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253 NE 101 St (12)BUILDING INSPECTION.DEPARTMENT APPLICATION FOR BUILDING PERMIT . Application is hereby wade for the approval of the detailed statement ut we plans and specifications herewith submitted for the build • in or n :her structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Short's VdLtee, Horid.t. aid all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the du,lding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved p)uts•and specifications must be kept at building during progress of the work. . ' s MAY 15th Date ,19.._ OµTCr's Name and Address JO GALBREATH y . — No. 2 53 NE Ser 101st ST R egistered Architect and /or )tingincer ................. _.. _ _._...._..._. ............,...........,.:�. - ,•:... Name and addrass of licensed contactor . 77 1 ' 6 ' / G © -/ vC 4 WA 21 6.f} Location and legal description of lot to be built on: Lot 1 7 =18 Block._ 35 Subdivision. MIAMI SHORES SEC 1 1X AMD PB 1070 Sb and Number where work is to be done._ NE 101st ST State work to be done and purpose of building (by floors)- INSTALL 10 SECTIONS OF 5x8 CYPRESS WOOD SECT IONS .FRAMEWORK TO FACE INTO YARD ALSO 48 FT OF CHAIN LINK Ncw Building To be constructed of - OF FLORIDA, COUNTY OF DADE. ss pealed Disapproved (Signed) MIAMI SHORES VILLAGE Date ing Inspector • My Commission Expires. _.._.... p / 7 • cci !or n ther p u � •�'c � "� .._. y2 b�o urpose. Remodeling Addition Repairs No. of Stories ............._ _ Kind of foundation Estimated Total cost of improvements $ 1300. _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 undr•rsicncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Lthur under the Honda Workmen's Compensation Act. being Section 506G, Compiled General Laws of Florida, Permanent Snp ticn,ent. 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 insp -tion on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such r s j'i• • actors, on work to be performed under this pcnnit, as are licensod by Miami Shores Village. Rem.uks..._ (Signed) Roof Covering Bcfore 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. • 1�I Date � _�!�! Permit No. Read, Sworn to and Subscribed before me. . �_ — � � Notary Public, State of Florida PLANNING BOARD _.____._...DATE Chair:r,:n _._..__ Member Mcml.,cr ' — Nfember ...--•.._........... - . ............ ...... Sf ember Member _..__ ............... -- - - _ -- - ...._._ Council Approved _Date Disapproved Date NOTE: A ch.,rg' of 51.00 will be made for making corrections or changes to this application after approval has been obtained fmrn tic A rc•:a'prctiun fce of 51.00 will be charged whcn such re- inspection is made necessary by improper notice for inspt.tirm or faulty rnacr,a!s .r,c /or v..orK,nanship. 83 123.03- 94 BUILDING & ZONING — ADMINISTRATION r' PLOT PLAN NO SCALE s r Ow- 253 NE 101st ST., TERR., AVE., CT., PL. Legal: Lot No. 17 13 Block No 35 4 NORTH ARROW Subdivision SEC. TWP. RGE or MIAMI SHORES SEC 1 AMD PB 10/70 Metes & Bounds Plat book and Page No NOTE: 1. Show existing buildings and additions. 2. Show distance from property lines to buildings and /or new additions. 3. Locate septic tank or sewer and electrical service.