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70 NE 100 St (11)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby urndc for the approval of the detailed statement us the 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 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. /41 - l��VIE Owner's Name and Address < .Y piE4 12411.11ke. Date ..�.._._.__.__._..._.__..._.... ,19 No. :7 .14/ Street L(1 O Registered Architect and /or Engineer v... •.,••• .,.•..r.nr <rm•,•n.,n., 0•11”1.. L o G, L 4 R c 0•p c f L i? 4 4 11.Ltz � .... 2' 9r2cer ........... ........... _11_11 .4 A N, F4 3 Subdivision. ( by floors) 6, _ 0 • .. ( . 7 ! !� Name and address of licensed contactor Location and legal description of lot to be built on Lot 1/dE- !q/5$ 1 ' 5 Block 9 Street and Number where work is to be done State work to be done and purpose of building 4 ALIT._..._ JtJ s`.4ricie GAte e)/t.) dens. New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ 1t1 Bar' 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 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 : a co tractors or sub - contractors employed by hint in the work to be performed under this permit; and will post or cause to be po for insp tion on the site of a ork such pt+ublic notice or noticcs as are required by the Act. The undersigned agrees to employ onl such sue tractors, on work j6 b/ perform e�d' under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. SS. Before me, the undersigned authority, a nototy public, duly authorized to ado nester o aths and take acknowledgments, gments, personally ap- p eared - -• -- — 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.. � ' D a te 4 / � Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector and for no other purpose. Repairs No. of Stories 1 _ Roof Covering ire Notary Public, State of Florida My Commission Expires i _........_. _ G`Q alpr( /Js✓��c/�9 C. G /� 7 6 C .A-.0 o 3 6 19- S 2 cc. 6 - 3 / , Za36 to me well known, PLANNING BOARD DATE Chairman Member \(ember 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 A rc•iuspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anu /or workmanship. To be constructed of Kind of foundation STATE OF FLORIDA, COUNTY OF DADE. } ss' Disapproved �.... Da e MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ur Inc plans and specifications herewith submitted for the build • in 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 an phut: and specifications must be kept at building during progress of the work. ,19.8 Owner's Name and Address ...... `�.P� 12.1 _JVr 1 .F _ _ No. . . Street'• fad ,t& ' Registered Architect and /or Engineer Name and address of licensed contractor gy ,��. . .._. 4 . 4a7 'f L Locati n a cgal esscrr � t�on of lot to be built on: Lot U 5 v Block 9 Subdivision Street and Number where work is to be done 7 N 45- .LL I? .. 517.4 .' r.� ::!_ ..__ .... „._ — ._ State work to be done and purpose of building (by floors) __ .... e A. . . 6 �T o F 6 Le T.✓ 6...�' . :..i.,e Eiu 1 - ¢ A/ -5 ,s -. -r . ��,►� E New Building Remodeling Addition Repairs No. of Stories _ 0o Covering Estimated Total cost of improvements $ Z . ..GT - Amount of Permit $.. t 1 iv 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..GE C.. ..<!.�`Li�✓ 2 /e'.t�G t. .E.S 2 -7. . / z Cf LE.'� / i�. �.. a. '° The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Honda 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 arc required by the Act. The undersigned agrees to employ only such subco tractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) and for no other purpose. G' 42C- 05 / 1 4 �- /31 7 / Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared — — •-- ed Notary Public, State of Florida (Signed) Building Inspector My Commission Expires 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 ar true. Permit No A 1. 1 'Y' Date 1 /13141 Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Cirainnan 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 kern obtained from the P1 nnir.g Board. A re-inspection fee of 31.00 will be charged when such re- inspection 11% made necessary by improper notice for inspection or faulty materials anu /or workmanship. Street and Number where work is to be done Permit No Disapproved (Signed) Chairman Member . Member Council Approved MIAMI SHORe 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. // .. 2 ,, / Date..._ ___ 2 / , L 19.�1t Owner's Name and Address._./. /hdf 1 / �/Q?./1_t�e� � '' '• No 40 Street /fr� / G� Registered Architect and /or Engineer 1 _ Name and address of licensed contractor.. ciA2. ,r�.�21— 6'l lei ?"‘-fe ss -11-7c - zo /r __ .2.8(1;4. _. .?. Location and legal description of lot to be built on: Lot Block Subdivision �c 721__.4/ E za a LC State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ov o o Estimated Total cost of improvements $....,3..0.0_10 Amount of Permit $_ _73 4 /eS__OP .1 /. 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 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) C-5 .e2.0-#. j tJ 1; C • 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 sta ted are true. e / s �� i 1' a Date I ' 6 7 .. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD_____._ ._.__.__ __. ____.__.____________DATE Member Member Member __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. MIAMI SHORES VILLAGE 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. BUILDING INSPECTION DEPARTMENT Date S / Street Registered Architect and/or Engineer Name and address of licensed contractor Q. k. Location and legal description of lot to be built on: Lot Block Subdivision � /� 1: Street and Number where work is to be done ' _ 0 -_ 1 (St-D State work to be done and urpose of building (by floors ) 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 $ _? N Amount of Permit $ °� Q 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 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 pennit, as are licensed by Miami Shores Village. Remarks (Signed) , 19 e5' 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 -- - - - - -- 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. o � Permit No .J. p / Date '- / 61:C Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Buil Inspector My Commission Expires 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 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. ��