ROOFINGOwner's Name and Address
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed state:,, ui ette 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 thc. Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iittihling 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.
Name and address of licensed contractor q>Q,tt,.l,.t a.k.5
Location and legal description of lot to be built on:
Lot Block Subdivision.
Street and Number where work is to be done ..... .�
State work to be done d purpose of building (by floors)
- P �frrZ
Disapproved
(Signed)
Date
Building Inspector
NOTE: A charge of $1.00 will be made for
the I'I.innir.;; Board.
A re inspection fee of $1.00 will be charged
materials anti /or workmanship.
•
Citair:nan
\fcrr,ber
Member .. ..
Council Approved Date
CU If
Addition
Date..._..._. _......_�.. , 1>i�
Str
..... ........• .,11,. ,,. 1.,.
�.1 IO'L
Repairs
`'
rt
and for no other purpose.
New Building Remodeling
To be constructed of Kind of foundaat Roof Covering CA)til..7E 7 . .
Estimate Total cost of improvements $ Amount of Permit S.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 permit does hereby certify that he understands and accepts his obligations as an employer
of Labor under the Florida ‘Vorkmen Compensation Act, being Section 5966, Compiled General Laws of Florida. Penn:enent 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 subcontractors, on wojk to be performed under
pennit, as are licensed by Miami Shores Village.
Remarks (Signed.
No. of Stories
STATE OF FLORIDA,
COUNTY OF DADE. i ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
PLANNING BOARD DATE
ern to and S . • ac 'bed before me.
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
Permit No.._ N tai_ l_7) A Date (O .z
ate4of,Flori4a
Commission Expires . :
Member
Member
Member ._ __.. ...._ .
Disapproved . ............
making corrections or changes to this application after appmval his becv1t iained from
when such re- inspection is made necessary by Improper notice for inspection or faulty
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 . .. /•rsle Xile, .W.Irx., eld
Registered Architect and /or Engineer j
Name and address of licensed contractor. D , /. t..C: CErFr- K.a
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work bed and f b 'Id' (by floors)..
or to one an purpose o u m y oors ..
New Building Remodeling Addition
To be constructed of Kind of foundation
Estimated Total cost of improvements $ t e'O
Zone cubage required
Disapproved Date..
(Signed)
APPLICATION FOR BUILDING PERMIT
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date e...J L _
(05 (6" °'
g s'D
No..32
Repairs..
.__. Street —.
,,,••,: •,,,1 ^.•,ff,. - .I.....
1.14Z ...1M„3 ,ST
— ,
Notary Public, State of Florida
My Commission Expires
and for no other purpose.
No. of Stories _
Roof Covering �.L .............._..M
Amount of Permit S�._.I_ :.A ..t1
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 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 pennit; 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 sybcontracfors,on work yo be performed under this
pennit, as are licensed by Miamt Shores Village.
Remarks... y._._.. —_ (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 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.-__ _ 041101— Date... s?_ Read, Sworn to and Subscribed before me.
PLANNING BOARD ..... .DATE
Chairman Member
Mfcrnbcr Member
Member sass.. _____._..__._ ._.._ Member
Council Approved Date Disapproved
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re fee of 51.00 will be charged when such re- inspection is made necessary by improper notice
materials and/or workmanship.
Date
has been obtained from
for inspection or faulty
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
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____ _ 12 -5 -?7 > 19_ __
Owner's Name and Address. Roscoe K'OwlsOn - No 32 91 St
Street
Registered Architect and /or Engineer.....
Name and address of licensed contractor___Pe el e_- Roofing Co Inc., 1885 NW 21 St. Miami 33142
Location and legal description of lot to be built on:
Loi
Chairman _ ____
Member
Member
Council Approved
Block Subdivision._
Street and Number where work is to be done 32 _ _..91 ___St.
State work to be done and purpose of building (by floors) -.Re—roofing of one._..s.e_ction__on__wv.st side - white cement siingles
PLANNING BOARD ______ ___ _DATE
Member
Member
Member
_Date Disapproved
and for no other purpose.
New Building Remodeling Addition__ .._. Repairs__X_._ .. _._ __. No. of Stories 1
To be constructed of Kind of foundation _ Roof Covering
Estimated Total cost of improvements $ 985 • 00 _ _ Amount of Permit $12.50
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.._ Pe_ele__.Roof-ing___Go___.Inc_. ,__ _ 18 . 85 _ Ninf.___21. St.,_ Miami 33142
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
C .� ._._- publ
or notices as are required by the Act. The undersigned agrees to employ only such subco actors, on work tpf be performe der this
permit, as are licensed by Miami Shores Village.
Remarks
(Signed)
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 Date_ . _ ____ Read, Sworn to and Subscribed before me.
Disapproved te
.mot/ l't Notary Public, State of Florida
(Signed)
Building I 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 nonce for inspection or faulty
materials and /or workmanship.
Disapproved
(Signed) a'
Building Inspe or
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.
Remarks (Signed)
Date , 19 a
Owner's Name and Address ._. /.1 V 4 6ti.10 _0 .02 No...,3,� .Suet
t
Registered Architect and /or Engineer..
Name and address of licensed contractor / - -V/ __., l 'C1_Q ./g't7 CO • 3 O/ i1 G9. 7` -S
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done & A 7h /
State work to be done and purpose of building (by floors) 1 3__a l e ¢
�/ and for no other purpose.
New Building Remodeling Addition >\ Repairs No. of Stories
To be constructed of Kind y of foundation Roof Covering
I
Estimated Total cost of improvements $__..1 a( d Amount of Permit $
Zone cubage required Plan Cubage • X60
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 world to beyerformed under this
permit, as axe licensed by Miami Shores Village.
Read, Sworn to and Subscribed before me.
(19
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 co struction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated ar ue.
Permit No 1? Date
Notary Public, State of Florida
My Commission Expires
LANNING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
a
0
0
0
MIAMI SHORES VII.LgtoL-
PERINIT N° 488
Owner of `,
Building le.. c .....t L. S b y
Architect
Contractor (�
or Builder k. ‹; 1.1E tt. -0 ` 1 1 .J L +
Legal Lot Subdi-
Description II BL vision
Address of c' s t
Building
This permit is granted to the contractor or 'builder named above to construct the building or to meta
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the
plans, drawings, statements or specifications that may have been submitted to and approvedd by
at any time if the work is not done in compliance with such ordinances or if the plans are dinned
permit is granted is the understanding that the contractor or builder named above assumes the res
regulations pertaining to the work covered hereby whether shown on the plans or d gs or
sibility for work done by his agents, servants or employees.
Signed-
BY
FLORIDA
DATE 7 / g
Co tractors Vet 7.
License No.
Work to be performed under this Permit
BY
7 ,0A1
Value of II Amount
Project $ f , 11 Permit $
AITTI ORTTY
t equipment or device described itt the applica-
work will be performed in compliance with any
_.� 1 authorities. This Pernik may be revoked
ion. A fatter antaPion upon which this
orcmp kuuul af me otdinnow and
eciftcatiens a4 titat he assumes rssponr
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work co a • hereunder in compliance with all ordinances and regulatfo
pertaining thereto and in strict conformity with the plans, drawings, statements or specificati• .« submitted to the proper authorities of Mia
cepting this•ermit I assume responsibi 'ty for all .rk done b ptelf, m t, ervar�i„ployee.
Shores Village. In o
MISOT P *Iet