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1210 NE 100 St (8)Disapproved — Date.. (Signed) Building $spec MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed stat.;,,,.•nt or inc 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. Owner's Name and Address Street.L Registered Architect and /or Engineer :.. .........•, ,,,,.,..,..,.,.,,<,,,<, Name and address of licensed contractor b 41..J3r S .._..r........ csi8f�de.....ar.� � LQ...4 Location and legal description of lot t e bp ilt on: Lot /..4. T ,if b lock g . fie 1 8' 1 Subdivision.....[: /Z.4.142..4....c .'&t.tf--s' f g 7e Street and Number where work is to be done (2.1 .4 i£.... sari _.h .. __ ._..._..__ ...._._ State work to be done and purpose of budding (by floors) /f..er. c_ 1 ¢i to 4 .3 �. Y 6 6 q .._ar Ncw Building Remodeling Addition Rep rs No. of Stories _ To be constructed o(- Kind of foundation Roof Covering a i Estimated Total cost of improvements $ .. - .t SQ 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 tin,icrsigred 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 Sop e lement, 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 arc required by the Act. The undersigned agrees to employ only such sxbcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) 4 a rc x ; &leer A.J.W.ec Arg, 4. P 4, • f. l .«r . � 4;4 and for no other purpose. peared Notary Public, State of Florida My Commission Expires 6 . 7 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 op- 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.._.... °� S 7 Date Y// A! � Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chairman Member _ \fcrnber 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 niter approval has been obtained from the 1'L.nnir,.. Board. A re inspection fce of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection ere faulty materials and /or workmanship. Survey of: • Lot 7 &• the East 4 feet of Lot 8, Block 1, of "EARLETON SHORES" as recorded in Plat Book • 4 3 at Page 80 DATE August 1, 1984 according to the Plat thereof of the Public Records of Dade County. Florida • c. J.H. MANUCY, INC. PROFESSIONAL LAND SURVEYORS 4694 Palm Avenue. Suite 203 • Hialeah, Florida 33012 bAOE (305) 821 -1281 • (305) 821 -1220 BROWARD: (305) 563 -2066 - S�duc s�-v 6CoAL" . ` ri 'a , . ORDER No 28328 • I HEREBY CERTIFY THAT THIS PLAT OF SURVEY WAS PREPARED UNDER MY DIRECTION: THAT IT MEETS THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA (CHAPTER: HH-6 FLORIDA ADMINISTRATIVE CODE) FOR THE TYPE OF S %EY SHOWN HEREON AND IS TRUE AND CORRECT TO THE 8ES ` KNOWLEDGE AND BELIEF. J.H. Manuc lessiortal Land Surveyor's1128 • State-of-Florida F.B. A175 -48 REV bate. Z1 .6 FRxv% 4, • r •z, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby upndc for the approval of the detailed statement ui me plans and specifications herewith submitted for the build • ine 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..._...__...... Owner's Name and Address .........t j(1..1 .P.'1..... x.eiig.T €ti Street. .el MQl2_ 571 Registered Architect and /or Engineer .. :.t .„•• •...•..„„„tt „t. Name and address of licensed contractor s! CZ`' t2.eic1.. Location and legal description of lot to be built on: Lot 7 . 5 Illock rm f Aa r 1 Subdivision ' .C1 1 ..... at e _....__ — Street and Number where work is to be done 1.1. lL...J1/ .. . f9ji..(1( __...._.._......_...._ State work to be done and purpose of building (by floors). �...Q o1rGE: _...__ STATE OF FLORIDA, COUNTY OF DADE. i ss. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Roof Gpvering Estimate Total cost of improvements S. � 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 an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied ssith 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 noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) 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 e.. II // Permit No.._ ' ' K.............. Dat .. ........_._ Read, Sworn to and Subscribed before me. � P Disapproved .... Date. .-- •-- ........._ Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member _....... _ ...... ..._..._ \Icrr.bcr -_ Member Member .. .. _.....__....._..._._...._....._ Member Council Approved Date Disapproved Dale NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the PI.rnnir.;; 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 anti /or workmanship. J.H. MANUCY, INC. 4694 Palm Avenue, Suite 203 • Hialeah, Florida 33012 DADE: (305) 821 -1281 • (305) 821 -1220 BROWARD: (305) 563 -2066 a.YN/e_■( Survey of: Lot 7 & the East 4 feet "EARLETON SHORES" as recorded in Plat Book 43 FOR: John Wesensfen SCALE: 1 = 'Zo PROFESSIONAL LAND SURVEYORS L C • tom g{ . ORDER No 28328 at Page 1 HEREBY CERTIFY THAT THIS PLAT OF SURVEY WAS PREPARED UNDER MY DIRECTION: THAT IT MEETS THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA (CHAPTER: HH-6 FLORIDA ADMINISTRATIVE CODE), FOR THE TYPE OF S ' EY SHOWN HEREON AND IS TRU: AND CORRECT TO THE BES KNOWLEDGE AND BELIEF ' J.H Manuc , .fessio Land Survayor 01128 State-of-Florida (11 0 r k t 80 { FB A175 -48 of Lot 8, Block 1, of 100 4, Date r ^ /- 9 \Ad.. V o m Goo- ate -- 1q .00' REV %Ft' 11. according to the Plat thereof of the Public Records of Dade County. Florida. DATE August 1, 1984 J.H. MANUCY, INC. PROFESSIONAL LAND SURVEYORS 4694 Palm Avenue. Suite 203 • Hialeah. Florida 33012 DADE: (305) 821 -1281 • (305) 821 -1220 BROWARD: (305) 563 -2068 Sci..xIdolc ScY ,9 I 4=9 19' Ida r1 1 `i' \ EL i"? N N Ill 9 co, (c 93.3' 15 FOR John Wesens6en 11 0 U . E. low g { � .E. 99 5}. SCALE: I ° Z- C ' ORDER No. 28328 Fd• PWe 5 ca «' ZS 7S b 1 HEREBY CERTIFY THAT THIS PLAT OF SURVEY WAS PREPARED UNDER MY DIRECTION: THAT IT MEETS THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN STATE FLORIDA (CHAPTER: H-6 FLORIDA ADMINISTRATIVE FOR THE TYPE OF S EY SHOWN HEREON IS SRWAND _CORRECT TO THE 13ES E-+ru( KNOWLEDGE ANNO..BECIE.F =! J.H Manuc, Pressiorial Land SUrviyor 01128 ; 7 • State-of-Florida Survey of: Lot 7 & the East 4 feet of Lot 8, Block 1, "EARLETON SHORES" as recorded in Plat Book 43. at Page F.B. A175 -48 of VL d Deck. Date _ .4, 1.5 %n5 - 1`1 .00 N etl F m Gar c■cC_ - Ft .00' REV. S d CI F' r r, \ \ \ • \ \ \, \ 1;i a xaFs - • I according to the Plat thereof DATE August 1, 1984 80 of the Public Records of Dade County, Florida. 1