310 NE 97 St (8)Street and Number where work is to be done
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Disapproved Date-
( Signed) i
Building Inspctor
Chairman
Member
Men per
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.
MIAMI SHORES VILLAGE
APPLS`" ATION 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.
/i Date... V/• 1 d
Owner's Name and Address es •_ f�� No tji° Street 7
Registered Architect and /or Engineer..._._ 1
Name and address of licensed contractor___' "'-(---
Location and legal description of lot to be built on:
Lot Block n
Subdivisio., �.
0 , 6
LAUDING INSPECTION DEPARTMENT
J
PLANNING BOARD DATE
.`J /U �%S �,'• c�
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
Estimated Total cost of improvements $ l S� ti 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
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 contractors or sub - contractors employed by hint
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 wo4c to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks - (Signed)
'.m
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._____ Date Read, Sworn to and Subscribed before me.
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
STATE OF FLORIDA,
COUNTY OF DADE. f
Disapproved — __— _________ Date
(Signed) — –
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 regula-
tions 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.
D ate___– ‘- ---___ __________ 19____
Owner's Name and Address ,� _ ,____ _ __ ____________ No.__ �i _ ___ Street...-4_,---
Registered Architect and /or Engine^
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block_ Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
� 1 7', ,
- - - - - -- -- - -- __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 $ 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
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 alltractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for'nspection on -
or notices as are required by the Act. The undersigned agrees to employ only such s bcontracu th
permit, as are licensed by Miami Shores Village. ,
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized
appeared
Chairman
Member
Member
Council Approv ed_--____-_____________–_— _ --__-- _–_________Date
NOTE: A charge of $1.00 will
the Planning Board.
A re- inspection fee of $1.00 will
materials and/or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Building Inspector My Commission Expires
PLANNING BOARD DATE
be site of the work such public notice
*ork to be •erformed under this .
—
to administer oaths and take acknowledgments, personally
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Member
Member
Member
Disapproved
Date
be made for making corrections or changes to this application after approval has been obtained from
be charged when such re- inspection is made necessary by improper notice for inspection or faulty