776 NE 95 Sts.
Street and Number where work is to be done
A PLOCAliDD(N FOR f=;MO(LDOfNG IPERGailUT
MO/AMU SHORES \ LLAGE
BUILDING INSPECTION DEPARTMENT
Date
peared
Application is hereby umde 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.
June 25
Date
O.vnces Namc and Address .Mro & Mrs o JQhI3 :'.Q.Urt.a.do No 776.._... Stmt_... L.E. - -St.
Registered Architect and /or Engineer
Michael Granata ... ........................ ...<, ..
Name and address of licensed contractor George A0Cooney 164.0 S.W. 85th Ave, Miami., F1a,....33.155
Location and lc al description of lot to be built on:
Lot land lot 3 Block 67 Subdivision Mi ami Shore g. ..- 3..-- __PB...� 4._P...7
776 N0E 95th Street
addition of Florida Room and Swiming Pool
State work to be done and purpose of building (by floors) —
and for no other purpose.
New Building Remodeling Addition X Repairs No. of Stories 9
To be constructed of .. Kind of foundation Poured t 'OX>`Q.I 'O.t.Q Roof Covering Flat Cement Tile
Estimated Total cost of impr 1 18 000 e 00 Amount of Permit $. S'`i_�F' O
Zone cubage required A' cO .Plan Cubage
Distance to next nearest building 20 Size of Building Lot .... 75x 128075
Maximum live Load to be borne by each floor ' 4 0 lb s 0 p s f o
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent eo.George Aa.C.00ney 16L.0 SoW0 85th Ave, 3.3 .
.155 26 - .. 7.73L1..
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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pcnnit, 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-
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„isssegoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No. .__._.I_.. -C-' 4� Date 3.' - �` Read, Sworn to and Subscribed before me.
_.
Disapproved : / l7 P &.......,r-?"" Date.._. . .._.__.
Notary Public, State of Florida
(Signed) .._. 6/ (J Y - ., -. :-
Lit g Inspector My Commission Expires
P. ANNING BOARD DATE
Chairman / Member
Member Member
\fember .. — - - - - - .... Member - -• -•-•-•
'ouncil Approved Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has Fern obtained from
Planning Board.
A re inspection fee of $1.00 will be charged when such re- inspection is mada necessary by Improper notice for inspection ea faulty
tcrials anti /or workmanship.
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