated Total cost of improvements $
Zone cubage required-74
to next nearest building
Disapproved �,( f D
(Signed) _" `-
0
Repairs No C o f ies
7 Roof Covering
Amount of Permit $.._.T' ' '
_Plan Cubage._
Size of Building Lot ° "S `C /1.3 1 `3 _
Notary Public, State of Florida
63
19
and for no other purpose.
Maximum live load to be borne by each floc
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 contractors or sub- contractors employed by him
in the work to be performed ender 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 sub ctors, on w r to performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signer Signe)
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 1 4, 3 Date __ _..__ j Read, Sworn to and Subscribed before me.
Building Insr °•• My Commission Expires
LANNING 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.
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SKETCH OF SURVEY
Pipe Lot 21 and West one -half of Lot 22,
Block 8, MIAMI SHORES Section 1
Amended, according to the Plat there
of, recorded in Plat Took 10, at
PaLe 70 of the Public Records of
Dade County, Florida.
Order # 7675
F . B . #164 -3
Oct. 2 9, 195
Scales shown.
I HEREBY CERTIFY: That the attached
"SKETCH OF SURVEY" of the above des-
cribed property is true and correct
to the best of my knowledge and be-
lief, as recently surveyed and plat-
ted under my direction.
Ha'y C. Schwebke
Registered Land Surveyor #602
State of Florida
`— Order No. 43758. I HEREBY CE That
the attached SKETCH OF SURVEY is revised
this 24th day of November, .1
HARRY G, . S9HIJ BI 80' ASSOCIATES INC: .
. c
11 lye
Robert C. Schwebke
Registered Land Surveyor, #1067
Sta