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152 NE 92 St (6)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dates/' / Type Insp'n �1 � �G 6 i " prci r .SS Permit No. g + O '5 - 35o Name < tq Cr - 1-9 3 n a I f 5 'f' Address i� N q �. Company J- _bLoE.rci 4 e F r Or r Phone # (9o) 635 - 1 - ®O Inspection Date Approved *7/ Re- nsp'n Fee Dat Type Insp'n Permit No. Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 4A5 305- 795 -2204 Building Inspection Request o' - kl) Names Address IS o& Company �( �( Phone # 'C 1 " Q) o b Inspection Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Da f / Z? / O Type Insp'n Permit No. ► P & (- - q 11 Name sA -Ainr Address (' ` l • CTI3L Company Phone # Inspection Date3/ / / 0 V ; I( Approved Correction Re-Insp'n Fee Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque , \1 Date 517 1 �-rcrn l nq Permit No. 6 - 2'7 \i Name A ' 1-100 - p - ` Address NE 1013J- Company C CA-NU 1 t1 i 1- Phone # Inspection Date 5 1 . ") ( Approved Correction ❑ Re- Insp'n Fee ❑ Da Type Insp'n Permit No. Name Address Company Phone # Inspection Date V MIAMI SHORES WLLAGE �.S3L) BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Approved Correction Re- Insp'n Fee , MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu ding Inspection Request , Dat Type Insp'n J t f . Permit No. 690S- Name cCi a e3 . ph no . Address IS - / �► at c s-i- Company LOW ex Phone # Inspection Date 47 Approved Correctio Re-Insp'n Fee 0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT U ps 305-795-2204 \ ( 1., Buildigg Inspection Request �� JJ Date� Type Insp'n / '��` i, 4- Permit No. ®,fi 3 U Name ,■am, Address / O 9a Company Phone # 5A l 7p o Tre Inspection Date Approved Correctio e- Insp'n Fee cS I i MIAMI SHORES VILLAGE BUILDING DEPARTMENT �� 305-795-2204 �J Buildi g Inspection Request Date Type Insp'n Permit No. * al - Name .� l� 4 e t Address 2_ ' r� fOYO ' q? s �V Company I_ Phone # Inspection Date Approved Correction Re- Insp'n Fee ,yea te3 &iv/Li Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law broth 're will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of comment -meet must be posted at the job site for the first inspection which occurs seven (7) days after the building per it is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. As iden ca ; on Signature Owner nt The foregoing instrument w. cknowledged before me this day of J ab -X20 , by who is perso ally kno . or o produced and who did take an oath. NOTARY Sign: Chc 10/14/03 i i i�ir l - E aFTH C - 1, WM' P•- 0 My Co s s Sion Expires: Omm Np p ay 24 , 2 0. ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * iw4************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** qq (Certificate of Competency Holder) t'.. State Certificate or Registration No. PC t ®i Certificate of Competency No. ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Signature Contractor The foregoing instrument was acknowledged before me this y day of ;r _ " by who is pers ally kno ,;. a - of y as produced and who did take an oath. My ommission Expires: r(10 6 ati SHERMAN Sta e of APR ° 7 MN M 2 4414" S' Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle) Miami Shores Village Building Department Owner's Name (Fee Simple Titleholder) ) /' \ Y� \f - i\Q■L \ \C) Owner's Address City (N \ •.. era t,j State t C Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) / 2 -) cA / ( ` (LC 7 City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name C _ $ Value of Work For this Permit (Continued on opposite side) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Total Fee Now Due $ 0 1$9,bO Q L ISO • Permit No. - -L'= t f — a4 Master Permit No. Electrical Plumbing Mechanical Roofing Phone # Phone # Contractor's Address /I C i?» City / 1 / /4 41 / State i ( Zip S 3 l G Qualifier "1 1'1 L 5 S Square Footage Of Work: oax Zip sSf. Type of Work: ❑Addition ❑Alteration ❑ Repair/Replace Architect/Engineer's Name (if applicable) \ L Phone # _l I `' �' 3 77 / de ❑ Demolition Describe Work: ��.w 5 � L- c —' / sij 1,36' '(.9e) * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** t Submittal Fee $ . Permit Fee $ 910 + IU/= 6772 CCF $ /2,40 CeACC . J Notary $ Training/Education Fee $ Technology Fee $ l� Scanning $ /6 Radon $ Bond $ 30 Code Enforcement $ Structural Plan Review. $ 50 00 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/7/2004 Applicant: JAMES Owner: AGOSTINO JOB ADDRESS: 152 Contractor ESSIG POOLS Local Phone: 305 - 949 -0000 Parcel # 1132060133260 NE 92 Fees: FEE2004 -3654 FEE2004 -3655 FEE2004 -3656 FEE2004 -3657 FEE2004 -3658 FEE2004 -3659 FEE2004 -3660 FEE2004 -3661 Description Building Fee CCF CO /CC Training and Education Fee Technology Fee Scanning Fee Radon Builders Bond Total Fees: Amount $640.00 $12.60 $50.00 $4.20 $16.00 $15.00 $6.92 $300.00 $1,044.72 Permit Status: APPROVED Permit Expiration: 8/16/2004 Construction Value: $21,000.00 Work: NEW POOL WITH DECK 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 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -217 AGOSTINO JAMES ST Contractor's Address: 1800 N. E. 151 ST. Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 8 & 9 BLK 24 LOT SIZE 100.000 Total Feeda1 041 Total Receipts o o ggo° BY: NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF RRST INSPECTION PERMIT NO. TAX FOLIO NO. - STATE OF FLORIDA -- -- COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby glues notice that Improvements will be made to certain real property, and in accordance with Chapter 713 Florida Statutes, the following Information Is provided In this Notice of Commencement. 1. Legal description of property and street/address: Q (.k a e 03 / i1 `� 7-- i 18 p ' a • 2. Description of Improvement: f o-4 / 5p ,q- ( c� 3. Owner(s) name and address: JZ-(4' W-o i 0 :�es�c�w,yf ,, Name and address of fee simple titleholder. Interest In property: 4. Contractor's name and address: F SSu3 POO (Roo 11E. (R1 -(. ti1. 4)1a-tit/ :33/ (o )- 5. Surety: (Payment bond required by owner from contractor, if any) . Name and address: Amount of bond $ 6. Lender's name and address: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII _. CFN 2004 - 80100365 OR Bk 22041 Ps 0581; (lag) — RECORDED 02/12/2004 - 14 HARVEY RUVIN►'CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA — LAST PAGE 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: • .8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as In Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differen :: to is speclfi Sign'of Ow er Print Owner's Name Sworn to and - • 44 do e subscrib - d befor e day of ,�� � J i / NNETH SHERMAN -,i.{� ■111111pirgili CXp. Ma 24, 20 07 eo es: Comm. N0, 0D 182405 or, a , 20 Notary Public Print Notary's My commission e 123.01-52 PAGE 4 5/02 Prepared by 3-3-r_ Address: • / g o ) /S/ S7- ❑ PERMIT N? 15728 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bi. Description Address of Building 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. Si ned: g INSPECTOi BY In consideration of the issuance to me of this permit I agree to perfwm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, stateme'hts 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. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ BY DATE 195 Contractor's License No Amt. of Permit $ AUTHORITY BUILDING ELECTRICAL ❑ PLUMBING ❑ ROOFING El Owner of A ! A ,. • Building PERMIT IT? 11673 Work to be performed under this Permit (// - - /- w Architect Contractor or Builder Legal Lot II Bl. Description Address of Building I MIAMI SHORES VILLAGE. FLORIDA 104 J" et, Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building o herefor in strict compliance with all ordinances pertaining thereto and with the understandin t drawings, statements or specifications that may have been submitted to and approved by t time if the work is not done in compliance with such ordinances or if the plans are change granted is the understanding that the contractor or builder named above assumes the respo pertaining to the work covered hereby whether shown on the plans or drawinp,gr in the sta done by his agents, servants or employees. f d d CONTRACTOR O BUILDER BY ¶; h DAT1 V' • „"1 Signed. BY INSPECTOR -_/ t Contractor's License No Amt. of Permit • 195 rerePi t a equipment or device described in the application ork will be performed in compliance with any plans, nicipal authorities. This Permit may be revoked at any orization. A further condition upon which this permit is r a thorough knowledge of the ordinances and regulations nts or specifications and that he assumes responsibility for work In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all oM nances 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 accepti this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. d AUTHORITY 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 E n g i n e e r Name and address of licensed contractor_ . M /I s aZ Location and legal description of lot to be built on: Lot.. Block Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. Ss. Before me, peared Chairman Member Member _ Council Approved__ Date.._.. ! 22 ate .. Building Ins tor Date 1 , 19 Nort _ -- Street_ G' -71- .t-- 1l!_ ,vac_ and for no other purpose. New Building .__. Remodeling._ _____ __.. Addition Repairs No. of Stories To be constructed of Kind of foundation_ • 0 Estimated Total cost of improvements $ 3 -0.0 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 foi said building. All notices with reference to the building and its construction may be sent to___._ lo 4 140 *fir Subdivision._ State work to be one and purpose pf buildi (by floors).. Roof Covering. The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Sec :ion 5968, 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 ' nspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su 'Contractors, on wo• • to be performed under this permit, as are licensed by Miami Shores Village. Remarks._ ___ .... .. (Signed) undersigned authority, a notary public, duly authorized to administer oaths and take a, knowledgments, personally ap- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Disapproved __ (Signed) _ ... -- .___. ,__ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires_ ANNING BOARD_. __ . DATE Member Member Member . _ _ .. .__. _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 r CONTRACTOR QR BUILDER MIAMI. SHORES VILLAGE, FLORID DATE) / 4 / Contractor's License No PERMIT N° 7743 Bl. Work to be performed under this Permit )1 .i Architect Contractor or Builder Legal Lot Description Address of , t, . ` �r / « , . w Value o M � Amt. of Building 1 / , • Project w Permit / This permit is granted to the contractor of builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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. r ,,. A , Signed. } ` eleol?'t- - B _ SPECTOR In consideration of the issuance to me of this permit I agree to perform/the work covered hereunder in compliance with all o i na ces and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aioritie zit= ianiy Sl}grei Vil�ge. In acceptin this _�ppermit I assume responsibility for all work done by either myself, my agent, servant or employee. 1 •VV A , ice �rsr Subdi- vision BY AUTHORITY 194y_ 1 FMIGATION: D PROFESSIONAL QUALITY FUMIGATION AND TERMITE WORK 7471 N.W. 8 STREET, MIAMI, FL. 33126 / P.O. BOX 441687, MIAMI, FL. 331441687 / TEL. 262 -3301 TERMITE & FUMIGATION, DIV., INC. 7471 N.W. 8 STREET MIAMI, FL 33126 262- 3301- - -DADE (FUMIGATOR - WHOLESALER) LOCATION OF STRUCTURE: CERTIFIED OPERATOR IN CHARGE: BOB LO SEAL FUMIGATION: cc: County Health Department: Fire Department: FUMIGATION NOTIFICATION 066 /0 2A , 7'407 Lek/. (CO T ° RETAILER) 6 11) OWNER'S NAME & ADDRESS: 1, /i thy TYPE OF STRUCTURE :CBS ,FRAME OTHER RESIDENCEf�,APTS OTHER APPROXIMATE CUBIC FEET: 000 o NAME & APPROXIMATE QUANTITY OF FUMIGANT:VIKANE _OTHER lbs 9 DATE & APPROXIMATE TIME OF RELEASE OF FUMIGANT:,4 7 /7 APPROXIMATE LENGTH OF FUMIGATION PERIOD: (O 4)eir5;' TELEPHONES: 262 -3301 (day) DADE COUNTY 264 -5754 (night) DADE COUNTY Fumigation shall be performed at all times in strict adherence to the Fumigant's registered label and Florida State Division of Health Regulations, Chapter 1701 -2 of the Florida Administrative Code. TERMITE & FUMIGATION, DIV., INC. shall hold itself primarily liable to the Florida State Department of Health and Rehabilitative Services for the full performance of all fumigation work performed on the above described premises, and shall hold itself primarily liable for the full performance of all of the terms and conditions of the retail Florida Statutes and Chapter 10D -55, Florida Admini- strative Code. TENT FUMIGATION \k/64455 (A copy of this Application, together with one copy of plans and specifications, must be kept at building during progress of the work.) 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 con- formity with the Building Ordinance of the City of Miami, Florida, which said Ordinance was approved July 7th, 1919. All provisions of the Laws of the State of Florida, all ordinances of the City of Miami, and all rules and regulations of the Building Department of the City of Miami, shall be comied with, ther herein specified or not Owner's Name and Addre`)i 4 4)\ ' 41 •'' ; "ti\• Architect i Name and address of contractor or builder t) 04-Al ;t� ..�-fir vv../ Location an gal description of lot to b bui on: Lot Block Subdivision Street and Number where work is to be done. ...`ar 11 E 9 Permit No. I. SS. Reasons (Signed) APPLICATION FOR BUILDING PERMIT Building Inspector. OFFICE OF BUILDING INSPECTOR As CITY OF MIAMI FLORIDA • issued on above application. . • Classification -` • Disapproved State work to done a d purpose f�(b loors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of ' ` d of Foundation Roof Covering Estimated Cost of improvements $ Plumbing Elec Distance to next nearest building Size of building Lot Maximum live load to be borne by each floor I hereby submit all plans a cificatio � u}1 ing.��.11no� e�� reference to the b uild' and its construction may be sent to� 4 • .G f Cj y,�`�i (Signed) ' Date STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned autho ' nota p lic, y u hor' to administer oaths and take acknowledgments, personally appeared_._. ....._ .. 7 • to me well known, and who ing by me first duly sworn, upon oath deposes and says thatshe is the 6 of the • described construction, that he has carefully read the foregoing application, and that he did sign the s:,s,! and that al],4cts therein by him stated are true. bsc •e' before me, 's, otary P lic. (Signed) y71/ /3- A / My Commission Expires This space represents the Lot; Indicate the building in space showing the distance from lot lines and other buildings. 2 l Street 193 No.. ls1■"' - 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 19 Owner's Name and Address • ).41..._AL _ _ No.___ _ c' - Street__ 11/1 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done /5 ., Z/4 2_444 State work to be done and purpose of building (by floors) delt__2 1!_L'_; : '' ( ' ,___: t _ C and for no other purpose. New Building Remodeling Addition Repairs 10°`° No. of Stories s� To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ - , 4 _ _ _____ __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 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 eposes and says that he is the of the above described construction, that he has c refully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. / c- fi .) �/- - �• ' A Permit No. _ Y � Date - Disapproved i (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. o (Signed)_ = �.�' .rd� PLANNING BOARD DATE / Read, Sworn to and Subscribed before me. is 1 Notary Public, State of Florida My Commission Expires Member Member Member r _ Disapproved Date corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty d (A copy of this Application, together with one copy of plans and specifications, must be kept at building during progress of the work) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub- mitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of the City of Miami, Florida, which said Ordinance was approved July '7th, 1919. All provisions of the Laws of the State of Florida, all ordinances of the City of Miami, and all rules and regulations of the Building Department of the City of Miami, shall be complied with, whether herein specified or not. Date , 192__ Owner's Name and Address Street '' ' No Architect Name and address of contractor or builder Location and legal description of lot to be built on,: Lot Block 1 Subdivision Street and Number where work is to be (tone Purpose of building (by floors) and for no other purpose. New Building Addition Repair Remodeling Number of Stories - Estimated cost of Impro npents not including furnishings) $ t, Type �.' T e of Constructiyn � � ' � Roof covering (' " Foundation Number of persons to be accommodated (maximum) per floor Size of building lot Distance from next nearest adjoining building (from all sides except street) Heating system, if any (kind) Plumbing ' ` Elec Elevators: passenger freight Manufacturer 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 STATE OF FLORIDA, COUNTY OF DADE. } S S . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowl- edgments, 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 building, 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. �- My commission expires THIS TO BE FILLED IN BY BUILDING INSPECTOR Permit issued upon above Application , 192 Classification Disapproved , Reasons: In this space give lot dimensions; make sketch of ground plan, and distance of building from all lot lines. CITY OF MIAMI FLORIDA (Little River District) OFFICE OF BUILDING INSPECTOR APPLICATION FOR BUILDING PERMIT (Signed) (Signed) (Signed) Building Inspector.