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54 NE 101 StMIAMI 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. k 1 Owner's Name and Address ((ak?jG I - ` _ (s c \v Registered Architect and /or Engineer KQ "\. 6.. (N 6 L S C I\ J e Name and address of licensed contractor Location and legal description of lot to be built on: /� / y Lot ( rVIIJ Block 1 0 Subdivision v - sion // !J ( T/AI � g 4.2.4 / 3 ,✓ ` 2 Street and Number where work is to be done 5 Iv /0/ State work to be done and purpose of building (by floors), state exterior colors (submit samples) R ce l CC L) 1 1" fl (JO _S L3 I 1 L pe,J,A,wpiv t WIN tA)s , S�cu(�iky l")(ti�ow �1acK -{- 1 ► N4 611) � la t , of d o ws and for no other purpose. New Building Remodeling Addition Repairs -✓ No. of Stories To be constructed of 9'001 Kind of foundation �i Ro f Covering Estimated Total cost of improvements S Q a Amount of Permit $ Z r 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 S pe io / 54. 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 ploy only such subcontractors. jn work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. Permit No. Disapproved (Signed) } SS. N1 \,(0 Date - v Date j'Ajt,RAi Building Inspector Read, Sworn to and Subscribed before me. Date [ ,4 u q f 3l 19 No. r [7 /U� S /0/-‘ br 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. Notary Public. State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved •ate 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. 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. 1399 Date_..- ,19 Owners Name and Addrogs,:,::T.ait,. -. N - - . 54 s tmt N. E. .101 St. Registered Architect and /or Engineer Name and address of licensed contractor Dewey 'Hawkins, A. C. 902 5. W. 69 Ave. 261-1631 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 54 N. E. State work to be done and purpose of building b floors) 1 l p wall 10, 5 BTU I_ Yhp window 10,50 - BT1T 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 $ 400.00 Amount of Permit $ 4.00 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 or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be poste o ' nspection on the site of the work su 1 public notice or notices as are required by the Act. The undersigned agrees to employ only s h sub ontractors, on work tJ be perf. e 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 public, duly authorized to administer oaths and take acknowledgments, persorially 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 1_ 3 Date thr t= � Q 1 l p 71 Read, Sworn to and Subscribed before me. Disapproved (Signed)) Date MIIAM SH ®6'2[ S VOLLASE .ccQ, ickk_ Building Ih'spector 101 St. to me well known, 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. New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ 400.00 Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said buildi be sent to STATE OF FLORIDA, COUNTY OF DADE. Ss. Date L.CiCi.O 1 9 I Disapproved Date (Signed) i _ eCx-tQ- t' Sir .c.Q-& Building Ii spector MOAMilO SH®rev1S VOLLAGE BUILDING INSPECTION DEPARTMENT APPU CATOON FOR BUILDING PLERMOT 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. 1399 Owner a Name and Address,,, - Ta Registered Architect and /or Engineer. Name and address of licensed contractor Dewey 'Hawkins, A. C. ate „_..5.4 street N. E. 101 St. Addition Date_.._ , 19 90 a.. W. 69 Ave. 261 -1631 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _ 54 N. E. 1Q1 St. State work to be done and purpose of building b floors) 1 lip wall 10,50 7. BTU I Ihp window 1;500 13TTJ and for no other purpose. Repairs No. of Stories Roof Covering Amount of Permit $ 4.00 plan Cubage Size of Building Lot ng. All notices with reference to the building and its construction may 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 poste o nspection on the site of the work su h public notice or notices as are required by the Act. The undersigned agrees to employ only s h sub ontractors, on work be perfq'r� under this permit, as are licensed by Miami Shores Village. Remarks.___ (Signed 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 Read, Sworn to and Subscribed before me. to me well known, 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 $L00 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.