65 NE 92 St (4)Date..._ : J n cl .....___.•_._ _.. ,19..
Owner's Dame and Address ....I 0 P! 1- .14. E P 1 < L 1iU }i AM.........» • » »__._ No -.....6 S . Street_ E , — v z 54 "
Registered Architect and /or Engineer
Name and address of licensed contractor 6 s A,e CB N (, t JC< ___ 0_0 ..5 7 S A ve, M
Location and I "'sk legal description of lot to be built on: /I
Lot / i s Block Q Subdivision.-,�.�. /
/ . . .... c L 0 . . 4 . 1 - . 5 . . . . . � o ? t 1 _
Application is hereby made for tiro npproyal of the detailed statement or we plans and specifications herewith submitted for the build
in or other structure herein describcd. This application Is made in compliance and conformity with the Building Ordinance of Miami
shores Village, I Inrid.t, 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 Divisinn of Miami Shores Villa ;e 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.
Street and Number where work is to be done �_°.. ».» . E
State work to be done and purpose of building (by floors). z e (. ». (1./.129_9 L F 2 t-L'L
►� .. adE alp D t= b
L_ 4-0 A q .3 Lx
t / i o /d- w -3 ION
Tv Fit ; d erlc� c c--F_ /iti std for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation
Estimated Total cost of improvements $ 13 00 c v
pcnnit, as are licensed by Miami Shores Village.
Remarks ._.._._.._. __._ __ (Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Disapproved ...: >! _' :.0 .. Date-
( Signed)
Building Inspector
PLANNING BOARD.
11111 Ht•- • trt•ftttgttt Wt. •+tt
Roof Covering
Amount of Permit 11. ...._.._... , 7S
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 imilersier.ed 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 Snp p leent,
an d has complied ssith 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 post 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 sue bcontractors, on work to be performed under this
L VkAnQ1!•.,
G'AC aq i
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-
peared
.DATE
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 caret iy read the foregoing application, and that he did sign the same, and that all facts
therein by him sta a are true.
f ,.
Permit No..— Date . N Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission inspires ...._._...__... »...__._..
Chair:nan Member _._.. »__.. »._....... ».. _.�
Member Member ......._........ —
r .. .. Member
Council Approved Date Disapproved Date
NOTE: A charge of 31.00 will be made for making corrections or changes to this application after approval has hern obtained from
the 1'lannir... Ilo.ird.
A rc- instu•ction Ice of 31.00 will be charged when such re- inspection Is made neceuary by Improper notice for inspection or faulty
materials and /or workmanship.
Owner's Name and Address ..Ce f � C
Registered Architect and /or Engineer .
Name and address of licensed contractor_ /5
Location and legal description of lot to be built on:
Lot_. Block
MIAMI SHORES VILLAGE
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.
PLANNING BOARD.
NoP
Subdivision
Street and Number where work is to be done 6 ,4 Cr
• 7 r
// ( 3 7 7A }
State work to be done jnd purpose of building (by floors)
e Ca - - -1 de - -- and for no other purpose.
New Building !Y Remodeling__ _____ __.. .__ Addition Repairs__ No. of Stories
To be constructed of Kind of foundation Roof f Covering__.
Estimated Total cost of improvements $ / 4 7P _ i - Amount of Permit $ --
Zone cubage required .Plan Cubage____
Size of Building Lot
Distance to next nearest building__
Maximum live load to be borne by each floor___
I hereby su it all the plans and specifiaats fot said buil4ing. All no is with rfference the building and its construction may
be sent to__. _
. �'1_�.sg C- id _. R 0 V IL, `„
The undersigned applicant for this building permit doc 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 n the site of the work such ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontr s on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA, 1
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
Date ---_ e 6L4 /9' , 19 a
No.53 ° 9 Q ' __. Street_ 'S 444 -- -4 ""
Chairman _ . -- -- - - ------- - -- ---- --- - -- - -- Member
Member Member
Member . _ _ _ __ _ . Member
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 Date_... Read, Sworn to and Subscribed before me.
Disapproved ____ _ Date
(Signed)
Building Inspector My Commission Expires
Notary Public, State of Florida
DATE
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.
New Building
To be constructed of
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby grade 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. ao
Date
,Q - ire 46 G , 19 ---6ff
Owner's Name and Address._C/�_ 41,E N" No.Y3 ?. ___ Street 6. p
Registered Architect and /or Engineer... _ ,Q
Name and address of licensed contractor_ s9ieAh1 €1 4/ / / G L.lt/L�+ 4,2 7,5 -- 4.1 c 5)
Location and legal description of lot to be built on:
Lot_. Block
Street and Number where work is to be done
State work to be done and purpose of building (by floors)._
.. S P1 r 5 :7 ,y 4,<2/ 7-47
-
Subdivision
Remodeling._ ____. _.. Addition
Kind of foundation Roof Covering
Estimated Total cost of improvements $_____L__S_ ?_Pr Amount of Permit $ 6
Zone cubage required
Distance to next nearest building__.
Maximum live load to be borne by each floor___
I hereby submit all the plans and specificats for said buil ing. All notic T �
with reference to the building and its construction may
sent to - -_ C p I. - - � � P $ $ - 46 . 3
be s 4 /
The undersigned applicant for this building permit doe 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 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 such subcontracto . on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
Disapproved ____ _
( Signed )
Building t spector
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 ( 71 __ 3 . Date._ ____ Read, Sworn to and Subscribed before me.
Date
PLANNING BOARD__
Chairman Member
Member Member
Member .._..
Council Approved
e) 3 3 7 )
ce10 /( /�S HOU/
plan Cubage_._
Size of Building Lot
Member
Date Disapproved ._ .
Notary Public, State of Florida
My Commission Expires__
DATE
and for no other purpose.
Repairs No. of Stories . _.
to me well known,
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.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY) / �/
tte b� (6 { -! p, I Job Address � �� ( Z Tax Folio" •10 fi 1° S ��
3a1 Description Md"W 2-Q /7 /.fir/ /19Mf7 Master Permit #
/ Lessee / Tenant CaJkAAZI L ��Tl� z-�"/ l A
Phone 1-
ntracting Co. 6 1 A5 L J Ai �`� /V Address � ' ��
al if ier V-tt-+4 Ti-(01-1K OAi SS# - Phon e `C 2-0
ate #
thitect/Engineer Address
iding Company Address
rtgagor Address
aer's Address
Competency# CA( 2- .5C+ 5 1:7 Ins. Co.46 e',1,
- :-mit Type (circle one): BUILDING ELECTRICAL PLUMBING CHANICAL PAVING FENCE SIGN
)RK DESCRIPTION �� -/�1�� '� J ( 6 1
uare Ft.
RNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
I SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
TEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
CORDING YOUR NOTICE OF COMMENCEMENT).
plication is hereby made to obtain a permit to do work and installation as indicated above, and
the attached addendum (if applicable). I certify that all work will be performed to meet the
indards of all laws regulating construction in this Jurisdiction. I understand that separate
-mats are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
ER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
.1 be done in compliance with all applicable laws regulating construction and zoning.
thermore, I authorize e above -named contractor to do the work stated.
;n
:e:
ture of Own
/or Condo Presiders
_y:ZZA;
:ar{ as to Owner and /or Condo President
NOTARY PUT:LTC, STATE OT FLORIDA.
Commission Exp1 res Y COMMISSION EXPIRES: August 17, 1991.
* • *N7 %U TIIRP*I)T \RY Y:.,1 *C IJNUERW *TERS.
1MIT FEE: APPROVED:
Zoning
Mechanical Pr -`WS - ) ) 11
Fire
Building
Date:
Estimated Cost
Signature of Contra
Other
C- vi� �C -h.l SfAf
Notary as to Contractor or Owner - Builder
My Commission Expirre`s°"
,+ ; rs: 17;1995.
Electrical
r or Owner- Builder
ing Engineering