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95 NE 98 StL,c�.v5 R - b7 4,-09 3 C. 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. � Date // 4 V ' ,19.19 Owner's Name and Address ( A j 1 C4 044— No. v S t r e e t * ` ; / -- Registered Architect and /or Engineer ,f ./�__"� Name and address of licensed contractor t4 - 1 - 4J_i "r _ Cs 1-- Location a d4eit1 description be buil Lot, �._ � R t"k" � p Sub :__. Street and Number where work is to be done ! 4 �� � r _ State work to be done and purpose of building (by floors) � , f�V % e 4 C ✓ C 45 � • .f and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of 6 .7-6 7- J7 Kind of fou dation C 0 Al r Roof Covering / d 4' Estimated Total cost of improvements $ et Amount of Permit $ y e�l- `� Zone cubage required .Plan Cubage '21 + _ !_ _ � j o i#2, i7 4 - Distance to next nearest building. Size of Building Lot b / )( / / Maximum live load to be borne by each floor I hereby sub it all Vaned d specifica ns ,�t aid b ding. All notices with reference to the building and its construction may be sent to l a ./ 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 Gen :I Laws of Florida, Permanent Sup eleent, and has complied with the provisions thereof, and will require similar compliance from all con ctors or sub- contractors em loyed m by him in the work to be performed under this permit; and will post or cause to be posted . for inspec :'n on t site of the work i public notice or notices as are required by the Act. The undersigned agrees to employ only suh subco.. ctors r work t�e ormed under this permit, as are licensed by Miami Shores Village. ( , — � r" �� Remarks ( Signed)__ � - �'� �� � �� STATE OF FLORIDA COUNTY OF DADE. ss. 3 2 Before me, the undersigned authority, a notary public, duly 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (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. 3 15e-0,e • rEE C o.) c,e e 7c /' 7'' 1, 11 o Ct 1747. I ( fFI S c @.1 /5 , 1 .E r4 1 i3 /s4• / z • }' 5b Yi • 5 L 2 z S'r. o 5' V ' v x/ . 00 . 2 4 54 5 2.-° t151. it. -1— 13. /e,,,a cw. t=? re_ . s Gc_. i _ L 2. 4 1- 14c.-06 3-6 /°44-F7 7 r � '? MIAMI SHORES VILLAGE Owner's Name and Address J . S. Carroll. Registered Architect and /or Engineer BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 June 9tt 4 195.9 , 19 No 20 Street N • E . l04th St Name and address of licensed contractor Lang Roofing & Tile Company, Inc. 430 N. W. 79th St., Miami Pia. Location and legal description of lot to be built an: Lot Block Subdivision Street and 'Number where work is to be done. 95 N„_E. St, Miami Shores,_ E1a., State work to be done and purpose of building (by floors) and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering shingle tile, butted Estimated Total cost of improvements $$49..Q0 Amount of Permit $ 5.00 6 sq. gravel BIT 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 pennit does hereby certify that he understands and accepts his obligations as an mployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent S pplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed ¢y 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 tiublic notice or notices as are required by the Act. The undersigned agrees to employ only such su. .c or w• per ;• a under this permit, as are licensed by Miami Shores Village. LANG ROO l . , Remarks ( Signed) 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 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 s ted ar true. S Permit No l Date Read, Sworn to and Subscribed before me. Disapproved (Signed) Date Member Member Council Approved Date Ki n F. Evern to me well known, Notary Public, State of Florida Preside i Building Inspector My Commission Expires PLANS ING :OARD DATE Chairman Member Member Member 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.