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BUILDING PERMITMIAMI 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 Owner's Name and Address .... <'�..., Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision 1. Street and Number where work is to be done ./CZ lG / ._. __./0 / State work to be one eeand -, purpose of bu' ding (by floors) 1i- L/._..)ry4..01._..3 New Building Remodeling Addition Repairs No. of Stones To be constructed of Kind of foundation Estimated Total cost of improvements $ Amount of Permit $.. Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot f . Street. ..... /0.1 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 employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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) <' 1 .6;11-1 STATE OF FLORIDA, I 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, 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 acre e. Permit No—.1.11 Z Date ! — 6 I Read, Sworn to and Subscribed before me. Dis (Si Notary Public, State of Florida (Signed) C.:_. Z' Q�.'Z`- lid...,, 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 or changes to this application after approval 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. Date has been obtained from r -4 z 0 iy r / 0 e. ict Srr-Ps 1 - Zoark C v r TKR v 2-415 7 - A 4c. �� Ce- WF61DredAleg . f9 L v - e /acaNE. /0/ c7 (69 MEAMI SHO ES VILLAGE BI .:.DING INSPEC ION DEPARTMENT APPL !7 TION FOR BUILDING PERMIT Application is hereby made for the ,:proyal 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 +-k V-- -- 9. ,100 Owner's Name and Address.. Pa/4 -. ` — No Street Registered Architect and /or Engineer _ n . . r� Name and address of licensed contractor__ C4HP (0 _ IV� j2 . C 6 `r -re t7( 7 Location and legal description of lot to be built on • _ Lot__ g Block iA Subdivision. ( 3 66.6E46 See. _l_44 4 Street and Number where work is to be done ...... I_' ' e /C /J State work to be d one and purpose o bui Z d g ,(by floors)._ ._. (74)9 /4..) J. Q J ' and for no other purpose. New Building Remodeling Addition Repairs_ No. of Stories r� To be constructed of__ s Kind of foundation GO/i/Cf f 5 ) Roof Covering.__ 776e cv 7 Estimated Total cost of improvements Amount of Permit $ Zone cubage required p Distance to next nearest building POOT - _. .. 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) 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 Permit No D ate V -) __ _ .._ Read, Sworn to and Subscribed before me. Disapproved _. _ __,._ __ __ - / Date Y' /� ` 2 Notary Public, State of Florida (Signed) ---- a� -��- �- - - - -�'�" � ` =' --� _ z.� Building Inspector / My Com on Expires._ __ __ PLANNING BOARD_. _.. .Plan Cubage_. DATE Chainnan 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 hero 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 ins, on or faulty materials and /or workmanship. JOB: BUILDING PLUMBING ELECTRICAL • • • : : Inspector's Report: - The following is ready for Inspection: - / ADD: / - g,3 / $ -/ : WORK : DONE BY: • ;REQUEST FOR • INSPECTION • WAS MADE WILL BE READY • • // 4 , / -P =T O NOTE: REQUESTS FOR INSPECTIONS MUST BE MADE BY THE CONTRACTOR PERFORMING THE WORK. SCALE /Vo DWG. BY PAS 237A Op 1 407- . .5 - 4■5'.4 o /.6 A ' s/4 . 1\ ∎P.alii...0 .,'- saa S c^ • /e /w L//1/..AF"-- /1/.m - -# SECTION ;r0611ne'i DATE • 381 N. E. 113th STREET NORTH MIAMI. FLORIDA SHEET of / J.O. - 312 7 - A.F.E. %