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534 NE 102 StApplication is hereby mode for the approval of the detailed statc,,,t•nt of toe 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 Short's 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 Registered Architect and /or &ogineer Name and address of licensed controctor.X'ln . S $'!OQ ^' `l_ G� i✓!1G'- .�1i�9>/✓li- PA/ 33166 SF cv € r� t4 A../.Dr — .. _ ..._ ...._ ............... Location and leg 41 description of lot to be buil on: Lot..., 14 T Estimated Total cost of improvements $ ° .a// ' "o Council Approved Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 7*?1A) Street and Number where work is to be done _ _....._._.. State work to be done and purpose of building (by floors)1. 10 G .Z n�a.... ...... C-1-447 Disapproved j�. Date (Signed) A. Building Inspector 4x)49 PLANNING BOARD Chairman Member Member Date...! � _ ._ _.__. , 11; 1 f‘ ._ No. Street.GQ. a:.5 F Wf>'20f'";T 121, Ill tttt Subdivision ,4 "1 4 P Lege,. . . T _ f /tub 6 t.e.;i4/12$7-yvS u!l T /9-irY i/i/ exi s and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Amount of Permit S... 5-7 Read, S o to and Subscribed before me. Notary Public, State of Florida 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 � :.ligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Flo da, Permanent Supplement, and has complied with the rovisions thereof, and will require similar compliance from all contractors 0 u • contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on th of the work such ublic notice or notices as arc required by the Act. The undersigned agrees to employ only such sy a ntra pcnnit, as are licensed by Miami Shores Village. Remarks is 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 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—Y.4 . (0 Date My Commiuion E :piresHQTt�BYEIlSklCST..TEx3F FLOpl�' MY COMMISSION EXPIRES JULY 2,5 1983 DATEpONDED THRU GENERAL INSURANCE UNE Member Member Member — — 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'L Board. A rv.mspeution 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. Disapproved (Signed) MIAMI SHORES VILLAGE 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 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 r Building Inspec , 11' No Stree I_b ._) - .. Owner's Name and Addres.. __.. _.. ___. ._._ Registered Architect and /or Enginee � '� Name and address of licensed contract 1��_ Location and legal description of lot to be built on: Lot Block Subdivision nn Street and Number where work is to be done '.3 `',' _._, . C.. / $2 State work to be done and purpose of building (by floors )""—•t s4 4 �lu! +-- �.. )' p Q....P. •m..,..-, and for no other purpose. New Building Remodeling Addition Repairs Id No. of Stories To be constructed of /� a Estimated Total cost of improvement Q__ �'• 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 hereb it all thgplans and spec4fi tions 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 ite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w. k to be perforned under this permit, as are licensed by Miami Shores Village. Remarks (Signe L Mi'luAe4ti.e0m and of foundation Roof Covering STATE OF FLORIDA, 1 COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmen 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 JO- Z 3 Date ,? 3c I Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ANNING 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 Board. A re- inspection 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.