1050 NE 96 St (4)Swett and Number whew work is to be done
C - S N.c
Remarks •
Disapproved s Date.
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
.Application is hereby made for the appro\al of the detailed statement in u►e 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, 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 iuilding 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. , ) p
���� Date / ', /� /- , 19.>L
Owner's Name and Address L Ks (L..1. /? ......_ No.`g - 'Sb'eet,...:L.4F .; FC C_
Registered Architect and /or Engineer C�� •
n.••.nr•In.nn. C„- .e nTe... •.•••.••.. • ..•1..
Name and address of licensed contractor. G(1 . €. C`:y.Me- -. ° N .. .7 ._. ...-.. .:f .s t33(6 z
Location and Legal description of lot to be built on:
Lotw,t 9d- ))/ /0 nlock (1 Subdivision..lt�f....... ; .. // , 72 .01 ,isr
.5 "6 , /f6i1!e ( e -V . /y5 __ yG s:)2
State work to be done and purpose of building (by Iloors). L6P�)..Cd G....... - 1 y✓. ' _... _.1 41 - 141
._..
( NQ... � �- ,. . G J IGc =J.
_ -- r.M 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 $ L. -.. . fi —
Amount of Permit L
Zone cubage required plan Cubage
Distance .to next newest building.. a 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 5066. Compiled General Laws of lorida, Pennancnt Supplement.
and has complied with the provisions thereof, and will require similar compliance from all contractors o 6 employed by hint
in the work to be performed under this permit; and will post or cause to be posted for inspectio e of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only suchi;, rt•i performed under this
pennit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. } as.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgmenu, personally ap-
peared SE atcves, l;vt - 2l - F
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, acid that all facts
therein by him stated are true.
Permit No. ._ 1 + Date 4 1 7 14/ Read,
Building Inspector
(
PLANNING BOARD
Chair ;nan
Member
Member .. _....._..._._ ...._.
Council Approved Date
orn to and Subscribed before me.
Notary Public, State of Ft rids
,( )TARP PUBLIC STATE OF FL3,71"
My Commission Expires 1: ^.X.L.CMMi;a; :d..r:{r:f.5—.10 251 ,;i
I‘JDED GENZ , J. IN ',;,A,NCE I i • •
..DATE
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the I'Luinir,g Board.
A rt.-inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice
materials and /or workmanship.
f
__ ....to me well known.
Member
Member
Member .. __ ................_.
Disapproved Date
has been obtained from
for inspeetirtn oar faulty
Location and legal description of lot to be
Lot.YV -z.C1' A.1.1....IP Block
STATE OF FLORIDA, i
COUNTY OF DADE. ss
Disapproved
(Signed)
Building inspector
Chairman
\1cu.ber
Member ..
Council Approved
NOTE: A charge of 31.00 will be made for
the 1'Lrnnir.;; Itu.trd.
A rc- rnspection fee of 31.00 will be charged
materials anti/or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement ua the plans and specifications herewith submitted for the build
in or other structure herein described. This application 1s made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iuilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
uilt on:
r
Street and Number when) work is to be done... /$- c%:.� SZ?eCe
S ork to be done anEl purpose of building (by floors)...4e 4'3....l' G
Date..
Remarks _ .. _..._.__ (Sig
PLANNINC BOARD DATE
dPe
/r/e,.k/5 //9!'r Date. loS
Owner's Name and Address .� .... »..» ..�d., .. , No.�B» a:.. Street--
treet.. G'».. C
Registered Architect and /or Engineer n.•••nr•nrrwwnw e•mwa,ewr..r.
Name and address of licensed contractor S Ze? "-. 6 /.. 2L0c! - i7?,i3fc °Z
Subdivision.... .. : ... o.LQ
and for no other purpose.
Ncw Bui!ding Remodeling Addition.. Repairs No. of Stories _
To be constructed of Kind of foundation Roof Covering M
Estimated Total cost of improvements $ r/ 5 Amount of Permit $. %/5-4 Y..t.
A..G
Zone cubage required _.._....Plan Cubage
Distance .to next newest building it Size of Building Lot
\faxunurn live load to be borne by each floor
I hereby submit all the plans and specifications for said building All notices with reference to the building and its construction may
be sent to
The tinier.igncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennitnent Supplement,
and has complied st ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted f . spection on the site • r . work such ublic notice
or notices as arc required by the Act. The undersigned agrees to employ only such
pcnnit, as are licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap-
peared
to me weU known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
ZO Read worn to and Subscribed before me.
Permit No /.11!.1.1.25! Date
�C-
Notary Public, Smt
vuni.IC STATE OF FLORID\
My Commission Expires MY »S>AlAll$ :1CQL� .Ia ' A.ES .!!1LX 25ast�•_ .
P: NDED THRU GENERAL INSURANCE UND
Member....... - ....................... _._.. .._...._. ........... ......... .........
Member _
Member ...._
Date Disapproved Date
making corrections or changes to this application after approval has been obtained (man
when such re- inspection is made necessary by Improper notice for inspeatinn or faulty