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318 NE 101 St (10)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uinde for the approval of the detailed statement 01 me 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 progreu of the work. , 19 Owner's Name and Address ........1�/� � . _ No.J4fi_ . Str /.0/%-f Registered Registered Architect and /or Engineer 111:1, ...•• ::.1111,.,,.... - 1..111 Name and address of licensed contractor _..r Location and legal description of lot to be built on: Lot Block Subdivision.. _..._.. ._._..... Street and Number where work is to be done..1.. /04 4�! 1_11 1._. 1 ... . State work to be done and purpose of building (by floors) ti; l2/ )( i .e . P* ..... 4.._.._.._.._..._ STATE OF FLORIDA, COUNTY OF DADE. I ss. Disapproved ��.... {_J . Date (Signed) Building Inspector New Bui!ding Remodeling Addition Repairs No. of Stories To be constructed of ezwer2 /eXind of foundation 'sue �e Roof Covering oe. Estimate Total cost of improvements $ • ' Amount of Permit 5. ...l and for no other purpose. Zone cubage required .Plan Cubage Distance •to next nearest building..... 0 )= r Size of Building Lot 7 .-j ?i6, 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.. 9/ / i - /®/ c...577.. / l/ 3 l 2 -C*� The undersigned applicant for this building perinit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5 Compiled General Laws of Florida, Permanent Sup c lement, 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 site of the work such public notice or noticcs as are required by the Act. The undersigned agrees to employ only such su ntractors, - rk to be performed under this pcnnit, as are licensed by Miami Shores Village. ... Remarks (Sigt* ) e - e ' 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 stated are true.. Permit No. gi6 Date .._._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commiuion Expires _ to me well known, 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 Pl.rnnir.g Hoard. A rc•impce•tion fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of ire plans and specifications herewith submitted for the build • inc 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 iivildinc 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 prs grew of the work. ,�/ Date. —_ _ ..._.... ,19. i.2— Owner's Name and Address Fr' e ti! hl... _ No. t.4c/5 ...... stree A. ..oz. -S.Z Registered Architect and /or Engineer ..... . ..•••...•.....+....•.•, *r Name and address of licensed contractor .elui iii_. Location and legal description of lot to be built on: Lot Block Subdivision .... »._.__ Street and Number where work is to be done s... _. . . . — State work to be done and purpose of building (by floors)..... t it r...Y' •?...e .0._t:. V. Z. k : :f :0:; .. � ._._ and for no other purpose. New Building Remodeling Addition fi/ Repairi No. of Stories To be constructed of Kind of foundation Roof Covering...( .it'2 VE_ 6. d kid _ Estimate Total cost of improvements $ O 0o. t► 0 Amount of Permit $. Zone cubage required Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each poor 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 %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 subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) _.._.. ...._._ .._:....._ _... 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 NOTE: A charge of $1.00 will be made for the Planning Board. A re-inspection fce of 31.00 will be charged materials anti /or workmanship. Disapproved ........_...._ Date (Signed) Notary Public, State of Florida 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 ........ Date Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires Chair ;ran Member Member ... _.....- ...._..._._ ...._....... Council Approved Date PLANNING BOARD DATE Member Member Member Disapproved Date making corrections or changes to this application niter approval has been obtained from when such re- inspection is made necessary by Improper notice for inspection or faulty 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, whet rr 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 Registered Architect and /or Engineer Name and address of licensed contractor. Location and legal description of lot to be built on: Lot Block Subdlin Street and Number where work is to be done 3 l ` State work to be done and purpose of building (by MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date.. nspector PLAhI//// NINC BOARD Chairman Member Merhber Member Member Member Council Approved Date Disapproved Disapproved (Signed) Building rl 41 _ — No.. ...._....__. Street._ L.„1,e4A,',A,Ave DATE Date... !! _._....... ,19 My Commission Expires Notary Public, State of Florida and forno other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundatiop Roof Covering — Estimated Total cost of improvements $ ~ r�.. , 6 ' ,(_ Zone cubage required '� Amount of Permit $. 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 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 subc9 ors, on w•rk 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 true. Permit No.. ..1_. ` � Date_. �� ._._ Read, Sworn to and Subscribed before me. Date has been obtained from NOTE: A charge of $1.00 will be made for making corrections or changes to this application niter 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 inspectirm or faulty materials and /or workmanship.