302 NE 97 St (2)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.
Owner's Name and Address ..sr/i _ "! _ ? ' No 6 Street-_
Registered Architect and /or Engineer . q,/
Name and address of licensed contractor 0-4,-& 4
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 02
State work to be done and purpose of building (by floors)__
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Amount of Permit $. ..__e..
plan Cubage
Size of Building Lot
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building
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 here4 certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being ection 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require siilar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or Ise 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 e only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. A j
Remarks ; u (Signed)._ c t.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly auth d to administer oaths and take acknowledgments, personally ap-
peared
Permit No
Disapproved
(Signed)
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
and who, being by me first duly sworn, upon oath deposes and says t
of the above described construction, that he has carefully read the fore
therein by him stated are true.
Date____ _
/ " d e r
BUILDING INSPECTION DEPARTMENT
D
' a
uil.ing nspector
PLANNING BOARD
he is the.
application, and that he did sign the same, and that all facts
Date
to me well known,
ad, Sworn to and Subscribed before me.
Notary Public, State of Florida
Commission Expires
DATE
7 .
Chairman Me er
Member Me
Member Me
Council Approved Date Disa ed Date
NOTE: A charge of $1.00 will be made for making corrections or cha 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 t44de necessary by improper notice for inspection or faulty
materials and /or workmanship. Qs`��
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
❑
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 323
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description Bl
Address of
Building
DATE 19
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Value of II Amount of
Project $ U' ° 1 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device dzscribed in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. BY •
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting th permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
ABBOT PRIt:T