1972 AC REPLACEMENTPermit No
Job# 317
Disapproved _
(Signed)
Chairman
Member
Member
Council Approved
SHURES
ARM-MATO IJOILIDONO REMMOV
0
Location and legal description of lot to be built on:
Lot. Block Subdivision
Street and Number where work is to be done 5251 no e„
State work to be done and purpose of building (by floors)
e6. piaxtv.
---
Date
UELDONG ONSPIECTOOM DERARTMEMT
Date ' /./
0
Application is hereby 121 a d e 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.
Date4Z _ 5_, ,
Owner's Name and Address__ AM__ S c.lanml.dt No.5775 Street.. COW-P1-6,
Regi..ered Architect and/or Engineer .
Name and address of licensed contractor. 21a0,4 A.L COral&ti..ort,i.n.g. Co rp. 4234 S 75 Ale-
90 Street
1_,LAME
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 $ 1 , 862.00 Amount of Permit $ 8.00
Zone cubage required _Plan Cubage
Distance to next nearest building.. Size of Building Lot...
Maximum live load to be home by each floor._
I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may
be sent to ..75aLbi...6, COrdtori.Lrig. Corp. 4234 S.W. 75 AV2,.. 226-8361
of labor under the Florida Workmen s Compensation Act, being Sec:ion 5966, Compiled General Laws of Florida, Permanent Su
The undersigned applicant for this building permit do hereby certify that he understands and accepts his obligations as an e
c pplitpulioe)n,etr,
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. Ss '
Before me, th.s: undersigned authority, a notary public, duly authorized to administer oaths and take a■kaowledgments, 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.
Notary Public, State of Florida
. . ..... _
ding Inspector My Commission Expires
PLANNING BOARD. DATE
Member
Member
Member
_Date Disapproved
to me well known,
Read, Sworn to and Subscribed before me.
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.