MECHANICALMIAMI SHORES MIJLAGE
BUILDING INSPECTION DAt TMENT
APPLICATION FOR BUILDING PERM OT
Application is hereby wade 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 spec'fied or no2. A espy of appeoved
plans and specifications must be kept at building during progress of the work.
AI .,F, p Date..._.. �. .._._.__._.........– ._a..._.... , i . a ?-
Owner's Name and Address 4 f :)✓. – 44 , . ? N.c L 9. .. S .... No street_
Registered Architect and /or Engineer .... ...... :...:....
Fame and address of licensed contractor. �.�.,Q ,...t'.Y.1 1�. 115. �
... Ic�.��a�
..::a��_1�t. .1_\0....., \
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done .. Q.4:9. -. x- till I State work to be done and purpose of (by floors)
New Building Remodeling Addition Repairs No. off Stories
To be constructed of Kind of ndation Roof G ov ing
Estimated Total cost of improvements $ < . �. � Amount of Permit i ...
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 theFlorida 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
pennit, as are licensed by Miami Shores Village.
Remarks.. -_ (Signed) .9..`t
STATE OF FLORIDA,
COUNTY OF DADE. 5 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 same, end that all facts
therein by him stated are true ��
Permit No._ �r r te / Date ? Read, Sworn to and Subscribed before me.
Disapproved Date - -_- _ _ _ Notary Public, State of Florida
(Signed) —e\ `e
Buitlie(g Inspector _ Commission Expires
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made foe
the Planning Baird.
A re impec•tion fee of $1.00 will be charged
materials and /or workmanship.
-other puspeae.
to me well known,
PLA':.�', I C BOARD DATE
Member
Member
Member ...._
Disapproved Date
making corrections oe changes to this applications after approval has been obtained from
when such ee- inspection is made necessary by impacpee make for inspection oz faulty
Miami Shores, Florida
June 27, 1972
Village of Miami Shores
Building, Zoning and Planning Department
Dear Sirs:
I am the owner of the property at 261 N. E. 97th.
Street, Miami Shores, Florida. This is adjacent
on the east to 249 N. E. 97th Street which is
owned by Eugene B. Parry.
I hereby give permission to Mr. Parry to place an
outside air conditioner condenser unit on the east
side of his house as shown on plans dated 6 ..26 -72
by Roy L. Malphus, Inc..
261 N. E. 9 t \,S t r[ / -f)
.. i da