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890 NE 98 St (10)Lot Chairman Member Member Council Approved NOTE: A charge of $ 1 the Planning Board. A re- inspection fee of $ 1 materials and/or workmanship. Owner's Name and Address____ — ___— _—.M 1 *" ` Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: f To be constructed of______ __ Kind of foundation Building Inspector 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 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 specifigsl or not. A copy of approved plans and specifications must be kept at building during progress of the work. ■ 19 - -- No.___ Street___— __—_______— __.____ Block_ , $.ubdivision -11-- State work where o to be done purpose off buildi b floo kf� ,'� Street •, • P . P _ � - y 1 ) 41 .r ,- ,_- , ,, . -' , _ 7 y41744y*- % 4a� .r 6. 7 New Building ______ __________ Remodeling _ —__ Addition__— _______— ________ Repairs / No. of Stories___________ —___ Roof Covering_ Estimated Total cost of improvements S_ —_ - - -_ - -__—_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 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, COUNTY OF DADE. a. 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 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. Disapproved ___ ___— __ ______ _____ Date (Signed) Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member Member Member Date Disapproved no other purpose. to me well known, __Date .00 will be made for making corrections or changes to this application after approval has been obtained from .00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty (Signed) 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 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 specifiejl or not. A copy of approved plans and specifications must be kept at building during progress of the work. / Date_ , 19 —____ Owner's Name and Address__ No. Street_____________________ —_ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot____________________ Block_________ r.- Street and Number where work is to be done A - -_ - LLB -. --` State work to be done and purpose of building (by f}ooet) New Building___________ Remodeling________________ Addition__ To be constructed of Kind of foundation h Estimated Total cost of improvements __ Amount of Permit $_ ___t� Zone cubage required_____ Plan Cubage__ _______�____ Distance to next nearest building Size of Building Lot Ro Repairs No. of Stories_______ Covering_ 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 be 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, a . COUNTY OF DADE. 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No / 7 Date / -, ` e,Y.__ Read, Sworn to and Subscribed before me. Disapproved ________________ Date Notary Public, State of Florida Building Inspector My Commission Expires_ __ —___ Cana l no • other purpose. PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval bas 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. Ate Owner's Name and Address ....�..�� ... f..t.,,,......Gr" . Registered Architect and /or Engineer Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby nndc for the approval of the detailed statement ui me plans and specifications herewith submitted for the build ins or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and n11 provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisinn 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 . // S - �� ubdiv � iis t i Street and Number where work is to be done State work to be done and purpose of building (by floors) . ..... N....i?. no .._ Street ...1t .ST Disapproved ` 1 .... t 1� Date Q (Signed) ) Building Inspector My Commiuion Expires sent nP•- !It •nM,1x<tttt. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind offoundation Roof Covering Estimated Total cost of improvements $ Amount of Permit Sr 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 ►sith 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 suc bcontr rct; rs, on work to be under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorizcd to administer oaths and take acknowledgments, personally ap- p eared -- • - ---- 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. pp Permit No • 3.. ..t' Date . .II...� Read, Sworn to and Subscribed before me. PLANNING BOARD _.._......DATE Chairman Member — Member Member Member .. .. Member ...._ ^ .. Council Approved Date Disapproved ...................Date NOTE: A charge of S1.00 will be made for making corrections or changes to this application after approval has been obtained frntn the Pl.ennir.g Board. A re••in.ipe•ction Ice of SI.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti/or workmanship.