294 NE 97 St (2)Owner's Name and Address
Remarks
STATE OF FLORIDA
CuvNTY OF DADE.
MIAMI SHORES VILLAGE
BUILDING 1NSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application 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.
Date / ~ /0 f -r A 19
No. J
d� 1 y Street V f 2 7 St
4 1o1etAjgc gineer f ? Qzi /4:4 ) ) _ (� Q
Name and address of licensed contractor $ c 1 e A 0 mo� 5 L o AL c L c:f ,
Location and legal description of lot to be built on: // � a d 6 /5 0
Lot_( �J Block 21D Subdivision 6 / \ /VN ` o r -e z - e'ci Gd
Street and Number where work is to be done 2 v _ `._7 // °�
State work to be done and purpose of building tby floors), state exterior colors (submit samplesl� Q brie` �/
VV �
Cv d e ev= inotiet ES__10 w i t ,
/ O 5-e'er — U1
New Building Itemodeling_ � Addition Repairs
To be constructed of e. C_ ./. (* __ ndferfrdation Roof Covering
Estimated Tr■tal cost of improvements $ 29 7 04' Amount of Permit 5 \
Dondad rhru 1 rc 1"4
- Insarunce, Ia .
No. of Stories
Zone cubage required __ Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
1 hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to __ —._
d
44Q„ e-v
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 \Vorkmen'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 r. '.use to be rusted 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 . subcontractors. on wrrk to e permed
under this permit. as are licensed by Miami Shores Village.
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.
r i
Permit No. � % � �� . Date l 42 Fe Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Chairman
Member
Member _
Council Approved
Date
Building Inspector My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
Date Disapproved
Notary Public. State of Florida
Date
NOTE: A charge of 825.00 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 825.00 will he charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
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 speci ' ations must be kept at building during progress of the work.
New Building
To be constructed of
Estimated Total cost of
Disapproved
(Signed) ���
Owner's Nrfine and Address
Registered Architect and /or AE ineer
Name and address of licensed contractor
and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done____ 9
State work to be done and purpose of building (by floors)_
therein by him stated are true.
Permit „I_ _ -_ Date ° ° )
and for no other purpose.
Remodeling Addition Repairs No. of Stories f
Kind of foundation Roof Covering
improvements $___ e't Amount of Permit $ Ste;
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 with the provisions thereof, and will require similar compliance from all contr ctors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspe ion n the site of t work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcon actor , on work the performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Read Sworn to and Subscribed before me.
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
------ -_---------------- ---- _ - -_ -- 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
Date
z Notary Public, State of Florida
Building Insiector
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.
My Commission Expires