275 NE 92 St (9)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 1uilding 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.
/� n --
Owner's Name and Address A",..1
. • -._ £� 4 � 1) No 7...5
Street
Registered Architect and /or Engineer ` I
Name and address of licensed contractor a t" 3 (2C) ,4
Location and legal description of lot to be built on:
Lot./11 /v' Block ..."---‘t u Subdivision 4j /iM 1 5 XCS reg
Street and Number where work is to be done ;2._ 1 11 e , ' S l
StState work to be one and purpose of buildi g (by floors) G - -- - � - --.L-e
lb--
Zone cubage required _
Distance to next nearest building .__ -. -/6
e �
Building Inspector
New Building Remodeling
To be constructed of Kind of foundation -
C9
Estimated Total cost of improvements $
C/4" 0
and for no other purpose.
Addition r/ Repairs No. of Stories
e" c ir/ G.
Amount of Permit $
plan Cubage
Size of Building Lot
Date. j °Ls, >r ?o ,ov
Roof g Brin
0S"iC / mss
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) Cot
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 31 Z q 8 Date J- -
Disapproved f tt` Y Date
(Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
N .
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.
CRADE
ENDURE -A- LIFETIME
ALUMINUM PRODUCTS INC.
2375 N. W. 75TH STREET
MIAMI 47, FLORIDA
3" 0 STEEL CoL.
� 2 " woe Come. CDL w/
- - 0.6" RODS /NiD .C7G:
/ "x "COM. Cn w/
; 2 /4 #S e015.5 -comriN.
. •... , .�. a • . .
SCALE: / "= / - O"
DRAWN
C TjZUNN 17T4/L
CHECKED
-- 4" come. SLAB
of
4J.
BERN R.a
27E /YE' _92'1 ST.
DATE
DATE
APPROVED DATE
SCALE
DRAWING NUMBER
(Signed)
0 � b
Distance to next nearest building.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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 iuilding 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
Owner's Name and Address ......_ /1.. , Elf , V 4,de, No._.d.2 ,Street
Registered Architect and /or Engineer ... - QSS 4 �4' " ___...._. $ Ay/
Name and address of licensed contractor ' 4V t t. 4 — t l'E2T /N, / 9 J -6:
Location and legal description of lot to be built on:
Lot //_ SO/' 6 4s Block ) 6
Street and Number where work is to be done
Date tr
Disapproved �,� r
Date
/ 950
/6"'
Subdivision
State work to be done and purpose of building (by floors)
New Building Remodeling
To be constructed of Kind of foundation
Estimated Total cost of improvements $
Zone cubage required
o1i / s /90/C -C See. /
47 S
- �D / ?'iv
O�L �. 1
7- 2V-
Addition...__ Repairs
CD CJ_.4J
No. of Stories
Roof Covering /1-4e11!'J--_ C .
Amount of Permit $ 00
...J1
.Plan Cubage 16 •
Size of Building Lot
_5 � / X
O
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 -1V V diee" — ." 4 / /- 4ze/ -
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 contr :tors or sub - contractor employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspect n the site of th w• such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontr . cto n wo to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Read, Sworn to and Subscribed before me.
19
9
and for no other purpose.
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 trug.
Permit No -
Notary Public, State of Florida
My Commission Expires
Building spector
PLANNING BOARD DATE
Chairnan v 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.
C'Ch �p�n G
so 0
2.4 S °
AIL _
.0op
P
11