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1175 NE 102 St (2)Ak. lication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ne ort ther structure herein described. This application is made in compliance and conformity with the Building Ordinance of Nfiami Njhores Village, Florida, and all provisions of tlic Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and iegulttiorif'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. Owner's Name and Address ....CeR j 5 Registered Architect and /or Engineer Name and address of licensed contractor ARiVO L d. D . .S7 N h 0p6 Location and legal description of lot to be built on: Lot 9 Block /7 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Subdivision. Street and Number where work is to be done 1 1 76- 4 1 C /01 ST• State work to be done and purpose of building (by floors) f.a2R�� , Prf/4 ; 4 p -op e. 5. _.. and for no other purpose. New Building Remodeling ✓ Addition Repairs No. of Stories To be constructed of C,A.s. Kind of foundation C0.6P.47, • Roof Covering Estimated Total cost of improvements $ Q$00 fi 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.. f t 1 V d Lc/ .D 5 1 N i x . e 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 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 s; •ntractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) 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 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 .___._ N �� Disapproved (Signed) .L Building pector Date /-t '` 72 ate.. Date..._..._....._...._ ?._s °...... ,19f _zwsrAL Sboi -e 6L14S7 dooms rizIo vc.. 0 48 esai d, Sworn to and Subscribed before me. to Inc well known, Notary Public, State of Florida Commission Expires PLANN 'C 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 hoard. 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. .�1 -2.,Ar - f E5-4:2. ?� r a : .9 a �1 z S' Q b e/i"2 MIAMI SHORES VILLAGE, FLA. No 131 JOB atzltcaek S_1 k ADDRESS // /0-2 d f • INSPECTION J(t TIME READY f /mac -c��C� nit c� //8.0.290 X(1. 1 1 ' IY REMARKS• INSPECTOR DAT MIAMI SHORES VILLAGE, FLA. N_ 117 JOB ADDRESS (1 C-"*) INSPECTION S L TIME READY /'f/(i -Ty- REMARKS• INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. JOB N_ 98 X2 / INSPECTION ' L'�1 -' TIME READY /1 i (! _Z � 201( REMARKS- ADDRESS INSPECTOR DATE +4-72-7 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..._..._......_.... ._._._..._ fe3 l� y (Q .. ,197 4 Owner's Name and Address /ir r L S'T.4-/f/4" lee ,viAle� -irre, _, No., 4 0 4(. . Street.Z.V.F* Registered Architect and /or i;nsineer ..... .............. ,,.,. „<,..,,, , - ,....... Name and address of licensed contrpctor....,t 2-yQ .i Q.-...5.n' Nti o/'e.. S',QNW /, :75Z Location and legal description of lot to be built on: Lot 7 Block /75 Subdivision M 1 / M 1 S f' o i--• S te_C Street and Number where work is to be done.../ /2i,.174f 1 , 2• c Tr .. 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 oa Estimated Total cost of improvements Amount of Permit S.. 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 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 syklco ntractors, on work t performed under this pennit, 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, personally ap- peared - -- Disapproved (Signed) / Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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.___. " g/ Date Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member ...... Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re fee of $1.00 will be charged materials and /or workmanship. Member Member Member Disapproved or changes to this application after approval to me well known, Date has been obtained frrnn when such re- inspection is made necessary by improper notice for inspection or faulty