966 NE 92 St (2)Chairman -
Member _ __________
Member
Council Approved__
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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 August 51 , 19 72
R. H. KING N . E.
Owner's Name and Address No 96 6 Street 92 Street
Registered Architect and /or Engineer Carr Smith & Associates
Name and address of licensed contractor _.__.__..__. ._ INC. _.. 741 N. VT. 54 Street Miami, Florida.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 966 H. E. 92 Street Miami Shores, Florida.
State work to be done and purpose of building (by floors) Install aluminum fold--down awnings.
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 $ 21.5.
Zone cubage required-___
Amount of Permit $ .
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 - -- -- --- - - - - - - -- Teldon Hodges C/0 JALCO, INC. 741 N. 17. 54I. Street, Miami, Florida.
Thstallation "foreman
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employes
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen- al Laws of Florida, Permanent Sup lenient,
and has complied with the provisions thereof, and will require similar compliance from all .. tractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for ins ion 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. . ( . or on -o to performed under this
permit, as are licensed by Miami Shores Village. J' !' /
Remarks__ (Signed) Nr74� I
STATE OF FLORIDA,
COUNTY OF DADE. j
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_9 2/ Date__� c_ ✓ Read, Sworn to and Subscribed before me.
Disapproved _. _ ,_ Date_
Notary Public, State of Florida
(Signed) -(' D,1� 6. . .
Buildi g Inspector My Commission Expires__
PLANNING 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.
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.s� , lff.�
Owner's Name and Address MR 0 far 9.1. -0 L...,� ./ ' I.a2 No.L ( ? . Street._.. 2
Registered Architect and /or Engineer p m •m .n: » »ar »e•<
Name and address of licensed contactor 4.. .V ..1. i . r . 2.4 i22.i&L 4
Location and legal description of lot to be built on:
Lot . Block Subdivision ....._. ._._...._._..._.... —
Street and Number where work is to be done ...._._.: __...._.._..... _..__. ...._ . __._ —
State work to be done and purpose of building (by floors) 1.. r;! _ D z — ,g, ..Q_�._ ..._._..__._..____
..._..._........and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
0 Q `o v Amount of Permit S. �19 4
plan Cubage
Size of Building Lot
Estimate Total cost of improvements $
Zone cubage required
Distance .to next nearest building.
Maximum live Toad 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 Libor under the Florida Workmen's Compensation Act, being Section StJ66, Compiled General Laws of Florida, Permanent Supplement,
and has complied ..ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in tl:c 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) 3 ® .. ..-. y _ R
STATE OF FLORIDA,
COUNTY OF DADE. f 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 aze trap..
Permit p
Permit No.. ((J,/ Date .. 1 . Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Building Inspector
Date.
PLANNING BOARD
Chairman
.\lcrnber
Member .. _..... •--- . ...._....._
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning lsoard.
A re-inspection fee of 51.00 will be charged
materials anti /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Notary Public, State of Florida
My Commission Expires _...._
DATE
— to me well known,
Member —
Member......._...... —
Member . —. ...._ -- -.....
Disapproved Date
staking corrections or sponges to this application after approval has been obtained from
when such re- inspection is made necessary by Improper notice for inspection oe faulty
Q � 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 , 19
Owner's Name and Address .s. /‘- , . No — - Street '
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
State work to be done and purpose of building (by floors)
„ t < < i ' •
Street and Number where work is to be done
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 $ 1 c
Building Insp for
Council Approved Date
Amount of Permit $
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 of Florida, Pennanent 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. 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 _... c ' ,/ Date - Read, Sworn to and Subscribed before me.
Disapproved f ._ L Date
I Notary Public, State of Florida
P
(Signed) %' ■
1/ANNING BOARD DATE
Chairman 1. "
Member
Member .
My Commission Expires
Member
Member
Member
Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
has been obtained from
for inspection or faulty