1021 NE 93 St (6)Contracting Co. Au we`u"'y >'7 c "`S
Signature o owner and/or p ondo Presid
m.
FEES: PERMIT Y/ V RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / - 5 Job Address A N& / 3 Jr Tax Folio « , ii roc 7c)
De/ vtdwL
Legal Description w T (/i r 1'" j3( L 2 Q q 1-l<. Historically Designated:
/ Tenant FtrAJ 4 4 e4
Owner's Address f 2J Nk / 3 ST
Qualifier 481' -T 1-104 Ado
State # CRC a 3 / 2 '66 Municipal # Competency # CR OJ' Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one). BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
r /? L �fl f a w Q oizz AI1`5'
ysalR
Square Ft. .30 111 c.y' -1 Estimated Cost (value) #
! YJ
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and
construction and zoning. Furth 'r e, I authorize the above -named contractor to
VUand/oARm PAS
', ., MM SSION #� CC 71505
EXPIIIES•FE 1 9 , , 2002
BONDED THRU
OF P- ATLANTIC BONDING CO., INC.
ate
(o- 6 -O
Date
SS#
C.C.F.
Notary as to Contra
My Commission E
NOTARY
Yes No
Master Permit # 7 t / 9
Phone
3 or 7,r7 _ o3
Address 0/ f Sw 62 ( A✓L Fr °) h . P3/1-
Phone 1Sy-J2 7V7a
at all work '11 be done in ompli with all applicable laws regulating
the work sta
Signature of Contractor o Owner -Build
/ 4
�+ M. PEREIRAS
COMMISSIOCC 715405
EXPIRES FEB F 9, 2042
OF f' ATLANTIC BONDING CO., INC.
BOND
TOTAL DUE /
/0
ate
/ o - 6 0
Date
APPROVED:
Zoning Building l h'fIh' Electrical
Mechanical Plumbing Structural Engineer
80
ALL WEATHER SYSTEMS, INC.
1111 SW 21 Avenue • Bay #10 • Fort Lauderdale, FL 33312
(954) 584-7470 • (800) 728-5126 • Fax (954) 584-4949
3oo ra VI
c
4 FA SCA I)
0
Jri1Re2_ ?stJence.,
10 NE
Miami cf \oas
az
MIAMI -
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Bird Vinyl Products Limited
P.O. Box 2329
The expense of such testing will be incurred by the manufacturer,
Acceptance No.:98 1105.03
Expires :11 /09/2001
Approved: 01/20 /1999
Internet mail address: postmaster @buildingcodeonline,com
T•d
MIAMI -DADE COUNTY, FLORIDA
METRO -DADS FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375.2901 FAX (305) 375.2908
CONTRACTOR LICENSING SECTION
(305) 375 -2527 FAX (305) 375 -2558
Bardstown KY 40004 CONTRACTOR ENFORCEMENT SECTION
(305) 375.2966 FAX (305) 375-2908
PRODUCT CONTROL DIv1SJON
Your application for Product Approval of: (305) 373 -2902 FAX (305) 372.6339
Bird Vinyl Products Limited
under Chapter 8 of the Code of Miaml - Dade County goveming the use of Alternate Materials and Types of
Construction, and completely dcscribed herein, has been recommended for acceptance by the Miami -Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This approval shall not be valid after the expiration date stated below, BCCO reserves the right to . secure this
product or material at anytime from a jobsite or manufacturer's plant for quality control testing.•
If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend
the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is
determined BCCO that this product or material fails to meet the requirements of the South Florida Building
Code,
Raul Rodriguez
Chief Product Control Division
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE
This application for Product Approval has been reviewed by the BCCO and approved by the Building Code
and Product Review Committee to be used in Dade County, Florida under the conditions set forth above.
ranclsco • uintana, R.A.
Director
1 of 3 Miami -Dade County
Building Code Compliance Office
Homepage: htlp : / /www.bulldIngcodeonline.com
1ANIA Gi'1I13 Nti00:60 66, SO i'idd
Bird Vinyl Products Limited. ACCEPTANCE NO: 98- 1105.03
APPROVED ; JAN z 0 1999
EXPIRES : 11/09/01
NO ICE OF CCEPTANC :SPECIFIC CONDITION
1. SCOPE
1.1 This approves Vinyl Siding/Soffit as described in Section 2 of this Notice of Acceptance (N.O.A.)
designed to comply with the South Florida Building Code 1994 Edition for Miami - Dade County
(SFBC). It is approved for the location where the pressure requirements, as determined by the SFBC
Chapter 23 do not exceed the design pressure rating values indicated in the approved drawing.
2. PRODUCT DESCRIPTION
2.1 The Bird Vinyl Siding/ Soffit and its components shall be constructed in strict compliance with the
following documents: Drawing No.S1, titled "Vinyl Siding & Soffit Panels ", prepared by Bird Vynil
Products, dated 10/26/98 with no revisions, sheet 1 of 1 bearing the Miami -Dade County
Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade
County Product Control Division. These documents shall hereinafter be referred to as the Approved
Drawing.
3. LIMITATIONS
3.1 This system is to be installed in front of a 5/8" (5ply) plywood substrate supported by studs at 16" on
center as shown on the approved drawings.
4. INSTALLATION
4.1 The Bird Vinyl Siding /Soffit and its components shall be installed in strict compliance with the
approved drawing.
4.2 The installation of this product will not require Hurricane Protection System.
5, LABELING
5.1 Each component shall bear a permanent label with the manufacturer's logo, city, state and the
following statement "Miami -Dade County Product Control Approved ".
6, BUILDING PERMIT REQUIREMENTS
6.1 Application for Building Permit shall be accompanied by copies of the following:
6.1.1. This Notice of Acceptance,.including duplicate copies of the approved drawings, as identified
in Section 2 of this N.O.A.
6.1.2 Any other document required by the Building Official or the SFBC in order to properly
evaluate the installation of this system.
Canditir ont PE, Senior Product Control Examiner
Product Control Division
-2-
- 1, NIA G IH WITO:60 66. S0 cddd
ti
Bird Vinyl Products Limited
ACCEPTANCE NO,: 98- 1105.03
APPROVED :JAN 2 0 1999
EXPIRES : 11/09/01
NOTICE OF ACCEPT STANDARD COND NS
1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the origina
submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years.
2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the
following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific
conditions of this Acceptance.
3. Renewals of Acceptance will not be considered if
a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product
is not in compliance with the code changes;
b) The product is no longer the same product (identical) as the one originally approved;
c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct
installation of the product;
d) The engineer who originally prepared, signed and sealed the required documentation initially submitted is no longer
practicing the engineering profession,
4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be
cause for termination of this Acceptance. unless prior written approval has been requested (through the filing of a
revision application with appropriate fee) and granted by this office.
5. Any of the following shall also be grounds for removal of this Acceptance;
a) Unsatisfactory performance of this product or process.
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose.
6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed,
then it shall be done in its entirety.
7. A copy of this Acceptance as well as approved drawings and other docufllciUUS, where it applies, shall be provided to
the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time, The
engineer need not reseal the copies.
8. Failure to comply with any section of this Acceptance shall be cause For termination and removal of Acceptance.
9. This Notice of Acceptance consists of pages 1, 2 and this last page 3,
r"
END OF THIS ACCEPTANCE
-3-
Cadent PE, Senior Product Control Examiner
• - Product Control Division
1J\NIA caIH WdTO:60 66, SO add
DRAWCVQ NO. 51
Revised 11124/1958
Sheet l of l
Vipin N.Totat
Registered Civil Eng
FIa, Reg. 12347
�
Moisture Protection
jtequirrd.
General Notes :
1 Bird Vinyl $idiing and Soffit Products are manufactured from a formulated
PVC Compound meeting cr exceeding the requirements of ASTM D 3679
Standards for PVC siding and Compounds.
2 Walls and Soffit to Receive Vinyl Siding 1 Soffit shall 4C checked for Structural
Adegacy,Cracks and Defects that shall be Eliminated.
3 Walls shall be Water Proofed with Asphalt getureted Felt of not less than
14.E /100$q.i: t, as Described in section 2T04,6(bjl of the South Florida Building
Code,
4 Walls & Soffit where the Siding / Soffit are to be Installed shall be Designed by
a Registered Architect or Engineer according to the South Florida Building
Code and the Minimum Requirements of thls Drawing.
5 Installation of the Siding,Soffit and Accessory Products shall be done in
accordance with the Mnaufactuners InttructIons and the Applicable Section
of the South Florida Building Code.
JC.i I s.idn &sofFrt
TypicalIpstafltion
ImP
Vinyl Siding & Soffit Panels
Studs at Maximum
Spacing at 16" o.c,
MIr�,Reg.
1
1/2" x 11 x 7/16"
Galvanized
Roofing Nails
16" o, c, with a
min. embedment of
1 1 4 "JntoJhe S dq
APPROVED AS COMPLYING WiTH THE
SOUTT
LORIDA BUILDINCI CODE
DAT AN ' 1991
1
PHODUCF CO,' • • . DIV,S ON
BUILDING CODE COMPL,ANCE OFFICE
ACCEPTANCE N0, 'cc.; l 1 9
BIRD VINYL PRODUCTS
Ph. 502 - 345 - 9231 1010 Withrow Court,P,O. Box 2329
Fax 502 - 348 .4956 BARDSTOWN, KENTUCKY 40004 2329
ogAwN NY Allen Browning 9 1CAC>E
APPROVED /Y Arthur Haydon •. . . DAM •
1,� NIA aII8 L4 O:60 66, SO ddd
S'd
Traditional Lap
Tem a Form D5
Exposure
inches
Approved
Models
Thickness
0.002
.042"
Design
Pressure
53.3 Psf.
Vinaloc D5
MasterWail D5
Traditional Lap
DutchLap
RanchWood DLD 5
DutchLap DLD 4.5
Exposure
Inches
Approved
Models
Thickness Design
0.002 Pressure
.048" 46.6 Psf.
.042" 46,6 Psf.
Soffit
Approved
Models
Tema Form 114
Exposure
Inches
Thickness
0.002
.040"
Design
Pressure
40.0 Psf.
1) NIA QdIe NU2 1:6O 66, SO ddu
- DEC -07 -1999 10:03
■IIMMUMPl
Incorporated
General
INSPECT AND PLAN JOB
IN ADVANCE.
■EW CONSTRUCTION: A water.
)roof sheathing paper should be
applied over the exterior walls prior
.o the application of vinyl siding.
Nhen exterior Insulation is used it
;hall be uniform in thickness, foil
ree, nailed directly over the exte-
ior wall providing a smooth sur•
ace for correct application results.
Drop in backer of any type is not
'ecommended,
lESIDING: Remove shutters,
lownspouts and outside electrical
fixtures. Nail down all loose boards
it shingles. Replace rotted boards.
Jae waterproof sheathing paper
f the old siding Is removed. Check
o be sure sidewalls and base are
evel and plumb. Furr out where
iecessary. Stripping may be re-
luired on uneven outer walls and
m masonry walls. When exterior
nsutation is used it shall be uni-
om, in thickness, nailed directly'
over the exterior wall providing a
;month surface for correct appllce-
Ion results. Drop In backer of any
ype is not recommended.
)ceps to follow for
iorizontal siding
elect appropriate accessories
See Matching Accessories).
tecommended
cols and
equipment
/ork table, nand power saw or
tcial -arm saw equipped with
Drasive wheel or plywood cutting
ade (very small teeth, no set)
VERY COLD WEATHER,
PRO FINANCIAL SERVICES
Solid Vinyl Sidlin3
Installation Instructions
1, STARTER STRIP
Run chalk line tor starter
around house. Install starter
strip nailing at 8" intervals,
using alternating rows of nailing
slots. Double nail at ends.
Install nails to allow starter
strip to move freely. AIIow
Vs" between all pieces of
starter strip.
Nails should be aluminum,
or other corrosion - resistant
metal 11/4" or 2" long, plain
shank, 0,12" diem, flat head
5/16'. Nails must penetrate studs
or other sound nailing base.
4. WINDOW/DOOR CAP
NEW CONSTRUCTION:
Install window /door cap
above doors and windows.
FURR OUT WHERE NEC-
ESSARY for alignment with
adjacent panels.
RESIDING: Existing window
head flashing is left in place.
EVERSE BLADE ON SHAFT FOR EASIER CUTTING, rule,
vet, carpenter's square, hammer, tin snips, utility knife, carpenter's
aw, nail set, Bird snap lock punch, ladders, staging, plumb bob.
task rules for
aiding application
Naoi in center of slot. 2. Do not nail too tight. 3. Do not Lace nail.
Leave a minimum of ' /a" clearance at all "J" channels, corner
)sts and end joints to allow for normal expansion and contraction.
Lock panels comfortably in place when applying to maintain
msistant exposure. DO NOT FORCE PANELS.
2. INSIDE CORNER POST
Begin nailing at the top of the
upper nail slot. Balance of
nailing in center of slots 12"
o.c. Siding later fits into
channels on both sides of
corner post.
Allow' /." tor panel
expansion
5. "J" CHANNEL
Fit and install "J" channel
over installed window /door
cap and down sides of
windows and doors. Gables
are also trimmed with this
accessory. It is also used at
base of wall area which
intersects a sloping roof.
The window /door cap and
the "J" channel when used
above windows and doors
should have a 1 /4" tab cut on
each end to bend down over
the "J" channel on each side
to prevent water from running
down behind the vertical "J"
channel,
1 502 348 4762
P. 04
3. OUTSIDE CORNER POST
Begin nailing at the top of me
upper slot. Balance of Mailing in
center of slots 12" o.c. Siding.
when applied, fits into corner
post channel.
for pane
4 1111-q;1 1°""
JI
Allow t4" for panel
expansion
Allow ii." for expansion at "J"
channels and corner posts.
• DEC -07 -1999 10 04
• First siding panel is placed in
the starter strip and securely
locked. Panel Is fastened by
nails spaced not over 16"
o.c. (not over 8" o.c. when
severe wind conditions may
be encountered) with nails
CENTERED IN NAILING
SLOTS.
Do not pull horizontal
siding panels up tight when
applying. Allow them to
hang without swain.
8. WINDOWS AND ODORS
Fit siding around windows and
doors. Cut with sharp knife,
snips or power saw equipped
with abrasive or plywood
cutting blade.
In window and door cuts as
illustrated above, sill trim may
be cut to exact length of cut.
PRO FINANCIAL SERVICES 1 502 348 4762 P.05
for expansion and dontrec-
tion of siding at all joints.
Overlap the vinyl panels
one -half of the factory
notched cut -outs. Avoid
driving nails so tightly as to
cause distortion of the slid-
ing — PERMIT LATERAL
MOVEMENT
Ya notched cut-out
Using the snap lock punch,
perforate the trimmed edge of
the siding panel at 8" intervals.
Be sure that the punched
ears or lugs face outward.
1..1 v, notched cutout
Lock the top edge of the
trimmed panel into the under-
sill trim, secure lock at lower
edge of siding panel. The snap
lock punch may used at
any time that a trimmed edge
of a panel is engaged in the
undersill trim.
Fits under window sills, at the
tops of walls against soffit,
moldings, on porch floors. etc.
FURR WHERE NECESSARY
TO PRESERVE ALIGNMENT
WITH ADJACENT PANELS
and maintain proper siding
panel angle. This general pur-
pose trim is used to finish off
trimmed and fitted cut edges
of siding panels.
TO FIT CUT EDGES OF
TRIMMED PANELS INTO
UNDERSIL1.TRIM
A. Measure the distance from
the downward edge of the Pock
on the undersill trim to the bot-
tom edge of the locking strip
at the top of the last full siding
panel, and add Wit"
To fit siding over window or
door, cut material out from bot-
tom of panel. "J" channel or
undersill trim may be used over
the window /door cap to con-
ceal cut edge of siding being
installed over windows or
doors. Fun out if necessary.
edge to engage into the
undersill and general
purpose trim.
9. FINISH GABLES
Install "J" channel against
rake boards. Cut siding to
proper angle to fit into "J"
channel and install.
10. FINISH UP J08
Replace exterior accessories
such as electrical outlets, wate
faucets, phone ooxes, etc.
Wash down siding to remove
finger prints and soiled areas.
Clean up all scrap material
around the house.
REMEMBER TO FOLLOIA
BASIC RULES FOR
NAILING AND SPACING.
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.
Date 6 O , 19
Owner's Name and Address / 2 / ` Co Z- 4 "/ No 47 Street f--?
Registered Architect and /or Engineer..._._ - 7' k9 4
Name and address of licensed contractor C Z /174 7 2 o L C°O /Z /'-' G 92 D /V4/ 77 1r/ e
Location and legal description of lot to be built on:
Lot 1/ l / e Block 2 ` Subdivision Z? FG L 1// ,0 4 2 6-
Street and Number where work is to be done �
/ Z.J ....... /y.6 9' a .Sj
r"ld,r
State work to be done and purpose of building (by floors) 5 Cl _ eeiv
37 ® It- 24
and for no other purpose.
New Building Remodeling Addition � Repairs No. of Stories
To be constructed of 4 9 f j q Kind of foundation , X i � j "se . r y ' Roof Covering._ '1 .v p Jc/z.'
Estimated Total cost of improvements $ 700 .. =-�
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 Ce / 4 7/_0 G C"d f � O. /Soy „re 3 /. %sa'yr i
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 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
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORI*,
COUNTY OF DADE. Ss.
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 ar true.
Permit No. Date — Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
to me well known,
Notary Public, State of Florida
Building 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 u► me 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...
Owner's Name and Address . ... �... l 0 .... i Zk6V i 6 Z- N. ..l ..l.._.. Str .E-
Registered Architect and /or Engineer t,:,. .,.•• •,,.• :t.sWrw , •< •,,,.,...�� - -.,.
•
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done ....._._.. . S .._.. ....._._...�_ ..�� ....
State work to be done and purpose of building (by floors) ei4.° S_ ''ial !!!€: ° ... !l ____...._._.._.._
New Building Remodeling Addition
To be constructed of Kind of foundation
Estimate Total cost of improvements $ As°
Zone cubage required plan Cubage
Distance .to next nearest building Size of Building Lot
Maxirnum 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
of Labor under the Florida Workmen's Compensation Act, being Section 5966,
and has complied uith the provisions thereof, and will require similar complia
in the work to be performed under this permit; and will post or cause to be po
or notices as arc required by the Act. The undersigned agrees to employ only
pcnnit, as are licensed by Miami Shores Village.
Remarks
STATE OF FLORIDA, 1 .
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 fads
thcrcin by him stated are true..
Permit No.. . Date � Read, Sworn to and Subscribed before me.
Disapproved (�al –�� _ Date
(Signed)
Building Inspector
_ and for no other
purpose.
Repairs No. of Stories
Roof Covering
Amount of Permit $. to r aO
he understands and accepts his obligations . . •mployer .
Com.iled Cen I Laws of Florida, Pennan•nt Supt •anent,
or sub - contractors e ployed b hint
e of the work suc ublic n • tice
to be performe • under this
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chainnan 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 PI.innir.;; Ito.►rd.
A n•impection f of 31.00 will be charged when ouch re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
1
_ BUILDING
ELECTRICAL
PLUMBING
\ - _ :17 -c
CONTRACT OR BUILyER
MIAMI SHORES VILLAGE, FLORIDA
i
� •
DATE Al ' ' 194 _
PERMIT N? 4772
Work to be performed under this Permit
Owner of
Building :
Architect % .,A/C4 4
or ` • G;' /7 s 74°-/ � - 5 id/
Legal Lot „ / 2 , Bl.
Description �� i 1
/3.e /ve d ert
Address of Value of J �i J Amt. of d 0
'l
Building Project J V 0 Permit ti`
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 appli-
cation 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 condi`l�ion 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. �+ �•�/ 4
A Signed• i "•• By
Subdi-
vision
INSPECTO
•
. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, 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.
P4{L
( BY
Contractor's
'r •
License No
$JT$QW1
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.
1 Date
Owner's Name and Address_ _ y i%—�- No �" Street
Registered Architect and / r Epgineer
Name and address of lice add contractor
Location a nd legal description of lot to be built on: 1 Lot ( ! I _ Z Block 2— Subdivision
Street and Number where work is to be done ' . !:
State work to be done and purpose of building (by floors)
r
and for no other purpose.
New Building (-- Remodeling Addition Repairs No. of Stori ps,
To be constructed of __ e__. a Kind of foundation____ _ Roof Covering_
Estimated Total cost of improvements $ / 6 D O 6 Amount of Permit $ : t_ ; A (/ . " %' _1^
( Signed)
t.
Zone cubage required _Plan Cubage G
•
Distance to next nearest building Size of Building Lot r 0 C) X L. -I 7 ...,
Maximum live load to be borne by each floor _
I hereby s bmit all the �uns and specifications for said buildi . All notices with reference to the building and its 9onstruction may
be sent to - - -- C1.44.,-- - _z-A---4--- -� --�'. - - - „.1._ // .1 c 9 2
The undersigned applicant for this bbutiding 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
pennit, as are licensed by Miami Shores Village. D
Remarks ( Signed ) (il.,.,.... 7 q t
STATE OF FLORIDA, t �F
COUNTY OF DADE. j ss.
Before me, the undersigned authority, notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared _r-
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 constructiopf has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit Rio.____--_- _-- ___'_ -_'r ��
Date 3
Disapproved Date
Building Inspector
d Subscribed befor m
Notary P lic, l
My Commission xpires_MY ed
$orii38d - ;
'jade - sfi - targ1.
expi • s Jani.ry 11i, N5S
Surety Co. of N. Y.
• LA�, INC BOAR D, DATE
Chairman Member
Member - -- _, MVO 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.
19 ("6
V
*.(
•
•
•
Permit No Date October 25, 1946
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work.
Owner's Name and Address IiS'a.__Jack__xol'_Oeil No Street •
Registered Architect and /or Engineer .,Ir, Ed1P_6C( Fitzgcra_]
Employing Plumber's Name J • LI. Council
Location and Legal Description Lot 1,] __ ___l 2 Block 2_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building X Remodeling Addition_
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No. 415 Street h tl, 7th Ave.
Subdivision Belvedere Park
1 0 1.1 Street N. E. 93rd $t,
Repairs No. of Stories
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
City Size of Soakage Pit
( Signed)
Plumbing Inspector.
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 com-
plied 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. Buck Plumbing Company
( Signed)
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
My Commission Expires Notary Public, State of Florida
Master Plumber.
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
•
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
2
2
1
2
1
8
CHECK
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER .
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
Elec TT1
tJ 1
tr-
CONTR.
LIST
1
CHECK
Permit No Date October 25, 1946
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work.
Owner's Name and Address IiS'a.__Jack__xol'_Oeil No Street •
Registered Architect and /or Engineer .,Ir, Ed1P_6C( Fitzgcra_]
Employing Plumber's Name J • LI. Council
Location and Legal Description Lot 1,] __ ___l 2 Block 2_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building X Remodeling Addition_
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No. 415 Street h tl, 7th Ave.
Subdivision Belvedere Park
1 0 1.1 Street N. E. 93rd $t,
Repairs No. of Stories
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
City Size of Soakage Pit
( Signed)
Plumbing Inspector.
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 com-
plied 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. Buck Plumbing Company
( Signed)
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
My Commission Expires Notary Public, State of Florida
Master Plumber.
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
•
]3uc% Tlumb*n eompan
J. M. (BUCK) COUNCIL, OWNER
4150 N. W. 7TH AVENUE
MIAMI 37. FLORIDA
PHONE 7 -6530
I,
ALTERATION
ADDITION
WNER'S NAME
JOB LOCATION (ST. OR AVE.)
MI/ /4/E f5
GENERAL CONTRACTOR
G Frzee,4ID ..
BUILDING PERMIT NO. 4 Z DATE /0/d
D
Z DO
ZONE2 REQUIREMENTS
SUBMITTED TO PLANNING BOARD
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
APPROVED
4#/
CU. FT.
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
REJECTED
PRESENT DDRESS
LOT BLOCK
ADDRESS
.2// ALL f7
PERMIT FEE S
^ 00
PLAN CUBE ,Z•fra/p CU. FT.
REFERRED TO COUNCIL
REMARKS
LICENSE NO.
CERTIFICATE OF OCCUPANCY NO. 4 ISSUED "/ BY FL!/J TO e.ACdL 4,6
BUILDING PERMIT AND I CTION RECORD —MIAMI SHORES VILLAGE
SUBDIVISION
L6/ENA
,LICENSE NO.
/46/
PHONE NO.
BUILDER'S BOND
NO. DATE
REASONS
s:a
PH
. - 1//
EST. COST S /4 Z e
DATE
TYPE STORIES //��yyyy CONSTRUCTION INTERIOR CONSTRUCTION
X NEW CONSTRUCTION 55 / A /LTV/ / � � ✓I ,riio lia/Ve- 6," 6sove �s TS
DESCR IPTION
REPAIRS !O/�l� �/� D /.s�,P�• ✓l�i� .x�'Ie /.� 6�/70 - 34 .
:��Arifvs - V�.�6�/! //%J2.' le.0
DESCRIPTION
INSPECTIONS
PHONE 7
BY
RE- INSPECT
BY
RE- INSPECT•
BY
FOUNDATION
� DAATTE
/(//x/44
ce4
TEMPORARY SERVICE
$
BEAMS & LINTELS
/ ® /5%‘
/
$
SEWER
FRAMING
SOLAR HEATER
$
GAS
$
$
INSPECTIONS
FINAL
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
Ce4
GAS
CONTRACTOR 4 Ja/ Aa/v ®.in" 6.
PHONE 7
PERMIT NO. ld' s 65 1 DATE lee 7-4 4.4
FEE S der "
NEW BLDG. " I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
$
GAS
$
$
INSPECTIONS
DATEBY
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
/10
Ce4
GAS
12 / "Al:
ART
SEWER
3/
605
SEPTIC TANK/f[f�Z
�,
/� 0e
/,
&6
SOLAR HEATER
FIXTURES
�{J
1 37
,,/�'
e6.
/94 4' 4
/!' V
2 ;'
CONTRACTOR /3/4.105 teee• C:9
PHONE 7 /C
p
PERMIT NO. ®(� DATE 61x//9
FEE $ /
NEW BLDG. >d 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
12 / "Al:
ART
H. W. HEATER CONN
3/
605
RANGE CONN.
0
//
FIXTURES & FINAL
,`
d/ te■
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE 3/2-4 `i'• / BY eWS
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Co 1 ) ; t t
4/,
Lot / / . I Bl.
/02./ fit'. e ' 3 .1-4
CONTRACTOR OR BUILDI6R
MIAMI SHORES VILLAGE, FLORIDA
DATE ' / / 14/ 494
PERMIT N? 4772
Work to be performed under this Permit
Subdi-
vision
Value of
Project
BY
Contractor's
License No.
1 ( - ')
r, •
Amt. of
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 appli-
cation 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• "' ~ By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, 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.
AUTHORITY
BUILDING
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
Owner of
Building
Architect
Contractor.
or Builder
Legal
Description
Lot ; =
Address of ri ^ Value of � Amount of
Building Protect ' ° 1 Permit $ i
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.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE I"
PERMIT N° 5404
B1
Work to be performed under this Permit 4
Subdi-
vision fi
Contractor's
License No.
19
Dore ro Qua ,e lviic clatoe I
is et,94 a t . y . /� fix / Hite(
SerGt - C , a-4 s J re —
Ai '
Signed' INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with 711 ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities,fif Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY .•moT
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
Street and Number where work is to be done
and who, bein g
of the above
therein by him
Permit No
Disapproved
(Signed) .....
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
a;Z/ _ Date
Date o p
Bui ding Inspector
No /G 2 / Street__
Date Z ` Read, Sworn to and Subscribed before me.
Registered Architect and /or Engineer..._._ __
Name and address of licensed contractor .0
-1 . ')'—
Location and legal description of lot to be built on:
Lot Block Subdivision
State work to be done and purpose of building (by floors) C . ............. ..... .. .. . _. t e. /IA_^? :' )
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stones
To be constructed of Kind of foundation Roof Covering
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 and r this
permit, as are licensed by Miami Shores Village.
Remarks (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,
by me first duly sworn, upon oath deposes and says that he is the
described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
stated are true.
f
Notary Public, State of Florida
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.
ADDRESS I ®A I 17 t 75 ®JrR06 LEGAL I-® ? / /- /1,L5 2 RECORD GARBAGE TAX
e.77::, b c 7 o c.Vp A. �u� RECEIPT
e=": aw PAID BY YEAR ANNUAL TAX - PERIOD USED AMOUNT PAID DATE PAID NUM BE
.�� 7 ®e 0 C / . ` f 1®a 0 0 4 9/1/51 y - A ® ®/0
" /7 y ' / /z- / -S/e /R. G per /.2-fr-y? /0233
,i e°
/?°/,' °° /- V, °,„ ® /
,, ., /75-6
i� - .5/ -S6 /-6- 5 /3 ,K67
, y /9�/ ., A?•.e/gy S S
/ ), / -S/ /tg e -
1
1 MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Appli,.atron is hereby made for the approval of the detailed statement us me 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 Filings, I lnrid.t. anti all provi. ions 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 budding during pragreu of the work.
Date 6- C _ 6 . 19..—
Owner's Name and Address ..... / �( D . / ?.• 4� _ _ No. Street .J_ 9 3 .. .T_.
Registered Architect and /or Engineer
Name and address of licensed contractor.. • S .s 6 es 41_2 9- ,ST N /.veegr+ 3301.
—
Location and Legal description of lot to bc built on:
14642.4doe. ,e2p.
Street and Number where work is to be done...l..P L `S
Lot /./ f1...« Block. ...__ « »_.M Subdivision
State work to be done and purpose of building (by floors)._.._... )..5 "rig 4 6
New Building Remodeling ...... Addition Repairs
To be constructed of Kind of foundation.
Roof Covering..._ ................. ._....
Estimated Total cost of improvements $........ ._°'... _ _ Amount of Permit
Zone cubage required ._ __ _. plan Cubage
Distance .to net nearest building _ Size of Building Lot
\fazirnum 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 Ltbur under the Florida Workmen's Compensation Act, being Section 59G6, Compiled General Laws of Florida, Perm.rnent Sup th•urent,
a nti has compiled ssith the revisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to bc 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
pcnnit, as are licensed by Miami Shores Village.
(Signed) -6 .t.
J�+
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. as.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
Permit No .. .11 _1. Date 10)
t^
Disapproved Date.
(Signed)
Building Inspector
PLANNING BOARD.
Chair:nan
M err,ber
Mcmbcr ..
+••• «• »••••••_••••••••« ••• nee ••• -nr nn•neefen !f.,.•••effnn. en,,
Member
Member _ —
Member
.__.._ for no other purpose.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commiuion Expires
DATE
No. of Stories
-- .. -- 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 state az true.
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 I'i.rnnir.;.: Itu.rrd.
A rt••in'pection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspevtum or faulty
materials anti /or worksnanship.
Cleo e.
, b7
0
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2
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