80 NE 92 St (15)KUILDING
ELECTRICAL
PLUMBING
GOOFING ❑
: ontractor
:Jr Builder
.egal
)escription
Address of
luilding �t
❑
❑ PERMIT N9
Lot
MIAMI SHORES VILLAGE.
Dwner of
luilding = ' ,.<7;4.
Architect
"Pax,
Bl.
j r
Signed•
7573
Subdi-
vision
FLORIDA
DATE
)e.,
Contractor's
License No
Work to be performed under this Permit
Sq. Ft
Value of
Project $
Amt. of
Permit
,e'
r
•
195'"
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining to the work covered hereby whether shown on the plans or drawings or in the sta ements oeSpeci cations and that he assumes responsibility for work
lone by his agents, servants or employees. 9 f t
•
i t
BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
.,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. /
�' - y = '
Wit- , , z ! d
r 4, "t- i ) 1 '/ y c �`
CONTRACTOR OR BUILDER BY r f / AUTHORITY
`Ige:›»
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 hereir'specified or not. A copy of approved
plans and specifications must be kept at building during pr':ress of the work.
Owner's Name and Address.
Registered Architect and /or Engineer - - -. - i
Name and address of licensed contractor - -- - -- . -
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done e
State work to be done and purpose of building (by fl
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved _ - Date -
(Signed )
Notary Public, State of Florida
.4
0 other purpose
New Building Remodeling Addition Repairs No. of es
To be constructed of Kind of foundation R oof ering 4 ...:
Estimated Total cost of improvements $ /p -.1 -. Amount of Permit $ 6 - L .�'
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 pennit 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 o Florida, Permanent Sup lem t,
and has complied with the provisions thereof, and will require similar compliance from all contractors of sub - contractors employed by um
in the work to be performed under this permit; and will post or cause to be posted for inspection o th site fjthe work such public otice
or notices as are required by the Act. The undersigned agrees to employ only such ontractor9on or to be performed f jn r
pennit, as are licensed by Miami Shores Village.
Remarks (Sign
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac nowledgments, personally ap-
peared
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 7 1 d Date 7 211 p
5F' Read, Sworn to and Subscribed before me.
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman 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.
permit, as are licensed by Miami Shores Village.
Disapproved
(Signed)
Building Inspector
Chairman
\fcrr,bcr
Member ......
Council Approved Date
NOTE: A charge of $1.00 will be made for
the P1,inning hoard.
A re- inspection ice of 31.00 will be charged
materials and /or workmanship.
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.
Date..._.: /.f.i i--.— ._ y . _..._._ _ ,19.Z.7
Owner's Name and Address ....
P/ ✓..4d �d _.IY: ..t� 2.A. , S 7 .2 .... No...tir° street_._......
R egistered 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 Y J ..
State work t9 be done and purpose of building (by floors) __......_...___
g° _i;
'— '` .4-17 e. -c)-�./ u - /- 3 °— z . ( -- ? 'Y` T f de S
and for no o •urpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of kind of foundation Roof Covering r — ....4�. /.../,7..._...__
Estimated Total cost of improvements $ 6.._7. c' Amount of Permit s,.. .4._,
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
o(11 c
Remarks (Signed)
PLANNING BOARD
Maxunum 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.- let a 7/ AC. 4
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 Sup k.iuent,
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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
fl
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
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.____._ 4s_`. Date .._.LI.- ..I..q:'..-lf 1 Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
My Commission Expires
DATE
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained fmm
when such re- inspection is made necessary by improper notice for inspection or faulty
r
f
r --
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR CUOLDINd3 PERMOT
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.
C
lY / 4
/ Date..._. .'.�_.. _ _ ,19 .
Owner's Name and Address ..... D D L- V I AI ..........._. No ..�.._... Street ... . ._ -
Registered Architect and/or Engineer ..... / 4.A.1_ . A1 .. ,..L.Ai r, , . ,,t 1• ' ,1..St: , . . 5 . 7 I
Nam ra
Name and address of licensed contctor....H.L/3.- �.r -LizA�.L.Nfo c = ?A•• - •9- 70•- S^ • r• -• /1 - r C�!1
Location and legal description of lot to be built on:
Lot.3.CWAST.1 al 1 0 F Ltr " g lllock. 1 Subdivision. ..bit . JAM( 5 _MLLES 5 e.C., .LILY ...
Street and Number where work is to be done 34 t.'1'_
State work to be done and purpose of building (by floors) ;LCL2a,t.E_ _ c -. fZ..: S,E.,. - - - -- - 7 o1.•l4 .g.O7F.._Dkek
......5...- Z,. ..1= ....... .Qo M ,
Permit No .�
Disapproved
(Signed) l .: '!r
r
MIAMI SHORES VOLLAGE
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of ALA" AA Kind of foundation Roof Covering
Estimated Total cost of improvements $ t8 S 0 t 0 Q Amount of Permit $.
Zone cubage required plan Cuhage
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 employer
of l under the Florida Workmen's Compensation Act, being Section 5966, Complied 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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work 4 performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed).
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
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.
Date 4 7 v 1 --- 7 7 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
to me well known,
lidding Inspector My Commission Expires
PLANNING BOARD DATE
Chairman 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 51.00 will be charged when such re inspection is made necessary by improper notice for inspection or faulty
ru4crials anti /or workmanship.
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1 -.THIS STQUCTVRE I8 'DESIG NE , Ii•4
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Pe.SIGN LOAD s 30` P, S. P.
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