402 NE 93 StBUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Lyi
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE •
PERMIT N? 11547
Work to be performed under this Pernzi
This permii is granted to the contractor or builder named above to construct
herefor in strict compliance with all ordinances pertaining thereto and with the un
drawings, statements or specifications that may have been submitted to and approve(
time if the work is not done in compliance with such ordinances or if the plans are ch
granted is the understanding that the contractor or builder named above assumes the
pertaining to the work covered hereby whether shown on the plans or drawings or..iu
done by his agents, servants or employees.
�r
i
In consideration of the issuance to me of this permit I agree to perform the work
pertaining thereto and in strict conformity with the plans, drawings, statements or sr =if'
In accepting this permit I assume responsibility for all work done by either, myself,
tu'
:he building or to install the equipment or device described in the application
lerstanding that the work will be performed in compliance with any plans,
by the proper municipal authorities. This Permit may be revoked at any
inged without authorization. A further condition upon which this permit is
responsibility for a thorough knowledge of the ordinances and regulations
the statements or specifications and that he assumes responsibility for work
�13 PBC Th t
BY
BY 141
ered hereunder in compliance with all ordinances and
lions submitted to the proper authorities of Miami Shores
servant or employee.
Contractor's
License No.
z -c
.�.,� ••••••
Amt. of
Permit $
AUTHORITY
19
Application is hereby inncle for the approval of the detailed statement or we plans and specifications herewith submitted for the build
ing or odic r structure herein d This application is made in compliance and conformity with the Building Ordinance of Ntiarni
Shores tee, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shares Villagc nd 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 , 42
k G. Coomler
No 402 N.L. 93rd Street
• •
Owner's Name and Address Stseet
Registered Architect and/or Engineer
' t r "
Jarboe Roofing 0o. 731 Branch s ree to Two , 21orida 33024
Nam and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
402 N.2. 93rd St:eet
Street and Number where work is to be done TOW.
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 .A.r.r. .1.4,..
30 sqs.
Estimated 11,000. 00 S.
d Total cost of improvements $ Ameunt of Permit 0 . g? a
Zone cubage required Ilan Cubage ,
Distance to next nearest building ,..Size of Building I...ot...,
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 :Tillie:int for this building per:nit does hereby certify that he understands and accepts his obligations as ;1s in e mployer
of labor under the *Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied ‘%ith the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in r1;t; work to be performed tinder this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only suc ubcontractors, o work to be performed under this
pcnnit, as are licensed by Miami Shores Village. K
Remarks (Signed)
Disapproved
(Signed)
Ai S
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
STATE OF FLOEIDA,
COUNTY OF DADE. Ss.
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 tha 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 . /ti/ff
Read, Sworn to and Subscribed before me.
Date
Notary Public, State of Florida
Building Inspector My Commission Expires
1 3 2 6 J el c)'r
•••••■•••
• -
to me well known,
PLANNING BOARD . DATE
Chairman Member ,
Member , Member
Member Member '7 ,
Council Approved Date :)isapproved 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 Plarmirqg Bo.trd.
A re•inspe(tion Ice of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed)
Chairman
Member
Member
Council Approved
NOTE: A charge of $1
the Planning Board.
A re- inspection fee of $1
materials and/or workmanship.
Building Inspector
MIAMI SHORES VI LLAG E
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement o the plans and specifications herewith submitted for the building
or other structure herein described. This application is made in compliance ar d 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 w ith, whether herein specified or not. A copy of approved plans
and specifications must be kept at building during progress of the work.
, 19_—
Owner's Name and Address :7- �� ` • �� '
Registered Architect and /or Engineer �• �.� '
Name and address of licensed contractor r
Location and legal description of lot to be built on:
Block__ Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Before me, the undersigned authority, a notary public, duly authorized
appeared
New Building_______ % —___ Remodeling__________ —__ Additoa — ___-- ________ Repairs No. of Stories
0
To be constructed of__-_________________ Kind of foundation _____ —_ Roof Covering_ _��_..c -
7 ` /
Estimated Total cost of improvements $ ___Amou -t of Permit $
Zone cubage required, Plan C'ubage
Distance to next nearest building Size o` 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 5 ?66, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar com:,liance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to b: 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 onl r such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. r
Remarks (Si; ;ned)
Permit N o . � —_ Date o
head, Sworn to and
Disapproved __________________ Date
to administer oaths and take acknowledgments, personally
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, Oat he has carefully read the foregoinf application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
My Commission Expires
Subscribed before me.
9 4
PLANNING BOARD DATE
Member
Mc mber
Mi mber
Date Di approved
and for no other purpose.
to me well known,
_Date
.00 will be made for making corrections or banges to this application after approval has been obtained from
.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty