1205 NE 91 Terr (6)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.
Owner's Name and Address Mr • & Mrs. Bellucc i No 1205..._ .._ Street N Terrace
Registered Architect and /or Engineer
Name and address of licensed contractor Pe _feCt So&1 Awning & W1nC1Q1e1_,._..�nC_.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 12 5 N E 91 T
State work to be done and purpose of building (by floors) RemauE-- __ald_ - _sa ind owes--- aazd - - - -i nstall____L�_ - _un o f a lu_Minum.__ . wind_ows
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 1180,00 Amount of Permit $___ _6_J._5 0
Zone cubage required
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 _ Perfect S ea 1 Awn ing
Chairman
Member
Member ..
Council Approved
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
__plan Cubage_
Date march 2 Pth s 1972
& Window., _ .Inc . 2.37 3 N__W...._1.7 Avenue -Miami
Notary Public, State of Florida
PIf BOARD_. __ _ DATE
Member
Member
Member -
_Date Disapproved
19
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, Pennanent 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 f spection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such su ontracto on woJc to be rfor ied under this
permit, as are licensed by Miami Shores Village. ^�
Remarks -- - - - --- - - - (Signed) _ & &e%
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 44- v .. Date Read, Sworn to and Subscribed before me.
Disapproved _- _ -- - Date
( Signed) -
Bu ding Inspekf or My Commission Expires_
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.