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90 NE 98 StPermit No Disapproved ( Signed) Chairman Member and who, being by me first duly FSION, of the above described constructi,6n, that he therein by him stated are true. Building Inspector MIAMI SH Y RES VILLAGE BUILDING INSPECTION DEPARTMENT 41' APPLICATION FOR BUILDING PERMIT f 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. ` \ Date Ve.57-,_ C Owner's Name and Address _Q `�J l.• No ' mot" �s2 Street_ ZR Registered Architect and /or Engineer Name and address of licensed contractor_`______ _Pito _____W_I E Location and legal description of lot to be built on: l ` Lo \ I: a Block 1 Subdivision __ c*." c 1 _.p C- > _ �1Q .r S � . Street and Number where work is to be done 0 N__,'E'r___— & 2r (' State work to be done and purpose of building (by floors) G - ec.--r ( , \L-'( New Building .." Remodeling Addition Repairs No. of Stories_Q__� To be constructed of C • S Kind of foundation 'E1 A� _r_) C' of a C8v_iring_ 4 ___` 1L-E._________________— Estimated Total cost of improvements $___1 0 O Amount of Permit $ pr Zone cubage required - L D CDC) 0 _Plan Cubage________ Distance to next nearest building Q c • Size of Building Lot I e• !M" Maximum live load to be borne by each floor I hereby subn ' the plans ands e cifications for said buildi . All / n o tices th referennce to uil g and its construction may, be sent to -- - t111n - " `�- .(C } � 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 pj'stod 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 well subcontractors/ on work to bg performed under this permit, as are licensed by Miami Shores Village. / Remarks (Sig ` - 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, deposes and says that he is the refully read the foregoing application, and that he did sign the same, and that all facts ( 1 v Read, Sworn to and Subscribed before me. 1 s L and for no other purpose. Notary Public, State of Florida My Commission Expires PLANNING B L DATE 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. •�'� — g 02+ • r Le A-L. © 42 b . 4' A Ci) A6'8' 3 sin ( ; ,4" • 5 , ,0 Co 0 1S C.)•%7 2. 4 4• �; ., I) 00_ 4d' 07'o" S4'o" 1. BC,‘ 8.04. izs 414.0 tls, Go.° ( 05 4.3 IC g4," 0441 13/ Z 1_ t 3/16“ s's' la}fe‘oz• ‘3 %4 e t / (1(Vig't 31'd')( ,3‘8" 4-d ' s t ;: 11 cb' ou To719L ANZEP ; $•' ,c 2 1) , 14‘ R,$Co (. 4 l0 33,1 1 8294 0 17)4. z2'&" 4 1 0 7_ =z.33 . . c '3'53 2 e 3 3 t 2,1f.0 G Z4 7 ‘7,654— G' Q AGE- I 6 a CJ � ' ► g Trip (frLV )