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824 NE 100 St (2)Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Permit No. .22 / / Disapproved (Signed) Council Approved Building Inspector 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 building 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. A4,12 µms. 24 n & t ► p . Location and legal description of lot to be ilt on: Q Q Lot W1 1 Block �p Subdivisions S v /1 fa dV .51 DI Street and Number where work is to be done g 2-4 /" • t ' / © V S T. 64" f S' aT S ( i"f • �jI r State work to be done and purpose of building (by floors), state exterior colors (submit samples) J S 77o ( (I r O G It) t J /rw rnd9f- Fet 4- Addition New Building Remodeling To be constructed of ` �Kinn�d of foundation Roof Covering Estimated Total cost of improvements S __ 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 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. a 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 c: .1.e to be • ■sted for inspection on the site of the work such public notice or notices as are required by the Act. The undersign-. . ees to emplo on ch subcon tors. o .rk to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary publi duly authorized to administer oaths and take ac knowledgments, personally appeared / /2 and who, being by me first duly sworn, upon oath deposes and says that he is the lyloo 71 r £avrricrae rtyet • 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 O Read, Sw to and Subscribed befor Date Repairs My Commission Expires - grtsf Date /7/ 1/ 191' '/ No. li Street - �• e-• OU Notar ? ®!e O n) ziT. H(ei r R • 33 No. of Stories and for no other purpose. 1 • 1riY,1.4tgitdllfSITR AF t:LORIOA MY COi +MISSION SAP . f1. 5 ,1990 - 0 vottA to me well known. PLANNING BOARD DATE Chairman Member Member Member Member Member 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/or workmanship. Rba? 224 1\1 E. 18 MINMI C r/v 7 - RP/4 9 ' C4.) / FAO C iFS 7F6O N W ( Z T NIAM 1 FLA. 33164 _LENINLX Z1Thr4 L,L1 4 T6A Air 1 2_1Q5 SEER 17, bbit I 1-1-D THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT VARIA "CE(S) LISTED IN "REMARKS" i.9iAMI S''fRES BUILDING AND ZONING U ALE.' SPECIFICALLY LISTED BELOW. AND COJ,;TY LAWS MUST BE COMPLIED Aut'.o7i S'gn-ture Date • WITH NO VARIANCES • WITH NO OTHER DEVIAT10"S FROM T'r,'F. ORDINANCES WILL BE PERMITTEn ALL OTHER APP ICRB'.E ST WITH BY ALL PARTIES. FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT Z, 117,--- BUILDING DIRECTOR PLANNING & ZONING BOA ;,;i VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & G' SUB CONTRACTORS ARE ' "'" ''' ':''I ''" K 'OWLET) E OF Al! BUILD- ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. L ye)" Ate9 0‘'.v--e_7 ,004 e toe s-7 . buar 74- �A �,ao,c) 51A ,I G- f%�evc /A • E0fe L . / U y -,3'