57 NE 93 StRegistered Architect and /or Engineer
Disapproved
(Signed)
uil.ing In, ector
Chairman
Member
Member
Council Approved Date
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 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.
Street and Number where work is to be done 57___114____E.
State work to be done and purpose of building (by floors) Remo\, e
steel casement windows and install awning
(Signed).
Date
Owner's Name and Address So M. JASPE1 No 57
JANUARY 13
Name and address of licensed contractor -_ G efle aI__ , un i n um Fabricators_, Inc.
Location and legal description of lot to be built oX ?indow Corp.) 275 E. 10 Avenue,
type windows
age. G ENRA
Remarks
PLANNING BOARD DATE
Street
Is 60
N. E. 93 STREET
(formerly General
Hialeah, Florida
Lot Block Subdivision
93____ Str_e_et- s ___ILI5ji Shores, Fla.
existing aluminum jalousies and
and for no other purpose.
New Building Remodeling XXX Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amoun of Permit $ 5.00
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._. GENERAL__ LUI'�iINUIi__FABRIC .TQQB.S_�....INC (foime .1y General k,�.indow..C9rp...)
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 under _this
permit, as are
licensed b y Miami ' i Sh ores Vi age. L UvMINU1 p FABRICATO R S , INC.
STATE OF FLORIDA, ! . y . Q
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 ar true.
Permit No Date — °C Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or chu.nges 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.