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847 NE 99 St (2)Name _D ' L Address cE - Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 - B ilding Inspection Request Da� i7 Time Company Phone # For Inspector3 / 7/ Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statvu ur ine 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, Flo 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. Decembeit. /6 8/ M Date..._...._.. _... ._..._ .. ,1>a.._._ Owner's Name and Address Don IlrC ll2 1 21/] ,._ — No..� «Str � l ' • /44 .th 5 .t. Registered Architect and /or Engineer .,.., ,.. Ob •• ...•.. ., «,,,.�.• ... . envuJL 'Roo . Cv• 7357 N. 'U. ML ini. .. Miami, 3Ca. `amt and adclress 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 8'/7 N. [ 99th. S. State work to be done and purpose of building (by floors).... - aMe•4..2he ? .44414,... w.4.1 itepLace wall -20 L6. e.Lt,. 90_16...Late, g aLv. A n:9"- and white Ah•ing.Ce LLe.. ._, and for no ether purpose. New Building Remodeling • Addition Repairs X No. of Stories To be constructed of ' Kind of foundation Roof Covering bb A Estimated Total cost of improvements s.. 850:00 Amount of Permit S. 20.00 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 umiersiQncd applicant for this building perinit does hereby certify. that he undcrejands and accepts his obligations as an employer of labor under the Florida 1Vorkmert s. Compensation Act, being Section 5e966, Compiled General Laws of Florida, Pennane•nt Sopple•urent, anti h.ra complied with the rovisions 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 ' hlie notice or notices as are required by the Act. The undersigned agrees employ only such subcontra- rs, on work to •;;oy�• .under this' pennit, as are licensed by Miami Shores Village. Rern.uks (Signed).. . . C= . Permit No.. ,3 (9 C Disapproved A (Signed) _ Date. • Building Inspector Chairman Member STATE OF FLORIDA, COUNTY OF DADE. J 11. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Notary Public, State of Florida My Commiuion Expires PLANNING BOARD ................ 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 tine.. / Date / ) ' / /e/ Read, Sworn to and Subscribed before me. Member Member Member .. .. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for ntaking or changes to this application after approval has been obtained frrnn the Pl.rnnir,g Board. A rc••rir 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. MIAMI SHORES VILLAGE 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 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. Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. ss. Gaines Const — Donovan Registered Architect and /or Engineer Name and address of licensed contractor Id and Sheet Metal Works, Ino. 261 N.B. Location and legal description of lot to be built on: Lot 18_41-h_ 19 Block 169 Subdivis ; -in Street and Number where work is to be done 647 a_ c_ ' 99 St, State work to be done and purpose of building (by floors) 1 - 30# felt tin Dapped 190# slate mopped solid G 1Y.._Me_ta1 -- tile and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 920,00 Amount of Permit $ 5 .00 Zone cubage required Tian 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 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub - contractors m eploy &l 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 pubhi� notice or notices as are required by the Act. The undersigned agrees to employ only such fsubcgntractors on work,tobe %performed under this Bui . mg Inspector permit, as are licensed by Miami Shores Village. Remarks ( Signed) Date July 1 ,19 53 No 5232 Street W Fla.g_ler 73 St. 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 [ _ _ Date 1 — Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairinan 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.