57 NE 93 St (3)MIAMI SHORES VILLAGE
Street and Number where work is to be done
State work to be done and purpose of building (by floors)._
UILDING INSPECTION DEPARTMENT
APPLICATION FO - 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.
Date_ - -- Au ust 29 .,19 69
H
Owner's Name and Address
?i'illiam yes
No 57 Street °E° 93 Street
Registered Architect and /or Engineer Corr Smith n_ Lssoci'tcs
Name and address of licensed contractor
Location IT_C. 71.1 i'� ° 51! Street, Taomi, "i'loridr.
Location and legal description of lot to be built on:
Lot Block Subdivision
_57 U. L. 93 Street, i-iami Shores, -lorida.
In:;tall a:'- uminum fold-down ermines and aluminum
storm o n:1s.
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 3713 . OU Amount of Permit $ ; % 2.50
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
be sent to - __ -- . -- - -- _ -_ - -- Gc or 1e II ° Hrrvey c/o JALCO, I:tC . 7L1 TT. T; .
Disapproved _.. _ . ✓ Dgte - - ----- - ----- -- - -- _ -.-
(Signed)
Building Inspe, or
ss.
Notary Public, State of Florida
My Commission Expires_
ANNING BOARD_- __ _ DATE
Chairman Member
Member Member
Member __.._.__._._ Member
Council Approved .._Date Disapproved
to the building and its construction may
54 Street, I•;inmi, Ala.
The undersigned applicant for this building permit dots hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act, being Section 5968, Compiled General Laws of Florida, 'ennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co -`actors 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 Je work suc public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work / be perfo d nder this
permit, as are licensed by Miami Shores Village. J /
Remarks__ - (Signed) JALC O, IM. by ' 1 el/ '
STATE OF FLORIDA,
COUNTY OF DADE.
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._ 0 u Datei
— 2 .7 _ Read, Sworn to and Subscribed before me.
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.