901 NE 91 Terr (13)Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building
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 regula-
tions of the B ding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans
and specificatio is must be/kept at building during progress of the work.
ner's Name and Address____ % ____ No Street
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot_— ___ —_ —_ __ _ Block___ — ______ Subdivision `/ C L
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
_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 $_ _______Amount of Permit $
Zone cubage required__ a ^ 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)
Disapproved
(Signed)
APPLICATION FOR BUILDING PERMIT
MIAMI SHORES VILLAGE
Date
Building Inspector
BUILDING INSPECTION DEPARTMENT
Permit No._____—_— _____— _— ____ —____ Date_
Date
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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
therein by him stated are true.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
_to me well known,
that he did sign the same, and that all facts
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.
(over)
1. General Building Contractor.
LIST OF CONTRACTORS, SUB- CONTRACTORS, ETC.
REQUIRING OCCUPATIONAL LICENSES
MIAMI SHORES VILLAGE
2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting.
3. Electrical.
4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators.
5. Excavating, grading, filling and Landscaping.
6. Moving or wrecking.
7. Septic Tank and Drain Field.
8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum.
9. Carpentry, Millwork, Awning and Shutters.
10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone.
11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging.
12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise
specified.
13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors.
14. Roofing, Sheetmetal and Skylights.
15. Solar Water Systems.
16. Well drillers.
17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc.
18. Structural and Reinforcing Iron and Steel.
19. Tile, Terrazzo, Marble, Granite and Cut Stone.
20. Electric Fixtures.
21. Illuminated Signs.
22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga-
tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work.
23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus-
iness of supplying, furnishing or delivering' building materials for any construction project within the
Village Limits and not having a regularly established and licensed place of business in the Village.