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890 NE 98 StMIAMI 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 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. Owner's Name and Address 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 building (by floors) ■ 19__x No._ -- ,�.- Street— _ __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 S. 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 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 performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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 be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Permit No._______— ___—______ ____ Date Read, Sworn to and Subscribed before me. Disapproved — ________—____ —___ Date (Signed) Chairman Member Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Member Member Member —__ Member Council Approved__-_ Date Disapproved to me well known, _____—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. 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. Owner's Name and Address ' ''` Registered Architect and /or /Engineer Name and address of licensed contractor Location and legal description of lot to be built on: G Lot BlockM_______________ Subdivision Street and Number where work is to be done State work to be done and purpose of budding (by floors) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT A ��� // (j.rc. jam. / ' ,(,-/ !%!°rLt scy. � .�. �,t - -ri. Y / -------- -- - - -- -- — __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 $ o --5 4 • —_— Amount of Permit $_ ___ Zone cubage required— Plan Cubage Distance to next nearest building 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 , -+'^• (":2• ) : t ` ' 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 ciuse 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 performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) i / 7 " -7 � -7 ' ' `, / 11' /'f% STATE OF FLORIDA, 4 se. .' / _7f COUNTY OF DADE. r'� Before me, the undersigned authority, notary' public, duly authorized to administer oaths and take acknowledgments appeared Permit No Date Disapproved __ Date (Signed) Size of Building Lot Date /- --- -__ -__ 19,4 7 . No._g _f_LLAL[Street— 4_‘___ and who, being by me first duly sworn, upon oath deposes and says that be 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission PLANNING BOARD__ DATE Chairman Member _ Member Member Member Member Council Approved Date Disapproved _ to me well known, 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. PAUL ARMITAGE aeo n. E. oath ST. MIAMI FLORIDA 3 h.,..1 )1, a-,..us Iv'o I1 r1� tea.,.;,. -� �Y,,•.� ,.,;�. tAd`M VN. o- ()ARA .H.‘k b% 1/Vl ol*-C 01A-e..a.k-L,IA`" (A-% V s-et + TA* i;% ( fra t tA__D e".1A-A° 1 0 S 4 Owner's Name and Address MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for tlic approval of the detailed statement us the plans and specifications herewith submitted for the build • ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date..._..._... __... 19. _ — No... 8 9 u .._... Street-5 57 . Registered Architect and /or Engineer 111..•1,, •,,,,,.h,,,,,,, Name and address of licensed contractor - - L ,,, (1.) s'/to O 5 i' - ' / 5 %- / /si 0/ et' Location and legal description of lot to be built on: Lot - -3 d i �z Block .-) Subdivision S4-c° 1 4 ° %`' cc j .._.._......_..._._ Street and Number where work is to be done 3 A /Z ci e " J v$ i -`5 tlZ► L /mst J State work to be done and purpose of building (by floors) _......_....t VA- u Lc"' u 3 ... ._ ,_ »............_..._ .....__.. _.._.._..._ 4 e �L i AJ S t if L _ tt't _ - ZJ NL '2.4 5 1 L,. 1 .,7v.-_ t Ztz , ;, -3 .1 S1/ 7/ G- 6'615) P a r ' d {.. i.and for no her New Building Remodeling Addition Repairs No. of Stories. To be constructed of Kind of foundation Roof Covering go5 Estimated Total cost of improvements $ 2 » • 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 and its construction may be sent to.. The undersigned applicant for this building per:nit does hereby crrtify 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 hips 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, og to be 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.. Permit No.. .35 .. ... Date A I.. 1.. »._._ Read, Sworn to and Subscribed before me. Disapproved Date (Signed) .. Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairman Member MIcrnbcr 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 ban 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 01 faulty materials anti /or workmanship.