BUILDING PERMITApplication is '•,creby 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
Sli wes 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 a , 1
Owner's Name and Address '. _ ?• ? �" �Y No , `"Street 71 4a
Registered Architect and /or Engineer
Name and address of licensed contractor :..�.__( a___h __._
STATE OF FLORIDA,
COUNTY OF DADE.
}
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
ss.
Location and legal description of lot to be built on:
Lot � t `r � � r ;), _ :�,� Block 7 , -4 , . n . b
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./ ' o , 'kind of foundation '1:; - { Q Roof Caring I.. —1 `,
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 a l plans and specifications for said building. All notices with reference to the building and its construction may
r
be sent to Al ' . `
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an c'n plover
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) 4
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 stated e true.
Permit No I _
Disapproved
(Signed)
Date
Date
Building Inspector
•
to me well known,
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PL NNING 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.
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.. -! / I .-- .- ._ --_ -. 19_.-
ici1J1)(2
Owner's Name and Address _... _.�. No..__ 3 _ .... . _. _ Street..,._ Lr!...
Registered cehiteet and /or Engineer
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Name and address of licensed contractor e K "5 ,._.. J files RT 1
Location and legal description of lot to be buil on:
Lot �1 / � ' Block
Street and Number where work is to be done 3
Stat work to be done and purpose of building (by
Building Inspector
PLANNING BOARD
Chainnan ............................... ..... _
Member — - - -- -
Member ..
Council Approved._______ - Date
3 die, g2 . 244.'6 ,1 t'
Subdivision mil) A- 1 S C r e Sec., /
'73/ t:,.9 /
floors) ) i Q Pi e y 13 ) 4 s 4e.1- IR: a ,4,tJ e
New Building Remodeling Addition Repairs No. of Stories ,.
To be constructed of Kindjif foundation_.- _-____ Ropf Covering
Estimated Total cost of improvements $ ® ®% Amount of Permit $ t�
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
5 fr,
and for no other purpose.
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, rk 1t be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j
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
Disapproved _____.__._. __ Date. _...._.._
(Signed)
_ DATE
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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Owner's Name and Address.__
Registered Architect and /or Engineer
Name and address of licensed contractor-1941i _ Ye n€
Location and legal description of lot to be built on:
Lot__ Block _ Subdivision
Street and Number where work is to be done.
Disapproved
(Signed)
Chairman
Member _______
Member .
Council Approved
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.
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take a ..kaowledgments, personally ap-
peared
State F ork to be done and purpose of building (by floors).
d` i Q 2- °-fi
-- 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 $____.8R 0 .__.? -0__ Amount of Permit $ < ` -a
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 foi said building. All notices with reference to the building and its construction may
be sent to - - --
The undersigned applicant for this building permit doc 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) R-
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 tru
Permit No 7 Date__
Read, Sworn to and Subscribed before me.
Date__
Date_______
No._
Building Inspector , A My Commission Expires__
PLAN BOARD__ __ . DATE
Member
Member
Member
_Date Disapproved
_ --
s tree t iv
Notary Public, State of Florida
191;17
to me well known,
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.
a-6_14, 1cc,
^_ N C'BUILDING INSPECTIONS 1
IN
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
I
ROOF
$
BEAMS & LINTELS
I
POOL
$
GAS
FRAMING
AIR COND.
MOTORS
SEWER
FINAL
Is
CLEAN UP
SLAB
SLAB
SOLAR HEATER
TEMPORARY SERVICE
DATE
BY
$
SEPTIC TANK
RE- INSPECT
BY
$
SEWER
TEMPORARY SERVICE
$
SOLAR HEATER
H. W. HEATER CONN.
TUB & TOP OUT
$
GAS
RANGE CONN.
S
MOTORS
SEWER
S
Is
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
TUB & TOP OUT
S
RANGE CONN.
$
MOTORS
SEWER
S
FIXTURES
$
SEPTIC TANK
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
S
RANGE CONN.
$
MOTORS
S
FIXTURES
$
S
CONTRACTOR
PLUMBING PERMITS & INSPECTIONS
PERMIT NO. 1 DATE
NEW BLDG. 1 ALTERATION 1 ADDITION
SPECIALS PERMITS I PERMIT NO.
I DATE
•
PHONE
FEE $
REPAIRS
FEE
ELECTRICAL PERMITS & INSPECTIONS
I DATE
BY
INSPECTIONS
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
RE- INSPECT BY
APPROVAL TO POWER CO. FOR SERVICE DATE BY
RE- INSPECTI BY
OWNER'S NAME
Fsl� �n,Ao
PRESENT ADDRESS
313 N E. 1%- • S rt
LICENSE NO.
PHONE NO.
�2o
JOB LOCATI N (ST. OR AVE.)
3'i 3 14 • E , 9 t �� S$ .
LOT
7.1 lo ,...) z Z
BLOCK
44
SUBDIVISION
M. S. {` 1
GENERAL CONTRACTOR
C.. k... � �aoFotZ0
ADDRESS c
1 4. c.. . tI(. - ST-
PHONE NO.
LICENSE NO.
3 /4I.
BUILDING PERMIT NO. 14-t.
DATE ‘5 ...S..- �C
�7
PERMIT FEE 4 1 L,
BUILDER•S BOND
NO. "" DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE ‘.1. D.% FL CU. FT.
EST. COST $ 1 • 0
11 �q�
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C-• kY • I r\ G$ . L t∎- JP.1G
DATE
5 -S- t• vz
NEW CONSTRUCTION
TYPE
G.•p.,C- .
STORIES
ONE
ROOF CONSTRUCTION
- e3.s, \ uP.
INTERIOR CONSTRUCTION
REPAIRS
DESCRIPT ON al
GA-e P02 A-0 Tt eJ — L 0. X U" Je_
ALTERATION DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
,(�
1 _ ��I/� �J �
SURMITTFII TO VILLAGE COUNCIL
I /
e S
I�' . ) v---
CERTIFICATE OF OCCUPANCY NO.
ISSUED
BY
1.
TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
Daniel J. Crane
373 N. ]. 91st Street 271. 22
GENERAL CONTRACTOR
Same
BUILDING PERMIT NO.
REPAIRS
ALTERATION
ADDITION
OWNER'S NAME
JOB LOCATION (ST. OR AVE.)
DRAWINGS. SPECIFICATIONS
NEW CONSTRUCTION
1074
ZONE PEQUIREMENTS
SUBMITTED TO PLANNING BOARD
RF•SUBMITTED TO PLANNING BOARD
BMITTED 10 VILLAGE COUNCIL
DATE
1 -10 -55
CU. F
LOT
PRESENT ADDRESS
4g
ADDRESS
BLOCK
T. PLAN CUBE 25,092
RESTRICTIONS AND CUBE CHECKED BY:
TYPE STORIES ROOF CONSTRUCTION
APPROVED
REJECTED
REFERRED TO COUNCIL
CU. FT.
REMARKS
DESCR PtION
•
CERTIFICATE OF OCCUPANCY NO. I 1 ISSUED BY BY �(j` L TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
LICENSE NO. PHONE NO.
Miami Shayegaion 1
PHONE NO. LICENSE NO.
REASONS
DATE
EST. COST S 15, 000
INTERIOR CONSTRUCTION
DATE
pak and cement tile floor, plaster
DESCR IPTION walls and-ceilings
3 bdrm. -2 bath: - living porch living room - kitchen -gae ge
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
j r
<��
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
BEAMS & LINTELS
/ ra F
$
SEWER
$
RANGE CONN.
$
FRAMING
=4(-9 `, yS
. )C;‘,-A,
$
GAS
$
FIXTURES
6
FINAL
J 7y. t.° r- �„-
$
INSPECTIONS
DATE
C14EAN -UP
1 .1 01' � � 4
BY
RE- INSPECT
BY
ROUGHING
PERMIT NO. , -S�
DATE —/ —
FEE $ D - �
NEW BLDG. ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
og _
cres ! -\
$
SEWER
$
RANGE CONN.
$
SOLAR HEATER
$
MOTORS
$
GAS
$
FIXTURES
6
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
Ni`�i��
�_—
TEMP. SERVICE
'0hl:i,7)`
..J f'..__,
GAS
ROUGHING
SEWER
—_—
H. W. HEATER CONN.
SEPTIC TANK
11121
RANGE CONN.
SOLAR HEATER
EMI
FIXTURES
BIENLIMM
FIXTURES & FINAL
CONTRACTOR
PHONE
PERMIT NO. / / & (DATE / ° �7' t� ��
/
EE $ //- 6 9
NEW BLDG.
ALTERATION ( ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO
DATE f
FEE
TEMPORARY SERVICE
4$=.' : � �t,i-
:
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
'0hl:i,7)`
..J f'..__,
ROUGHING
H. W. HEATER CONN.
RANGE CONN.
FIXTURES & FINAL
CONTRACTOR
0
BUILDING INSPECTIONS
PLUMBING HERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE ` f - � BY
I,7
>S1 �',�
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROO it�G ❑
+�JC. ❑
Owner of r
Building *'t , k
Architect
Contractor i ‘1,
or Builder
Legal Lot
Address of
Building
CONTRACTOR or BUILD
MIAMI SHORES VILLAGE, FLORIDA
Date C 19_
PERMIT N° 8788 Contractors ds 1 2. r 1
License No.
Work to be performed under this Permit
Description BI
? f
i 1 t 1 1 if
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named abo a assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown one plans r drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants y� employ7.
Signed' SP OR) BY
In consideration of the issuance to me of this permit I agree erform the work covered hereunder in compliance with all ordinances and regulation.
pertaining thereto and in strict conformity with the plans, drawings ements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume resp risibility for all wore either, myself my agent, servant or employee.
Subdi-
viS1OI1
Sq Ft
�:•
Value of el. 1 $ Amount of
Permit $
L
ro i1
7O*J O tV k
BY AUTHORITY
Total
Outlets
Ceiling
Bracket
Receptacle
Switch
Bell
Floods
Sign
SERVICE:
Outlet
ayf
AMP.
Form 63(Rev.) BUILDING DEPARTMENT
ELECTRICAL INSPECTION DIVISION
Q��q , FLORIDA
MiA 41 S � �
I hereby make application for an electrical permit to install or change electrical wiring in or on
the premises described below, and I agree to comply with all the rules and regulations governing
electrical installations in the City of Miami.
LEGAL DESCRIPTION:
Lot
Address
'4 Al
.3 , .: I / y �=
Building Occupied as: ..
New Construction
ROUGH WIRING
Main Switch
EQUIPMENT
Stove
Receptacle
Size Service
Wires
S "4
Size Service
Conduit
Water Heater
No. Circuit
Spaceheater
Special Power or Heat Wiring for:
FIXTURES
Master
Electrician
For fir+
Application Received
Final OK No.
OK for
Block Subdivision
/— IOCA h1 f
'
fi I fey i�
t `�' ` . l? t r e
6 3 r.
Existing Structure
Occupant
INSPECTION REPORT
Fee Paid
Inspector
B
Addition to Existing Building
MOTORS (List and Give H. P. of Each Motor)
Journeyman
Phonerjk_ Q , Electrician
Ready
DATE
FIXTURES
Total Lights
Ceiling
Bracket
Streamer
Display Case
ROUGH WIRING
EQUIPMENT
Will Call ie.. --
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 \*.-
i
Registered Architect and /or Engineer
Name and address of licensed contractor f �` ✓"' 0 3 y /< t •) 2..le
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 and purpose of building (by floors) GI
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Permit No._
Disapproved
(Signed)
Date
D,gte
S_ 3l-S3
Date `S - 3 / V v� , 19
No t3 7 3 Street/Y
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
RV
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)._
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.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
ilding Inspector 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.
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, w "flier herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date Ok, !
Permit No
Disapproved
(Signed)
Distance to next nearest building
STATE OF FLORIDA,
COUNTY OF DADE. # Ss.
Owner's Name and Addres ��✓®"✓"'�
Registered Architect and /or Engineer
Name and address of licensed contractor_
Location and legal d scription of lot to be built on:
Lot � _ r -A Block
Date
Date
Street and Number where work is to be done
rt !
New 3uilding Remodeling _
To be constructed of_ . - , Kind o
Estimated Total cost of improvements $
Zone cubage required
No/½!/ Street �, - --
ation
Svubdivision
Amount of Permit $
v.
State work to be done and purpose of building (by floors)
Repairs No. of Sto s
Roof Covering
_Plan Cubage
Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications, for sa' ,build n . All notices,, ith reference
be sent to._ / 6' 44:// - f /. / 3 `H
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 � u°b5dngractors, on work to be Berfprmed under this
permit, as are licensed by Miami Shores Village. y
`
,
Remarks (Signed)_. „ �•z..e
✓
__ ._ ,..
•r
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.
Read, Sworn to and Subscribed before me.
( r ,��
,19 t `
L �' r
and for no other purpose.
to the building and its construction may
Notary Public, State of Florida
lding Inspector 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.
J. B. FORD CO.
1774 W. Flag ler Street
MIAMI 35, FLORIDA
Telephones: 9-3508 82-0027
401111111W
4.111.11.11111111.
•
ti
e •
. •
■■•
According to the Plat thereof as recorded in Plat Book
Public Records of Dade County, Florida.
IRE3 ff:1-!:::,',TXIT that ths .;-/tiachert
sur,41-1, „Mt • Cie rvier rc..y direction ani J1 trI11 ;
to the beet of ray isnowlericre
There are no 11 ncroazhnLent1 4 except es
REGISTERED I.AND SURVEYOW.; 423
OF FLORIDA
For •' 4 4 J Date
ill•••1•11114411■111111114144114.111110t
at Parr
Iftia/P/WONNI/Olbi
ORDER NO. //:
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J. B.: FORD CO.
1774 W. Flagler Street
MIAMI 35, FLORIDA
Telephones: 9 -3508 82 -0027
Pr
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Public Records of Dade County, Florida.
For f;, • 1. '.
I liEREYiY CERTIFY that the attached ..ketrh x+ , ∎ ae
Fa :t-;.a.rve .nac1.e under my direction e>r >d.
to the best of my knowledge and belief.
There are no encroachments except as sk.,>ev;.'.
REGISTERED ItAND SURVEYORS 427
STATE OF FLORIDA
According to the Plat thereof as recorded in Plat Book
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