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517 NE 102 St (4)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. n1 Date at. / 19 d Owner's Name and Addresdf� Y n) (e No. g 1 r J Street N • L • 1 CR S+ Registered Architect and /or Engineer OV.INKR Name and address of licensed contractor CAA( N G R Location and legal description of lot to be built on: (J?F / 7 e LotA /l P1 '/LL 1 1V11411•11 I bR Block - 13 Subdivision CS SGTIP10 < y /' /� 1MgiJ1'617 Street and Number where work is to be done 51 / , v • I • 102 SI. `` State work to be done and purpose of building (by floors), state exterior colors (submit samples) 1A14E1'+ 4 1Z gEs1DL•ty, Atte and for no other purpose. New Building 1 Remodeling Addition Repairs No. of Stories T I t o be constructed of OO 0 Kind of foundation Roo ©overing Estimated T ki 'Patel cost of improvements S p ( ) . Amount of Permit $ Zone cubage required Plan Cubage � Distance to next nearest building Size of Building Lot ( l 1 x 123 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 3m4 r.) N. S►1 N.E. ► o Z st. M ii w„ The undersigned applicant for this building permit does hereby certify that he understands Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent S compliance from all contractors or sub - contractors employed by him in the work to be on the site of the work such public notice or notices as are required by the Act. The u under this permit. as are licensed by Miami Shores Village. Remarks (Signe 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 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Permit No. "✓ ( p Date ' Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE 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. Date RAw+P ref cepts his obligatons as an employer of Labor under the Florida Workmen's anus complied with the provisions thereof, and will require similar this permit; an will post or cause to be posted for inspection to err_ploy o uch subcontractors. on work to be performed Notary Public, State of Florida r'S . L- r PIQGk 7s o 1 $i tf 0 iv 9 Y 1.1 •l. J•,o . Stc�r C,3.;5,, Na102114i..m � �,IK ETCH EREBY RESENTS CERTIFY THAT THg,ATTACHED' t x S R EP A RECENT SURV MADE UNDER M Y DIRECTION. AND I8 TRUE AND GOR- r .v '* y RECT;T T H E _ BEBT ,OF ,MY KNOW BELIEF ;y� ` ■ rte:` : ERE ARE,NO E 14' !s I(, 1? 19 2.4., 2.1 22 i 3 OFFICE: 5139 S. W. 13TH ST. • THOMAS ,KELLY CIVIL ENGINEER —LAND SURVEYOR MIAMI, FLORIDA '• f. SURVEY •NUMBER!. 52.= 2 TELEPHONE: 48.0504 - „ SURVEY OF 4 of L , i /4 i ii< /: • aY 0,4 ,Ca Z S .' BLOC 3 • SUBDIVISION /an 5/ Ore5 •.SCC 2"I0l9 4 Vii.177 F • . .. ,;:•,..' ACCORDING TO THE • PLAT THEREOF ' AS RECORDED IN PLAT BOOK NO / ' AT PAGE NO • i ' •" • • • • PUBLIC RECORDS OF �'� "� A L CO DATE, .D6.? G Gam L?C�r' 9, )9P.,•1. • • • • FORS Or e YYA //G .: WEIN E:1(15 DA/ G 22 S i 1 k / &AI = 1 I I DAN, R r . 1_ 8 1 1(0 1.4 ChIbr.,l 1.-J .1; id- SLAs..E1--- itrAi Pr -4 ■_) TYP 22 I IJ JCALL-LiAr.n-inAn- (E.IEP O EkIrsIL) To 13 Z . Dye El_l_ST_Irs.16. SO0 - RE PlicItt__ 1.4 • - ry Nefr_rtvE S R1 5_4A.P1eaD-4 `'""i R nT SiaLs x Pr C:u R B c. , X15"1"/I-JC. Li/11Jc DE.C.K_INH., To f3E 3 1q " PL'rLv XTERIOR riA DE. ri 13 ETTE _ Non) Sk SS 2000_ ‹..1.)P1' Tv 4. _ AR SA. r V s . k u . ) t n i s . 1 C it lir% P s 34" XL. ?T TYR 1 • THESE PLANS ARE APPROVED FOR ISSUANCE OF SBEUI'DNING PERMIT T" p WITH NO VARIANCES [J WITH VARIANCE(S) - OR D INHNANR CE S WILL BE P EROMITTED, UNLESS MIAMI ESS SPECIFIICALLY BUILDING LISTED BELOW ORINS WILL BE ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED NTH BY ALL PARTIE Autho!i7ed Signature Date FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT BUILDING DIRECTOR PLANNING & ZONING BOARD VILLAGE COUNCIL PRELIMINARY: REMARKS: APPROVAL FINAL: D r" }E ^T AE & BYM MIAMI HORES VILLAGE IS REQU :RED. THE ARCO E ,T D PT, UII DER BY MIAMI S n,,..,..�., IL . K `0".11911E (�� f`‘" ~IIILD- SUB EG CONTRACTORS H ING REGULATIONS WHETHER OR NOT SPECIFICALLY I�ICATE�REIN'�