55 NE 94 St (15)w_ 7fcso
MIIAM1 ENO ES V LLLAGE i /Pa _ /efia-
BUILDING INSPECTION DEPARTMENT
A-'PLUCATODN9 FOR UOLDENG PE f MOT
Application is hereby sonde for the approval of the detailed statement of ute plans and specifications herewith submitted for the build
inc 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 aprcified or not. A copy of approved
plans and specifications must be kept at building during pr0greaa of the work.
6//,3
No.... .
Ov ncr's Name and Address ... VO._i 77 E' D .. .�
Registered Architect and /or Engineer
Name and address of licensed contr1ctor OVer.
Location and legal description of lot to be built on: 3�OG - /3 o C
SubdiVisfon.A2 22 ,1 2 .
Street and Number where work is to be done „c .�,�
S woe to be d ne nd purpose of building (by floors) - �NST4// a C(C� �4� !/1 q Q (Z Or�
II s *Ii3!ea G A/ F Xd..f_ Z '-16 WAY il La.,/
and for no other purpose.
Ncw Building........... Remodeling Addition Repairs V \ No. of Stories
To be constructed ofCij..L.14,e. l .. Kind of foundation Roof Covering
dv
Estimate Total cost of improvements $ 30 . Amount of Permit $. ,.3e2•..P..Q iiide •
Zone cubage required plan Cubage
Distance .to next nearest budding.. Size of Building Lot
Maximum live load to be borne by each floor
1 hereby submit all the plans and specifications for said budding. 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 unders ands nd accepts his obligations as an employer
of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled tenera Laws of Florida, Permanent Supplement,
and has complied Stith the provisions thereof, and will require similar compliance from all • t or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for in him , site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such on • • ��! •rk to be performed under this
pcnnit, as are licensed by Miami Shores Village. , ��y
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 _..
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 name, and that all facts
therein by him stated are true.
Permit No.._.... 1 . Zqf Date 3 .i— I Read, Sworn to and Subscribed before me.
Disapproved _. Date.
/ n Notary Public, State of Florida
(Signed) . -1 J. .2I✓LC....Li! !1. , ii
Building Inspc or My Commission Expires
to me well known.
PLANNING BOARD DATE
Chairman Member
Member Member
Member --- __ -_ --
Member
Council Approved Date Disapproved Date
NOTE: A ch.rrgc of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the I'I. nnir llo.ud.
A re- inspection fce of 51.00 will be charted when such re- inspection in mode necessary by improper notice for inspection or faulty
materials anti /or workmanship.
PgS 0237 Rev I t/ 79
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1. [(CT E ANN PROTECT ALL UTILITIES IN ARCA Or
CO:'ISII-:IsiCIION. UNCLE 071-85$132.4/10
Ldir 2. F,E.IWI ALL AREAS TO PRIOR CONDITION
3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL
GOVERNMENT AND PgS STANDARDS.
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PgS 0237 Rev I t/ 79
Ilr.l'A!i :.; " :NT
IUtLDI iC t)IRECIU,:
VI! LAGS:
PLANS A['PCOVED FC R ISSUANCE Or A BUILDING PERMIT
(] '";'!T :1 NO VAC 117,E(' 0 WITH VARIA ";CE(S) LISTED IN "REMARKS "
NO T "F. [.;''.' "! S:;O F. BUILDING AND ZONING
O iCINANC :; : "JILI. I.IF Pr::?' ES SPECIFICALLY LISTED BELOW.
ALL Ui ;ER A;'[''iC^ '.E STATE AND ,..0t1.0 LAWS MUST BE COMPLIED
GY ALL l'^•R(!F:S.
PRELIMINARY:
[tl. JARI(S:
AuP' r i c l Sipe -Pure Date
COi PLIC,f;CE MTh THE SOUTH FI.00IDA BUILDII.;G CODE AS ADOPTED
BY MIAf ;I SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB CONTRACTO :: ^F r . . r • I.. F'`r,F or Al I RItll D.
WO REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
APPROVAL
FINAL:
}SS.
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 building 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 L 11° •
Registered Architect andior Engineer '�
Name and address of licensed contractor.�C9®�Sf� �� ' .43 i
g_04109 € c. �j # ow '
G0
Location and legal description of lot to be built on: j�
L,jO ` / 6 7 Block Subdivision _4 4 u4 D - - / 9'M) /1 Y A/
/1 05Z.0 S
Street and Number where work is to be done 3 . ,4 /4° . (I-
State work to be done and purpose of building (by floors), state exterior colors (submit samples) ��Q ECG ✓+ 0Oh
q 3 s. E „
/ 0 CL u/ ..9 s.
and for no other purpose.
STATE OF FLORIDA
COUNTY OF DADE.
Remodeling
MIAMI SHORES VILLAGE 7</
Addition
Remarks (Signed)
Date / / �' 19
No._ �/ eet q
Repairs
No of Stories
New Building
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 6(S)” of Permit S "
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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to _
Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared __
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 .,. f ormed
under this permit, as are licensed by Miami Shores Village.
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 foregoin application, and that he did sign the same, and that all facts therein by him stated are true.
Permit No. 2 7�,, Date / // �� Read. Sworn to and Subscribed before me.
Disapproved
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved
Date
Notary Public. State of Florida
Date
NOTE: A charge of S25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and -or workmanship.