ROOFPermit No._._. .. -:.. _• Date
Disapproved ..__ .... Date
( Signed) _--- ..-- _..... n.. - ` =
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING F'ERMIT
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 rdinance 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 specs or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date te
Owner's Name and Addres s Street
Registered Architect and /or Engineer ........... -.
Name and address of licensed contractor.
Location and legal description of lot to be built on:
Lot Block Su vi:(prl/..
Street and Number where work is to be done ... 9i-7
JV
State work to be done and purpose of building (by floors)
P ING BOARD_
and for no otVr purpose.
New Building...__ Remodeling. Addition Repairs No. of Stories.
To be constructed of Kind of f t Roof Covering
Estimated Total cost of improvements tj 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 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 ork such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors oon work to performed ender this
permit, as are licensed by Miami Shores Village.
Remarks._ (Signed) t "4v
._--------_.____._._..._.-.--•-•-. _..._ .................__.._.___ . _
STATE OF FLORIDA,
COUNTY OF DADE. J a '
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.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Commission Expires
DATE
7
,19
to me wen known,
Chairman Member
Member Member
Member Member
Council Approved._. Date Disapproved Date
NOTE: A charge of 81.00 will be made for making corrections or changes to this application after approval has hecn obtained from
the Planning Board.
A re- inspection fee of 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
( e
MIAMI SHORES VILLAGE, FLA. N9 6569
JOB
ADDRESS i
INSPECTION
TIME READY
REMARKS.
INSPECTOR DATE
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder '
Legal Lot
Description
•
Address of
Building ?i 4
MIAMI SHORES VILLAGE. FLORIDA
r r y
DATE 195 /
In consideration of the issuance
pertaining tlys eto and is strict conformi
cepting this plIm I suxpe responsibil
I 1 A
ffflll Jt nl
CONTRACTOR OR BUILDER
PERMIT N? 5983
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 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 t grin the starts or specifica:io s rind that he assumes responsibility for work
done by his agents, servants or employees.
r
Bl.
'
Signed.
Work to be performed under this Permit
INSPECTOR
Contractor's
License No.
1
Subdi-
vision
Value of
Project $ f ` • ,
Amount of
Permit $
of this permit I agree to perform the work covered hereu er in compliance with all ordinances and regulations
the plans drawings, statements or specifications submitte to the proper authorities of Miami Shores Village. In ac-
11 wor4done by either, myself, my agent, servant or employee.
BY AUTHORITY
MIAMIIHORES VILLAGE, FLA.
JOB
ADDRESS
INSPECTIO
f i
TIME R DY t-s i C �� - c= c at - - t • z-'�_
REMARKS•
•
INSPECTOR DATE
N9 6338
)
Location and legal description of lot to be built on:
Lot
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
Disapproved Date
(Signed)
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.
Owner's Name and Address Andrew Pugh
Registered Architect and /or Engineer
Name and address of licensed contrgctor O b e n o u r Roofing Co.
Block
ing Inspector
Subdivision
Street and Number where work is to be done 1284 N. E. 94th St.
Remove roof and
State work to be done and pu ose of budding (by floors) s and
base sheet, 1.90 lb. slate, gals. fleshings
New Building Remodeling Addition
To be constructed of Kind of foundation
00
Estimated Total cost of improvements $ 7,200.
Date..._ AP_r 3
1284 ^�
— No . __. Street—..! E
. . • � • T94th St•
Amount of Permit 1 -
7357 N. W. Miami C
replace wiE — I- 43 " "'Ib.
white - §fiin gT a
and for no other purpose.
Repairs X
R ootbovering
No. of Stories
40
Notary Public, State of Florida
My Commission Expires.
• 101
`n s0
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 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 wor to be perfprmed under this
permit, as are licensed by Miami Shores Village. <
Remarks.. (Signed).-
. -r -- _ •- _ 6= - r i
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 �� e true. LL
Permit No.._ g_0../ '� # Date... ° 1l Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Chairman Member
Member Member
Member .. ... Member
Council Approved Date Dis Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmm
the Planning Board.
A re 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.