BUILDING PERMITBUILDING U1 C:.): :: °EON DEPARTMENT
APPLICATICN aLIILDING PERMIT
Application is hereby made for the approval of the detaLec Ltat-ment of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in complianc:: 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 cyst be kept at building during pro;;re:.. c` the work.
Date__._ ('_ ! , 1`
Owner's Name and Address No. Street ` •
Registered Architect and /or Engineer.. _
Name and address of licensed contractor_ Lc 1 __:_ - (2.
Location and legal description of lot to be built on:
Lo Block Subdivision._
Street and Number where work is to be done
State work to be done and purpose of building (by floors)_
( )
Chairman
Member _
Member ..
Council Approved
MIAMI S 7: S VILLAGE
t
My Commission Expires
and for no other purpose.
New Building
....... Remodeling .- - - Addition _ ... ..... - .. Repairs__ _._ No. of Stories
To be constructed of Kind of foyvdattnn
� r�
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor__
1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to._ _ -- - ._
Roof Covering
Amount of Permit $_d
.Plan Cubage__
_Size of Building Lot
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, bein ; Section 5966, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will rec,uire 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 ' spection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such contractors, on work t be performed under this
permit, as are licensed by Miami Shores Village.
C
Remarks (Signed) (-0 e----1--2.„-e"7 ,
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 tryee. p
Permit No._ �¢� l� : ___ ____ _ Dap. F _ _ - t , G lead, Sworn to and Subscribed before me.
Disapproved _ /�_ _ . ___..__ ae
(/ j
( Signed) C,.-2-:--! , Notary Public, State of Florida
Building �\ r -
Building Inspector
/j
PLANNING L RD ______ DATE
Member _
Member
Member
Date Disapproved Date
NOTE: A charge of $1.00 will be made for making co-rec ions or changes .o this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when sL h re inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
•"..%"" M 6. U 114 o.r5 b
4 iF! at,,e r oP C,A5 r
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.
��
> r /'
/ .
Owner's Name and Addre !
Registered Architect and /or Engineer
Name and address of licensed contractor
Locati n 4nd le p scripti of lot to be u' on:
Lot—' ___ 0 Block - Subdivision � '
Zone cubage required
Distance to next nearest building
." 2. , C �^
permit, as are licensed by Miami Shores Village.
Remarks
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
l _ .
New Building Il .... 0 •
� R odeling___ Addi
To be constructed /of ___4 ` Kind of
Estimated Total cost of improvements $
;A_140-7.f-f.A.4 C ie C_
Street and Number where work is to be done
State work to be done and g pose off Jiuilding (by floors)__ At ( 0- _
and for no other purpose.
R epairs No f Stories � ,/
ion (.- 1 _( Roof Covering/it
Amount of Permit $
_Plan Cubage
7'' ,r _ 71 Size of Building Lot `' )( / 1,-
Date / ✓ , 19
T -
I •
Maximum live load to be borne by each floor
I hereby submit a the plans and specificati s for said building. All notices with reference to the building and its construction may
be sent to i . r ( -. . _ k-c _ ;'4 -
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 insp ction on the site of the work such blic notice
or notices as are required by the Act. The undersigned agrees to employ only such suboractjs, on •work to b�, perforiunder this
Notary Public, State of Florida
( Signed)
Building Inspector My Commission Expires
(Signed) ree/revti 'tr.(
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 Date
PLANNING BOARD DATE
Chairman Member
Member ____ Member
Member Member
Council Approved Date Disapproved Dat
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obta-
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for •
materials and /or workmanship.
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BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
Date_ % - 7 + % 194A
ELECTRICAL ❑
PLUMBING ❑ PERMIT IsT9 9696 Contractor's
License No. o s° 1, S
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building ( i „ r4 +4. c- S ► go e. C.
Architect
Contractor
or Builder t 3 � 1 r r w a . c a.. is. 14 ,' 4.4
Legal Lot
Description Bl
Address of � ° tJ
Building
r ti it a L 1 ►.! e�
Subdi-
vision
Sq Ft
Value of w Amount
Project $ _ I I Permit
of 7
$
I!w .! a4./." -.• C ''
� A
MOW
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 above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed (ems+' E E �'" ° `"" "` ' `' (INSPECTOR) BY
In consideration of the issuance to me of this permit I agr o perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawin , statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
r
CONTRACTOR or BUILDER
BY AUTHORITY
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 cr 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.
M a Date — - 19.... ��T
O n 7 p - r s Name and Address -- -- _ - _.
Registered Architect and /or Engineer. . .
Name and address of licensed contractor_ ._.
Location and legal description of lot to be built on:
Lot. Block . -.: ision
Street and Number where work is to be done _ ' `S — /... ��' q/
State work to be done and purpose of building (by floors).
Disapproved
(Signed) 1 -' 0 ('
No Street
A 7 #;T.
Repairs__
and for no other purpose.
New Building_____ ___ Remodeling__ _____ ___. Addition
To be constructed of Kind of Roof Covering..
Estimated Total cost of improvements $ r 7 L d Amount of Permit $ 3 - �
Zone cubage required ._ Plan Cubage_ _.
(Distance to next nearest building... _... _ Size of Building Lot_-_
Maximum live load to be borne by each floor___
II hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may
be sent to._. _
No. of Stories
The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act. being Sec :ion 5966, Compiled General Laws of Florida, Pennanent 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 insp on the site of th vo }k such public notice
or notices as are required by the Act. The undersigned agrees to employ only suc cob a .rs, on wor p ylferformed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed � -- -'
\t)
v(
t (
STATE OF FLORIDA,
COUNTY OF DADE. J ss.
Before me, undersigned authority, a notary public, duly authorized to administer oaths and take aLkaowledgments, 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.
n�
Permit No � ' ____. Date ° ' Read, Sworn to and Subscribed before me.
Date _ - - - -. - -_- _ _
Notary Public, State of Florida
Building Inspi;tor 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
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BUILDING
ELECTRICAL
PLUMBING
ROQFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 6526
Bl.
Signed- L'•
DATE .'
Contractor's ;
7 ■
License No. L
Work to be performed under this Permit
0 f �-
r
J
195
Subdi-
vision
Value of -_. Amount of --
Project $ ! Permit $
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 application
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 above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the platements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
r
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered }iereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sulornitted to the proper authorities of Miami Shores Village. In ac•
cepting this permit I assume responsibility for all work done by either, myself, my agent, 'servalit or employee.
':..tom,
CONTRACTCR OR BUILDER BY AUTHORITY
6 '4!".
Zone cubage required
Distance to next nearest building....., . .
Maximum live load to be borne by each floor
STATE OF FLORIDA,
COUNTY OF DADE. j ss •
MDAMI 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.
l C Date
Owner's Name and Adcire6s ei( / y� r� /�L • S v y C No. 4/1
R t?gifu - td Afehitut and/of Lngilteee... , , . u 1 ennImun MB 1 I• ,MI suumeentsnums ersuaennnnnnern++n,mmu.
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot....... : f .. e f it ir Block. 4 7 Subdivision" � "j. -,S "�" s cz
' r
Street and Number where work is to be done `��l ✓,� r /. 67
State work to be done and purpose of building (by floors)
New Building Remodeling . Addition Repair.
To be constructed of Kind of foundation (-- 5( r S 7 /
Estimated Total cost of improvements $ 'WO U— .,.•—._ -.... ._...Amount of Permit $ d _ rs
.Plan Cubage
I •
Size of Building Lot........_ . _:
/
10
Sy V , C_ i .
and for no other purpose.
No. of Stories
Roof Covering
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
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 Workunens 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 fo • spection on the site of the work such ublic notice
or notices as are required by the Act. The undersigned agrees to employ only suc su ntracton, on work .t6) pe; f er this;.
permit, as are licensed by Miami Shores Village.
Remarks.. ___ ...... _. _ .. (Sign 1 �'2 l , ;,�� %ve�d�S� �;
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.
®e c� fir
Permit No.�.. Date.__.. . __. Read, Sworn to and Subscribed before me.
Disapproved _... _,.. i �% Date
(Signed) -�� Notary Public, State of Florida
Building Inspector / 7 My Commission Expires
/
PLANNING BOARD- — _._.... -. _DATE
Chair.nan
_........ .____ ......._. Member
Member
Member
Member Member
Council Approved. ,.., „,_,_- ,_ Da te Disapproved ., _. ••,- .._ . _ _
.........._... _
. ...._- _...._,- ..._Date
NOTE: A c)..Irge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or f
materials and /or workmanship. d ,qty
CO-* ale � � '� E S °�, �v c !� 1
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(11;)
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Sworn to and subscribed before me this
18th day • January, 1971.
J=2.Ezi:y
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buiL-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
p- Date ) L/ 3/ ,19 (
Owner's Name and Address.../2 -ll bmAl400 Ft' i r7di,L No.__ 3-I Street Az4 7/
Registered Architect and /or Engineer CA 6 f./i____ . -- /- 4..$f '✓ _
Name and address of licensed contractor ____ C ( 4"iii_ern'Ve C � " ' / 0 a J � L.-,( JT / N/A104t2
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done (____!V ____5/ f •
State work to be done and purpose of building (by floors) 3 — 4 L 01 " J(4't °. /.I' L ,4
-_ /44
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 $ Y
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 unde th'
permit, as are licensed by Miami Shores Village.
Remarks - ° (Signed) - a
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 a are true. /
Permit No ..... 1 "" 1 _./ __� Date ____ -. -3( �(p Read, Sworn to and Subscribed before me.
Disapproved _ Dat
(Signed)
Notary Public, State of Florida
Buil. ng 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
(William e. OVait ffne.
cil4ort9a9 e
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I
8405 SVottfizasi cSeaonci ogven.u.e.
&Miami 38, groTicla
CENTRAL ROOF.& SCIP. CO.
Per X 10477 $2.50 12-15-50.
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
William C. Hall
ADDRESS 451 N. E. 91st Street
Lot 19 & E2 Lot 18, Block 49
LEGAL ::iami W hores RECORD GARBAGE TAX
per)
In consideration of the issuance by MIAMI SHORES VILLAGE to
the undersigned of a permit to construct improvements upon the property
�Jira - Tff,es C/. '9i.1/4 g 6
hereinafter referred to, the undersignecnhereby agree that no part of
the said improvements will be used for rental purposes, or for any
purpose which is in violation of any of the ordinances of Miami Shores
Village.
It is further agreed that if any part of the premises is used for
a purpose contrary to the terms of said ordinances that an injunction may
be applied for and granted forthwith and without notice to us or those
claiming under us.
The said property is described as follows:
451 N. E. 91st Street, Lot 19 and the E 1/2 of 18, Block 49,
Miami Shores Section No. 1
The improvements referred to are: converting garage into
a play room.
STATE OF FLORIDA )
COUNTY OF DADE ) SS:
MIAMI SHORES VILLAGE)
MIAMI SHORES VILLAGE
Florida
Before me, the subscriber, a Notary Public in and for said
State and County, personally appeared the persons who signed the above
agreement, who are well known to me and known to me to be the persons
described in said agreement and each of said subscribers acknowledged
to and before me tha executed the same freely and voluntarily
for the purposes therein a pressed.
WITNESS my hand and seal this ,1 77 day of t / 7%/.
22 s0 C
O C 1,-,,w-et.
Notary Public, State of F
My Commission expire
•
0 ,4
• , • • • • , r
•
•
WILLIAM -C.. HAIL
45L N. E. 91st Street
GENERAL CONTRACTOR
WILLIAM 0 HALL
BUILDING PERMIT NO. 10289
ZONE
REPAIRS
ALTERATION
ADDITION
OWNER'S NAME
JOB LOCATION (ST. OR AVE.)
NEW CONSTRUCTION
SUBMITTED TO PLANNING BOARD
RE- SUBMITTED TO PLANNING BOARD
S UBMITTED TO VILLAGE COUNCIL
CERTIFICATE OF OCCUPANCY NO. / O er ISSUED
BUIL PERMIT AND I
DAT N ov.1 9 0
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
APPROVED
45 N. E.. 91st St.
19E 038 49
8405 NE 2nd Ave.
REJECTED
0..
PRESENT ADDRESS
LOT BLOCK
ADDRESS
PERMIT FEE $ 21.00
nFQUIREMENTS al a'C '2 IV CU. FT. PLAN CUBE ca2..4 f 4 ' / CU. FT.
TYPE STORIES ROOF CONSTRUCTION
DESCR IPTION
DESCRIPTION
REFERRED TO COUNCIL
MS Sec 2
REMARKS
LICENSE NO.
4133 oB
TI R@7LORD -MIAMI SHORES VILLAGE
SUBDIVISION
PHONE NO.
BUILDER'S BOND
NO. DATE 11 17_50
EST. COST $
INTERIOR CONSTRUCTION
REASONS
Y S BY TO .. V 4.-
PHONE NO>
LICENSE NO.
DATE
/at-e-e
INSPECTIONS
DATE
PERMIT NO. 10339
BY
RE- INSPECT
BY
RE- INSPECT
BY
r OUNLn PION
//....t.,
a
P(7,
FEE
TEMPORARY SERVICE
$ 100
H. W. HEATER CONN.
BEAMS & LINTELS
SEPTIC TANK
$
RANGE CONN.
$
SEWER
$
MOTORS
FRAMING
SOLAR HEATER
$
FIXTURES
$
GAS
$
$
$
INSPECTIONS
DATE
INSPECTIONS
'DATE
BY
FINAL
�y
RE- INSPECT
BY
ROUGHING
'1-Z r5O
(? C{
CLEAN -UP f
ROUGHING
(/
GAS
CONTRACTOR .11O1.4$; Br a.
PHONE
PERMIT NO. 10339
DATE 11•28 50
FEE $ 11.00
NEW BLDG.
ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$ 100
H. W. HEATER CONN.
$
SEPTIC TANK
$
RANGE CONN.
$
SEWER
$
MOTORS
$
SOLAR HEATER
$
FIXTURES
$
GAS
$
$
$
INSPECTIONS
DATE
INSPECTIONS
'DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
'1-Z r5O
(? C{
ROUGHING
/I - 1�"Q
GAS
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK �'°e�,`�
//�
/
/7
SOLAR HEATER
) FIXTURES & FINAL J 3F j J
,
P14 A
FIXTURES
/� 3Q-S i �
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE J"' -
BY
PHONE
CONTRACTOR
PERMIT NO.tajC) DATE O' 4 W�
FEE $ /2. -4
NEW BLDG. ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
7
10343
11
$ 100
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ia,--1y: 0
ROUGHING
/I - 1�"Q
f�
H. W. HEATER CONN
fi1T /7
RANGE CONN.
) FIXTURES & FINAL J 3F j J
,
P14 A
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE J"' -
BY
STATE OF FLORIDA) SS
COUNTY OF DADE )
A F F I D A V I T
of the Village of :Miami Shores,
County of Dade and State of Florida, being duly sworn, doth depose and say,
that under tae provisions of Ordinance No. 185, dated June 15, 1948, amend-
ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Building Code
of Miami Shores Village, he desires to build a
on Lot Block _ of Subdivision,
that he is the owner of said property, and will be the owner of said
, that he will do the work personally, and that
he will, at such tires as are required by the Zoning and Building Director: -
1. File plans and specifications and obtain approval of the
Planning Board and the Building Inspector.
2, Apply for and secure a Permit.
3. Pay the required fees.
4. Execute the work in accordance with the provisions of this
Code.
5. Apply for inspections.
6. File with the Building Inspector certificates that provision
has been made to carry the necessary Workmen's Compensation,
Public Liability and Property Damage Insurance.
7. File with the Building Inspector as the job progresses certi-
ficates showing the payment required by the Federal Social
Security Act to the State of Florida or the United States of
America.
8. Assume the responsibility of not employing other than properly
licensed contractors by Miami Shores Village for any part or
portion of the work.
9. lipt set himself up as a "contractor ".
10. Sign an affidavit before commencing work to the effect that
he has read this Article and will do the work personally and
observe all of the requirements of the Building, Electrical,
Plumbing and Zoning Codes of Miarn Snores Village. Such
affidavit to be properly notarized upon blanks to be supplied
by the Building Inspector.
11. In order to prevent abuses and subterfuge the right of such
owner- builder as herein provided, is limited to but one
owner- builder perJait each 2 years, and where an owner- builder
has once exercised the privilege herein conferred no second
application for owner- builder permit shall be granted in les
than 2 years, unless the applicant is qualified as a licensee
General Contractor under the applicable Ordinances of said
Village.
And Further this Deponent says not;
SUBSCRIBED AND S.a011N TO BE Oit`I ME this
i9 50
day of
1
'y 11 r 4 t --1-
NJT4 PUBLIC
A. D•,
ytt
L
22 � Ga `� OWNER'S NAME
3'20nrck `-• Y APQS�aDe,
PRESENT ADDRESS
��J ,, s ^ Q {�,
4 A
r11 . E. 4 t ° GII
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
as ®p N_„?. • Tor fr
LOT
,? 0 ESz. std
BLOCK
4 q
SUBDIVISION
aC Se a ,4 s .Q� 0
GENERAL CONTRACTOR
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 8 ?..( m
DATE ."q° Y �A 6
PERMIT FEE $ 7
BUILDER'S BOND
DATE e"'''
NO. I.4.
ZONE REQUIREMENTS CU. FT.
PLAN CUBE Si ( c'r. K CU. FT.
oo
EST. COST $ 4boC
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: ° CL. 6rpLb‘ect
DATE
g° ° 7 Q
NEW CONSTRUCTION
TYPE
6gs_ f u6t¢.
STORIES
oa G
1 ROOF CONSTRUCTION
G'oa 0
INTERIOR CONSTRUCTION
e.osa,c,ao4 .2.zt,tt , 54t , cJP
REPAIRS
?C?.
DESCRIPTION
ep, r c, cx.0 P-oc,
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFD TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
ISSUED
BY
TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
KIND OF INSURANCE
POLICY NO. EXPIRATION
Workman's Compensation
09 U 03706
11 -20 -51 L
Limits of Liability
Contractors' Public Liability
$ 25,000. / 50,000.
D 333228
11 -20 -51
Contractors' Property Damage
$ 1,000. / 10,000.
D 333228
11 -20 -51
Contractors' Protective Public
Liability (Contingent)
$ /
Contractors' Protective Property
Damage (Contingent)
$ /
To Miami Shores Village
Miami ►shores
Florida
this Company as of this date, November 20, 1950
location:
The work undertaken at said location is as follows•
Form G -13 -UX
meiiean
CERTIFICATE OF INSURANCE
Carpentry
By
Date Nov, 20 1950
Name of Insured 'WILLIAM C • HALL
Gentlemen: This is to certify that the insurance policies the numbers and expiration dates of which are listed below are in force in
covering in accordance with the terms thereof at the following
8405 N. h. 2nd kvenue(and elsewhere in tie Stz.te of Florida), Miami, Fla.
In the event of cancellation, it is the intent of the Company to notify you five days prior to its effective date, but it
assumes no liability by reason of failure so to do.
AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA
GEORGE INSUF?ANCE AGENCY, INC.
4i
Authorized Representative.