711 NE 93 St (6)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 c /10 . 197/
Owner's Name and Address Yr , � ,� ✓l ��y No 7 / Street �� ? 3 5 T•
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 7// 4 c 61 9 Srb
State work to be done
and purpose of building (byjloors)
// 3 . \ s /, den /`
Q 4 1 bi - 5 )4 5 e al —. - � Recie. \ Cy E - 1 C .. _ . and for no other purpose.
Addition \
Repairs
Roof Covering
Amount of Permit $.
Zone cubage required .Plan Cubage
Distance to next nearest building 2 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 t W Aie
STATE OF FLORIDA,
COUNTY OF DADE. ss.
APPLICATION FOR BUILDING PERMIT
Disapproved _.__ Dat
(Signed)
Building Inspe
fr ,t r
HAMO SHO ;''ES VILLAGE
BUILDING INSPECTION DEPARTMENT
zeWC
To be constructed of Kind of foundation
Estimated Total cost of improvements $
New Building emodeling dd
Chairman
Member
Member
Member
Member
Member
cs
Notary Public, State of Florida
My Commission Expires
ANNING BOARD DATE
No. of Stories
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 insp ctie on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such sub + a , on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
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.
Permit No / 3 5' 5 Date Q Q) ' (( ?/ Read, Sworn to and Subscribed before me.
to me well known,
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.
e -•
Ai 6 `
14 r
1 1
/t;
• "vv.. .tassior ••••• • z
G.1. P
A l a r i c e . ` 1 / 1 . 1 , 4 , . The A
ketetActje adi ild
iitanificzay flidkanacilterei
electrical
• lee aosiealeel liefore
• , t - ; e; 4/ •
le z ii 'rt.':
.'s 0
Al ; st 4E - s=s-
/wk.
A •
6
Al reinf
wiring
ar
7r. c...k
. s (" "
•
/ , ;
4
c c, •
:s
coder. -
dei are chairite4
: ( /
5'
41. ,
s -
en wizetfie -airj 55 _
raciw
fl Azki•
("NI
• .,...
,4111.P
9 7e5 re- 2
z.(iz L"
r
CEA riz:44 L 44:
A,r
v
7/1'
v
•
I.
—
N
••;. 1 (7
•
1.1 —