FENCE PERMIT3458
MIAMI SHORES VILLAG)
BUILDING DEPARTMENT ?Opp.
305- 795 -2204
Building Inspection Request
Date Z• /
Type Insp'n i Y, CI 1 - cr)C_"C
Permit No. 12 - 3
Name N i c. hoc_ 1 Jc ►(..—Sc.r-,
Address 40 skl q 1 ST -s
Company ( r� p/
Phone # ` 305 )m — 0 1 40
Inspection Date 8
Approved
Correction
Re- Insp'n Fee
10
o
Lq6 %
MIAMI SHORES VILLAGE �� f
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date /IS
Type Insp'n ��
nth
Permit No. Pr 6 5 -3625
Name fQ4,L
Address C I O
Company atkVia
Phone #
Inspection Date - 7/le)
Approved ❑
Correction
Re- Insp'n Fee ❑
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed statement ur the plans and specifications herewith submitted for the build •
ine or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, hlorid.t, 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 roust be kept at building during progress of the work. a ;
Owner's Name and Address .. P- Oe ,.
Name and address of licensed contractor 1:... PC
.
Location and legal description of lot to be built on:
Lot Block Subdivision
S and Number where work is to be done _ N 1..�..
State work to be done and purpose of building (by floors)...
Registered Architect and /or Engineer
_..._.._. and for no other purpose.
Ncw Building Remodeling Addition Repairs 4..7.' No. of Stories 1
To be constructed of t• 3-1-76 Kind of found don ..... Roof Covering .. ........ ..._..__
t / '
Estimated Total cost of improvements $•.•.. ......... .. V 0 Arnount of Permit S. 16 ..._. ,.., ,
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 under.igncd 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, Pennant. tleruent,
and has complied Ne ith the provisions thereof, and will require similar compliance from all contractors or sub- ntractors nploye by him
in the work to be performed under this permit; and will post or cause to be posted for inspectio on the site • th work ch p Itc notice
or notices as arc required by the Act. The undersigned agrees to employ only such s on ; ork � o perf ed ur¢Fr this
perinit, as are licensed by Miami Shores Village.
Remarks __. —.__ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. i ss'
Before me, the under igned thority, a y pubis 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. .440 ■a,.,
of the above described construction, that he has carefully read the foregoing application, nd that he did sign the same, rind that all facts
therein by him stated are true.
Vt �! 9 Date..... I
Date
Permit No
Disapproved
(Signed)
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
Date
No
k —
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Street--- : V t .?1.
My Commission Expires
PLANNING BOARD DATE
Cirair:nan .. .. Member
Member Member __ r
Member Member ..
Council Approved , Date Disapproved Date
NOTE: A c•h.,rgc of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Plannir,;; Board.
A rc m.peetion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anu /or workmanship.
U