1115 NE 97 St (3)Application is hereby sonde for the approval of the detailed statement ut 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 ..JQyt"
Registered Architect and /or Engineer 111:1. .*,•••*,e•+r.,»+r :r »,•1•„1,,,,, 1711
Name and address of licensed contactor.A/LGQf g : / . ? � . . � . • , ` f ✓ - 1 4 ` � � S 2 . "`� /mil "IS I `' 7 —
Location and legal description of lot to be built on:
Lot Block / 'a Subdivision / E i/ P/ M /A p.9 1 s'�/� />' eS FA CC
Street and Number where work is to be done ` 7 7 S I1 A /...-r-HO-1.51.q.1..r _
State work to be done and purpose of building (by floors) ...1..�.f. ..... _ C O /VC k ere .�!cl g.4. �Z... ..� 1 (�Qd✓
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved
(Signed)
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
and for no other purpose.
New Bui!ding Remodeling Addition f� _
To be constructed of Kind of foundation Roof Covering
Estimate Total cost of improvements $ /4' ' Amount of Permit $.. .? 11 6 _
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,
anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 noticcs as are required by the Act. The undersigned agrees to employ only such su ntra on work o be rformed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks._._ (Signed)
PLANNING BOARD DATE
Date.. . — ,19.
_. No.... / L..s'. ... Street._ .l ...�/.•= S -
Repairs No. of Stories
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 hi ta} true.
Permit No.._.- _._........ Date ' q t 14 ._._... „._. Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Member —
Member
Member ...._ ................__.. „._ __..„
Chainnan
\Icrr,ber
Member .. ..
Council Approved Date Disapproved Date
NOTE: A charge of 51.00 will be made for making corrections or changes to this application after approval has been obtained from
the Plannirig Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
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THESE PLANS ARE APPROVED FOR
ISSUANCE OF A BUILDING PERMIT
MARKS"
VARIANCE(S) LISTED IN "REMARKS"
MIAR9V SHORES BUILDING AND ZONING
UNESS SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMPLIED
S'' Date
Aunori c gn �t�Jr
• WITH NO VARIANCES ■ WITH
NO OTHER DEVIATIONS FROIJI THE
ORDINANCES WILL BE PERMITTED,
ALL OTHER APPLICABLE STATE
WITH BY ALL PARTIES.
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
BUILDING DIRECTOR
- *;
ll
PLANNING 8 ZONING 0011,r
VILLAGE COUNCIL
[
AMOVAL
PRELIMINARY: VIC,1Ad13
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY i'MAIJII SHORES VILLAGE IS REQUIRED. THE ARCHOTECT, MLDER
SUB CONTRACTORS ARE r ' "r" " "' ' " tt' O .'o F 1r•E or
Qi G REGULATLONS tUNETHER OR NOT SPPECBL'ICGILLV IC GATED
&
Aa' pia).
HERM.