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945 NE 98 St (7)MIAMI SHORES VILLAGE Disapproved �l Date (Signed) APPLICATION FOR BUILDING PERMIT Application is hereby erode for the approval of the detailed statement ar Isle plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Budding 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 rvles and regulations of the iluilciing 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. New Building Remodeling Addition. SS. Building Inspector Chairman NIcrr,bcr \(ember _ ....._......_..._._ sass. Council Approved BUILDING INSPECTION DEPARTMENT NOTE: A charge of $1.00 will be made for making corrections the 1'I.innit.:4 Board. A re m.pcction fce of 31.00 will be charged materials anti /or workmanship. Member Member Member Date Disapproved 7- PLANNING BOARD DATE Date...---..../ _�_..._._�..._... , 11._ .. x' Owner's Name and Address . ....1.. ... f i„.' x,G.'. - / `_. N . Street, .. Registered Architect and /or Engineer 44/ ../ f /.4f'. f'.j W..,e 4. ./�.A ,' T :�I „, ,,;, „,.I / ,;: � : <,4p. C .. . _ ... ` s: Name and address of licensed contractor :. .. . . ...... .:,.. ` r ....::..t._ ..v , ..,_. Location and legal description of lot to be built on: Lot Block Subdivision 1 ._. ¢ . _.._ c:r%_.::.x .....�.r,l ' - Street and Number where work is to be done ,/....,r.._. ' _... . X oof covering Notary Public, State of Florida My Commission Expires or changes to this application after approval t State work to be done and purpose of building (by floors) , : ` • ...� . ''a ss's - and for no other purpose. Repairs No. of Stories _ To be constructed of Kind of foundation Estimate Total cost of improvements $ - L _. ..: Amount of Permit 5,.. 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 a employer of Leber under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup c lement, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for ins tion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su ntractOrs, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. / r ( ,/ Remarks (S �'' ` �—�” STATE OF FLORIDA, COUNTY OF DADE. 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 carefull read the foregoing application, and that he did sign the same, and that all facts therein by him stated e true. Permit No.._..k 1:!.x.'1 Date /) 4 _.. )...._._._ Read, Sworn to and Subscribed before me. Date has he-n obtained from when such re inspection is made necessary by improper notice for inspection or faulty Owner's Name and Address (1, .' -e -_ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot / q c b Block Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss. 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. Subdivision State work to be done and purpose of building (by floors) New Building Remodeling Addition__ To be constructed of ( (2 Kind of foundation Estimated Total cost of improvements $ / 7 3 0-7t) Amount of Perm' Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot peared at , • • +.„ d Y) . (c 8 -'7/i, Date 9 , j 9 T a''Y� No: 7 � r ttreet 4 : P kG, and for no other purpose. Repair No. of Stories / R Cov ng Notary Public, State of Florida 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 subcontract on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) X 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 are true. Permit No Date. Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member __._ Member Council Approved Date Disapproved _____.____ _ _______._ __ _ ____ ._ . Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of .$+1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.