MECHANICAL PERMITTo be constructed of
Owner's Name and Address Mr • Go
Street and Number where work is to be done
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 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 the work.
• • 1 • •
Registered Architect and/or Engineer Juan Campelo
Name and address of licensed contractor Central C O m f o r t Corps
Lot and legal despription of ;o be built on:
Lot 14/615 - /
1235
Subdivision
N.E. 93 S
State work to be done and purpose of building (by floors), state exterior colors (submit samples(
10 KW
New Building Remodeling Addition
Date Dcccmbcr 5
7860 N.W. 62 St_ Miami_ Fl_
k/' // , .,e0s' a 7 /a'O
Miami, Shores Fla. 33138
Kind of foundation Roof Covering
19_8..x_
Street
33166
C'• • '"111
• •
and for no other purpose.
Repairs No. of Stories Replacement
Estimated Total cost of improvements $ $2,233.00 Amount of Permit $ 51 • 75
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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to
Central Comfort Corps. 7860•N.W. 62 St. Miami. F1. 33166 -Juan Campelo
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an
Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement, and has com..'ed with
compliance from all contractors or sub- contractors employed by him in the work to be performed under t '= p mit; and
on the site of the work such public notice or notices as are required by the Act. The undersigned _ _ • ploy o
under this permit, as are licensed by Miami Shores Village.
.Remarks (Signed)
STATE OF FLORIDA l
COUNTY OF DADE. 1 ss.
Before me, the undersigned authority ,a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
// ,,r) �r .64 6 /t,'AJ
and who, being by me first duly sworn, upon oath deposes and says that he is the ( nA17 ,e,4 of the above described construction, that he has carefully read the forego;ng application, and that he did sign the same, and that all facts therein by him stated are true.
Permit Na
Disapproved
(Signed(
Chairman
Member
Member
Council Approved
0
Date
Date
Read. Sworn to and Subscribed before me.
722,19\
Building Inspector
PLANNING BOARD
employer of Labor under the Flu'.: "orkrnen's
the provisions thereof, a. • will retire similar
will pos or :u; e to thereof, Inspection
iiI
d
to me well known.
Notary Pubhe( State of Florida
NOTARY PUBLIC; STATE OF FLORIDA AT LARGE
My Commission Expires MY COMMISSION FXPIRFS JULY 15: 1P9'
D P A tigOED THRU HUCKLEBERRY g ASSOCuAv0
Member
Member
Member
Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
1
ti
e7'
MIAMI SHORES VILLAGE
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 cR W " „� Z
Registered Architect and /or Engineer
Name and address of licensed contractor
Disapproved
(Signed) `
ut
t
Date.
ing Inspecto
BUILDING INSPECTION DEPARTMENT
Location and legal description of lot to be built on:
Lot
No /•3.5' Street -...(5
Block / Subdivision.. 4 04 i€--c—
Street and Number where work is to be done /-2-33.
State work to be done and purpose of building (by floors) .._.. ..._......_..._......_.__._..._
��
,�ff and for no other purpose.
rr uilding Remodeling Addition Repairs No. of Stories
To be constructed of.. Kind of foundation )f ring
Estimated Total cost of improvements $.... e .i? 0 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 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 in tion on the site of the rk such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such su• ,F actors, on wo to ..t rformed under this
pennit, 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 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. �a
Permit No e.s ? / Date / 7 r Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLAN PING 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.
1
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To be constructed of
Owner's Name and Address Mr • Go
Street and Number where work is to be done
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 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 the work.
• • 1 • •
Registered Architect and/or Engineer Juan Campelo
Name and address of licensed contractor Central C O m f o r t Corps
Lot and legal despription of ;o be built on:
Lot 14/615 - /
1235
Subdivision
N.E. 93 S
State work to be done and purpose of building (by floors), state exterior colors (submit samples(
10 KW
New Building Remodeling Addition
Date Dcccmbcr 5
7860 N.W. 62 St_ Miami_ Fl_
k/' // , .,e0s' a 7 /a'O
Miami, Shores Fla. 33138
Kind of foundation Roof Covering
19_8..x_
Street
33166
C'• • '"111
• •
and for no other purpose.
Repairs No. of Stories Replacement
Estimated Total cost of improvements $ $2,233.00 Amount of Permit $ 51 • 75
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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to
Central Comfort Corps. 7860•N.W. 62 St. Miami. F1. 33166 -Juan Campelo
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an
Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement, and has com..'ed with
compliance from all contractors or sub- contractors employed by him in the work to be performed under t '= p mit; and
on the site of the work such public notice or notices as are required by the Act. The undersigned _ _ • ploy o
under this permit, as are licensed by Miami Shores Village.
.Remarks (Signed)
STATE OF FLORIDA l
COUNTY OF DADE. 1 ss.
Before me, the undersigned authority ,a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
// ,,r) �r .64 6 /t,'AJ
and who, being by me first duly sworn, upon oath deposes and says that he is the ( nA17 ,e,4 of the above described construction, that he has carefully read the forego;ng application, and that he did sign the same, and that all facts therein by him stated are true.
Permit Na
Disapproved
(Signed(
Chairman
Member
Member
Council Approved
0
Date
Date
Read. Sworn to and Subscribed before me.
722,19\
Building Inspector
PLANNING BOARD
employer of Labor under the Flu'.: "orkrnen's
the provisions thereof, a. • will retire similar
will pos or :u; e to thereof, Inspection
iiI
d
to me well known.
Notary Pubhe( State of Florida
NOTARY PUBLIC; STATE OF FLORIDA AT LARGE
My Commission Expires MY COMMISSION FXPIRFS JULY 15: 1P9'
D P A tigOED THRU HUCKLEBERRY g ASSOCuAv0
Member
Member
Member
Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
1
ti
e7'
MIAMI SHORES VILLAGE
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 cR W " „� Z
Registered Architect and /or Engineer
Name and address of licensed contractor
Disapproved
(Signed) `
ut
t
Date.
ing Inspecto
BUILDING INSPECTION DEPARTMENT
Location and legal description of lot to be built on:
Lot
No /•3.5' Street -...(5
Block / Subdivision.. 4 04 i€--c—
Street and Number where work is to be done /-2-33.
State work to be done and purpose of building (by floors) .._.. ..._......_..._......_.__._..._
��
,�ff and for no other purpose.
rr uilding Remodeling Addition Repairs No. of Stories
To be constructed of.. Kind of foundation )f ring
Estimated Total cost of improvements $.... e .i? 0 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 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 in tion on the site of the rk such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such su• ,F actors, on wo to ..t rformed under this
pennit, 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 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. �a
Permit No e.s ? / Date / 7 r Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLAN PING 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.
1
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