825 NE 98 St (7)Application is hereby made for the approval of the detailed statem
ing or other structure herein described. This application is made in co
Shores Village, Florida, and all provisions of the Laws of the State of
regulations of the Building Division of Miami Shores Village shall be
plans and specifications must be kept at building during progress of tl
Owner's Name and Address__
Registered' Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be kuuilt on:
E ' /q Block
�bdiis n
Street and Number where work is to be done /
State work to be done and purpose of building (by floors)_______ ________
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New Building
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To be constructed of Roof Covering 1
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Estimated Total cost of improvements $__ _ 1_ _ > ,__ Amount of Permit $ ,/-
Zone cubage required 0 _Plan Cubage �/�`L C
Distance to next nearest building J Size of Building Lot r - )(J 0 l
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 sub contractors, on work be performed under this
permit, as are licensed by Miami Shores Village.
Remarks ( Signed) __
STATE OF FLORIDA,
COUNTY OF DADE. J ss.
MIAMI SHORE
BUILDING INSPECTIO
APPLICATION FOR
VILLAGE
> r \
s
N DEPARTMENT 14.
UILDING PERMIT
nt of the plans and specifications herewith submitted for the build -
npliance and conformity with the Building Ordinance of Miami
Florida, all ordinances of Miami Shores Village and all rules and
:omplied with, whether herein specified or not. A copy of approved
ie work. C
Date
19
No Street
and for no other purpose.
Remodeling Addition- // 6 N�pairs No. of Storj�s
Kind of foundations
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 carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated a e true. -
r
Permit No Read, Sworn to and Subscribed before me.
D ate / <
_
I
Disapproved L ( / Date
O r ( ( ; —: Notary Public, State of Florida
Building Inspec
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.
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