326 NE 92 St (15)BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING CSI`
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 9604
Architect
Contractor
or Builder
Legal Lot
Description II Bl
Address of
Building
Date
19_
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Sq. Ft.
Value of
Project
II Amount of
II 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.
Signed • (INSPECTOR) BY
In consideration of the issuance to me of this permit' I agree to perform the work covered hereunder in compliance with all ordinances and regulation
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.
CONTRACTOR or BUILDER
BY AUTHORITY
s3UILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor,
or Builder'"
Legal
Description
Lot
Address of -
Building =-3
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 6017
Owner of
Building
Signed.
In consideration of the issuance to me
pertaining thereto and in strict conformity with
ceptin, is permit I assume responsibility for
A i , ? � s , . c ,, ,,
ONTRACTOR OR BUILDER BY
Work to be performed under this Permi
Bl.
Subdi-
vision
Value of
II Amount of
Project $ 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 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 statwents or specifications and that he assumes responsibility for work
done by his agents, servants or employees. ? /7
v ,
INSPECTOR
of this permit I agree to perform the work covered her {ruder in compliance with all ordinances and regulation:.
the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
all work done by either, 3'nyseff, my agent, servant or employee.
DATE
195
Contractor's
License No.
BY;
AUTHORITY
Owner's Name and Address
Name and address of licensed contractor
M AM SHORES MOLL °.CAE
8t'.:.DRRIG ONSPECTBOM ofsPARTM NT
A O�Lu.Orj'TO G� F O oMOLDON1O PEO OIST
fi
0
Registered Architect and /or Engineer
f(Q)
0
Application is hereby made for the , .pproyal 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 ' 7
No. a to street. -/YE Q'.. 5 •
( tau — • 2-3' -
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 3 1 6. rtE 5' Z' C f" p
.-I (Y t•— A of cf �� .. —i —
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repairs No. 9l yy of /d S `� Stories j
To be constructed of Kind of foundation Roof Covering 4 e, ta r --
0 0 , v�
Estimated Total cost of improvements $ 7 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, Pennanent Supplenient,
ontractor ub- contractors employed by him
tion .— e of the such public notice
acto ., . work to die performed under this
and has complied with the provisions thereof, and will require similar compliance from
in the work to be performed under this permit; and will post or cause to be posted f
or notices as are required by the Act. The undersigned agrees to employ only such
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,
1
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. tr -
Permit No..:__ <_.5 2 — Date Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Chairman
Member
LANNING BOARD
Notary Public, State of Florida
Building InsJ for My Commission Expires
DATE
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 1- obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper not e tor ins! t 'ion or faulty
materials and /or workmanship.
STATE OF FLORIDA,
COUNTY OF DADE. ss
peared
Disapproved ____ _
( Signed)
Chairman _
Member
Member
Council Approved
MIAMI SHORES VILLAGE
UILDING 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.
D
Buildin pector
Date__ t . -- , 19 .613
- - No... _. Street__._1 -5740' e1
Own°r's Name and Address._. . //e7
Regiaered Architect and /or Engineer... _ , y �
Name and address of licensed contractor. �e 7A' 4,Eze ' -. -elf_ -CPC ,60X _. "'‘g�fe.."/4 __Pd
Location and legal description of lot to be built on:
Lot__ Block Subdivision
Street and Number where work is to be done 3,, e , ve ,..P-- s' e_e f
State work to be done and purpose of building (by floors)._ �.4b1_d_✓9__.G_'FP /25 _Rrt -gaup ?P1 :Q /'-'
5 /%y I4 /sue zw A 'mss- /R , -/e ckt 1rh_. egg —
[� / dpi _ c �P ��.C_�r_p�r � cW
9 S'i jL� /_s?ir 7!'4_2 ! 6? e, e eP. ' ?f--- and for no other purpose.
New Building Remodeling Addition -_ Repairs - ...,d No. of Stories._... /
To be constructed of Kind of foundation. Roof Covering._. .4 fo-
Estimated Total cost of improvements $_� to ®' Amount of Permit $
plan Cubage_
Size of Building Lot
Zone cubage required
Distance to next nearest building
Maximum live load to be home 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 doc 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, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
m 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, undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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
Date____` ___ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires._
PLANNING 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMO SSH®=E6 VOLL, GE
Date
U .OR G INSPECTION
0
State work to be done and purpose of building (by floors)
Florida room.
PPARTI 1ENT
APPBJ tT0 N r o n C3UOLLDING (IERMiT
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. November 3,
Date 1969 ,19
Owner's Name and Address Harrey Kelley No._ 6
Registered &fvrEngineer Thomas J. Kelly, 5139 SW 8th St., Miami, Fla.
Name and address of licensed contractor Home Imp. rflyeIlleYlt __. CO_..,..__1a31__Sabt.__27 A 3 4D
Location and legal description of lot to be built on: .5
Lot ifi Lot & loc 48 Subdivision .M7.?..I11,7..__,`2}1S?Tes___#1
a�1 Lot - - 1 - 0, Bl 8 326 N. E. 92nd St.
Street and Number where work is to be done
Add screened patio, roof and remodel
and for no other purpose.
New Building Remodeling X Addition X Repairs No. of Stories 1
To be constructed of WQOd Kind of foundation
concrete Roof Covering. 4 BE( Tar & Gravel
Estimated Total cost of improvements $ 4000',00 Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building 20 _ft. j Size of Building Lot 75_ X__.129_.50
Maximum live load to be borne by each floor.... t
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. - -__ Nome Improvement Co..„ 1831 SW 27th Ave.., Miami, Fla. 33145 - .
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 o A the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcon. ac .rs + work to . - performed under this
permit, as are licensed by Miami Shores Village.
Remarks__ _ (Signed) _
STATE OF FLORIDA, p
COUNTY OF DADE. d 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 _____
�_ - � - ?
Read, Sworn to and Subscribed before me.
Disapproved _._ _ .. _ Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PL NING 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 not.,e for insp., tion or faulty
materials and /or workmanship.
r_
Owner's Name and Address AA-1
Registered Architect and /or Engineer
Name and address of licensed contractor
STATE OF FLORIDA,
COUNTY OF DADE.
and who,
of the ab
therein by
Permit N
Disappro
(Signea)
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 regula-
tions 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 • – Irk.
_inspector
Location and legal description of lot to be built on
Lot___ — _____ - -___ Block ___— _____ Subdivision
Street and Number where work is to be done
State work to be done and purpose of buil floors) _ _ • '
New Building_ __ Remodeling____ __________ A ddtiion__
To be constructed of___ ___ Kind 61 dundation J� r"' A'
Estimated Total cost of improvements $
Zone cubage required_
b eing }` me first duly sworn, upon oath dep
ve descri bed construction, that he rh refu
t 3Fe /I n
him $ a
Date
:_ Date
Date_ LC-.- -� 7r-7 19
Ncr Scree 1/(>% –
C
7:47,/1
Amounl✓of Permit
Plan Cubage
My Commission Expires
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Distance to next nearest 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 rmilar 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 perfojed under this
permit, as are licensed by Miami Shores Village.
,
Remarks (Signedl
Before me, the undersigned authority, a notary public, duly authorized to adminyi ter oaths and take acknowledgments, personally
appeared
to me well known,
e
application, and that he did sign the same, and that all facts
PLANN G BOARD DATE
Chairma . / Member
Member 1 Member
Member 1 Member
Council Approved Date Disapproved ____— ___________.__— _�____ � ___.Date
NOTE: A charge of $1.00 will be made for making c rections 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.
_and for no other p / pose.
rs Flo. of Stories
oof Covering 744- !
dew
ding Inspect
Bui
Dat
(Signed) _
BAIr`�I S@- IO��iS VILLAGE
BUILDING INSPE TI�i1N DEPARTMENT
BUILDING INSPE TIN DEPARTMENT
PRUE:ATIDN 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 , gpecified 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
Registered Architect and /or Engineer
Name and address of licensed contractor __ /iK C ` _
Location and legal de c ptiop ofao to be built:
Lot / �' ~ { -'B1d7ck l/ ; Subdi ioi�' �! 4_,,
Street and Number where work is to be done,___
State work to be done and purpose of building (by floors)
'1.4 Street__
l
NNING BOARD DATE
Chairman / - __ Member
Member Member
Member Member
Council Approved Date Disapproved
19.
and for no other purpose.
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 e. /� z
Permit No r Date � Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Notary Public, State of Florida
My Commission Expires
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has born 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 inspet tion or faulty
materials and /or workmanship.
New Building Remodeling Additi n Repairs..__ No. of Stories
�
To be constructed of Kind of foundation F�l�iy
�%� %GRoo Covering_ ._ f , / . / "
Estimated Total cost of improvements $ 0 Amount of Permit $ -I ST D 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 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, Pennanent 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 o the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor L'. be performed under this
permit, as are licensed by Miami Shores Village.
Remarks
Date
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICA1i.. N F R LI LD NG PERMIT
711f -cJ2 ;, SP0
3 pi
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 or approved
plans and specifications must be kept at building during progress of the work.
Date ..... V 1970
No 3 . -_ Street at
Owner's Name and Address.- ..._.. fifegY . K 4 LL Ex
Registered Architect and /or Engineer
Name and address of licensed contractor- ..CMpK1/ d ° riag - Co. / .__. AC - 5 ej _.. NW 71 S � IM(
Location and legal description of lot to be built on:
Lot. ____ Block Subdivision.
Street and Number where work is to be done_______ __ ___ _ 326 NE / 2 ST-
State work to be done and purpose of building (by floors) Rf - " TILE O /. 1-1,3,_1- ? f - ? 0 )
C 2EEfl! SHINGLE TILE -- 3
and for no other purpose.
New Building-.._ __. _____ .... . ..... Remodeling _ .-- Addition -- ----- _ -.--- _ _ -._ -_ Repairs-- - -- -- ---- -- - -- -- -- No. of Stories _ -. . -. /
To be constructed of Kind of foundation
Estimated Total cost of improvements S. . .6 ? 9 ' UO Amount of Permit $ ! r7
, 0 0
Roof Covering... S/S! &GE 1l GE
Zone cubage required_ ... -__ _--- ___flan 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 t o . . . . . _ _ �.
The undersigned applicant for this building permit do s hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act, being Sec.ion 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 subcontrac : 1 on work to be rformed 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-
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 r 7a
Disapproved - Q
(Signed)
Chairman .... .
Member _
Member
Council Approved
Building I ector
PLANNING BOARD .
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires__ __
DATE
to me well known,
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.
Owner's Name and Address .Bnjant
STATE OF FLORIDA,
COUNTY OF DADE.
4
Permit No.._ 7_` 0 eq 1 Date l 4
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of toe 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 Miaml
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 progreu of the work.
ss.
uilding nspcctor
Date
.............
7/7-5V /
Dato...— ...sT.11...— _....__ ....... 85
No.. 326..._.._ . Street N. E . 92nd Street
Registered Architect and /or Engineer ,,,,, ,,,,,,,,, ,,,,,„, ,.
Name and address of licensed controctor Superior Roofing Services Inc. 3000 N. Fed : _ Hwy. Ft. Lauderdale
Location and Legal description of lot to be built on:
Lot 10 & West 1 of 9 Block 48
Miami Subdivision u Shores 10 pn_ �.. _ _ . �/ /t 6 .i j.7t9
Street and Number where work is to be done 326 .ALE_ ..92nd..StrePt , F1 nri 33138
State work to be done and purpose of building (by floors) Repair leakage above S.W. room in area of termite
damage; rear eave and tie -in of carport roof- replacement of dry
rot wood. a
and for no other purpose.
New Building Remodeling Addition Repairs X No. of Stories —
Kind of foundation Roof Covering G......T,.... -..T&G
To be constructed of
Estimated Total cost of improvements $ 1200.00 Amount of Permit 5..
Zone cubage required Flan 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
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 Sup clement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 such su •n• ctors, on be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
to the building and its construction may
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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
thcrcin by him stated are true
Swo to and Sub • • before me.
to me well known,
Notary Public, State of Florida
My Commission Expires — ._.L1g]e.4�.:1E�?�.� iFU "•a
PLANNING BOARD DATE BONDED THRU GEt:cn;AL
. 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 hero obtained from
the I'Lrnnir.g Board.
A re•inspec•tion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
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, whet /-r 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
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date.,
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
State work to be done and purpose of building (by floors) °,2 /9f—'" - 7•1/7 4
STATE OF FLORIDA,
COUNTY OF DADE.
Disapproved i
(Signed) C_.J
}
ss.
, 19- 7
o Street
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundatio on 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 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 lib c noti e
or notices as are required by the Act. The undersigned agrees to employ only such s ntractors, on work to , b per o der is
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 tated are true. f
Permit No v -S Date l �Ra Sworn to and Subscribed before me.
Date
Notary Public, State of Florida
a
Building Inspector /' -- = - M Coin ikissi Expires
PL NING 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.
AGE
8AM8 SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
LOCATION FO F-< BUIL ONG 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.
I ,19
Owner's Name and Address K�1.I y _3Z 6 tY E 92- No 3 6 Street_,__ l = 2- S+
Registered Architect and /or Engineer j
Name and address of licensed contractor____ / Y.___ e ?�_:Li_ _Q _ ALP► _ a s 17 2- 2- / fY 4.) l 6
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done iyE ' 2—
State work to be done and purpose of building (by floors) ` UY '4.." k oo icrtn
r°-! CD.,V jury +¢- if 0O
and for no other purpose
f
riv -\•
New Building Remodeling
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 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..
Addition e/
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 1 2 -2.6 1 Date 6- 7 ` 7
Disapproved _ ,, _ D e
(Signed)`` O `-.@ . '._
Building Inspe it
Chairman
Member
Date_ _. - 9- 7
Repairs
( Signed) Ai
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
No. of Stories
PLANNING BOARD___ _____ DATE
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.
Data - l - 13 Job Address 3 2 -4> /Le" 9 2
Legal Description
Owner / Lessee / Tenant•'f
Owner's Addres.
Contracting Co.2
Qualifie
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10 7144. 41,7,2A1
SS# Phone
State ige, 6 , -, Municipal # Competency # t - 5 ? 5 6 ) ns . Co .
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION
Square Ft. " 2-0 C9 0
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 bov: arced co tractor to do the work state
1Con l
Sig,- :tu � and
Da e ' /..77
, � 6
N ary , s to Owner and
M Commission Expires:
�
Zoning
,..R.R.e.sec•
JOS CHURCH
7 .Notary Public, State of Florida
- Mpitogirdtigep. April 30, 1996
t.+o, „,*:. No. CC197545
R1 ^R
** * * * n * * * * *
FEES: PERMITgt� DN RADON C.C.F.
Fire
= r A.-' /4' .4A
Address 2 "h V(/ Y
Mechanical Plumbing
Tax Folio -0/3 "4 i 7l)
Estimated Cost(value) r, (/
S.ignatu e
,
Date &
Master Permit OW 4 / / /
j ontract
otar, r as to Co
My Commission E
Phone 7.c7--' e y
c>CgY, 15
Owner- Builder
4 Se NOTARY . D 0 TOTAL DUE /OD
**
Other
Electrical
Engineering
• NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO. 3cg6 /3 ' Y2
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives 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 d scripti. n of property - d s eet ad • ress:
2. Description of improvement: Se. 4 9 7 / 'L' — 7
3. Owner(s) name and address: 0 i,37) /� ',4 GU/= z-
A V' ?,g AX /1 371
`'
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: ► /1/_,/E5/ ReOf I' t.i6- / /4/C_ 0 0 O !/ •
5. Surety:(Payment bond required y owner from contractor, if any)
Name and address: ��
Amount of bond $
6. Lender's name and address:
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: N 1
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statute .
Name and address: �
9. Expiration date of this Notice of Commencement: (the expiration date is(1 yeah from the date of recording unless a
different date is specified)
sa - , _ ___.:
S.gnat � .t owner
Print Owners Name V6'11 (5' /4 /71),1
Sworn to and subscribed before me this lD day of .19 V.
Notary Publi V� 14416
Print Notary's me
My Commission Expires:
r
SYhTE OF (FLORIDA, COMM OF G
011012c�a917 egon27 oho' Ohb @a a Civo i d Ca
pi0od & ohis Onto cm
( C ^ 1 I ^ ^ 75VIO<TO i�pp
UI:nS eU� e&
Op
,'ao 19
t ry ..ndoff;r&Qol Soca
l u1Crc ern4CoorWy p
r ,.. ''B.' JOSEPHINE CHURCH
:Notary Public, State of Mends
hty cnmmisc on Lap. April 30, 1
No. CC197545
93R248483 1993 MAY 18 11:48
Prepared by: 4UG-z)44.0
Address: 6 ,Z5 7 Sr
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