1986 DRIVEWAYAPPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed st:.tvuu nt u, ,„e plans and specifications herewith submitted for the build
inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of ?stiarnl
Shores Village, l"lorid.t. anti all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iluilcli„g Division of Miami Shores Village shall be complied with, whether herein s• ied not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date / , 191
Owner's Name and Address ...... .._. ..� L t U .L �.— No.-.
Registered Architect and /or Engineer ........�
Name and address of licensed contractor
Location and legal description of lot to be built on: // ( 102/d6 .35 O 9 '
Lot '7 Block y Subdivision. _. ' :'... .. ' .4. Street and Number where work is to be done.- ._- ..- 2:
, i/4. �ll /y' � Aer
State work to be done and purpose of building (by floors)..._ r...l ... ... .f�1/___e.ze
peared
Disapproved
(Signed)
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
and for no other purpose.
New Building Remodeling � Addit.on Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ .Amount of Permit 1.. .�.
Zone cubage required plan Cubage
Distance.to next ne.uest 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 umler.igncd 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 5066, Compiled General Laws of Florida, Per,nanent Supplement,
and h.ts complied %sith 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 i ection on the site of the work su h public notice
or notices as arc required by the Act. The undersigned agrees to employ only such s bcon actors, • • • • .. pew ed u zder this
pcnnit, as are licensed by Miami Shores Village.
Remarks__ (Sig
Notary Public, State of Florida
My Commission Expires
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
___._..to me well known,
and who, being by me first duly sworn, upon oath deposes and s:,ys 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
Permit No.. t
_. J Date l) Read, Sworn to and Subscribed before me.
PLANNING BOARD .............. _ . .... _..___....DATE
Chairman Member
\Icrr.ber Member
Member _....._......- •--- .— ..-• -- -... .
Member - -•-
Council Approved Da' .e Disapproved Date
NU: E: A charge of S1.00 will be made for making corrections or changes to this application after approval has been obtained from
the I'I•rnnir:;; Board.
A re fee of $1.00 will be charged when such re inspection is made necessary by improper notice for inspection or faulty
materials anu /or workmanship.
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THESE PLANS ARE APPROVED FCR
ISSUANCE OF A BUILDING PERMIT
VARIANCE(S) LISTED IN "REMARKS"
E :',,U.4i:11 S" 1 ES 3t. LDiNG AND ZONING
UNLESS SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMPLIED
Autanri7e9 Signrtu!e Date
• WITH NO VARIANCES • WITH
NO OTHER DEv: T c "S RI ?a1
ORDINANCES WILL BE PERMITTED,
ALL OTHER A PPLICARE STATE
WITH BY ALL PARTIES.
FIRE DEPARTMENT
PUBLIC WORKS
.
POLICE DEPARTMENT
BUILDING DIRECTOR
�G i
PLANNING G & ZONING BUA ‘;
t
_
VILLAGE COUNCIL
APPROVAL
PRELIMINARY: FINAL:
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
13Y MIAMI SORES VILE IS REQ THE ARCHITECT, GUILDER &
r S CONT RACTORS ARE C +I LAG P,7CF!) 1 D T N� 1EDGE OF AL!_ GUILD -
!NG REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.