Loading...
479 NE 102 St (2)MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the appro \'al of the detailed statement or 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 specif icatiens must be kept at building during progress of the work. Owner's Name and Address permit, as are licensed by Miami Shores Village. Remarks uilding Inspector BUILDING INSPECTION 'DEPARTMENT (Signed) pp L2 3._. — No 7 .l..._... Street....) Date e'rtnv cuff- z_ Registered Architect and /or Engineer 4' 2 gi1el /1 ff _c £ C' • Name and address of licensed contractor./'4H f Ve Ar:asyr „S s— / e C (' /g+L4= Al, Location and Legal description of lot to be built on: 33 / b Lot . 39:... FA- Z. ........ Block ?2 Subdivision //l Al( Ho 24 S f t= C ._ _._ ......................... Street and Number where work is to be done X Z..9_ /V G . f a - % __._...___. State work to be done and purpose of building (by floors) / ,N.. L '- 2 - ewe Sff r - 4 - ee s .... and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ......... ..........................._.._ -o Estimated Total cost of improvements s. ,__P 6 6° . a Amount of Permit & P"`� 1 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 th / plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. /z7t/JN.( Ve4.4'7L (.2-.7.4'17.../.40/1/i.t/6 S 490-- E /e. 6- 7— • liffime Ate, FL,....3.3D l..0 The tin ersicncd applicant for this building permit dots hereby certify that he understands and accepts his obligations as an employer of Libor under the Florida 'Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennant•nt Supplement, and has complied ■%ith 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 su actors, on wrk to be per armed under this • Z' STATE OF FLORIDA, COUNTY OF DADE. i 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, and that all facts therein by him stated are true. Permit No g..3 6 b Date 6/)-4/Cr Read, Sworn to and Subscribed before me. Disapproved ` 1 . - . D to Notary Public, State of Florida (Signed) 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 I'Lrnniwg I:u.ird. A re 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. i/ 3) offq° /1).-no- Pk h7S- Se,6 `,D_D, el) c,V3 MIAMI SHORES VILLAG BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the npproyal of the detailed statement or tile 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. Owner's Name and Address . .le 2 W 4 /J S Disapproved (Signed) Building Inspector Registered Architect and /or I;,ngincer....0 e94R "( /a'// ,2 'S'o C.. Name and address of licensed contractor M /09 I'll V e :ACE? 1.-- r e - a /47-4 S Location and legal description of lot to be built on: O - /o C T . / ` / /i4 t ° f � hl , % L . 33 D/ o Lot 2 ' 2 "I 244 fre, 21 Block q 7 — Subdivision 4 ‹, Ce-G J Street and Number where work is to be done 7 9 ,4'. . ./ 6 . 2 2 ..,.E r Stato work to be done and purpose of building (by floors) . 5..C,...4_ L (, Z. EA c /7r 4L. ein/ P/a /7 w ILO trC filcir..T..,eic and for no other purpose. New Building Remodeling Addition Repair; No. of Stories , To be constructed of Kind of foundation Roof Covering., _ _ .. Date Remarks (Signed) Date cv l ? No Y-7 9 . street1V E. / a Estimated Total cost of improvements S '4 4 •- • o Amount of Permit $. Z 0 e_ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot ^} Maximum live load to tie 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.. /1.M Hi V4-Air1L 7 f1.w,v / GS The unilersizncd applicant for this building permit does hereby certify that he understands and accepts his obligations ;is an employer of lahur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, apt; has complied w ith 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such su actors, op rk to be performe � under this permit, as are licensed by Miami Shores Village. . fir ., STATE OF FLORIDA, COUNTY OF DADE. ss. l efore 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 are true. Permit No , N 1 Date. 41 Read, Sworn to and Subscribed before me. Notary Public, $tate of Florida My Commission Expires PLANNING BOARD DATE Chairman Member r Member Member r ,. Member .. .. Member ....,. r...,_ 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 }seen obtained from the 1'I,innir,;; Board. A re•,n.prction fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or worktnanship.