PAINTINGPermit No
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement au tote plans and specifications herewith submitted for the build •
in or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, llnrid.°. 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.
Daee..._. 8/31/82
.._._ ...__....._.__ ....... ,19..�.
Owner's Name and Address Mary Whittemore N _..__. Street--N E 97 St
Registered Architect and /or Engineer
Name and address of licensed contractor Owner
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 106 N. E. 97 Street,_Miami Shores
State work to be done and purpose of building (by doors) Interior and Exterior _paintin,___,___ ......
_
and for no other purpose.
New Building Remodeling Addition Repairi No. of Stories 1
To be constructed of Find of foundation Roof Covering
yy v�
Estimated Total cost of improvements $./t2 ® ®' Amount of Permit � 115
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied ssith the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performe under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be per armed under this
pcnnit, as are licensed by Miami Shores Village. �` • ` ��
Remarks (Signe
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
pealed Mary Whittemore
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true..
Date
° Date .._..
Building Inspector
t.••- t,f•tl..lTT!.R ?•f CHt'tt.
owner
d, Sworn to and ubsc befa a e.
Notary Public, State of F
to me well known,
M y Commission Y$?tB+Sc4 7 .. •
' r: .:.. ._: :.<....
1 3 0 1\ !?LD It .. ;;{ 1 J/ 1 t, V • 1 lt V J
1, Ui�Ct;:r ✓ltl I.
PLANNING BOARD DATE'
Cinair:nan Member
Member
Member .. .. _....._......_..._._ ...._ Member ...._
Council Approved Date Disapproved Date
NOTE: A c•h.trge of $1.00 will be made for staking corrections or changes to this application after approval has been obtained from
the Plannir.g Board.
A re- in.pectiort fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
•
State w
New Building
Owner's Name and Address AA Pf e
Name and address of licensed contractor
Remodeling
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
'LICATI
0 wA/ki€
Location and legal description of lot to be built on: qq���
Lot Block /4 Subdivision 144
Street and Number where work is to be done / i !!/ �,
N FOR BUILDING PERMIT
oval 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.
0A
Registered Architect and/or Engineer
Date / 19 � �
No. a Street / l' P 9 / '� S `
r4 / I J e z od 1 3 0 5 t 0
be done and pur of building (by flo;rs), state exterior colors (submit samples)
f
and for no other purpose.
Repairs No of Stories
Addition
To be constructed of Kind of foundation Roof Covering
"
Estimated Total cost of improvements S C/ � e Amount of Permit S 2 . ri
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
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 V■brkmen'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 subcontractprs, on work to be performed
under this permit. as are licensed by Miami Shores Village. --o
Remarks (Signed) 7
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared
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.
Date /' ! i /ff V Read. Sworn to and Subscribed before me.
Permit No.
Disapproved , r Date
�,'N[yvt■ • Notary Public. State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials ander workmanship.
Date
Legal Description
Owner/Lessee / Tenant)(
Owner's Address
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 0 71- -- � 1- -- Tau Folio
Historically Designated: Yes No
LL Master Permit # t�
G
u -2�6 3y�2 o115 7.5`' of Z-
Phone �
Contracting Co. X (\/I f Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
MortgagoT Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
X � ` � N� /Jb 14?✓e � (3, 77 w t [ G c
WORK DESCRIPTION
N4L. CoioR- »ivL geril ibirk (LT � -- w,✓ ids (J4,.
0 coir' j/ Yl
Ft. c0 o , 1 ( 00, 70
guars Estimated Cost (value) /
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all ' pork will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the C k stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date Notary
My Commission Expires: My Co
FEES: PERMIT 40 RADON
er- Builder / Date
3 8 90 � o0
fl o C ontr actor or Own - Builder
SS I '
NO y n rauc STAE OF E IDA
COMMISSION NO. CC7S�E0.3
J
CLAM'S VELAI1
C.C.F. NOT A RY BOND
of Contractor or
D
-2 -9f
Date
APPROVED: _ TOTAL DUE 2S
Zoning Building 2 Z 1 1 Electrical
Mechanical Plumbing Structural Engineer