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94 NE 100 St (10)12 -18 -1990 14:12 Application is hereby made for the approval of the detailed statement of the plena and specifications herewith submitted for the building or other structun..wr. in described. This application is made in corral. e a d conformity with the Building finance of Miami Shores Village. Florida. and all provisions of the Lau: of t':c State of Florida. all ordinances of Miami %t, n Village and all rules and reguitttrvus of the Building Division of Miami Shores Village shall be Complied with wh4thee herein spotified or not. A copy of appFov d plans and aperificationa must be Irpt building during progress of the work. , q A'4 /6. C,) .5 i Date /,•/ / 1 ' Owner's Norse and Address.. /1 bo Street_.. Registered Archit'ct acid or Engineer flame and address of licensed contractor S /.P" .� Location and legal d,Txrripts'an of lot to be built on: Lot _i_ 3 w3 Bloch_ 9 Street urrrx • si -T- -' t ;' t is to be don, Stato . ;1 to be (. L anti u_po,a of buildingC tby floors,. .125,4%/OP 4 -r __ DA/ Se 4 / e' _-i / 0 Now Building_ _ _ Remodeling_ To bo constnctrd of _ ..- — -_. -- -- Est...ironed Total cost of improvements $ 2osn cubag' re0ui?ed _ _ -- — Distance to next nearest building Rrfoximum live load to be borne by each floor i hexby submit on plan:: mid specifications for said building. All notice:; with rcfrrrerice to the building and its construction may be sent to Forinit No Disapproved ISignedi STATE OF FLORIDA COUNTY OF DADE. Remarks The uud appdiwet for this building pazrait do;-s herby certify tilt he understands and ecc pts his obl i attms as an employer of Lobos under t lrid _ tVarkrtt Compensation Act. b4ina f tan KIS. Compiled Gush Laws of Florida. Permanent Suppbment. and has complied with the provisions thereof. and will r:'im similar compliance from all contractors or stab- COntrcctors employed by him in the war's to be go-forn'ad under this ps?ttsit.,o will poet or cease to be Bo¢tc.d i inspection on the cite of the worts such public rrotleo or notices as are n. - guircd by the Act. The uad reigned agrees to - atfly such subcontractors, o: :.et he Fxrformed uador this permit, as are licensed by Miami Shores Villa. 1 }se. MHAMH MORES V LL GE WELDING IINSPI CTIOlb DEPARTMENT TMENT L.1=11CULVEORT MD, 33=DEPar WIERMIT Before nw, the undersigned authority. n notary public. duly cuthorirrnd to edrniaist&r oaths and take cxknosrkLgments. pessorally appaa ad tv tint u01 kn0� n and who: being by ua that duly sworn. upon oath deposes and says that he is the of the above described construction. that he has carefully reed the foregoing application. end that he did on the same, and that all facts therein by him starve; are true. paw Ir l 1 / © Reet:d, warn to and Subscibad before nom. Kind of foundation Building Inapector PLANNING BOARD_ 3059890014 P. 01 >/ 20 5 V AI" r o C' s' S Subdivision 7 PAD 410 ) 3 //90 / . � /e9 3 . s ;ate exterior colors (nit aai;rphsi _ 0 i 4 L A:1:5 and for no other purpose. Addition RepairG �""�- No. of Storrs Roo! Covering Amount of Permit $ 3 / 7 L I O i1an Cubage Si of Building Lot (Signed) ibla�:s3ie!r . c'1oo Notary Public. State of 1;'laridra Eup4.rco DATE Chairman Member Member Monaba Member Council Approved Data Disapproved Date NOTE: A charge of 525.00 will be made for makiag corrections or changes to this application after approval has been obtained from the Planning Board. A redinspeetiera fee of $25.00 will be chanted when such re-inspection is made necessary by improper notice for inspection or faulty materials and -or workmanship. 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 at building during progress of the work. Date 1 , 19- Z Owner's Name and Address._ L• k ` Z- } e, INN No No. Street__- ` ko D .. ._ Registered Architect and /or Engineer `` Name and address of licensed contractor 0_�_ ■ Se__ 1\ 1'\ r1 Z C (mac ck. _� Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done r4.\. _- e k D Q \\ State work to be done and purpose of building (by floors) ')__ _�� _ }_� __. 1y e.vd ev, 5 vA 0.\. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 $ i� 1, Amount of Permit $_. ._.e�_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 pennit 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, Pennanent 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.b@ 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) r 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 f 4 Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) � Notary Public, State of Florida n d ��g spector 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. Owner's Name and Address.. STATE OF FLORIDA, COUNTY OF DADE. j ss 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 at building during progress of the work. Registered Architect and /or Engineer Name and address of Iicensed contractor 1 Location and legal description of lot to be built on: Lot Block Subdivision -- Street and Number where work is to be done • ' E , l - f State work to be done and purpose of building (by floors) New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation, o itoof giving 0 Estimated Total cost of improvements $ !9-6 ® 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, Pennanent 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 Date No Street (Signed) 3- 1.-__s7,5"" , 19 and for no other purpose. 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 state e e Permit No Date 3 / Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) Building Inspector Notary Public, State of Florida 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. pi/vet) S-7eCC 7 PAvrvr/a /Ve 10o S7' /ee7