515 NE 93 St (9)BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 3934
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description Bl
Address of
Building
DATE, 195
Contractor's
License No
Work to be performed under this Permit
? ' ' - (0 .Ji> I iT i O mi /Z 0o7 Q. ers
Subdi-
vision
Value of .
Project $ ""` PeAmount rmit of $
This permit is granted to the contractor or builder named above to construe 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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. 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 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY 0
MI7I SHORES VILLAGE, FLA. No
JOB __7/44-1 r e
ADDRESS - 5-11 , i
INSPECTION 1 eV-C _e_ata i - 0,
TIME READY /1(OD 7 O7
REMARKS:
A,6 7,ry -SY
7887
INSPECTOR DATE
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 piegress of the work.
Date... Alocember 28th ______ .19
Owner's Name and Address Mr • B • Bevan-515_1m Q Ord. St Mt _ ,,,,,, „_.... __....._.._ _
Registered Architect and /or Enginv sr.......... ".. A ; i z. el'--o' T p v im ia,C ate► r llocrA t:<,... , ..F-r- "
Name and address of licensed contractor Daniel Okun. 60 .9..Washington...113tenue.. eaoh
Location and legal description lot to be built on:
Lot. f llock Subdivision _ _. __.___....._._..._.... _
Street and Number where work is to be don . e..._.... 1 N.E. rd. . Street
r - Installation of Central Air onditioning
State work to be done and phase of (by [loora ):.._.
3... Tons.... in ...ccordanoe....with...the.. Gnde.
and for no other purpose.
% [i. ilding existing Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements i- •1 Amount of Permit $. ..6..OA:
Zone cubage required ________-.Plan Cubage
;r•;
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 609 Washington Avenue Miami Beach, Fla 33139
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 puhlir notice
or notices as arc required by the Act. The undersigned agrees to employ only such sub ttractors, rk to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
Mr. Daniel Okun
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
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 sl are true. //
Permit No.. / , C , Date / (_ 2 Y 7 Read, Sworn to and Subscribed before me.
Disapproved R to. Notary Public, State of Florida
(Signed) •• •-• • ' `'
Building napector My Commission Expires
MIAMI SHORES VILLAGE
Chairman .
Alernber. :.._._._ ....,.:.. ___
Member .......:... .. _.... ;;,•::,,,
Council Approved - .... _. „.; :;:,,.. ,. _..___ _.. Date
PLANNI'r BOARD DATE
Member
Member .--- ._._......._.._._ _._ _.._......._.._
Member
Disapproved Date
NOTE: A charge of $LGO'itiill ba...rnado for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of SI.00: vi8 bye charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workutaaship.
to me well known,
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.
Date. »NRv lnber
Owner's Name and Address Tyr • B • Bevan �, ,,,1�TE � x! , S r -��o ,_ -gam__
Registered Architect and /or Engineer , 625 -,v07- •y •nm .. ..... `,�`,,,, 'jr �' «, ... - :,... cc "IT (/C
Name and address of licensed contrpctor Danie,1..4 :{1311 ifi49...�SBh9.Z1E, #• 0112..E @II118..I'�.�iEkkDh� : ..�. w.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done..._..51.?.. Y.s ?.a...9_3rd ® Street _
! Installation of Cehtral Air conditioning
State work to be done and pt`" of bu;..Ytng (by floors) _ .___...._...........
.._......and for no other purpose.
v' uilding...e.1 i.st ,ng. Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $.1. Amount of Permit $.6 .._Q9
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to 609 Waght2'L Avenue Miami Beach a Pia 33139
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed .under this permit; and will post or cause to be posted for ins ection on t site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such sub nJr actorg, woe be performed under this
permit, as are licensed by Miami Shores Village.
v lE =S
Remarks..._ (Signed)
Mr, Daniel Okun
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
l �z "
Permit No.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
Date..! -(
Disapproved _.
(Signed) ....s!lt...l'B...
Building Spector
ate
2 y- -7
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
to me well known,
PLANNII�G BOARD _.._......DATE
Chairman _ . »....._.... : »....._..._._..___ Member
Member Member
Member
Council Approved Date Disapproved Date
NOTE: A ch of -$I.60 `.ritn be wade for making corrections or changes to this application after apprm•al has here obtained from
the Planning Board. .
A re- inspection Ice of SLOG =will be charged when such re- inspection is made necessary by improper notice for lnspectinn or faulty
materials and /or workmanship.