ROOFING• MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date 9- S� , 19.
Owner's Name and Address 4...._ .) . �iEI L %,...P..Q.T. No. i Z a c' Street N• E . S3 —
Registered Architect and /or Engineer p
Name and address of licensed contractor, N �c LA. 4 _
spec /,_� __ L6 , e?i? 3 /V %....). 7/' �,
Location and legal description of lot to be built on: B
Lot Block Subdivision._._._ o• Z ..u_g. C.
Street Ai and Number where work is to be done 1 Z 41 O i . . • 1 2 ' �
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering - 7; 4 •E'
Estimated Total cost of improvements $ �. 7• 0 St Amount of Permit $ 4. 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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be pe form, this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) 4).
iiir►
STATE OF FLORIDA,
COUNTY OF DADE. j ss'
Disapproved Date
(Signed) f.4J
f
Notary Public, State of Florida
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 sttatted are true. , f
Permit No 4 ' 7 Date '- J' Read, Sworn to and Subscribed before me.
uilding 1nspe `- 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.
ea
PHONES
PL 9 -6288
84 -7763
BONDED ROOFERS
CERTAIN -TEED
BARRETT
JOHNS- MANVILLE
To: Miami Shores Village
Building Inspection Department
Miami Shores, Florida
Owners name
Job address
Type of roofing
Contractor
Amount of job
Amount of permit
s'1Ceet 7?letal gpecialt C O.
573 N. W. 71sT STREET
MIAMI 50, FLORIDA
ROOFING AND SHEET METAL CONTRACTORS
A. W. Philpott, Jr,
1240 N. E. 93rd Street
Shingle tile
SHEET METAL SPECIALTY CO.
573 N. W. 71st STREET
MIAMI SO YLO1 XD
$954.00
$5 00
TILE ROOFING
BUILT UP GRAVEL ROOFS
ASPHALT SHINGLES
ASBESTOS SHINGLES
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement ur Inc 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 nil provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Divisinn 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.
Ovmer's Namc and Addres% Mr. & Mrs. David Qon ._ ._. No..— .......... ... Street-1240 EA .....9.3_. St.
Registered Architect and /or Engineer „ :,. .., •...,...,,,,.,...,...,. ,-<, ( e•;„,
Name and address of licensed contractor A . B « » Tyiart in Ro ofing _ `i 68 0 P G1 ,rj..,,a; ae,;r...- =.!3 3, 0
Location and legal description of lot to be built on:
Lot Block Subdivision —
1240 N.E. 93rd Street
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Re -roof 36 squares
tin .cap mop
New Building
To be constructed of Kind of foundation
and for no other purpose.
Remodeling Addition Repairs No. of Stories 1
Roof Covering tile
Estimated Total cost of improvements $.. .. 7..,.970, 0 0 Amount of Permit S. 21).,..0.0
Zone cubage required plan Cubage
Distance .to next nearest building Size of Building Lot
\faxirnum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, 'a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true..
0 (‘- O
Permit No.. ' �- 7 ^ Q Date - 1 - (1 - Read, Sworn to and Subscribe ef�C me.
Disapproved Date '4"'i
Notary Pub tcl , StaXtf ' lculdfl STYE 3. EI_CRIDA AT LARGE;
( Signed) MY COMMIS 1 ON EX? l ;;t. rr •7 to
My Commission Expires .... 83
BONDED THKU .izt' AL !INS Urr;ARWRIiER$ ,I
PLANNING BOARD DATE ',- Chairman Member ...._ ............. ........_......._........._..._
Niern 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 hero obtained (mm
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 Inspector
'Village of Miami Shores
JOB . 4)- Pal IL Pe
ADDRESS / Z o it) • 67 - 2 3
INSPECTION T'
TIME READY
REMARKS
•
INSPECTOR
N? 4931
DATE X° / /
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of A
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
❑ DATF 195-
O P E R M 1 T N° 4276 Contractors ,,
License No. ' 1
id
❑ Work to be performed under this Permit
t•-
B1
4, f
Subdi-
vision
Value of
Project $
Amount of
Permit $
r
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
Lime 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
wanted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
,ertaining 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
one 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 with all ordinances and regulations
,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
= epting this permit I assume, responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY e,„
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date — 777 -- 9 Job Address / L VO ,U6 4 ,3 d Tax Folio
Legal Description Historically Designated: Yes No
/ Lessee / Tenant / S,�Q ,4vf i3O d'-- Master Permit # '1007(
Owner's Address / Z «a /U - ' 5'3 , J l Phone
Contracting Co. E 0 & 21 At/ /— XicAlheu Address 22 ‘/ ilOt / 4 / f'l i/ z /3?
Qualifier - i V t iss# Phone 79 Z /2-v7
state# OU ,1 ,3 90 f Municipal # Competency # /0/ Ins. Co. 121
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ' OOFING PAVING FENCE SIGN
WORK DESCRIPTION QvC
S q u a r e Ft. r 2cc, , P 1 - 7 Estimated Cost ( v a l u e ) 7G' 7 9 2 —
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
04V/a 4U. ee.' 6 1. ? 4' 7 1
Signature of owner and/or Condo President
Date
Building
Electrical
•
Notary as to Owner and/ do President Date Notary as to Contractor or Owner- Builder %,;7 ;•... 522 • ; 'atie
My Commission Expires: My Commission Expires: ....... Q
. "OF7,IC'AL N('. ;AR ( S r.AL" >
l,:iL .iA13 N.:C dxt:, >
F F . y
RuE yr.b::..Siascu. pia >
C,rr sys;c- !4o. CC 2 524? >.
My _.51ris;7a :;t:: ,019/95
>
m Fla.
' �anJ:d7��gh tt i;;r;d•,r ^,Ca. >
I- £00 -3- O A¢ y >,
) I77)1I7J777.>7777Y mr/ ;,Y7w777777777W» �J
FEES: 9 EES: PERMIT 0, RADON C.C.F. NOTARY TOTAL DUE J I.
300 66'd°
1
APPROVED:
Zoning
Mechanical Plumbing Engineering