597 NE 93 StDistance to next nearest building
Disapproved C t. J ` / Date
(Signed)
MIA \iI SHORES VOLLA E
BUILDING INSPECTION DEPARTMENT
APPLOCATOON FO
Chairnan
Mcrnbcr
Member ......
Council Approved
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 budding during progress of the work.
,19Z
Owner's Name and Address "....... , ! _ No... .7 . Street er.. .Y.L.
Registered Architect and /or Engineer
Name and address of licensed contractor
vi" S 7 t-/- c fl
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done � r'7 e - --
State work toe done and purpose of building (by floors)
c l� �y ` eO'
and for no other purpose.
UOLDDN PE
it)
MOT
New Building Remodeling Addition Repairs Rio. of Stories
To be constructed of Kind of foundation c , Roof Covering
Estimated Total cost of improvements $ / 73 Amount of Permit $.
Zone cubage required . plan Cubage
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 Libor 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 -% ntractors 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 he work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wo. • • be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed) `� .._... ..
STATE OF FLORIDA, ss.
COUNTY OF DADE.
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 thoregoing application, and that he did sign the same, and that all facts
therein by him stated are true._
Permit No.__. -- f -- Date (67— P-7.-) J ; 'Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
to me well known,
Building Inspec t My Commission Expires
/PL ANNING BOARD DATE
Member
Member
Member
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 $1.00 will be charged when such re- inspection irs mode necessary by improper notice for inspection ea faulty
materials and /or workmanship.
•
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
.Application is hereby wade for the approval of the detailed statement or me 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.
Owners Name and Address .. 6. 'S b - F- l�d'1d fV — No.. Street._
Registered Architect and /or Engineer WTI' ••,,,•.r„„TT•tg /T.
Name and address of licensed contractor _. .r..._
Location and legal description of lot to be built on:
Lot Block Subdivision . _�......
Street and Number where work is to be done --5 Net_ • _.9..3 V . _ 4 L=1E1'
State work to be done and purpose of building (by floors)
.and for no other purpose.
New Bui!ding Remodeling Addition Repairs No. of Stories
To be constructed of FT- LJOD Kind of foundation l� of Covering
Estimated .1 Total cost of improvements $ 59O Amount of Permit $.
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 tinders' ,cd 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 s ubcontractors, n work tp be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)...
STATE OF FLORIDA,
COUNTY OF DADE. ss'
Building Inspector
.Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
Notary Public, State of Florida
My Commission Expires
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 06 Date /--,97A° Read, Sworn to and Subscribed before me.
P
Disapproved t . .• to
(Signed) r
PLANNING BOARD DATE
Chairman Member
Member Member
Member .._._ sass_ Member sass_
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 Pi.innir.g Board.
A re.in.pection fee of $1.00 will be charged when such re- inspection ix made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
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