685 NE 93 St (10)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.
Owner's Name and Address._ Dean Clamasen No,. 540 Gran4
Registered Architect and /or Engineer
Name and address of licensed contractor Brady Roaring &__ Sheet __.Natal- 2955__ $._.W.73rd..Street
Location and legal description of lot to be built on:
Lot Block Subdivision..._..
Street and Number where work is to be done 685 N • E. 93rd Street
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition k Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering & gravel
Estimated Total cost of improvements $ 16 •OG Amount of Permit $_. 1�_s00
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 enip ver
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Sup ) ant,
and has complied with the provisions thereof, and will require similar compliance from all contracto s or sub - contractors employe. him
in the work to be performed under this permit; and will post or cause to be posted for inspecti on he site of the work such notice
or notices as are required by the Act. The undersigned agrees to employ only such s..contrac to be perfo der this
permit, as are licensed by Miami Shores Village.
Remarks (Sign
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac nowledgments, 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.
Permit No 3 l Date 9— Zile 7 Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
D
Buil • i g Inspector
MIAMI SHORES VILLAGE
Date 1 -
,19 6
to me well known,
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chainnan 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Application is hereby made for the approval of the detailed statement us tae plans and specifications herewith submitted for the build •
ing or other structure bercin date ribed. 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.
Owner's tame and Address' _ No ..�...._. Street4
Registered Architect and /or Engineer . .....
Name and address of licensed contrtctor..P- )t1
Loca tion And legal description of lot to be,built on:
Lot. -if f / 1 1./00 Block . ... -.
Street and Number where work is to be done
bdivision . ,l _.._/ Jo24 II !ZIP A
State work to be done and purpose of building (by floors)... .. f` 676 , �1
__.... and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories.
To be constructed of Kind of foundation Roof Covering N
Estimated Total cost of improvements $ ,( :•0.
l �. �.! al 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.. .... .... ............. 2;.- YY‘c
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 \1'orklnen's Compensation Act, being Section 5966, Compiled General Laws of Florida, hennant•nt Sup r leutent,
anti h. s complied kith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint
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 su subcontractors, on rk to be performed under this
(Signed C3 • C_ \S
,:./po
pcnnit, as are licensed by Miami Shores Village.
Remarks..
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before
peared
(Signed) , v
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
undersigned Authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
ig
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
''� � ( e tttr .
Permit No.._. t @--I.1Y Date *�
Building Inspector
MIAMI SHORES VILLAGE
Sworn to and Sub
_••_� • � _. `� e'er ........... __.._.
to me well known,
ore me.
�
Disapproved . -_... � .... .._ 0.�S
. .Date.__.. .. . - -. ('-)•- •
Notary Public, Strop Qf Florida q._,, -- a 'l
My Commission Expiresf.7 Ert .: :;cr:
Bondod Thru Troy Fain- ln+uraaso, tr.c
PLANNING BOARD DATE
Chairman Mcmbcr
Mcrrrber Member
Member.. .. _.._.._.._..._..._._ ._.._- ...... Member ._..____.__ ... .__._
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be nsadc for making corrections or chtinges to this application after approval has been obtained Iran
Ow 1'i nni, Board.
A re-inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
Village of Miami Shores N° 4601
73 A
ADDRESS ( r
JOB
INSPECTION C7.
TIME READY
REMARKS V l
/T 5 (--'71