BUILDING PERMITDate 11 Job Address l( 0./ D N6 @ ja Tax Folio
Legal Description L i a.k po, .0.)Aie.rbe -ek t ,
Owner/Lessee / Tenant L V c_ T ■i C h- Master Permit #
Owner's Address 1 a I v 3 F, q 1 tty
Contracting Co. IC I t t t ci 4 urrne_ rp rive resl x ({�
Qualifier no S (ph
State # Municipal # Ins. Co.
Architect/Engineer
Bonding Company Address
Mortgagor P.) 1 Address
Square Ft.
FEES: PERMIT
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/0/
Phone
,,V6 spew 7`i ,41
• er and/lr It ��4�!'de
ion Expired TZ
;NOTARY ., �''_' ..r
FU7i IC
° MY C ?u >7Ic om.` ? . F� •.
Estimated Cost (value)
Historically Designated: Yes No
X63 9Z
15a –i9y 1
Address L Ok L D �1c4rv�.. f'h 6(1/4)d, t.
SS# Phone
Competency #
Address
Permit Type (circle one):3BUILDING) ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION F1tr o C.h
LA 1 t"� [.r1
OZTO
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDA I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an zo s_ Furthermore, I authorize the a..ve- amed contractor to do the work sta
as to Contractor ar • -• ,� „
y Conunission Expire
. r� A s°'rsl3 ii
} z:.i3 r�M SS1.O\, e,C
a e,..1� re'
: C 0 _ .- .........,
` . RADON C.C.F. NOTARY `' BOND
TOTAL DUE /D6
Building ` t3 /E
Electrical
Plumbing Structural Engineer
STATE OF FLORIDA:
COUNTY OF DADE:
9. Exp
is
Signa re of Owner
Notary Public
My Comm'
I.D.
NOTICE OF COMMENCEMENT
PERMIT #
TAX FOLIO # 04-
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713. Florida Statutes, the following information is provided in this Notice.
1. Legal description of property and street address: LOT C9 BLK c=.1. SUB. IA..) ate .r S e d (�
Address - I a 1 O rV rr c\15 f t..r . (Y) i 4r r.■ , PI • 33 I a g)
2. Description of improvement: f l t to od L h ;it in u1
3. Owner (s) name and address: �Y e w m r� P ► c 1 1 1 O N E . 1 Tt +' m r ^ ; �
Interest in property: O U - Q'
Name and address of
fee simple titleholder: S o r
4. Contractor's name and address: A 1 I IPd Rani* 1 t v e.n+ io ut( i,) • O c e,
5. Surety: (Payment bond required by owner from contractor, if any) Amount of bond S
Name and Address:
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1Xa)7., Florida Statutes.
Name and Address: OLor. o X
8. In addition to hini-cel owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name and Address: Q w r•-t-r
date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date
D,„d
Sworn to and subscribed before me this day of
.'�iyo - ro i ..� ' mss ∎r
f1•' •Is • •• r
MAIL TO:
DADE COUNTY
RECORDER OFFICE
44 WEST FLAGER ST. 9" FL
MIAMI, FLORIDA 33130
MAIL WITH S8.00 CHECK & A SELF
ADDRESSED STAMPED ENVELOPE
HOURS- MON -FRI 9AM -4PM
PHONE (305)275 -1155
PRESS #6 FOR RECORDER
PRESS # 1 FOR DOCUMENT'S
THEN PRESS #0 FOR OPERATOR
Prepared by: LirMS ,etip
/6 W. OA ICt n/D Pk_ alp
19 d U ADDRESS: ' t LevD roL
F FLORIDA, COUNT OF DADF
EBY CERTIFY that this is py of the
original n is ofhc�pp I yof
WITNESS my h
HARVEY RUVI
By
•
'Ommar Ck-ut3N4cetaw
n
eer
ONb
•
/I
JOB #
CONTRACTOR
CLIENT
ADDRESS 1 1
Ali
CABINET MFG.
DR. STYLE WALL
DR. STYLE BASE
WOOD TYPE
FINISH
INTERIOR
HARDWARE DOOR
HARDWARE DWR'
HINGE
MOLDING TOP
MOLDING BOTTOM
MOLDING MISC.
TOE KICK
MISCELLANEOUS
SHOWROOM
608 W. Oakland Park Boulevard
Fort Lauderdale, Ronda 33311
Broward 954-564-1611
Fax 954-564-1664
Palm Beach 561-734-8880
KITCHEN & BATH
SHOWROOM
1902 Tigertail Boulevard
Dania, Florida 33004
Phone 954-925-7000
Dade 305-949-7444
PAGE .- 1 : OF
- 1 7 .*
COUNTER TOP
COLOR
5
EDGE
SPLASH
DATE MEASURED
REQUESTED DEL. DATE
DESIGNER WNW •
DRAWN BYE.(
DATE <=
REVISION
REVISION
APPROVED BY
DATE APPROVED
This is an Original Design and must not be
released or copied unless applicable fee
has been paid or job order placed.
(Afi VI
_z.r.„1/)\ • \\/
1L
z
411
�I L 110,41? -
All o
Nis
41/
a
e4
r .
r-
ID tU IU
!Awl(' t I 4 l..
u
P
Z?O v SUS uC it
71UC�141 ie�"EN�y�
. 'rra t-+
4%vaY 761-G <ia,r( -
L#-t
CtP>IHGr Ii( KIxfAZO
Ci 544. 1H V4-1-6-k6
3U�6hf 1 € v--
f T ir;cu%
JUNG -ricer: ,- <
SHOWROOM
608 W. Oakland Park Boulevard
Fort Lauderdale, Florida 33311
Broward 954 - 564-1611
Fax 954-564-1664
Palm Beach 561-734-8880
JOB # '�'�, �.
CONTRACTO
CLIENT
ADDRESS [2!(
APPROVED BY
KITCHEN it BATH
SHOWROOM
1902 Tigertail Boulevard
Dania, Florida 33004
Phone 954-925 -7000
Dade 305- 949 -7444
PAGE OF
• y
CABINET MFG.
DR. STYLE WALL
DR. STYLE BASE
WOOD TYPE
FINISH
INTERIOR
HARDWARE DOOR
HARDWARE DWR ,
HINGE
MOLDING TOP
MOLDING BOTTOM
MOLDING MISC.
TOE KICK
MISCELLANEOUS
COUNTER TOP
COLOR
EDGE
SPLASH
DATE MEASURED
REQUESTED DEL. DATE
DESIGNER
DRAWN BYC 4 . ��F' 77 1 I l
DATE 9,&29
REVISION
REVISION
DATE APPROVED
This is an Original Design and must not be
released or copied unless applicable fee
has been paid or job order placed.
SHOWROOM
608 W. Oakland Park Boulevard
Fort Lauderdale, Florida 33311
Broward 954-564-1611
Fax 954-564 -1664
Palm Beach 561- 734 -8880
KITCHEN & BATH
SHOWROOM
1902 Tigertail Boulevard
Dania, Florida 33004
Phone 954 - 925 -7000
Dade 305- 949 -7444
JOB # PAGE OF
CONTRACTORG�I
CLIENT —1-7 1(-1 , i,
ADDRESS 1210
CABINET MFG.
DR. STYLE WALL
DR. STYLE BASE
WOOD TYPE
FINISH
COUNTER TOP
COLOR
EDGE
SPLASH
DATE MEASURED
REQUESTED DEL. DATE
DESIGNER \ �7
DRAWN BY
DATV
INTERIOR
HARDWARE DOOR
HARDWARE DWR
HINGE
MOLDING TOP
MOLDING BOTTOM
MOLDING MISC.
TOE KICK
MISCELLANEOUS
i7CP
REVISION (",i /67
REVISION
APPROVED BY
DATE APPROVED
This is an Original Design and must not be
released or copied unless applicable fee
has been paid or job order placed.
SHOWROOM
608 W. Oakland Park Boulevard
Fort Lauderdale, Florida 33311
Broward 954 -564 -1611
Fax 954-564-1664
Palm Beach 561- 734 -8880
JOB #
CONTRACTOR
CLIENT
ADDRESS
KITCHEN & BATH
SHOWROOM
1902 Tigertail Boulevard
Dania, Florida 33004
Phone 954-925-7000
Dade 305-949-7444
PAGE OF
CABINET MFG.
DR. STYLE WALL
DR. STYLE BASE
WOOD TYPE
FINISH
INTERIOR,
HARDWARE DOOR
HARDWARE DWR
• HINGE
MOLDING TOP
MOLDING BOTTOM
MOLDING MISC.
TOE KICK
MISCELLANEOUS
COUNTER TOP
COLOR
EDGE
SPLASH
DATE MEASURED
REQUESTED DEL. DATE
DESIGNER' L.6
DRAWN BY--•-,(c
DATE DATE / .E7
.REVISION / G(D 0 c)
REVISION
APPROVED BY
DATE APPROVED
This is an Original Design and must not be
released or copied unless applicable fee
has been paid or job order piaced.
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.
Owner's Name and Address( /M6."' ; /
Registered Architect and /or Engineer/. Z/..!ma ftC' ( -' l ='b JI
Name and address of licensed contractor � G. � �
Location and legal dcscriptio of lot to lrc built �`�
-/
. °6 c 'Li.. V7 c: 5 ' 3
Lot / Block i Subdivision
Street and Number where work is to be done..[-`. +.: .� _. y...... _ --.-
State work to be done and purpose of building (by floors) '+: e' e' -'-`Z . :1 -L � -• !/I' teD.L•j - .L.. -- --
it'
_. -.4 ..c__r., .t._ 'i-. y L 1 .1,..L? C .S 1.1 1 f
Chairman
Member
Member ......
Council Approved
PLA ' INC BOARD DATE
Date
Street
ref ... 4,-,- `4 � �..._._.._..,
and for no other purpose.
Repairs No. of Stories r
Roof Covering
New Building Remodeling Addition
To be constructed of Kind of found On
Estimated Total cost of improvements $...., Amount of Permit S...as2.. :fit»
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 specifi ations for said building. All notices with reference to the building and its construction may
be sent to./ ` �r �`alr.�� ..f ' C / '- ' /s .
The undersigned arplicant for this building pennit 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 peyrformed under this permit; and will post or cause to be posted for inspection on the site of the work sucpublic notice
or notices as arc regtircd by the Act. The undersigned agrees to employ only such subco actors, on work to be perfo t AMI, under this
pennit, as are licensed by Miami Shores Village. ■
Remarks (Signed) ��'`, f : __..
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 `h �� are
1`� ree true. _
Permit No.1 _ Date 7 . -._._ Read, Sworn to and Subscribed before me.
Disapproved 6,4...
(Signed)
Date.
Notary Public, State of Florida
But •' ng Inspector My Commission Expires
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 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.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 5e. � q3 Job Address 1 \C) WE 61% - Ncw Tax Folio /) w�o 5 D / O t oQ f
Legal Description 16' 011 _t7 4141 l cX IVq
Owner / Lessee / Tenant ,1 5 vvn w e L. ) J Ydw •, Master Permit #
Owner's Address 1 IA o N E 4 11 - I c.v....,
Contracting Co. vt Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor
Permit Type(circle o BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION C lbsG a AAA c tv' vv-dsc c.) `t-4tN KN \fl -t1\ k SLt,�Gc,r?
Ot.C1 .0 1166 1 \1r \ \ r C 5 tp�r-eo�tia� •►
Square Ft. 10 Sek
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be e in compliance with all applicable laws regulating construction and zoning. Furthermore, I
au ize the above-named contractor to do the work stat d.
1 1 1 4 ' " 4 4 ) - 4 Ivy (?L-
Si ture of owner and /or Condo President
D
APPROVED:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * *
FEES: PERMIT RADON C.C.F.
Fire
Buildin
Mechanical Plumbing_
Zoning
Estimated Cost(value) v200 c°
N
Phone
Address
r " " ' ; •,•. �SFPHINE CHURCH
• ary Pu' I;c. State of Florida
•
dr:
t 'r - No. CC;!11b45
{
Sig ature 9f Contractor or Owner- Builder
at :
ary as to C
My Commission
* *
NOTARY 40 TOTAL DUE 41 17
Other
Electrical
Engineering
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Date
Disapproved ate .._.._
(Signed) C ,
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.
No .. Street_...
Registered Architect and /or Engineer... : .. I _., ..... .. . ... .... .. _.....
Name and address of licensed contractor
Owner's Name and Address . A /-
Location and legal description of lot to be built on:
Lot Block Subdivision
and Number where work is to be done / t.Z ._ &' 4 Z / . 77'. l'! '
State work to be done and purpose of building (by floors) .„ ,2V� 4 /.2..— k`:Y' 3 - - - 1-
) c 77 /-- e� / /kC
New Building Remodeling Addition
To be constructed of Kind of foundation eC.„:"./E A? 4. re -
Estimated Total cost of improvements $ ._ Amount of Permit S-
Zone cubage required _.. __.plan Cubage
Distance to next nearest building Size of Building Lot
Jiaxirnum 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
permit, as are licensed by Miami Shores Village.
The undersigned applicant for this building pennit 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 public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcoptractors, on work to be pertbmed under this
(Signed) ,,Aird
Remarks
c i MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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 state
Permit No.. _. J
-�7 7 Z-
Chairman
Member
Member ......
Council Approved Date
ate...—...-...--...
and for no other purpose.
Repairs No. of Stories
Qoof Covering
` 0
PLANN. BOARD DATE
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector � / My Commission Expires
Member
Member
Member ...._
Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials anti /or workmanship.
•
to me well known,
has hecn obtained from
for inspection or faulty
7�
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
t APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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 - 17, ,1971
Owner's Name and Address fir•Clark 13e.nnett N 1210 Street NE 91 Terrace
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done Same
State work to be done and purpose of building (by floors)
Disapprove
( Signed)
Building Inspec or
Chairman
Member
Member
Council Approved
Eu yam - - - Re fx S r_ea C
install 5 ton central alrconditioning
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 $ 3,250.00 Amount of Permit $ 10
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 5968, 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 for inspection on the site of the work such public otice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on .rk to „ perfo ed ypd4c this
permit, as are licensed by Miami Shores Village.
Remarks__•____- __----- --- -•- -_- - -- ( Signed )_ J_.
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. L _ - __ Date _ ? _ / ___ Read, Sworn to and Subscribed before me.
P. ANNING BOARD DATE
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
To Whom It May Concern:
May 16, 1971
This is to advise that I am the owner of the property
located directly to the west of 1210 N. E. Olst Terrace
and that I have no objection to Clark D. Bennett placing
a five ton air conditioning compressor along the west
side of his house.
William Latham
1200 N. E. Olst Terrace
Building Inspector
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._...
Registered Architect and /or Engineer
Name and address of licensed contractor
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
to
,•"\ ,
,
•
Date_ -.
S t r e e t ' '
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
' ,
c. State work to be done and purpose of building (,by floors) ... __;.'_:2.1 °L %' ` R, '
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Co. eying
Estimated Total cost of improvements $ ' • 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 public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
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, 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are t�
r u
at —
Permit No , // ,l Date. /7 ' r Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Notary Public, State of Florida
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 after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
IRVING E. HORSEY - A. I. A. - ARCHITECT
1 1 9 2 N . E . 9 1 s t T E R R A C E - M I A M I , F L O R I D A 3 3 1 3 8 - P H O N E 7 5 1 - 3 3 1 8
August 3, 1972
Mr. William Bradford
Building Inspector
Miami Shores Village
10050 N. E. Second Ave.
Miami Shores, Fla. 33138
Re: Alterations to residence
Mr. and Mrs. Clark Bennett
1210 N. E. 91st Terrace
Dear Mr. Bradford:
This will verify my approval of removal of
tie beam and block wall above kitchen ceiling.
This wall is non bearing and parallels self
supporting roof trusses. Mr. Howard Perry has dis-
cussed this with you and it will not effect the
structural safety of the building.
Very truly yours,
IEH:ah Irving E. /Horsey, A.I.A.
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and AddressMR.....& ...IYIRS......s..UM...BRS1YliI _ .» Streeta..E.....R1.._TTERRACE
Registered Architect and /or Engineer JAMES ...ROD Tel' ,,,,,,,,,,„ ,.,,...,1111,,_,,.,.
Name and address of licensed contractor....AQRA..CLEAR.... QOLS. WEST...D1XIE...1U.G1JAL.E. M .
Locatio,n and le al • description of lot to be built on:
15' of 26, j 27, 2 WATERSEDGE PBJ� Pf 141 D.C.
o�. .. . Block Subdivision _ ►. .._._
�P. of2$.
Street and Humber w ere work is to be done 1210 N.E. _91 TERRACE _
State work to be done and purpose of building (by floors) _...__......._._.__ _sass_.._.
SWIMMING ._ -POOL ZOli_RECREATI ON AL ... P[IRP.OSES
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 $...9...2.70 00 Amount of Permit
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot 70' .X..
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
Disapproved
(Signed)
BUILDING INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
Date
Date ..._
Notary Public, State of Florida
Building Inspector My Commission Expires
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 public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors „ r on work to performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed) i/
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. //�� II (�
Permit No.. *) Date__lO 1�1 ('1 Read, Sworn to and Subscribed before me.
PLANNING BOARD _.._......DATE
Chairman Member
Member Member
Member sass.. Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application nfter approval has been obtained from
the Planning Board.
A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.