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270 NE 101 StApplication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herei6 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 — �� 19_ D a �7 `_ O ner's Name and Address I e L 1 C -nca 1 i%J S `^ No. a Street' O 1 gi-- Registered Architect andior Engineer Pi 4 - qb � b . -4191 r r -q81- �=1 ✓Name and address of licensed contractor s —'' �� -- OSE,F t 6 3 1„OGiL- 1 irx �+ 04- St. Location and legal / description s of lot to be built on: Lot - f L- , !7 Mock # Subdivision M 4 Am S 0 ite S Sec; 1 / 5CZ4/ wy 7 C.- Street and Number where work is to be done 71 0 N F 1 C+ I S1 `5`tate work be done and purpose of building (by floors), state exterior colors (submit samples) '- 0 - L2,0 st(_ 2 cool 10 kul i n to soeP4^b fs I re4.011,13 1- 4aloec�c.x�u.'hnerMns4 -M- 11 q'Rtro l.1N SLAB • (Atli.) ELEC. TO ('OU eex for no othe p rp ose 1 4 • 4 e e, t�G Y 1 -0 owt-44s l 5aAM�? New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Cover a 1/Estimated Total cost of improvements S �a1�00 /7 / " —" Amount of Permit $ V 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 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 obligatons 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) P u STATE OF FLORIDA COUNTY OF DADE. 1 SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared 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. Date •� .?.?7 Permit No. Read. Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and workmanship. Notary Public, State of Florida 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 a' building during progress of the work. Date dun E 1 t , 19 - -..62 Owner's Name and Address ..Mr s , - - -- C .. .13- F1_oyd No 270 street NE 101 Street Registered Architect and /or Engineer Name and address of licensed contractor Miami Shores Elec Appi- _- _GQ___ -9 730.- .RE--- Second . -- Avenue Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 270 NE__.1.01 B_tre.et State work to be done and purpose of building (by floors) Install three air conditioners in the >aita�..l_s of---- t-he---- abo.ve_- home -• - - -- One - .- .1i - - -HP and -- Dwo-- .1--HP unite.. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $- 930.1.3 Amount of Permit $6 - - 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 with the provisions thereof, and will require similar compliance from all contractors ub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for • spection on t of •e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s ..o a ts, work be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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. C °ea ®A Permit No . Date (� Read, Sworn to and Subscribed before me. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Disapproved .¢ � Dat (Signed) Notary Public, State of Florida Building Inspec My Commission Expires P NING BOARD 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 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.