BUILDING PERMITS 7 NE 91 STBUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
° PERMIT N� 6526
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Contractor's
License No.
Work to be performed under this Permit___
B1
DATE 19
Al
Subdi-
vision
Value of 11 Amount of
Project $ 11 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 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 INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance w 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 ao
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
BY AUTHORITY ABBOT
OWNER'S NAME
R A ;� M oul D Mi." z Et.'
PRESENT ADDRESS
714 •E . -3 1 S S t I:AEI
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
1 N .E. c l i s- S c rt E c'°j
LOT
I4 er. 5 �( 13
BLOCK
1
SUBDIVISION
Mso■w.I S 1t a.ts 1
GENERAL CONTRACTOR
Di . C la-A t4
ADDRESS
► • 41 V4 .E.
PHONE NO.
c 13 - Si'
LICENSE NO.
3 3 01
n
BUILDING PERMIT NO. ‘7,
DATE 3-30 -C.c.
PERMIT FEE $
SO
5 -
S't
BUILDER'S BOND
NO. 2.4SL DATE 3 -3o -‘
A '
ZONE R . REQUIREMENTS 111. il
1. s, O CU. FT.
Q
PLAN CUBE ►t %
I S a) CU. FT.
EST. COST $ 12.. 00
DRAW NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: e. 14 . M a R
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
o
DAT:
NEW CONSTRUCTION
TYPE
c.gS
STORIES
OP af
ROOF CONSTRUCTION
7I l. c
INTERIOR CONSTRUCTION
3 Pomp tZ.00 rlti _ '2 3a•T4.
REPAIRS
°yam ft. / DESC IPTION J r
lat' 1�1Z. � QQ 6. 0 r1 ^ � pt—_a .. � ev J Wal(♦ k Gl, 4' �e
ALTERATION
q DES IPTION
ytl' 1 O J `+ . IN r alley 4. 1 -t /'Y. ..
41
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
v1 1. V j
REJ CTED
l
T 1
REFERRE TO COUNCIL
i$ 1 • h 1 1'b
REAS S
L i
V• d 1. 0 I/ p• 1
RE- SUBMITTED TO PLANNING BOARD
0 c. ,
q, h 1 1A. i e -ri • K •k O .
.,. V s C AN
SU RMITTF n TO VILLAGE COUNCIL
4..O h
cIA' REMARKS 4
0 et C l SA 4 h p oh &V a
cL, IF4roco�
CERTIFICATE OF OCCUPANCY NO. 0� )
0 ,6, .v7to�d_ 'lei
ISSUED / BY C^ q. "2
j
`2 1 C k c�.. /v _ 4, P� _
T ^,'i �a rt'li ,�:
O E ,, A',�..E., G.� 1` C ?
DRAW NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: e. 14 . M a R
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
o
DAT:
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
ROUGHING
DATE
ROOF
$
BEAMS & LINTELS
C
ti - '
POOL
$
m
FRAMING
AIR COND.
$
FINAL
$
FIXTURES
CLEAN UP
$
$
SLAB
I
$
SOLAR HEATER
SLAB .
$
SPECIALS PERMITS
DATE
PERMIT NO.
DATE
BY
FEE
TEMPORARY SERVICE
ROUGHING
DATE
(
$
SEPTIC TANK ei -
C
ti - '
ICI 1.4 a
$
m
SEWER
$
SOLAR HEATER
$
FIXTURES
I
$
$
GAS
I
$
SOLAR HEATER
FIXTURES & FINAL
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
ROUGHING
$
TUB & TOP OUT
$
RANGE CONN.
SEWER
MOTORS
RANGE CONN.
$
FIXTURES
SEPTIC TANK
$
S
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
GAS
CONTRACTOR 1 !I-. OZ t(---.=c---2 12_4. Q
PHONE
PERMIT NO. . -C 1 DATE , S -■ 'I- C. -
FEE $
NEW BLDG. ' 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
ROUGHING
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
RANGE CONN.
$
FIXTURES
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT' BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
Lq,�� BUILDING INSPECTIONS 14- 4 - -
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
Ja r.a� c
1 DATE 3-
ALTERATION
I ADDITION
PHONE
FEE $ 22
REPAIRS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
Appli
Print Name:
Inspection: By1.43 t
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
IN' IT) of. .Jr,h
herby ap � lY for a sate to re- occupy the single family residence known as: (address)
f � + r
7) f. . 9/ ,, I f 1(T f', 1",F)ro S , Muni Shores, Florida.
Legal description: - Let 1 �[. �C'�x jC
-
53- �(t -- - tip , g#
io:n1) S 1 Ain ►erg lc 'X Qr I -3i); 109■l l
Lot: ► 9 x 1/a Lit 1 Block: I PB & PG: (.C) — `7C)
I hereby certify that I understand that the zoning of the property is for single- family
residential use and that it is unlawful for more than one family to reside therein. I also
understand that any Certificate of Re- Occupancy that may be issued by "Miami Shores
Village, Florida, certifies only that the referenced property is being used for single- family
purposes and that such Certificate does not constitute any representation, warranty or
certification as tie • - dition of : - dwelling or other structures on such property.
1
Date:
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For the proposes of conducting the inspection required by Section 902 of the Miami
Shores Development and Zoning Code contract:
__.. '7 IS --1c:
Contact Name. c MCP htf Telephone: t,J 91.6 --1175
.52f t-
Buyerg Seller: Realtor: ' Company Name:
Application Fee ($50.00) Paid: Cash: '/Check: Number:
proved: X_ Denied: Date:
Comments:
CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the application has been inspected for the purposes of re- occupancy pursuant
to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and
that such property maybe re- occupied by the applicant for single- faniiiy purposes.
MIAMI SHORES VILLAGE, FLORIDA
By:
Date of Certification:
9,
THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN
INSPECTED BY MIAMI SHOES VILLAGE AND HAS BEEN DETERMINED TO
PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO
THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND
INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE
DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED
HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES
ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF
THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF.
, (‘Ire
hereby ap 1 fora cfftificate to re- occupy the single family residence known as: (address)
9i 5 rill7o, fr,o F , Miami Shores, Florida.
5 .3 yt - -
Legal description: , . L� GC�d�c i �Q
1- -
IA 3h c I Ain cJ Pe t0 -'x .r t € sL '- - 3i)a tocH t
Lot: 1 x l/a Lut I3 Block: I PB & PG: LO �r)O
I hereby certify that I understand that the zoning of the property is for single - family
residential use and that it is unlawful for more than one family to reside therein. I also
understand that any Certificate of Re- Occupancy that may be issued by Miami Shores
Village, Florida, certifies only that the referenced property is being used for single- family
purposes and that such Certificate does not constitute any representation, warranty or
certification as t. • e • - dition of - dwelling or other structures on such property.
_NW
Appli
Print Name:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
Date:
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
For the purposes of conducting the inspection required by Section 902 of the Miami
Shores Development and Zoning Code, contract:
Telephone: kiL,' 41 • 1 t - 1 c
Contact Name) . MCP KO
Buyer (/ Seller: Realtor: ' Company Name:
Application Fee ($50.00) Paid: Cash: V Check: Number:
ff
Inspection: By:
proved: Denied: Date: //
Comments:
CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the application has been inspected for the purposes of re- occupancy pursuant
to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and
that such property maybe re- occupied by the applicant for single - family purposes.
MIAMI SHORES VILLAGE, FLORIDA
By:
Date of Certification:
THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN
INSPECTED BY MIAMI SHOES VILLAGE AND HAS BEEN DETERMINED TO
PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO
THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND
INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE
DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED
HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES
ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF
THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF.
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.
Owners Name and Address ....... t a:. .... }
Registered Architect and /or Engineer
Name and address of licensed contactor l .L4,.Yu- ?.sd_ —.... -'"
Location and le §al description of lot to be built on:
R- j
Lot 9 L. i� `,- `1 Block 1 Subdivision
Street and Number where work is to be done 7 _ /V L
State work to be done and purpose of buildin by floors._
�� ,rs
1
Estimated Total cost of improvements $
Disapproved _ _ / Date
(Signed)
Building Inspccto
Chairman
Member
Member ...... _....__..._._...._....._
Council Approved Drte
NOTE: A charge of $1.00 will be made for making corrections
the Planning hoard.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
Date..
No + ..... ... Std._.. >;
■
NNINC BOARD _.._ DATE
Notary Public, State of Flo:fda
My Commission Expires
Member
Member
Member ...._
Disapproved
or changes to this application after approval h
lL_ and for no other purpose.
Repairs No. of Stories
New Building Remodeling Addition
To be constructed of Kind of foundation Roof Covering
Amount of Perrrit $.
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)
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths one 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 st4ted are true.
Permit No � T 3 C !' Date (~ a 3 -7 Read, Sworn to and Subscribed before me.
Date
ns been obtained from
when such re- inspection is mane nece€; .try by Improper notice ffor inspection or faulty
!,1
6!
F
5
N
9
recorded in Plat Book
Florida
ALAN SCARBOROUGH
W
2
jirvc :y of: Lot 14 and South 1
13, Block of
"'VENDED PLAT OF MIAMI SHORES SECTION NO. 1"
MIAMI
ORDER NO. 15878 F.B. A2 - REV.
DATE; JULY 13, 1 973
AVE.
IO.50'Wq`k CU @s
7.6
LE v) AftEY WAS` • 9.6 Pcive ,'
according to the Plat theraof
10 at Palo 70
of the Public Records of Dade County,
7
{
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 Date.__...__..... . Itle -,1.. 4) g.—. ,19...2--1 .. j....E .14 —.. c ..1.G: I o 6 .Q.t,3 G el No... ._.:7 . &II S —.
Registered Architect and/or Engineer SS SS. O 11 ....
Name and address of licensed contractor
Street and Number where work is to be done
Estimated Total cost of improvements $ 7
STATE OF FLORIDA,
COUNTY OF DADE. i ss
Location and dcscri tion of lot to be built on:
/
Lot '4 S e F 1 Subdivision ..T - -'-
State work to be done and purpose of building (by floors) 8 _........___..__._..___.
qq and for no other purpose.
New Building i\.) 0 Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
l IV o G v.S 0
06
Amount of Permit S..
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
pennit, 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
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 _.l Date 42 bead, Sworn to and Subscribed before me.
Disapproved
(Signed) Z,
Building Ins
PLANNING
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re inspection fee of $1.00 will be charged
materials and /or workmanship.
Chairman
Member
Member . --- .__....._... — . — --- ._....._
Council Approved Date
Notary Public, State of Florida
My Commission Expires
to me well known,
OARD DATE
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
INSPECTION
INSPECTOR
MIAMI SHORES VILLAGE, FLA. N9 7915
ADDRESS__ /V • , yd 'a �d�
`,
TIME READY "r
REMARKS:
DATE
• ) '
a
1
`rA _ t1 25_
Sir •y of: Lot 14 and South ? of Lot 13,
'';,VENDED PLAT OF MIAMI SHORES, SECTION
co recorded in Plat Book
Florida
. ORDER NO.
iOR• ALAN SCARBOROUGH
Lti
2
15878
°1
' V '—
Block 1 of
NO. 1"
P.R. 2?F1 IREV1
AVE.
10.5(1' walk tt CURB
81 00' £
•'
o
O =
491• f
DATE:
-
o
81.00'
OP
U (}
N !1
N N
JULY 13, 1973
according to the P :at
10 of Page 70 of the Public Recorda of Dade C nty,
•
1 4QL� ; At_l..Y WAS �.;,` • �
f e71-QF
/11f(1. (t I p
sroaorock
iNto
rls�
U��ra1 tiS � C) tt' ' zzock! .( / or�G /
��� s !T rf /Y /671
G K/ 2 e ves c c r . o aT ti
UNAN I3RiCK
In South Florida Since 1929
MIAMI = LAKE WORTH s�R t Z
C,g�tia-ti
1
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 erein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
/
/ Date
f
, 19
Owner's Name and Address_4:,
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot_' _ # / Block /
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved _ f j r te__
(Signed)
uilding l•ector
N()TF. • A h,,.. ..c
01 1'1 ors
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Subdivision
No l
Street
c
Street and Number where work is to be done
State work to be one and purpose of building (by floors)
' `" and for no other purpose.
New `3uildrxg !✓ Remodeling Addition Repairs No. of es,.....7
To ',1
constructed of Kind of foundation Roof Covering '''
g r
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 said building. All tices with reference to the building and its construction may /a/%� ,—
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 insp,eGtion on the site of the work sueh 1 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such 'subcontractors, on work to be pe rued under this
permit, as are licensed by Miami Shores Village. � _ ' 7
Remarks (Signed)._ •a .� _
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 2 Date 3 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved hate
9
E 1T
A
A A
•
LO
x
(.(
7
t L- - /2
'
J. B. FORD CO.
1774 W. Flag ler Street
MIAMI 35, FLORIDA
Phones: FR 9-3508 FR 1-0027
9 2 D
6 ° L_
c Vz >-/ Ci 5
AEL r A7,e7.6? /1,9 /
According to the Plat thereof as recorded in Plat Book / , at Page
Public Records of Dade County, Florida.
Forz9ymiv1/472,:3 je4L Date /1 6 o
oieDe .3 79 .1P ! ' orS
. .
6
. „
S
4
3
2
/
Is
/6
/7
/6)
19
20
2/
2?
23 ' :
J. B. FORD CO.
1774 W. Flag ler Street
MIAMI 35, FLORIDA
Phones: FR 9-3508 FR 1-0027
9 2 D
6 ° L_
c Vz >-/ Ci 5
AEL r A7,e7.6? /1,9 /
According to the Plat thereof as recorded in Plat Book / , at Page
Public Records of Dade County, Florida.
Forz9ymiv1/472,:3 je4L Date /1 6 o
oieDe .3 79 .1P ! ' orS
I HEREBY CERTIFY that the attached sketch represents a survey.
made under my direction and is true a • correct
There are no encroachments except as
REGIST
ND SURVEYORS i 1128
TATE OF FLORIDA
G, 4 S S
z . o0
C / - /1/
W/9L. le—
/' -20,
‘(5
3
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.
G; /
Date.___ � < , 19
Owner'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 Subdivision
Street and Number where work is to be done
No
State work to be done and purpose of building (by floors)
/ � N ? ,
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Ro
Estimated Total cost of improvements $ Amount of Permit $__ a , >0""'--
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live Load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida 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 subcontr t ors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)._
_ y
STATE OF FLORIDA,
COUNTY OF DADE. i ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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
Permit No � Date____L,P' Read, Sworn to and Subscribed before me.
Disapproved
(Signed) .._
Notary Public, State of Florida
Street- - -_
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.
0 0 0
Location and legal description of lot to be built on:
New Building Remodeling To be constructed of Kind of fou
Estimated Total cost of improvements
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor
STATE OF FLORIDA,
COUNTY OF DADE. f ss
peared
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Applicatio.: 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
�y2; r-,, .D c J f,/ // 19
9 / _ No... Streete� -`• -r. - `2,
Registered Architect and /or Engineer�r . < /. t✓ .`..,, , -Z; >--.�;
Name and address of licensed contractor -'�� _,_.. ,. _; . )_ - ...... 4 L y.,
plans and specifications must be kept at building during progress of the work.
Block ubdivision_
Street and Number where work is to be done
State work to be done and purpose of building (by floors)!'
oors ).
Addition
r,
and for no other purpose.
Repairs No. of Stories
n Roof Covering
Amount of Permit $..__J G t._ -
_Plan Cubage
Size of Building Lot
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an nployer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La Florida, rmanent Su dement,
and has complied with the provisions thereof, and will require similar compliance frgirr .., contracpois' r b -contr c(ors employ by him
in the work to be performed under this permit; and will post or cause to be posted or o n We A s'
of Ole work such pl. 1 c notice
or notices as are required by the Act. The undersigned agrees to employ only su . actb .54, bvbrk toi /performed der this
permit, as are licensed by Miami Shores Village. . „' / , r
Ji
Remarks / ( Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowleugments, personally ap-
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
Permit No __ ,/ Date - 4.0 Read, Sworn to and Subscribed before me.
____
Disapproved
(Signed) - --
uilding Inspector My Commission Expires
Notary Public, State of Florida
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.
Disapproved
(Signed) _.
4
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Remarks (Signed) ___
PLANNING BOARD _. ._ __ _ ___ _. __ _ ._ __ _ DATE
Chairman ._. __ _ __ Member _
Member _ _ ____.____ Member _ _
Member - - - - - - Member .
Council Approved ___ Date Disapproved __-
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other strur ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villag3, Florida, and all provisions of the Law• of the State of Flor da, all ordinances of Miami Shores Village ^nd all rules and
regulations of the Building Division of Miam Shores Village sh.11 be co _ ,plied with whether h-r. in specifie . not. A cope of apt roved
plans and specifications must be kept at building during progress of the work.
Date_ _ . _June 8, _ _ _ _ . _ 19__ 65
Owner's Name and Address ___ __._ Mrs._ John___kl.__ Sty __John_ No. _7__ _ ___ Street__ Af_r_ 91 . _ St
Registered Architect and /or Engineer
Name and address of licensed contractor TRULY _NOLEE,____I.NC_. _. -_. 600. __N_..__ W__. 7___ Avenue , Miami, - Fla w
Location and legal description of lot to be built on:
Lot Block -- -------- - ---- -- -- _ -- -- Subdivision
Street and Number where work is to be done ____7__ �_.___.�_• __91___S_treet__ _ ___. - . _ __ __ __ ____. _
State work to be done and purpose of building (by floors )____. _ Drywaod __Termite_ Fumigat on_- _ Using
Vikane gas with an approximate 2 ® hours exposure period. Nylon tent.
and for no other purpose.
New Building Remodeling Addition Repairs __ _._ _.__._._ _ No. of Stories
To be constructed of Kind of foundation Roof Covering Sloped Flat
Estimated Total cost of improvements $ 275 .00 Amount of Permit $__54QQ
Zone cubage required__ -_ ---- --- ---- -- ------------ _ --_ -- _ --_ -- ----- ____ -- ---- .-- __ -_-- _-_Plan Cubage 33 ",733
Distance to next nearest building__. ____ __ 3D__Ft___________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 work suchpuublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subc tractors, on ork be perfo iTQ der this
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perso -sally 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.____ (e __ __ Date.___ __ - _( Read, Sworn to and Subscribed before me.
Date _
Notary Public, State of Florida
Building Inspector My Commission Expires
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after app.' .l 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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
tD
PERMIT
B1
MIAMI SHORES VILLAGE, FLORIDA
DAT
o%ke to "%Yr
Work to be performed under this Permit
(
19
Subdi-
vision
Value of ;'' s 11 Amount of
Project $ 1! 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 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 staf.ements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
r
Signed. BY-
INSPECTOR
In consjder tion of the issuance .t6 at of this permit I agree to perform the work cove di hereunder in compliance with all ordinances and regulations
pertaining `y°�ret and in Strict co ffo ty :. ith the plans, drawings, tateme or speci4iwli�ws fitted to the proper authorities of Miami Shores Village. In ac-
cepting thi! permit I ( a �es Iityir 711 ork done by er, self, i % a�er�, Orvi#t or employee.
t CO OR BUILDER J „/ BY AUTHORITY
ABBOT PRINT
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1143
Miami Shores Village, Florida, 10
Owner, Agent or Tenant of Building RaS'Ti Meczen
Lot 14 8- S 13 Block 1 Subdivision Miami Shores ; : 1 1.
Street Address 7 iN? F. 91st, Stre
Approved use by occupancy 3 Bc room, 2 Seth Res.
Remarks. 1 235
This Certificate of Occupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
Plan Cube 19,558 j / _
Tex Val 9,929 %� 6� �
Screens g 163 BUIL ING DIVISION