1240 NE 91 Terr (8)Owner's Name and Address
---- p _ . %..e! =4�
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot__ Block
Street and Number where work is to be done
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.
Subdivision
76
State work to be do and purpose of building (by floors) GG
and for no other purpose.
New Building___ Remodeling Addition Repairs__ J�
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ ZZ.S • Cf. _____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 5968, 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)
Date__
Building Inspector
Date_
o/ 'VP
l 3
Read, Sworn to and Subscribed before me.
1 19 9 e
Streetg. C' 7 r•! t'Y°
No. of Stories
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
Notary Public, State of Florida
My Commission Expires
PLANNI9 BOARD DATE
Chairman 4 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 ;, ice for inspection or faulty
materials and /or workmanship.
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.
1 Date.. g4....2: 2 -}-_. % 2' - ---- - - -- ,19......_
Owner's Name and Address J p771G :S.. —i. ��r o :. ' .., _ _ ...� <�� N0 .2=,.y.b,., .n l t.YZ.,.. , -1-7:: - ..„)14F ,
'e. 4 -EA-- L c a - 4 4. giW t- 'C
Name and address of licensed contractor / 1---- h GI / , / v / `Z (p 6 6,3 ST / 1 )//,146 w' A-
Location and legal description of lot to be built on:
Lot F 266t 1.5._! 3 ° _ Block 2. Subdivision ' -T6/ _ E Li GE •
Registered Architect and /or Engineer
STATE OF FLORIDA, I
COUNTY OF DADE. ss.
Chairman
Member
Member
Street and Number where work is to be done..-., _ U y/
State work to be done and purpose of building (by floors) C__,13. 5
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of -- 13 Kind of foundation Roof Covering - \
,-o
Estimated Total cost of improvements $ p, Amount of Permit 0 0...0
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 perinit 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) 7
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.
I s' '6o (- 2z-
Permit No.____________� Date �i Read, Sworn to and Subscribed before me.
Disapproved C Date
Notary Public, State of Florida
( Signed)
Building Inspect. 0 My Commission Expires
/NNING BOARD DATE
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- inspecticn 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.
'�j O NAME
�lc9M s AcI(SObJ
NEW CONSTRUCTION
PRESENT ADDRESS
/2 N.T. 9/ //2.
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
/ 7'S/o N. e. 9/ /6-.e2
LOT
Faoeg acp,go
BLOCK
0
SUBDIVISION
a frRs ec GENERAL
CONTRACTOR
-Rec 'D. / o keg
V
ADDRESS
=a.o 663 -1 149/e4%, Pi.
PHONE N O.
LICENSE NO.
09,97
o '/
BUILDING PERMIT NO. /D s- 7" 0
DATE
‘A-a 7 4
PERMIT FEE $ /..,) ` • n O
BUILDER'S BOND
NO. DATE
ZONE REQUIREMENTS
CU. FT.
PLAN CUBE CU. FT.
EST. COST $ 7, 4 o 0
Add •
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
DATA
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCRIPTION
DESCRIPTION
ALTERATION
V
/� C`//�/�
4 0
ADDITION Cle7tCL.
SUBMITTED TO PLANNING BOARD
APPROVED
REJECT
REFER TOC IL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
ISSUED
BY
TO
Add •
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
DATA
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
I
$
ROOF
TEMPORARY SERVICE
$
BEAMS & LINTELS I
POOL
H. W. HEATER CONN
FRAMING
RANGE CONN.
AIR COND.
$
MOTORS
FINAL
$
CLEAN UP
SEPTIC TANK
SLAB
5
FIXTIIRFS R FINAL
SOLAR HEATER
SLAB
TEMPORARY SERVICE
I
$
SEPTIC TANK
$
SEWER
I
$
SOLAR HEATER
TEMPORARY SERVICE
$
GAS
5
H. W. HEATER CONN
5
INSPECTIONS
DATE BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TUB & TOP OUT
H. W. HEATER CONN.
H. W. HEATER CONN
5
RANGE CONN.
SEWER
$
MOTORS
$
FIXTURES
SEPTIC TANK
$
5
FIXTIIRFS R FINAL
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. 1 ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
5
RANGE CONN.
$
MOTORS
$
FIXTURES
$
5
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TFMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTIIRFS R FINAL
CONTRACTOR
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
PERMIT NO. I DATE
NEW BLDG. 1 ALTERATION 1 ADDITION
SPECIALS PERMITS I PERMIT NO.
DATE
PHONE
ELECTRICAL PERMITS & INSPECTIONS
FEE $
REPAIRS
FEE
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS
C � + 0 fv'
N_ 115
INSPECTION Mairt
�r
TIME READY 44- I 7 C.
REMARKS-
INSPECTOR DATE
MIAMI SHORES VILLAGE, FLA. No 5655
JOB 4,4,-7,-) o '
ADDRESS $ `77 /! d {
INSPECTION 7 - -- -A"u.% -- / `7).7
TIME READY
REMARKS •
INSPECTOR_
DATE