905 NE 92 StOwner's Name and Address —
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI S'HIJRES VILLAGE
Registered Architect and /or Engineer___
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.
Name and address of licensed contractor
Date
Location and legal description of lot to be built on:
Lot icit - Block Subdivision • � //:? 4` � a
Street and Number where work is to be done , d`` / -2`� �14 �
"� e
State work to be done and
purpose of building (by floors)__ `- - —� �- =� _-__ -/ �'� .:� ^ ,_ _ � ,
� � -� � .
Notary Public, State of Florida
, 19
— — and for no other purpose.
,
New Building __2_<! Remodeling Addition Repairs No. of SStt es
To be constructed of ect—i ' Kind o foundation Ste_; "fLz Robf Covering / f
Estimated Total cost of improvements `-- ` �� $_ 'c o (x
p $ - -- -� — Amount of P ermit
Zone cubage required flan Cubage_____ ;?.__:f.9 uired 14 ti 6'
_
°- g-
Distance to next nearest building L 0 Size of Building Lot ,J$ A d am'
Maximum live load to be borne by each floor / I
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 rovisions 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 subc tractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
c ,
Remarks_ ______ (Si nec `° ` ,, r 99 7 r '
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.___ ___ /7 /i Date _� Read, Sworn to and Subscribed before me.
Disapproved __ /Date
(Signed)
Building Inspector My Commission Expires
PLANNIC 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.
n—
STATE OF FLORIDA) SS
COUNTY OF DADEs
A F F I D A V I T
F. G. Capps 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. 183, dated June 15, 1918, amend-
ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Building Code
of Miami Shores Village, he desires to build a single family► residence
on Lot "A" Block of Golden Gate Park Add, Cubdivision,
that he is the order of said property, and will be tiie owner of said
r fd neA , that he will do the work personally, and that
he will, at such times as are required by the Zoning and Building Director: -
1. File plans and specifications and obtain approval of the
Planning Loard 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 '.7orknen'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 Act to the State of Florida or the United States of
America.
8. Assume the responsibility of not employing other than properly
licensed contractors by Liiarai Shores Village for any part or
portion of the work.
9. Sot set himself up as a "contractor".
10. Sign an affidavit before commencing work to the effect twat
he has read this Article and will do the work personally and
observe all of the requirements of the Building, :electrical,
Plumbing and Zoning Codes of Eiami Shores Village. Such
affidavit to be properly notarized upon blanks to be supplies'
by the Building Inspector.
11. In order to prevent abuses and subterfuge the right of such
owner-builder as herein proiided, is limited to but one
owner- builder pen:lit 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 licen406
General Contractor under the applicable Ordinances of said
Village.
And Further this Deponent says not:
SUBSCRIBED AIM S'. +ORid TO B ,rOR2 ME this
19 .
day of
NTOTr RY PUBLIC
A. D.,
Residence
fir. & Mrs • F. G. Ca pps
BA T:ROO] 1
FIXTURE SCYRD'
Lavatory:
1-455 19 "X17" reuday Lavator:-
8-130 C.P. SuDply E: Waste . _xture
p y0 C.F. JI "F" Trar
.r . 1 17 a . r lrai
R -1712A C .r. " Su_ r_1ie:, %/ Stc_.. •
8 - 090 C.P. Bars
Eath:
2 -9C 5 - euds. Sat'
2 -305 C.F. _ . 3at1- Shower Tr_�
9 -5C C a 7- , Pon - p raste c: overflow;
4 -103 C.z• 1"X :E0" S r .'cu
0
Clcset
tr. C' or,
IRO0: '
s : :7 •
. -1712 C.P. " Stl: 71' ,/
- 7. Clc. e.t . la ._ :e _ .- •
1 E: 1 "::1"" : :e a? • La-r.,.tor;. •
1 -" 17 s.. " �
Tr_
R- . ? - h S; i ; % Stoi,
rs
Shower:
:.Fsal Conte' led t : valve s }.c-.'yer
r` .e_r eEi or 1 2.a11 joint shower head
2 C.r. 7 S' .:o :e " Drain
Close - :
et
S
R- C.:. . fit s . _,1-- w/ Stop.
-074 01 ns et 1 ianc,e :'',; •
April 13, 1950
C R A I'. E CC.
-
5-131 32 "X21" Enameled ;rc.. .,. . . to : : im Sir_
Erfne.ss le c: e t' +, , f.ittir"
C rl Oa: Ctr -i :er
0-240 25 "X24" Sin :le Ce -..art °.t Ceran'.
;:.rote e.r_ e ir c:. s co ortinT fra -
R0 _ . - tc. °e . -late r :/ sr :in,ir..
� :t} :ras: sto_i'er
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application Ls 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 Vi11Rge 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.
Owner's Name and Address
Registered Architect and /or Engineer
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 doneL I 3 2 C
State work to be done and purpose of building (by floors)
MIAMI SHORES VILLAGE
6 W0 , 19
Str
I / and for no other purpose.
New Building R modeling Ad lion
To be constructed of-_C____ Kind q foundati
Estimated Total cost of improvements $
Zone cubage required /6 dire'
Distance to next nearest building A. 0 ,
Maximum live load to be borne by each floor
Chairman
Member
Member
Council Approved
Repairs No. of S es
q R Covering
° Amount of Permit $ l e • o
Plan Cubage 3 C
Size of Building Lot 1?.X• % 540
.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 5988, 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 su tractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks - - - -- — - -- - — - - -- (Sign
STATE OF FLORIDA, I
COUNTY OF DADE. f SS.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally ap-
peared
to me well known,
and who, by me first duly sworn, upon oath deposes and says that he is the
of the above 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 922 7 Date .."s 3 Read, Sworn to and Subscribed before me.
Disapproved Date s
( Signed)
Notary Public, State of Florida
My Commission Expires
Alb
PLANN BOARD DATE
Member
Member
Member •
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
AO
...... 000-. > 0000s .••..e..•.e•.00.oe•eoneonCAI ")^4eeonaeA.14AR ee.t.CLo .. .b.A 1,9, .....
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1 3 %o. i 'E 13 .x{ : cl°ci
cro
ctso cicz_____s,v,„ c't
74,
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ATAIM OF FIDR1D) -
COUNTY Of DADE 1
Atilitatt
And Further this Deponent says not
NOTARY PUBLIC
a. G. Capps at the Village of Mast Shores,
County o f Dade and State of Florida, being duly sworn, doth depose and asy,
that under the,provisions of Ordinanee ,No. 185. dated Inns 115.1 sm ad.
inj paragraph (d) of Section B -368 at Ordinanoe No. 97 at theikaltiag Cade
at Miami Shores Village, be desires to build a single f Zy
an trot '`' Block of Golden Oats Park *ft. & vision,
that he is the owner of said property, and will be the owner or said
postslena. 4 that he will do the work ,p. ersonally, and that
be will, at such times as are required by the Zoning and Building Direotors-
l. File plans and specif icationa and obtain approval of the
Planning Board and the Building Inspector.
2. Apply for and secure a Permit.
9. Pay the required fees.
4. Execute the cork in accordance with the provisions of this
Code.
5. Apply for inapections.
6. File with the Building Inspector certificates that provision
has been made to carry the necessary Vorkaten'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 Act to the State of Florida or the United States of
America.
8. Assume the responsibility of not employing other than properly
licensed contractors by Maui Shores Village fur any part or
portion of the work.
9. 410 set himself up as a 'contractor'.
10. Sign an affidavit before commencing work to the effect tuat
he teas read this Article and will do the work personally and
observe all of the requirements of the Building, :slectrical,
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 permit 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 q atified as a licensee
General Contractor under the applicable Ordinances of said
Village.
SUBSCRIBED MD SUOBN TO BMX: NE this day of As D..
19 .