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941 NE 91 Terr (9)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT v f 71 2- / APPLICATION FOR BUILDING PERMIT / / Application is hereby wade for the npproval 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 n11 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. whcther 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 ANNA Registered Architect and /or Engineer ..... ... .... :,,,T,Tt :,.I,.••,,,,,,,, Cf„ -,,. Name and address of licensed contactor �'t.....: �.....EQQ..��'�Ct....�i ' 71... ��..._ �I.$ i]....1i.QUxti. Location and legal description of lot to be built on: � Lot Block Subdivision Street and Number where work is to be done 91h1 _ a.._.F..�...._91...�.P..rr..a c.e .._..... _.._ . __ ....__ .�. State work to be done and purpose of building (by floors)... ,.0 Qvf;_.t•ile- •.r'o.tl- •••OUL:x e.I'1t.i ..• -0,.d_.. ctiox. not .a.nclt ul ng... south ....side .•.af....lowrex.. mot_ xQCa £..R ..- northwest....c. rner .map_1.�..9Of siate,.whits...ceme. t. and for no other 51.1aeB 1 shingle tA}tkcling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimate Total cost of improvements $..4,.995..0.0 Amount of Permit & 2O.rQQ 18... S.o•uares Zone cubage required plan Cubage Distance .to next ne.uest 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 ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 uhlic notice this PRM9 or notices as are required by the Act. The undersigned agrees to employ only such so • • • rs oa ygq�ib pcnnit, as are licensed by Miami Shores Village. �/ tilt Remarks... (Signed STATE OF FLORIDA, COUNTY OF DADE. J ss• Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, per onally ap- peared 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.._ S f` Date er / ......_._._ Read, Sworn to and Subscribed before me. Disapproved +r"? l " Date (Signed) Building Inspector ROCHON 9k1 _N Feb. 15 >� 1983 _._...._._...... E r 91._ _ No. T rra C -e. street__.. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member — Member Member _ Member to me well known, Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained (tuts the Planning Board. A re.in.pe•ction fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Owners Name and Address Registered Architect and /or Engineer Location and legal description of lot to be built on APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or we plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Anna P, RQQ11.0.11 ..94.1 N,Ea.._._ No 9,1 ... Street _ Terrac e Miami Shores, Fla, 3313$ Name and address of licensed contractor 4d .a...l.�._L.w...Ak1Jf.31..1.AY. C�1' A�iY.._ 111,.. N,. E ,. ... . ...Court.,.-. ..... _.. Miami, Fla. 3313$ Lot Block Subdivision Street and Number where work is to be done 941. T. err ace ...._....... State work to be done and purpose of building (by floors) Labar....and _material ... tQ_remo c.e...pr.e_ ent r..o.of. tin oaf 1 - 30it felt , mop on cri th... hot... slate....an apply c ement $h q+o 'fit erpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimates Total cost of improvements S.•.•1�.1S.22..Q.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 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 of the work such ul>lic notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perfo e• under this permit, as are licensed by Miami Shores Village. C& L. RO I CODIPA Remarks (Signed..: PRES. 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 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. 1 Permit No.._....'t....9...f d Date `- \'aci 1 %.A ..... —._ Read, Sworn to and Subscribed before me. Disapproved ........ Date (Signed) to me well known, Notary Public, State of Florida Building Inspector 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 niter approval has been obtained fmm the I'Lrnnir.;; 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. 1