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1235 NE 98 St (3)r Zone Rec.Cu't .G t Cu.Co� Plat Restriction Checked To Planning Board Re- Submitted to P.B. Plans & Spec. Checked by To Council Bldg. Permit No. Type New Construction Pe Septic Tank So ,er rise '1 Con t ectr ca ~emit Fixtures Heater Motors Mise ` Con wild ing Inspection, Foundation Beams & Lintels Final Final Clean -Up P umbing nspec ion Roughing Fixtures Sewer Septic Tank Solar Heater Final Certi rioat Q ieccrical Inspec Roughing Fixtures Final Tem.0 0.K Service C by 1‘) e Approved r' Rejected Approved Rejected Approve Pee / f Cost J1/4 Date // Storied oo iterations * Ai- 1 1 /. 041 BUILDING ELECTRICAL • PLUMBING Architect Contractor or builder CONTACTOR OR BUILDER MIAMI SHORES VILLA: E FLORID DATE_ PERMIT N. 7602 Work to be performed ender this Permit Legal Description / J Address of • Building This permit is granted to the .co tractor or builder named above to onstruct the b. cation herefor in strict compliance with all ordinances pertaining thereto • with e and plans, drawings, statements or specifications that may have been submitted to and ; =prov at any time if the work is not done in compliance with such ordinances or if the p s permit is granted is the understanding that the contractor or builder named above regulations pertaining to the work covered hereby whether shown on the plans or sibility for work done by his agents, servants or employees. • OR In consideration of the issuance to me of this permit 1 agree to perform the work covered hereunder in cofi pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the In acce pting this permit 1 assulne.esponsibility for all work done by either myself, my agent, servant or employee. BY Co Lie install the at the wo4 r municil author. =qa14` fo a firs APPLICATION FOR BUILDING PER Application is hereby made for the approval of the detailed statement of the plans and specificati ing or other structure herein described. This application is made in compliance and conformity wit Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinflnt#es of Mia regulations of the Building Division of Miami Shores Village shall be complied with, whether herein s plans and specifications must be kept at wilding during progress of the work. Owner's Name and Address State work to STATE OF FLORIDA, COUNTY OF DADE. ss. Registered Architect and /or Engineer Name and address of licensed contractor Location and 1 Lot escript' n of lot to be built 10 Block_ Street and Number where work is to be done done and purpose of building (by New Building Remode To be constructed of Ki Estimated Total cost of improvements $ _ _4110 _� Amoun 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 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, 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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only sup . subcontractors, on wor to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed A Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared st du onstr tru and who, being of the above des therein by him st Permit No _ Date_ Disap . ro to me well known, sworn, upon oath deposes and says that he is the tion, that he has car: ully read the foregoing application, and that he did sign the same, and that all facts At" 9 e 'ned) Building nspector Subdivisi Chairman Member Member Council Approved Date I SHORES VILLAGE BUILIDING INSPECTION DEPARTMENT edOca Date Addition Repairs ,19_ No - Street IT Roof Covering. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD____ DATE Member Member Member Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper materials and /or workmanship. s herewith submitted for the build- the Building Otdin nce of Miami i Shores Village and all rules and ecified or not. A copy of approved and for no other purpose. No. of Stories Date has been ob from inspect or faulty - �� r • r ) C•: