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400 NE 102 St (3)Street and Number when, work is to be done STATE OF FLORIDA, 1 . COUNTY OF DADE. i ss. Permit No Disapproved (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby utndc for the approval of the detailed statement or toe plans and specifications herewith submitted for the build • in 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 cupy of approved plans and specifications must be kept at building during progress of the work. Date. _1LLN c. 1 1._ 19 Owners Name and Address 0 Y & _ _ ;eoc /a,.. _ . No._._I/S ... .. Street.. C /° r � • S Registered Architect and /or Engineer ,,,,. ,, ,....,....,,„,,,,,,,,,,,,,,,,,, z,.... Name and address of licensed contractor IM t t : - vv, ' L r? Gs a i 2 O ; '�' s'' V I ( . T - r , . a :_ p c ( S U w • & c # 3c Location and legal description of lot to be bus o / f' �� i FAff g gy s� / f , Lot , ,. Block f SubdivisionkMP f i ._.. N ... 0 - - -.. .j206 / ei ,‘ hoc � _ le s State work to be done and purpose of building (by floors) 2M.�.�c_ -Q._ r, and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof vering Estimated Total cost of improvements $ 3 U ' C /11 ,mount of Permit �.. t..' 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.. 6 a 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 subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. (Signed).. -P / r��' dh 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 �t� tG di true. / . Date � � j� (7 ( " t Read, Sworn to and Subscribed before me. eyrtA 4 c = '. !S ..... � Sc yte to me well known, Notary Public, State of Florida My Commission Expires ....._..._,.�.__ PLANNING BOARD DATE Chairman Member Member Mcmbcr Member .. .. _....._......_..._.._ ...._....... Member Council Approved Date Disapproved Date NOTE: A charge of S1.00 will be made for making corrections or changes to this application after approval has been obtained from the PLrnnir.;; Board. A re Ice of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection oe faulty materials anti /or workmanship. rnv, kw 1 -- A KR A. r C o v. \' 0.A , c - y50 W 4 42, s-- N ; U.\ e. A 4 , 51 v ea A. Qaa -gur— . - C`R t odo 40o A.& . ► o 3 57 M'ty. % _61AnYeo. F( P_F1# S(a(o- �11(v E w,e,Af e ‘k 1ne,e,,,„-: 3-n NA ' S E L. EL t 0 i b 10 Kt„ e.NepkM , Yhodk.Q. 4 f'Abzi 03cv3As n i t v,n:14t. & P . . a . . d l 14 16 (kw s sq ' C ac. �o rz-$ THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT VARIANCE(S) LISTED IN "REMARKS" MIAMI SHORES BUILDING AND ZONING UNLESS SPECIFICALLY LISTED BELOW. AND COUNTY LAWS MUST BE COMPLIED Aut"ori7ed Stricture Dlte • WITH NO VARIANCES • WITH NO OTHER DEVIATIONS FROM THE ORDINANCES WILL BE PERMITTED. ALL OTHER APPLICABLE STATE WITH BY ALL PARTIES. FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT IS I A ' � BUILDING DIRECTOR " ; c PLANNING & ZONING BOAI:D VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED i BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB COt4TRACTORS ARE .:"i — I I -- ;c :0 " F"F ^If 7 MWW D- ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. • MIAMI SHORES VILLAGE B1Th.DING INSPECTION DEPARTMENT APPLICATI N FOR - LIILDING 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. #12 Owner's Name and Address Whelehan, D. Member _. Member Council Approved Date 120 , 19 70 No 400 Street N. E 102 St. Registered Architect and /or Engineer Dewey Hawkins A. C. 902 S. W. 69 Ave. 667 -1631 Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 400 N. E. 102 St. State work to be done and purpose of building (by floors) 1 2hp wall 18,000 BTU 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, Pennanent Supplement, and has complied with the rovisions 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 f inspection on the site f e work s eh public notice or notices as are required by the Act. The undersigned agrees to employ only suc sib ontractors, on wor t be perf ed under this permit, as are licensed by Miami Shores Village. / Remarks (Signed) __ 44. STATE OF FLORIDA, ( J COUNTY OF DADE. Ss. l 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 a Permit No �' Date f 7� �J Read, Sworn to and Subscribed before me. Disapproved ____ v. �_.). Date (Signed) Notary Public, State of Florida Bu ding Inspector My Commission Expires PLA G BOARD DATE Chairman Member Member Member Date Disapproved Date NOTE: A charge of •$1.00 will be made for making corrections or changes to this application after approval has hen obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper not e tor insin. ;ion or faulty materials and /or workmanship.