DRIVEWAY PERMITRegistered Architect and /or Engineer
Name and address of licensed contractor .. 1F ..
Location and legal) description of lot to be built on:
Lot.. 0 /9'4-
7 `—" Block Subdivision
Disapproved Date.
(Signed)
Building Inspector
C'rrair;min
Member
Member .. _.....__....._..._.�.._._....._
Council Approved Date
NOTE: A charge of $1.00 will be made for
the PLrnnir,;; Board.
A re- Inspection fee of $1.00 will be charged
materials anti /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed statement or me plans and specifications herewith submitted for the build
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at' building during progress of the work.
Date...------ALZr2._ 19P.
Owner's Name and Address ...../4 1,2 . ��L �'� /��' _. No . Street..CZ .192 =SY
.1../-1C ........ %U �?..
Retnuks (Signed)
My Commission Expires _._.
PLANNING BOARD
DATE
Street and Number where work is to be done 7 . _ _ .Cc? _ 7... __.__....._._ ._ _.
State work to be done and purpos of building (b,y floors)..... 2 .FJfl l .�' �..... l.r t_l.eK .. ... _ .
Gc) / 774 mZ ',<.f'.li. ..1.'?:J6.��1`fC21 c T. e C e G' e.....
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 $.. 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 ‘Vorkrucn's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup clement,
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.
Notary Public, State of Florida
e4, 5 G 4 2t2_
TIc J
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. � G /
Permit No.._. / Zy t Date 1 ?. Read, Sworn to and Subscribed before me.
Member
Member
Member
Disapproved Date
making corrections or changes to this application after appnwal has been obtained frrnn
when such re- inspection is made necessary by improper notice for inspection oe faulty
:ontractor
Jr Builder
•egal Lot
)escription
tddress of
wilding < /
MIAMI SHORES VILLAGE. FLORIDA
DATE E
MILDING ❑
:ECTRICAL ❑
'LUMBING ❑
:OQFING ❑
1 C 0
?caner of
�uildincJ `
PERMIT N° 4908
architect
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
Contractor's
License No.
/?
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
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
!ranted 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 cr in the statements or specifications and that he assumes responsibility for work
one by his agents, servants or employees. l'
Signed / BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered h Zunder 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
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROWING ❑
Owner
Building of / /4 -•
Architect
•
Contractor . / C >'
or Builder r> . - . ; / ,_ - _ l = ,
Legal Lot
Description
Address of - r),,
Building _ n
This permit is granted to the contractor or
herefor in strict compliance with all ordinances
drawings, statements or specifications that may
time if the work is not done in compliance with
granted is the understanding that the contractor
pertaining to the work covered hereby whether
done by his agents, servants or employees.
MIAMI SHORES VILLAGE, FLORIDA
DATR �' 195 -S7
PERMIT N9 4908 Contractor's ,
License No. C Z , %
c «
Bl
C
c7 (
Work to be performed under this Permit
•
, Value of
Project $
Subdi-
vision
builder named above to construct the building or to install the equipment or device described in the application
pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
or builder named above assumes the responsibility for a thorough owledge of the ordinances and regulations
shown on the plans or drawings cr in the statements or spec'ffc ions nd th )zt he assumes responsibility for work
Signed.
i
.1)
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered h
pertaining thereto and in strict conformity with the plans, drawings, statements or specifics ions sub
cepting this permit I assume responsibility for all work done by either, myself, my age sery
/ li
BY
Amount
Permit
o
6
eunder in compliance with all ordinances and regulations
tted to the proper authorities of Miami Shores Village. In ac-
or employee.
CONTRACTOR OR BUILDER ' BY AUTHORITY e
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
STATE OF FLORIDA,
COUNTY OF DADE. J ss
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date / , 19
No Street
Name and address of licensed contractor c ' ' C C ,::.,.,.5.. 4V A'; !1) ✓ ��
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
6
State work to be done and purpose of building (by floors) kln nti A. . :44 c ' % • ,,
�pp ( =� >
� = � 1.e1,G..___ ),,, �� ., ✓ 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 $ { __.4 . .i Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, 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
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 ted are true. 7
Permit No C Date /- / Read, Sworn to and Subscribed before me.
Disapproved 2 { f Date
L c . � � � 1T
(Signed) U~
Notary Public, State of Florida
Building Inspector 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
at
3
,