455 NE 93 St (5)MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ DATE 2 - 7 )
PLUMBING ❑ PERMIT N? 9882
ROOFING ❑
Owner of
Building
Architect
Contracto
or Builder
Legal
Descriptic
Address
Building
Work to be performed under this 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 statement* or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
BY
Contractor's
License No
AUTHORITY
i [
19f±
Signed• , BY
BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder' in compliance with all ordinances' d regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submittesVto the proper authorities of Miami Sfferes Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant,.dr employee.
1
CONTRACTOR OR BUILDER
— ,.
, t
.1 I (' ,
r
n
Lot
Bl.
Subdi-
vision
,f
i$
,4
c
J ,
5
Sq. Ft
Amt. of
Permit
$
r?
Z
Value of
Project
$ ' '
t , 4
4a' '
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MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ DATE 2 - 7 )
PLUMBING ❑ PERMIT N? 9882
ROOFING ❑
Owner of
Building
Architect
Contracto
or Builder
Legal
Descriptic
Address
Building
Work to be performed under this 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 statement* or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
BY
Contractor's
License No
AUTHORITY
i [
19f±
Signed• , BY
BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder' in compliance with all ordinances' d regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submittesVto the proper authorities of Miami Sfferes Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant,.dr employee.
1
CONTRACTOR OR BUILDER
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
R•OFING ❑
r
Owner of
Building fe •
Architect
•
Contractor , a,
or Builder Gs- . ' -: ;...i
Legal Lot
Description l i Bl.
Address of [�f 2 � s
Building 7 ? � �tY
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described ;
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in comp"
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condit%
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and tb
sibility for work done by his agents, servants or employees.
Signed• 1( ." 4t. (INSPECTOR) BY
In consideration of the issuance to me of this per it I agree to perform the work covered hereunder in compliance with
pertaining thereto and in strict conformity with the pla s,, drawings, statements or specifications submitted to the proper authori'
In accepting this permit I assume responsibility for al work done by either, myself, my agent, servant or employee.
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Date - ! ) 9(J'
PERMIT Np 9982
Contractor's
License No. / 4
Work to be performed under this Permit
Subdi-
vision
Sq. Ft.
Value of Amount of ,. Z
Project $ �S9 11 Permit $ ./ r
BY AUTHO
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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.
b ate. - CV4 - _ , 19 2
Owner's Name and Address No Street
Registered Architect and /or Engineer
Name and address of licensed contractor af�l_____ C
Location and legal description of lot to be built on:
Lot Block AA� PP Subdivision
Street and Number where work is to be done ......... . i 0
Sta � work to be done and s � pin - pose of building (by floors) y c Y ,
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
V1 .1 Estimated Total cost of improvements $ 1 V_i- Amount of Permit $ ,7 ',5:- m
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 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.
4
Remarks (Signed) 0,Z _ 4 ,, �� �� ' . n '-, ,^a
Disapproved Dat
(Signed)
Building In L j! tor
STATE OF FLORIDA,
COUNTY OF DADE. j 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 99' Z Date s -_ — fO 4 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING 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 51.00 will he charged when such re- inspection is made necessary by improper notice for inspection or faulty
• materials and /or workmanship.