294 NE 97 St (7)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 Buildu,g 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 M}r _.l� , 19.614.
Owner's Name and Address ._... _E.__ a_rle No 2914 Street N. E. 97th St.
Registered Architect and /or Engineer
Name and address of licensed contractor North,__ Miami __Home -_.Improvement_._CAmpany
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 294._ IL- _. E.___97_th__St.
State work to be done and purpose of building (by floors) Remove Salous es_..ogl. __mar. -po ch_..and.- install
�1ass -- sliding -- doors. 1 y' 7 „ X , 8 "
and for no other purpose.
New Building Remodeling X Addition Repairs No. of Stories 1
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 300..-QQ Amount of Permit $
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 North-Siiami-- Home___Im rr_ov.ement Company
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 con actors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be poste for inspectio on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such �s bcgntr ptof s, n/v9rkto be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)....
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 the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No ° Date- C
Disapproved ,' Date
(Signed) ..e id -
Building Xrispector a'"
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
to me well known,
Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
9 -i , 9 / 4r-r
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty