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FENCEBUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PER Application is hereby made for the approval of the detailed statement of the plans and specificatio submitted for the building or other structure herein described. This application is made in compliance and conformity with the dinance of Miami Shores and specifications must be kept at building during progress of the work. Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Sho r • - - Building Division ne and all rules ioeddeplans A copy of approved Owner's Name and Address New Building Building Inspector MIAMI SHORES VILLAGI PLANNING BOARD DATE Chairman Member Member Member Member Member Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done — State work to be done and purpose of b ilding (by floors) Remodeling Repairs - of Stories------------ To be constructed of_______ ____ Kind f�aatndat ion___________ — _____� Ro Coverit Total cost of improvements $_� ` �- _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 its construction may be sent to -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his gitions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floridermanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- coni 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 tl�brk such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, n work A to , performed 'under this permit, as are licensed by Miami Shores Village. ��i..r. Remarks (Sianedl,, >� • STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknotdgments, personally appeared 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 sale. and that all facts therein by him stated are true. Permit No. Date Read, Sworn to and Subscribed before me. Disapproved —_ —__— __— __________ Date (Signed) Notary Public, State of Florla My Commission Expires__ Council Approved Date Disapproved -1 for no other purpose. it me well known, Tate 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor To be constructed of__ Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE Kind ?f1c�tndation__ Estimated Total cost of improvements $./ ' " Disapproved - -__—__ —__ Date (Signed) 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 building 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 regula- tions 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. Location and legal description of lot to be built on: Lot Block____— —_ Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) IPi — and for no other purpose. New Building___________________ Remodeling______ ______ Addition_ Repairs No. of Stories_________ R Covering Amount of Permit $ 4—‘ Zone cubage required Plan Cubage 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 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 performe upper this permit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Date__________ No._ ti 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 Date Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved _ Street.,�� 0 Notary Public, State of Florida to me well known, nate 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. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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. D I hit w Owner's Name and Address KO +v+- N f ` Registered Architect and/or Engineer Q x/ Name and address of licensed contractor LO M v 7 1' r g Location and legal description of lot to be built on: Lot3 T. Block 7 Street and Number where work is to be done STATE OF FLORIDA COUNTY OF DADE. New Building Remodeling To be constructed of } SS. Disapproved I —�(_- Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT State work to be done and purpose of building (by floors), state exterior colors (submit samples) Subdivision / JL / /0 // 52/ Ao S and for no other purpose. Addition Repairs Kind of foundation Remarks (Signed) Date 4.' / 7 19 0 No. 7 if Street 9, No. of Stories Roof Covering Estimated Total cost of improvements S fv .c9 0 Amount of Permit S Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 hereby submit all 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 obligatons as an employer of Labor under the Florida Workmen's Compensation Act. being Section 5966. Compiled General Laws of Florida. Permanent Supplement.: 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 nd :. this permit; and will post or cause • .e posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersign a: e employ ch contrac "on wIrk to be performed under this permit, as are licensed by Miami Shores Village. V' Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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 fo egoiingg application. and that he did sign the same. and that all facts therein by him stated are true. Permit No. f ( ° 1 C 0 Date 1 / __ (_/� Read. Sworn to and Subscribed before me. Notary Public. State of Florida (Signed) 1 W • U `� - ' `� Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 50' ( I) A 50' 559 °: 8 • 25 •_ m /30' 1 / /3 6 /Q /30' /6 4 0 r' m SKETCH OF SURVEY: Lots; 3, 4 and the NO. 1 ", according Public Records of ORDER NO: 130582 F. E.. NO: 1776/56 I HEREBY CERTIFY: That the attached "SKETCH OF Is true and correct to the best of my knowledge platte4 under my direction. Note: This drawing Is not valid unless it bears embossed seal of appli- cable surveyor. R E V I t 50' /6 /7 /8 /9 20 2/ 22 50 ' 23% 56' East 1/2 of Lot 5, Block 7, "AN AMENDED PLAT OF MIAMI SHORES SECTION to the plat thereof as recorded in Plat Book 10 at Page 70 of the Dade County, Florida. s I R N 7N TA LQC47' /ON I'fAP SCALE: / = /OGY S ;OCIATES, INC. SCHWEr- SM1SKIN (!t(< • Registered Land Surveyor 0 975 State of Ftnrida ti r m DATE: 2/8/78 SCALES SHOWN SURVEY" of the above described property and belief as recently surveyed and Pros. tkl 8 T 6 /9 - 4 FE 2 .0/ 61 h � 25 iivA h /5 50' /6 •.- /7 /8 - • /9 - 20 - 2/ .. 22 60' 23i 56' 1 1 1 r' m c /30' Q � // i2 /3 SKETCH OF SURVEY: Lots 3, 4 and the NO. 1", according Pubic Records of Note: This drawing is not valid unless I t burs embossed seal of appli- cable surveyor. REVISIONS iF P +c ,ai 4,0r4 7/1/ LQC4770/V MAP SC.A.LE: I": /G,©' SCHWFE -SHI S •1 N 0. Re Land Surveyor #975 State of FUlrida Y] en 1 ill 1 ■ii��r 30 East 1/2 of Lot 5, Block 7, "AN AMENDED PLAT OF MIAMI SHORES.SECTION to the plat thereof as recorded in Plat Book 10 at Page 70 of the Dade County, Florida. ORDER NO: 130582 DATE: 2/8/78 F. H.. NO: 1776/56 SCALES SHOWN I HEREBY CERTIFY: That the attached "SKETCH OF SURVEY" of the above described property Is true and correct to the best of my knowledge and belief as recently surveyed and platted under my direction. S OCIATES, INC. Pres. ti 2e a. pNF 5 , C.F.3. ,eE5/OE.c,Cs N° 78 502