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117 NE 102 St (5)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... i .. 19 7 :_ ._,_.... ._.•...•......._.....,. .. _. Owner's Name and Address C o..l ins — ......... .•• No,. l 1.7 ... _...... Street.....• N.6 102 S t re r. fi' Registered Architect and /or Engineer ,,«:, _:•, .... Name and address of licensed contractor Per feet •_ga 1 Awn ina & 'Window , Inc , 2973 N o W 0 1 7 Avenue Location and legal description of lot to be built on: Lot Block Subdivision _ Street and Number where work is to be done 117 N . E 102 Street - - -- - --- -- State work to be done and purpose of building (by floors) Re_lilQve.._Q an e inst 4 aw ning ?; e s id e n c e A _. _.._._ _ -- and for no other u p rpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $...._ .6.f..Q . .00 Amount of Permit $ .. .! 01 ' 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 Per iecf:. Seal 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 pos d for nspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only s ch su• • ntractor on woe to be performed under this permit, as are licensed by Miami Shores Village. CeE�� Remarks. Permit Disapproved _.. (Signed) Date w.. l. Read, Sworn to and Subscribed before me. Notary Public, State of Florida v66 Bu ding Inspector My Commission Expires PLANNING BOARD ..._._.. 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 I3oard. 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. 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, stnd that all facts therein by him stated are true. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. 102 19 St 7 r 1 eet Owner's Name and Address Mr . Coll ins No 11 7 street N 0E Registered Architect and/or Engineer Name and address of licensed contractor 2er feat aeal Aunling - W - Lndow - , Location and legal description of lot to be built on: Lot__ Block Subdivision Street and Number where work is to be done 117_ ki_E ....1112nd. _Street State work to be done and purpose of building (by floors). • exia_t_ing one ator.y. ree idence. - remove old_ minds:1182s & ina_tall_1114414:ai a 1 um inum awning Windows, 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 $ 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 fact @eal Awning & Inc. 911 TL 17 . th Avanue-klUami 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, 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 posteJ4r inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only su9f ibcontraors, 9fl work p b performed under this permit, as are licensed by Miami Shores Village. Remarks_ _ 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 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 I 3 Date Disapproved Date__ ( Signed) Chairman Member Member Council Approved ( ding Inspec or 1 .. 1 -Tit Read, Sworn to and Subscribed before me. PLANNIN OARD__ DATE Member Member Member Date (Signed Date• _ June 2 9th to me well known, Notary Public, State of Florida Commission Expires 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.