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444 NE 102 St (4)MIAMI SHORES VILLAGE ,a94 y 77 7 /A 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. Date a D / 19/ Owner's Name and Address 20 r4 A h0 h e ti No. Q Street 4e4"6 /oz *- Name and address of licensed contractor ---i 4 2 OA 1 4, (CrYtat tAC t o " .a c_ 84 rq Alto 6./' 5i. Registered Architect and /or Engineer r s� / ? t` ( /4W1 / Location and k4 of lot to be built on: - 7 3 /G Lot G!/ � f% � 1 7 [J G Block 9/ Subdi / vision � r L /i � fs 61 // /1 ✓ 1D1 / 2 '1 Street and Number where work is to be done ` D2 — et f/ %ice 54 S State ork to be done and purpose of building (by floors). state exterior colors (submit samples) 2 e' `- Pocs 411:1(0—% VV 6 and for no other purpose. New Building Remodeling Addition (e5 Repairs No. of Stories Z' I p To be constructed of u�e Kind of foundation - Roof Covering t� O, Amount of Permit S !( Idt/•e-tC C Estimated Total cost of improvements S v � Zone cubage required Y� S g Plan Cubage Distance to next nearest building STATE OF FLORIDA COUNTY OF DADE. Permit No. Disapproved (Signed) ss. Date 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 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 employ only such subcontractors. on work to be performed 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 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. Date (11 9d Read. Sworn to and Subscribed before me. Notary Public. State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved (late 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. MIAMI SHORES VILLAGE 9 &e/ 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. I copy .of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and/or Engineer Robert Mahoney Leon Wechsler Architect, Tne _ Name and address of licensed contractor Charles Fields 1903 N.W. 79 Terr. Margate, Fl Location and ry le al description f lot to be built on: n 'a ®' / ®Sa 0 / Lot WI 17 -age oo Block 9 1 Subdivision Amended Plat of Miami Shores Section No. 4 Street and Number where work is to be done 444 N . E . 102 S t . State work to be done and purpose of building (by floors), state exterior colors (submit samples) Add second floor bedroom and for no other purpose. New Building Remodeling Addition X Repairs No of Stories To be constructed of Masonry Kind of foundation N/A Roof Covering B/U Roofing Estimated Total cost of improvements S 1 2 1_ 0 00 Amount of Permit S ®`" kteil Zone cubage required Plan Cubage ',Z;5-* �� Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 67# Date July 3 19 90 No. 444 Street N.E. 102 St. \areb submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to Charles Fields 1903 N.W. 79 Terr. Margate, Fl 33063 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 rmit: and will post or • • to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned fig[ es t ploy only such sub ' .rs. on work to be performed 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. personally appeared CHARLES F 1 E- 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. f N ( 6 1 Date / )10/% Read. Sworn and Subscribed before me. Disapproved Date Notary Pubh S tate of Florida- (Signed) ` •, KOTQRY male STAYS 5 F Oi$ A Building Inspector My Commission Expires MY co Ai3Suiiw- kit6'o 4N 's,: I J PLANNING BOARD DATE GO I EJ T'i; U "NE '.L EIS: UNDO to me well known. / -0 Chairman Member Member Member Member Member Council Approved Date 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.