ROOFINGApplication 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 /n Af ,/712 S
Registered Architect andior Engineer
Name and address of licensed contractor i Sg rLVc ! 5
Location and legal description of lot to be built on:
Lot Block
STATE OF FLORIDA
COUNTY OF DADE.
1 ss
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Subdivision
Date 7-. i 19 2 0
No. /I 7,2 Street // Q % 7
/O15 2 //3 ie./. 4_, . 2 / e
• 3' 3/7 6
0./.& . Vmfrd/ /I ,f.Z a /Y e,
Street and Number where work is to be done J. '7 ' A 9 7
State work to be done and purpose of building (by floors), state exterior colors (submit samples) 7E-P6Aa..' `'?G"T Amer/' ,'
/tLc 2< /.. (Ot� - .� AriJc- r.� r7X3 A .3-c.) 6vipil 2.,,p- �3 ) 4..-`� Y,!0.9`i'�'
New Building Remodeling Addition Repairs No. of Stories
To be constructed of ti<
Kind of foundation d Roof Covering
Estimated Total cost of improvements $ C .2 3't /Q ` Amount of Permit 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to
and for no other purpose.
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 po 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 * ntractors. on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signer-'-
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.
Permit No. 301/ � Date I ? Read. Sworn to and Subscribed before me.
:::01 ve e ms } t , Date
Notary Public. State of Florida
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 anchor workmanship.
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor_
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building
live load to be borne by each floor._
permit, as are licensed by Miami Shores Village.
Remarks
Disapproved ___
( Signed )
Council Approved__
MIAMO SG=M dOLLEAGE
Slt'• .DING INSPECTION DEPARTMENT
A FLOrf ►TDON Gs o UOfLEDU G PERMIT
RMIT
Application is hereby made 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.
0
Subdivision
New Building Remodeling
To be constructed of Kind of foundation
/s
� Date____ � , 19 2 1 C e#cI '' /___ C _._ No._ -_lam f v Street ( 1 S f
�O �
Date Disapproved
3o/ 4/
State work to be done and purpose of building (by floors)
and for no other purpose.
Addition Repairs No. of Stories .d
Roof Covering./ "CC‘dTF
/ - L/3 ri -, 1
/s.
A
Amount of Permit $
A c/r -G
plan Cubage
__Size of Building Lot
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 pennit 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, Pennanent 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 subcontra9srs, on work to be performed u t1}is
STATE OF FLORIDA, 1
COUNTY OF DADE. ss
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 him stated are true.
Permit No / f 1 Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspec My Commission Expires
NNING BOARD ____ DATE
Chairman Member
Member Member
Member Member
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has brrn obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper not, : tor insp.. lion or faulty
materials and /or workmanship.
azr?
Owners Name and Address._ W. E. Clauer
Disapproved 1 e
( Signed) .4
�Buildin nspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEF'ARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made 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.
Registered Architect and /or Engineer
Name and address of licensed contractor Truly Nolen, Inc. 600 N.W. 7th Avenue, Miami, Fla
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1270 N.E. 97th Street,
State work to be done and purpose of building (by floors)
I_ ;a> l- Mas Roof and Wall Cleaning and Coating 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 $_... $1, 2 65.00 Amount of Permit $ 1.00
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 pennit 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. j 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 t foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No-711_1 Date 7 — Read, Sworn to and Subscribed before me.
Date April 4, 1958 , 19
No 1270 Street N . E . 97th
(Signed).-
For: Truly' Nolen, Inc.
Roof & Wall Coating Dept.
to me well known,
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Date Ia�
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address I 0 1 Tax Folio `�U 6s63,0 -
arle.. S),-) ore
Master Permit O 16 v
Lo 13 E , 5
Cjraf CI r- des LQ . 1 1.e-
Owner's Address Phone
Contracting Co. FA once__ Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
/ Lessee / Tenant
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
� �Y# T 11 --_
WORK DESCRIPTION � -- �YL�
Square Ft. Estimated Cost(value) BOO.
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 work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
aut i rize the above -named contractor to do the work stated.
o liramaisrige
Date:
ure of owner and /or Condo President
Notary as to Owner and /or Condo President
My Commission Expires:
g
Dat
ommission Expire
** * * * * * * * * * * * * * * * **
PEES: PERMIT ?• RADON C.C.F. i 1-/ NOTARY TOTAL DUE 4d
APPROVED: Fire
Zoning Buildin
Mechanical Plumbing Engineering
ature of Contractor or- Owner- Builder
•
:1::i... Amoral , • - A
ry as t . Contractor or Other- Builder
otor P alit, Stot of Rallis ^
+ Co:r Empires Vey 5, 1995
Other
Electrical