BUILDING PERMITS 79 NE 91 ST4
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1694
Miami Shores Village, Florida, 12 - 2 7 -6 6
Owner, Agent or Tenant of Building R. G. Shanklin, Sr.
Lot21 & W 1/2 -22 Block 1 Subdivision M. S. Sect. 1
Street Address 79 N E 91 Str _.
Approved use by occupancy Bath added in bedroom
Remarks. 7483
This Certificate of Occupancy is issued to the above named Owner
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.
No change in cube
DIVISION
BUILDI
INSPECTI{1NS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
$
SEWER
ROOF
SOLAR HEATER
I
BEAMS & LINTELS
GAS
I
POOL
$
FRAMING
RANGE CONN.
AIR COND.
MOTORS
FINAL
$
FIXTURES
CLEAN UP
SEPTIC TANK
8
SLAB
FIXTURES & FINAL
S
SLAB
SPECIALS PERMITS
PERMIT NO. DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
SEWER
I $
SOLAR HEATER
I
$
GAS
I
$
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
• DATE
FEE
TEMPORARY SERVICE
$
TUB & TOP OUT
H. W. HEATER CONN
$
RANGE CONN.
RANGE CONN.
SEWER
MOTORS
$
FIXTURES
SEPTIC TANK
8
FIXTURES & FINAL
S
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
• DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
RANGE CONN.
$
MOTORS
$
FIXTURES
8
FIXTURES & FINAL
S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT' BY
TF.MP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
CONTRACTOR
PERMIT NO.
NEW BLDG.
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
I DATE
ALTERATION
APPROVAL TO POWER CO. FOR SERVICE DATE
ADDITION
ELECTRICAL PERMITS & INSPECTIONS
PHONE
FEE $
REPAI RS
BY
OWNER'S NAME
2,2,': C • IAla- r.1 LG. LLa J .
PRESENT ADDRESS ( /,._
19 14_ C- 9l y`
LICENSE NO.
D ` AVi9
PHONE NO.
JOB LOCATION (ST. OR AVE.)
4
I 1 ` t tJ • ° • C t t SA .
LOT
7.1 LJ I I, z
BLOCK
I
SUBDI�'S ION
I /a. A-1,. - ?l re. S cm
GENERAL CONTRACTOR
- cLo . "e-1-Ara t =ever -
ADDRESS
1 NI - W . 1 ( (o c ; -
PHONE NO.
LICENSE NO.
8 (01 1
BUILDING PERMIT NO. 1 63
CO
DATE q "24 "4Y
PERMIT FEE $
BUILDER'S BOND
NO. ✓ DATE v
ZONE REQUIREMENTS CU. FT.
PLAN CUBE MO^ e,. CU. FT.
EST. COST S
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: 1 •
DATE
BUILDING PFJRMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
A
NEW CONSTRUCTION TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS •
DESCRIPTION
400 pA' T N / N EK i s ZI N (. r �•A'S �ZOCv-'�. �-
ALTERATION
DESCRIPTION
,,,�0000 ��L�
nb a e � To-I' l.)o- +O —
ADDITION
SUBMITTED TO PLANNING BOARD
APPROV D
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
. 1
SUBMITTED TO VILLAGE COUNCIL
REMARKS
G./
CERTIFICATE OF OCCUPANCY NO./� ! 7
ISSUED 7' ` C.
B
r //� (/`� 'I
TO 2 _ �4 gt 0.K. V�-� ( ..
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: 1 •
DATE
BUILDING PFJRMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
A
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.
l
Owner's Name and Address. /' :i_'
Distance to next nearest building `/i
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
No
Street l` e
,19
L
Registered Architect and /or En meer.... { _.:.r :"
g g ''l '
Name and address of licensed contractor ,-,0 c,
v —
Location and legal description of lot to be built on:
Lot , " r- Block .-- Su divisi n. ../<"
Street and Number where work is to be done �i / 0 7 7 , ‘ 2 -, `. 7
State work to be done and purpose of building (by floors) ... ' .t. (`
and for no other purpose.
New Building Remodeling Addition._. ` Repairs No. of Stories /
To be constructed of__ Kind f foundation Roof Covering./
Estimated Total cost of improvements } 1 tA" '-'‘ '4.t_ Amount of Permit $ I ca_.._Q_
Plan Cubage
Size;of Building Lot
Maximum live load to be borne by each floor % :2
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 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 and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No._ Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
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 hecn obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
P
At-00 eTI
--A.
E a a v1/4.)
79 4/-5-7-SA,
"ra
THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE
A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS
Village
■
THIS LICENSE EXPIRES
In consideration of the sum of
Paid to Miami Shores Village, Dade County, State of Florida,
s
MSV /1958
19
License
N° 2517
Dollars ($ .
is hereby licensed to engage in or operate the business of
MIAMI SHORES VILLAGE, FLORIDA
Date Issued By
APC 6
THIS LICENSE NOT TRANSFERABLE WITHOUT THE APPROVAL OF THE VILLAGE MANAGER. :
PROCESS NO
TO: THE PLANNING, ZONING;& BUILDING DEPARTMENT:
Miami Shores Village Florida
"I hereby agree that the pool being constructed on my property at
,
i /l ' ! ? will not be filled with
water until the proper and legal enclosure has been erected around
such pool, and final inspection made and pool and enclosure approved,
and said enclosure will be erected simultaneously with and prior
to completion to the pool, and in accordance with the plans and
specifications submitted."
Owner
MIAMI SHORES VILLAGE, FLA.
JOB //- LT
ADDRESS
fir/ - S� SA'
N? 7469
INSPECTION �� f'
TIME READY / f/ /
REMARKS:
INSPECTOR DATE
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS
INSPECTION
y
TIME READY
REMARKS•
INSPECTOR
N®
tir
DATE / 10
43
MIMI SHORES VILLAGE, FLA.
JOB
ADDRESS
c
INSPECTION 7:
TIME READY
2
INSPECTOR
N? 7497
REMARKS:
DATE
OWNER'S NAME
"se 'de ".L' .dire
PRESENT ADDRESS
79 v- 9 Street
LICENSE NO.
7 ;
PHONE NO.
JOB LOCATION (ST. OR AVE.)
79 IT..'. 91st Street
71 W LOT
21 P. 21 ', 22
BLOCK
1
SUBDIVISION
:iiaTi Shores
GENERAL CONTRACTOR
;;.*rrir -- Pu.l der
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 6703
- I C f
DATE 2
PERMIT FEE $ 13.00
BUILDER'S BOND
NO. 22/IJI DATE °1;)°5:5
Addition
ZONE REQUIREMENTS CU. FT.
Pool TV 2,0J0
PLAN CUBE 4,275 4 Z CU. FT.
EST. COST $ ''., 000
4 ._ -4, 1 4 .$ EaC ms`s-
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: '0. 'I* ivictriel
DATE
? ) .�
NEW CONSTRUCTION
TYPE
.
STORIES ROOF CONSTRUCTION
LL .j .1r .1n
INTERIOR CONSTRUCTION
.:'.i.t:.�L IZ V�_1 A ��- ,}: �.',lT.� - ! ,-. ^�'" ��.T
REPAIRS
Al finish to match the existing house
All finish
ALTERATION
DESCRIPTION
Q A
( :�)r",:. (E: - -c, (e : ;Ae.i•• :' •• -. .a.,ci7 - ,-•. / - - - - • ' ��e " ', . 4:5 r•
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE-SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
j
CERTIFICATE OF OCCUPANCY NO. )6f
L- - 7.7 — V
ISSUED
.`
BY
6 t- . J, k. C-N
TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
6 - zz
INSPECTIONS
DATE
BY
RE-INSPECT
BY
RE- INSPECT
BY
FOUNDATION vl� _
2 -1V -�
, , , ,e4
'73oQ
S
BEAMS & LINTELS
e Sc7OY.
7 - "PC Yea
/
S CO C 7�.
SEWER
FRAM II NG oK. ....L4
3- Z4-
� ..,/
i
$
GAS
V -- ch ..,
:i-t -, 3-1
-5
- Gat ?.a7
SL...
- 7 526- 4-
L -sg
Fl NAL
BY
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
S
SEPTIC TANK I�.ILT4 PA..,
e Sc7OY.
7 - "PC Yea
/
S CO C 7�.
SEWER
$
SOLAR HEATER
$
GAS
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
GAS
L4 - 3- 2. .
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
CONTRACTOR F _
PHONE
PERMIT NO. G J.% ..c DATE Z- 2 6" IV
FEE $
NEW BLDG. 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 .1C
L4 - 3- 2. .
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
•
Z.4-^ 6 A-r BUILDING INSPECTIONS 2 / -15
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
N° 522
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, ui mg
Lot Zs Block Subdivision
Street Address
Approved use by occupancy Remarks:
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.
BUILDING DIVISION
Owner of
Building
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description
Address of
Building
R
y „
Lot .} /J / dz
MIAMI SHORES VILLAGE,
PERMIT N? 6157
Work to be pei42med under this Permit
/
Bl.
Subdi-
vision yr`,/
Value of
Project
FLORIDA
DATE / 19
Cositractor's
License No 1`
,rs c'
Amt. of
Permit
This permi s gr ted to th contractor builder name. above to construct the Wilding or install the equipment or device described in the appli-
cation herefor in ict ompliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, state ents 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 . stateij ents or specifications an :tjdt b€ assumes respon-
sibility for work done by his agents, servants or employees. F r ,f t -
Signed: e. t '� � " z x B
BY
AUTHORITY
4
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder dn compliance with all ordinances and regulations
pertaining thereto and in strict confo ity with the plans, drawings, statements or specifications submittetl to the proper authoriticc of Miami t S hc r s Villlge.
� -2fz epting this permit I ssume possibility for a work done by either myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
F `i V
MIAMI SHORES VILLAGE, FLORIDA
DATE / e
PERMIT N? 6165
Work to be performed under this Permit
x �+
L s
•
Architect
Contractor
or Builder / i `
Legal Lot Bl.
Description
Address of Value of �, _._., Amt. of r
Building t "" � . , s..s Project Permit ` _ ,r--
This perm is anted t the ° -- - construct uilder named
cation herefor in/stri/t 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. �,,,a \ /✓ 11 / ?. By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all frdinances 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.
As
y CON - OR HUILDER -- BY
fr u,1 "" r e) " I IlL- 2
Subdi-
vision
i t
..
Contractor's
License No.
AUTHORITY
. M
194r.2i
INSPECTIONS
DATE
PERMIT NO.
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
Q
2110148
2/20/48 - EWS
EWS
EWS
4/23j48
JDH Fence
4 /00
S
$
BEAMS & LINTELS
RANGE CONN.
$
FRAMING
S
MOTORS
S
SOLAR HEATER
S
FIXTURES
$
GAS
S
$
FINAL
INSPECTIONS
$
INSPECTIONS
CLEAN-UP
BY
RE- INSPECT
BY
RE- INSPECT
CONTRACTOR Reynolds Plumbing
PHONE 7-3302
FEE 510.75
PERMIT NO.
DATE 4{2/48
v 6364
NEW BLDG. A�ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
2/3/48
4 /00
S
$
SEPTIC TANK
RANGE CONN.
$
SEWER
S
MOTORS
S
SOLAR HEATER
S
FIXTURES
$
GAS
S
$
$
INSPECTIONS
$
INSPECTIONS
DALE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
ROUGHING
GAS
LCW
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
4/21/4
.713H
CONTRACTOR Jones Electric Co
PHONE 78 -1032
PERMIT NO. 6286 1 DATE 3/7/48
FEES 11.00
REPAIRS
NEW BLDG. X 1 ALTERATION III ADDITION
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICB7ODE
6165
2/3/48
4 /00
S
H. W. HEATER CONN.
RANGE CONN.
S
MOTORS
S
FIXTURES
S
$
INSPECTIONS
DATE
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
�f
2
2/5/48
E�lS
EWS
ROUGHING
3/23/48
LCW
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
4/21/4
.713H
BUILDING INSPECTIONS
PLUMBING PERMITS 8c INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE 4/ x-/4 3
BY JDF
OWNER'S NAME
JOHN R._ SEARS --
PRESENT ADDRESS
68 NW 97th Street
- LICENSE NO.
PHONE NO.
78 -7223
JOB LOCATION (ST. OR AVE.)
79 NE 91st Street
LOT
21; 22
BLOCK
1
SUBDIVISION
M S Section ##1
GENERAL CONTRACTOR
Owner
ADDRESS
Same
PHONE NO.
LICENSE NO.
(,
BUILDING PERMIT NO. 61 57
DATE 1 /3 1 /4 8
�y
PERMIT FEE S 18.00
BUILDER'S BOND �
NO. 1 DATE 1 / 31 /4 8
ZONE 5 REQUIREMENTS 20 CU. FT.
PLAN CUBE 20 1 0 4 CU. FT.
EST. COST S 1 3,5 00 . 00
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: "Iwo 1 ../ - "1 "P'
X
X
! NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
Tile
Frame INTERIOR CONSTRUCTION
Bedrms - Oak;Others Stonex
REPAIRS
DESCRIPTION
Liv Rm - Din Rm - Kit - 3 BedRms - 2 Baths - Sun Room
ALTERATION
DESCRIPTION
trays
1 car attached garage - Ldy Yra s -
ADDITION
Bldg Ins o y or
SUBMITTED TOU / /
APPROVED
1/ 30/48
REJECTED
REFERRED TO COUNCIL
REASONS
•
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
OF OCCUPANCY NO. 522
ISSUED 6/11/48
JDH
BY dDH
TO John R Sears
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
DATE
�I SZ
r .4111 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 conformty 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.
, MIAMI SHORES VILLAGE
Date . , 19
Owner's Name and Address -__ No Street
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot ` Block 1 Subdivision_ ! ' )
Street and Number where work is to be done
State work to be done and purpose of building (by floors) .. __.___ _ a.
- - -- and for no other purpose.
New Building __.._.__ -_ Remodeling ' Addition Repairs No. of Stories //
To be constructed of Kind of foun ation Roof Covering
Estimated Total cost of improvemgnts $_La e s. + °--
a 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 f the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only / stich subcontractors,. on Work te- be performed under 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 hdminister 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 ark true. ,,
�! 1 -_7 i
Permit No Date ." i
a �
" Read, Sworn to and Subscribed before me.
!
Disapproved ° Date
(Signed)
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.
■
•
•
r
STATE OF FLORIDA) SS
COUNTY OF DADE )
A F F I D A V I T
of the Village of Miami Shores, County of Dade and
State of Florida, being duly sworn, doth depose and say: that under the provisions
of Section B -368, Sub - section (d), of the Building Code of Miami Shores Village
he desires to build on Lot
Block of subdivision; that he is the owner of said
property, and will do the work personally, and that he will, at such times as are
required by the Zoning and Building Director: -
1. File plans and specifications and obtain approval of Village Planning Board
and of the Building Inspector.
2. Apply for and secure a permit.
3. Pay the required fees for license and for permit.
4. Execute the work in accordance with the provisions of the Zoning, Building,
and Electrical Codes of Miami Shores Village.
5. Apply for inspections.
6. File with the Building Inspector certificates that provision has been made
to carry the necessary Workman's Compensation, Public Liability and Rroperty
Damage Insurance.
7. File with the Building Inspector as the job progresses certificates showing
the payment required by the Federal Social Security Act to the State of
Florida or the United States of America.
8. Assume the responsibility of not employing contractors or sub - contractors
other than those properly licensed by Miami Shores Village or any part or
portion of the work including, but not limited to, general contracting,
plumbing, heating, electrical, septic tank, solar system, lathing, tile,
terrazo, painting, roofing and shoot metal work or installation.
9. Not sot himself up as a "Contractor".
10. Execute Builder's Bond.
I
SUBSCRIBED AND SWORN TO BEFORE ME THIS 1,1111X of A. D.) 19
And further this Deponent says not.
1. Signature of Applicant.
2. Signature of Officer administering oath.
2.
i
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS 3 / tag
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INSPECTION
TIME READY
REMARKS:
N° 23535
/fr
r
INSPECTOR DATE
Ctf Occ 6/11/48 PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
77�y,���,,�� .D �_,,„
• W.[IIi' lL'i •.7GCU: s Elizabeth Johnson (0) 7/13/.8
191
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ADDRESS
79 N.E. 91st St.
LEGAL L 21, 22, Blk 1 1Z #1 RECORD GARBAGE TAX
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Owner's Name and Address As My leza, 07frin6
Registered Architect and /or Engineer 4St / Te e4 , l ' /45 OL
Name and address of licensed contractor � ( /fry
Location and , legal description of lot to be built on:
Lot cam /' I✓ p7/ lock /
Street and Number where work is to be done
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.
Subdivision n44J
'9f
State work to be done and purpose of building (by floors). state exterior colors (submit samples) rr O /.2A_ Ig 470 ,41
Remarks (Signed)
Date
Date � � Q2' 2 j 19 iSq
No. r [ treet
l/ / I /J6' to
and for no other purpose.
New Building Remodeling Addition Repairs No of Stories 1
To be constructed of 4 lf ./ Kind of foundation [. lie/ Pr& I Roof Covering &gime 4 j /P
,� �
Estimated Total cost of improvements $ e6) Amount of Permit $ 7 ,�
P
Zone cubage required Plan Cubage ii - try ° ' ® `� Z1 0
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
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida \ orkmen'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 agree to employ only such subcontractors, on work to be performed
under 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. personally appeared
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 f regoin application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No. 17 he
L r Date ` Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 625.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and'or workmanship.
Notary Public, State of Florida
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.
Owner's Name and Address
Registered Architect and /or Engineer �A
Name and address of licensed contractor �1 f
Location and le I description of lot to be built on:
Lo / I p 0130
d 67/ g O j Block / Subdivision / / / � ® / /3 / a
Street and Number where work is to be done --. fig- e l / G/
` ' ( /A
State work to be do e and purpose of building 1 floors), state exterior colors submit samples)
� /4e4? 1p p ' - A 4� 0 �Z7Ai f
k/ 1 /
1i•� / w '0,-eou oYL" l and for no other purpose.
New Building Remodeling
To be constructed of '' ��� Kind of foundation Roof Covering
Estimated Total cost of improvements S _1/45A90" , y//// "®4 Amount of Permit $
. -'
Zone cubage required
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
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the F
Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and
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
on the site of the work such public notice or notices as are required by the Act. The undersigned agr e to e p oy only suc .ubcontractors, on
under this permit, as are licensed by Miami Shores Village.
(Signed) � _ ✓ !i
Remarks
1
STATE OF FLORIDA
COUNTY OF DADE.
1 SS.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 19
k(9 > i*M3 No. Street q I
y
Addition Repairs No. of Stories
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
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 typplication, and that he did sign the same, and that all facts therein by him stated are true.
Permit No. a 9 g Date _✓
Plan Cubage
Read, Sworn to and Subscribed before me.
Disapproved k� Date
(Signed)
Building Inspector My Commission Expires
Notary Public, State of Florida
ida Workmen's
equire similar
for inspection
e performed
to me well known.
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved 1 ate Disapproved Date
NOTE: A charge of 525.00 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.
MIAMI SHORES VILLAGE Csr3 77/
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.
Owner's Name and Address
Registered !.rchitect and/or Engineer
Name and cress of licensed contractor
Location and legal escription of lot to be built on:
Lot c g, / itt ---2/ Block /
43 b1,15 Lez
Street and Number where work is to be done 4 - 1
AJNI-enri t)e,S
v il Lr
Subdivision
at- I
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
�:;fi�► 7\ 1(,. M .
/ J Ir' fr. 4Z
vas
Date D SefreniFi 19 71
No. Street
71' r/i/
I Me // ,z.sae '439
N1 ' o,,,; s v€s Vitt N I
L Ado Se ( 4-7(I `- idl C. r
9 Q
r
and for no other purpose.
New Building M Remodeling Addition / Repairs No. of Stories
To be constructed of C. M' v Kind of foundation gX i' N& (co g r^) Roof Covering 6. MU e- L
Estimated Total cost of improvements S �' 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to
..^
r
Mimi
4r 2318"I
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 e.• •loy only such subcontractors, on work to be performed
under this permit. as are licensed by Miami Shores Village.
Remarks
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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. Vt 4'40 Date / 1 / Read. Sworn to and Subscribed before me.
Disapproved �` Date ll
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved
Notary Public. State of Florida
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.
Owner's Name and Address
Registered Architect and/or Engineer
Name and address of licensed contractor
New Building
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.
fog* 4). 41,4
Location and leg01 description of lot to be built on: Q �� j� / 7
Lot�C Block / Subdivision 7 OJ it if av Ji a.&9/ / 3 'tj#
Street and Number where work is to be done / � 3Cf A. (/
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
and for no other purpose.
//�� Remodeling Addition p Repairs No. of Stories
To be constructed of (4 C9 (64 ' , Kind of foundation //4 Y / %2 c � /f7� Roof Covering
Date a
No. 7 Street
19
fi //
Estimated Total cost of improvements S , �� f ` 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 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 ac epts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Suppleme 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 perform d 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 e +loy on ` /such subcontractors, on work to erform
under this permit, as are licensed by Miami Shores Village. 7
Remarks /1// (Signed) L //
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me. the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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.
Date
Permit No.
Disapproved
(Signed)
Council Approved
Read, Sworn to and Subscribed before me.
Notary Public. State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
slate 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.
•
02/11/2903 02:4a 3057599254
i.
APPLICATION • R
hereby apply for a certificate to re - occupy the single family residence known as: (address)
{vA1ctvn S Vtor -
Lo
Lot: a 6( w1/4, Block: ,PB&PG:1 °
Legal description:
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 Mani Shores Village, Florida, certifies only
that the referenced property is being used For single- farmly purposes and that such Certificate does
not constitute any representation, warranty or certification as to the condi3• n of the dwelling or
other structures such
Applicant:
Print Name:
For the purposes of conducting the inspection required by Section 902 of the Mianni Shores
Development and Zoning Code, contact:
Contact Name: dU Telephoner 031 S5
Buyer: Seller, Realtor: Company Name: 1 1--1) 11q ?-sz_Ck. -(k
Date:..
Application Fee (550) Paid: Cash: Check: Number:
Comments:
Denied:
TRI VILLAGE REALTY I PAGE 01
TE OF RE -OCCUP i N
Mani Shores, Florida
b'L /11 /;ybd b1:40 jbb( VV2b4
CERTIFICATE OF RE- OCCQPANCY
IHI VILLAGE REALTY I PAGE 02
On behalfofMami Shores Village, Florida, the undersigned certifies that the property described
in the application has been inspected fbr the purposes of re- occupancy pursuant to Sections 901
and 902 of the Mtarni Sbores Land Development and Zoning Code and that such property may be
re- occupied by the applicant fbr single- f*ann'ty residential purposes_
THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY
HAS BEEN INSPECTED BY MIAMI SHORES 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 OT
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.
STATE OF FLORIDA,
COUNTY OF DADE. j ss'
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed statement or ine 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, I;lorid.t. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of t 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.
...
i7)
Ow'ner's Name and Address ..... .x. ��4' 67 .* _ ._ No. ..�........ Street-6
Registered Architect and /or Engineer Lt tt. ,t.• •t,.•1.,.„!!:lM.•:•,,!
Name and address of licensed contractor Al ` s4v Pere .1
Location and legal description of lot to be built on: // Jo' I e ///
LotZ(.c , f1 Z? Block ( Subdivision / 1 L-44. ' 7 1 . °
Street and Number where work is to be done = ..... __ ....._..� _
State work to be done and purpose of building (by floors) .5.7-144-1-- A Ci — (. r
_..__ and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 5 ' Amount of Permit S.
Zone cubage required _.._....Plan Cubage
Distance .to next nearest building. Size of Building Lot
Maairnum 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.. �8a 5' 0.7% k t64 ../ ®<4.4. 2zs a®. 295 2.9 - -c "' .4 1 1 .64(..elsekFtet.
Building Inspector
The undersigned applicant for this building permit dots hereby certify that he understands and accepts his obligations as an empl
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 bins
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 arc required by the Act. The undersigned agrees to employ only such su tractors, on work to be performed under this
perrnit, as are licensed by Miami Shores Village.
Remarks. .6 limo .... �? —r . tie �.`i._..__ (Signed)
13 »6
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
Notary Public, State of Florida
My Commission Expires
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 stat d are true.
Permit No..__. 9' Date .....lo Read, Sworn to and Subscribed before me.
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 1'lannir.;; 11o.ird.
A re- in.lpectiun fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workinanship.
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 R a
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot/2—L w Block L
Street and Number where work is to be done
State -ork to be done and purpose of building (by floors ) _
and for no other purpose.
New Building Remodeling Addition L Repairs No. of Stories
To b- constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ d Amount of Permit $
Zone 8ubage required__ —flan Cubage
Distance to next nearest building _Size of Building Lot
Maxi live load to be borne by each floor
II hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to------- — - - -
Tha 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 5988, 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 contractors, work to be performed under this
permit, as are licensed by Miami Shores Village. / J
Remarks
Disapproved
(Signed)
9
APPLICATION FOR BUILDING PERMIT
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
/� v / Dat
M L� i No
v
Subdivision
Date ?- 1 `
Date /_ . ,,
(Signed)
o
c c o
STATE OF FLORIDA,
COUNTY OF DADE. ss •
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared _
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No / __ 3
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
PLANNINQ' )BOARD `DATE
Street___` f 6
mission Expires
Chairman 1/ 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
zterials and /or workmanship.
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..
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot
Block
Street and Number where work is to be done
State work to done and purpose of building (by
v
New Building
To be constructed of
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building
and who, bein
of the above
therein by him
Permit No
Disapproved
( Signed)
Subdivision
Date
•
19
?,-
floors)
and for no other purpose.
Remodeling Addition Repairs No. of Stories
Kind of foundation Roof C2ering
Amount of Permit $ _... !/
.Plan Cubage
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 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 and take acknowledgments, personally ap-
peared
to me well known,
g by me first duly sworn, upon oath deposes and says that he is the
described construct) n, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
stated are true.
Date Read, Sworn to and Subscribed before me.
to
uilding nspector
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 hecn 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.
Notary Public, State of Florida
My Commission Expires
_ „Vey_
aftedzi
"*"P/4 red eva-d./
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.
Permit No
Disapproved
(Signed)
ss.
Date
Building inspector
MIAMI SHORES VILLAGE
L
BUILDING INSPECTION EPARTMENT
BUILDING INSPECTION EPARTMENT
r
Owner's Name and Address
Registered Mrhiteet and /or Engineer
Name and address of licensed contractor
Date , 19.L5
Location and legal description of lot to be built on: (° y
Lot a .i_. . 4l��ck // Subdivision._._._ a- � 1 [
Street and Number wher work is to be done 7 ®�..'. /..__E T.
State work to be done and purpose of building (by floors) - z!'.'cf'� -s- —'= &*( -��=„^ s'-- ,-- -
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements 5_..._..7 Amount of Permit $ d.
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 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 wok to be performed under this
permit, as are licensed by Miami Shores Village. �� r '
Remarks (Signed) J ��� '
STATE OF FLORIDA,
COUNTY OF DADE.
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. ,
Read, Sworn to and Subscribed before me.
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 Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building Vr
tZ
Architect
Contractor Cr" `
or Builder
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 4- ' z 19 '
o PERMIT Na 7483 Contractor's
o License No.
❑ J
❑ Work to be performed under this Permi # / i ' t t 1 47-
Legal Lot
Description '�
, v I 4 —
J k f. ► t .�
f 81.
Address of - I' Amount of
Building �1 f r ' T( c c 1 � - 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. /
7
., - - k. , _.iNSPEF3pQR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all �rdinances and regulation's
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of ami Shores Village. In ac
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
Subdi- / , / /
vision
Value of
Project $
Signed.
f
1
BY AUTHORITY ABBOT ..,.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
/1, • y ,
{ CONTRACTOR OR BUILDER
MIAMI SHORES
o PERMIT N°
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description Bl.
Address of
Building
VILLAGE.
6703
Work to be performed under this Permit
Value of
Project $
FLOi3I RA
DAT .
Contractgf's
License No.
BY AUTHORITY
195`
Subdi-
vision ^°
Amount 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 application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility 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'` regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting_ this permit I assume responsibility for all work done by either, myself, my agent, servant ar employee.