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FENCESTATE OF FLORIDA, COUNTY OF DADE. j ss. R' 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 i State work to be done and purpose of building (by floors ) Jve peared Date Date r Building Inspector` IAMI SHORES VILLA BUILDING INSPECTION DEPARTM BUILDING INSPECTION DEPARTM 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. �l�/ � ^i�� /? // Date g� // Owner's Name and Address No Street_ e Zone cubage required flan Cubage Read, Sworn to and Subscribed before me. Notary Public, State of Florida and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of oundation Roof Covering 629 Estimated Total cost of improvements $ / 6 _ Amount of Permit $ 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) 7/' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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 e tr / ? , Permit No. ___.4 Disapproved (Signed) My Commission Eypites PLANN : •ARD ATE Chairman Q_.___ t .� ___ Member Member .. - Member at •-- -' — Member ____�___ _ • • ___ __ Member Council Approved Hate 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. Ir 5/DEpv4L, �✓ E . 9/ 57 /`5 /%A 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 imit:ling Diai:,ion of Miami Shores Village shall he complied with, whether herein specified or not. A copy of approved plans and specifie.,tions .rust he kept a' building during progress of the work. i i / / . / D ate ..�.:� t i i, y . (• ' f Owners Name and Address.. :.-e_ :. .Ct . ?`t2 4. No Seet_..L!_. .( . / - r f • Registered trrcitect and /or Engineer Permit No (Signed) . Name and airlress of licensed contractor._.. Location and legal description of Iot to be built on: Lot --- Block.- .-...... __ ..-- .-- _-.____- Subdivision.. _greet and Nurnl:a; wl ere work is to he done { / J Sta +e work to In: dee , .<nrl ;orposc cf Tuilding (by flc:ors) Disapproved Date MIAMI SHORES VILLAGE Date BUILDING INSPECTION DEPARTMENT I / _ -. -- and for no other purpose. New Eeildin5_._.__ .. -_. _ ... _ . -_ Remodeling ...__ . Addition ... .... ..... ...... Repairs No. of Stories ... To be constructed of ..._..._ ..__ .._.. Kind of foendation . _ . _. Roof Covering Estimated Total cost of improvements $.. __ / /, ( r Amount of Permit $ ( Zone cubage required._ ...._ Plou Cuhage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I herel,y submit all the plans and specification; 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 enmplied witl. the nrovisions :hereof, 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 pern't, as are licensed by Miami Shores Village. itemarks (Signed)_ STATE OF FLORIDA, COUNTY OF DADS:. I ss. Before me, the meicrsigned 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 wily sworn, upon oath deposes and says that he is the of the above descried 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. • r Notary Public, State of Florida Building Inspector My Commission Expires 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 cr changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 81.00 will be charged when such re-inspection i:, made necessary by improper notice for inspection or faulty _. ^: matcria and/ or wx•:x;: urns.:::p. � p.!c, � p L '% Disapproved e . ( Signed) Building Inspecto 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 - fng 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 h 1 L _. , 19 57 Owner's Name and Address.... /12Cfi...A/QP 1. 1Atee/k No. 7/...1 Street../4 -ST' Registered Architect and /or Engineer._..._ .. . F:6--.4/4 -..__ . _...- Name and address of licensed contractor .�i1Y'4j7 9 /ifl D • 4f/4.1 4'& • Location and legal description of lot to be bui on: �/g� Lot. 1.1 (�� '� Block _ Subdivision._...._._ f/iC.G 9VZ • Street and Number where work is to be done .7./.3 _ /48211• .ST State work to be done and purpose of building (by floors) 1 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 $..___ 84...Q . 9 Amount of Permit $ - j. .- 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) ..._ Et1/LE STATE OF FLORIDA, COUNTY OF DADE. j 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. y Permit No /� 7 { e. Date / ` 2 7- .57 Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 tlu 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. t Ey g 98rN 6-7",