45 NE 96 St (5)Owner's Name and Address L:45 ,
Registered Architect and or Engineer
Nane and address of licensed contractor
Location and legal description of lot to be built on:
Lot / / cPj 5r Block
Street and Number where work is to he done
Permit No.
Disapproved.
(Signed) _ -
Ogi
Chairman
Membt r
Member
Counci Approved - _
'11
Building inspector
I l:iL Ai i.0 L.tOH -E ui..d.iA ` J ul
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or whet s•••,•••r( I,
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida, and all provision (.t the ;.,.es th.
State of Florida. all ordinances of Miami Shores Village and all rules a-.d regulations of the Building Division of Miami Shores Village shall he complied «i) vt •
herein specified or not. A copy of approved plans and specifications must be kept at huilding during progress of the work
P\RMSA\
_ Date \/ / o
Date
8 164- v (g
eve C A 0 (�
Suhd,„,,,(n r/, y f l 1/ 7
5
I • work to b done and purpose of building (by flocn star, ^xterior colors isuhr d samed
pl
r)bl_ E ri den rA C
4 - Tao. $kENT POM 4 s v „�.
Addition Repairs
New Building. _ Remodeling
To be constructed of — - - Kind of foundation
Estimated Total cost of improvements $ - - -
'Zone cuhage required . _ .. Plan Cuhagr
Distance to next nearest building
Maximum live load to he borne by each floor
i hereby submit all plans and specifications for said huilding. All notices with reference to the !wilding and its construction may be sent L
mount ',f Permit
Sue of Building I.01
The undersigned applicant for this huilding permit does hereby certify that he understands and accepts his ohligat. as an employer of labor under t le Ito 1.1 • 11, :. •
Compensation Act. being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisums thereof, noel i! ■.• } .
compliance from all contractors or sub - contractors employed by him in the work to he performed under this per 'Yand'wiTp'ost or cause t., In ;,n t••i m
on the site of the cork such public notice or notices as are required by the Act. The undersigned agrees to op'.ov only such sub .00trwtors. y wool. • , ,
under this permit, as are licensed by Miami Shores Village. P 1
Remarks -- — -- — — (Signor
STAT.: OF FLORIDA �
COUNTY OF DAD;. �ss. =m j-� ht,t :;
P
4 1 r rj
Before me. the undersigned authority. a notan fi�`diO,NDS
SYLVIA 'VANNI
MY COMMISSION EXPIRES
April 28, 199
(Nb?Afl'hWC! 1NosedmiIFGA9'ak(; a(krraledgmeotc. personally appear...
and w•to. 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 rill farts therein to hIm st ee•i ar,
Read. Sworn to and Subscribed brf,.rr nu
Mc Commission Expire
PLANNING BOARD I1 \i'F.
Member
Member
Member
Date Disapproved
oat' +j. e c t
Nn 4 5 St, 9
.9 c.2sV e. AS`A L(3/7%
Roof Covering
10 of
lotar■ Public% date of N1or,4,1.
NOTE: A char „e of 525.00 will be made for making corrections or changes to this appli( at inn •:f ter approval has been nhlein•'d from th 1''•m,'e • f{,
A tednspection ff.( of s2-■ .0,` will he charged when : ■ r „ •• • •
in e ,■
STATE OF FLORIDA,
COUNTY OF DADE. J Ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION IFIJR El-Hi-DING 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
pans and specifications must be kept at building during progress of the work.
Date
0wner's Name and Address._.. No
Registered Architect and /or Engineer______
Name and address of licensed contractor___ �f--
19 �
Street e 76'
ePI
// / c' J >-
Location and legal description of lot to be built on:
Lot Block Subdivision 9 Street and Number where work is to be done /1e % 6___
State work to be done and purpose of building (by floors)
/— / -- ice
and for no other purpose.
,�/ New Building Remodeling Addition Repairs No. of Stories
e cs'� To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 3 e-,12.- 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 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 subcon.: tors, on work to be per ed un e. r this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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 s Date < c Read, Sworn to and Subscribed before me.
Disapproved fg g"? Date___.w
Notary Public, State of Florida
(Signed) 1= = .-
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chainnan 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.
BUILDING ❑
Owner of
Buildir.g
Legal
Descri otion
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
ELECTRICAL El DATF 195
PLUMBING ❑ PERMIT N? 8 515 Contractor's
License No
ROOFING ❑
❑ Work to be performed under this Permit
Architect
Contro ctor
or Builder
Bl.
Subdi-
vision
Sq. Ft
Value of
Protect $
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
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 responsibility for work
done b,r 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
pertain ng thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY