860 NE 92 St (14)Disapproved
(Signed)
-4
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE 7 1
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 confo . nity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinan s of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whet er herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date_ ,___l - , 19
Owner's Name and Address __ No Street
Op
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
State work to be done and purpose of building (by floors) '
Date
Subdivision
-
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories -
To be constructed of . — Kind of foundation Roof Covering
Estimated Total cost of improvements $ � . __ `- ______________Amount of Permit $
a required %-__ >___ = _____' ��
Zone Cuba
g q — --=-- ---- ---------- -- - - - - -- -plan. Cubage
Distance to next nearest building _Size of Building Lot L!
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 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 on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be 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
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. 1 . Date Head, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector, - My Commission Expires
PLANNING BOARD DATE
r'hairman Member
Member
Member
-er
pproved _ Date Disapproved
_ -- - ___ -- -. Date
A charge of $1.00 will be made for making corrections or cTTanges to this application after approval has been obtained from
Board.
-ction fee of $1. will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
n. workmanship.
, 1
c- 7
tit
`4.
C
STATE OF FLORIDA) SS
COUNTY OF DAD )
A F F I D A V I T
Rex Hooten of the Village of Miami Shores,
County of Dade and State of Florida, being duly sworn, doth depose and say,
that under the provisions of Ordinance No. 185, dated June 15, 194.8, amend-
ing paragraph (d) of Section B - 368 of Ordinance No. 97 of the Building; Cods
of Miami Shores Village, he desires to build a aing1@_pa;,, T a9 ease -
on Lot __j & 5 Block 2 of ao1i n aa*R Park udAn. ubdivisior ,
that he is the owner of said property, and will be the owner of said
residence , that the will do the work personally, and that
he will, at such tires as are required by the Zoning and Building Directors -
1. File plans and specifications and obtain approval of the
Planning Board and the Building Inspector.
2. Apply for and secure a Permit.
3. Pay the required fees.
4. Execute the work in accordance with the provisions of this
Code.
5. Apply for inspections.
6. File with the Building Inspector certificates that provision
has been made to carry the necessary Workmen's Compensation,
Public Liability and Property Damage Insurance.
7. File with the Building Inspector as the job progresses certi-
ficates showing the payment required by the Federal Social
Security Tact to the State of Florida or the United States of
America.
8. Assume the responsibility of not employing other than properly
licensed contractors by Liiami Shores Village for any part or
portion of the work.
9. liot set himself up as a "contractor".
10. Sign an affidavit before conhiencing work to the effect teat
he Sias read this Article and will do the work personally and
observe all of the requirements of the Building, Electrical,
Plumbing and Zoning Codes of Miami Shores Village. Such
affidavit to be properly notarized upon blanks to be supplied
by the Building Inspector.
11. In order to prevent abuses and subterfuge the right of such
owner- builder as herein provided, is limited to but one
owner- builder per.+,iit each 2 years, and where an owner-builder
has once exercised the privilege herein conferred no second
application for owner-builder permit shall be granted in less
than 2 years, unless the applicant is Qualified as a licensee
General Contractor under the applicable Ordinances of said
Village.
And Further this Deponent says not:
OWNER
SUBSCRIBED AND Sw0RN TO B. FORZ 11E this day of
19 .
N')TA+3Y PUBLIC
A. D..
1l . tlr• !r° tl. •' f. 1f. ll. I!. IMIl.•'•••,,a=MI l,,.. .,,11,....,,ll,....,,tl,,....,1 j,....,,ll,,...,, f al. +.... W1 • ••
? alt A 1
�' — 19_
F 1 o port 1 {{{III Dllag � � 060
1 I
Issued
L Amount— 1 � ' 3
ri No. Houses— BUILDER'S BOND P
'Ti KNOW ALL MEN BY THSE PRESENTS, that I,
Actress 1 ,
% in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or
174
buildings at the following addresses:
WHEN CLEARED AND REPAIRED BY THE VILLAGE
Amount of Bond $
•
said — shall be returned to me.
WITNESS MY HAND and Seal at Miami Shores Village, Florida, this
day of
(Seal)
INSTRUCTIONS TO BUILDER —When above mentioned construction is completed and the premises are cleared and repaired take this bond to the
Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement.
VILLAGE BUILDING INSPECTOR'S APPROVAL
I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused
the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction.
Village Building Inspector, Miami Shores Village
do hereby deposit with Miami Shores Village, Florida, the sum of , and I agree with said Village that, when such construction shall have _
been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me,
used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the
e completion of such construction within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such c1e..rance and .
t repairs airs out of the aforesaid 9 •
p , and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then 4,
Cost of clearing and repairs done by Village $
13 Balance due Builder $ Cancelled 19 By
a`
'r`•°. °.•' fMI ... •'lC 1C• °•'•fI .°.• erli • 'igetA °••'•! M`i•`•°+`.ge'r '•ir•° °'•i :° °•'e :° fir`• �,.... .i to i `•°a `• '•ii•`•c%r-ir• •'• ri
BUILDING
ELECTRICAL
PLUMBING LJ
ROOFING
Owner of
Building
Architect
Contractor
or Builde"
Legal
Description
Address of
Building
Lot
This permit is granted to the contractor or builder named ahoy- 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,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time 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
granted is the understanding that the contractor or builder named above assumes the res; onsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings Jr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • 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
pertaining 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.
CONTRACTOR OR PIIIIPER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 14639
Work lo be performed under this Permit
BL
DATE - 195
Contractor's
�,�, � lice No.
t T -
Subdi-
vision
Value of Amt. of
Pro e:t $ + Permit $
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
PERMIT N° 9706
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of '
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Bl.
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No
Amt. of
Permit $
This permit is granted to the contractor or builder named above to constrict the biilding 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,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time 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
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: BY
1NSPFCTOR
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
pertaining 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.
BY AUTHORITY
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
( Agent or Tenant of Building
Lot_ " - _ _ _ Block _ -_- _— — -_— Subdivision_
Street Address
Approved use by occupancy
Remarks:
Miami Shores Village, Fla.,
This Certificate of Occupancy is issued to the above named_
for building at above named location only upon the express provision that the applicant will
abide by and comply with all coudi.tions o' Ordinances Nos. 92,' 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
Ri1IL1)ING DIVISION
BUILDING
ELECTRICAL
PLUMBING
ROOFING
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 6080
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description Bl.
Address of
Building
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
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if tho 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
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility :`or work
done by his agents, servants or employees.
Signed.
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
INSPECTOR
DATE 195
Contractor's
License No.
I I
BY •
Amount of
Permit $
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation:
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac•
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY