501 NE 96 St (3)Owner's Name and Address_, --
Registered Architect and /or Engineer % .___._..._.,�
Disapproved , //Date
4
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 specifications must be kept at building during progress of the work.
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 C
State work to be done and purpose of building (by floors) _ -a
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of found, Roof Coyering_
Estimated Total cost of improvements $ r 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 su)mit all the,lans.and specif cations for said b mg. All notices with reference to the building and its construction may
be sent tO N . _ �� ' /// G. •a'_
Date / / f / /��� / / ri
�'•!k . - No,).
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 ins ction on the site-of the work i iblic notice
or notices as are required by the Act. The undersigned agrees to employ only such subc trac rs, on wo r to ,be pe o. under this
permit, as are licensed by Miami Shores Village. �
Remarks_--_ ( Signed) _i! - L/ -
,19._
Street 7
STATE OF FLORIDA,
COUNTY OF DADE. I 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 escribed cons ction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are e.
Permit Date Read, Sworn to and Subscribed before me.
/ Notary Public, State of Florida
( Signed) r
Building Inspector /, My Commission Expires
PLAN"I 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
permit, c.s are licensed by Miami Shores Village.
ivL
cAm o H RE9 V LLA
BUR-DUNG U6 SP CTOON DEPARTMENT
CaL°pLoinxro ❑ 1 FUR BUILD! e,x 'e 1+P"IERMOT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other s2rrur a ;a -1ein described. This application is made in compliance and conformity with the Building rdinance 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__ 3 -. / 7 - , I9_ - --
Owner's Name and Address ' ' __ -- . '--0 �f.)f+) f A qt; i', if-i }- No. 5 c / Street_ 4-- c5 7.
Re Arch.tect and /or Engineer.. _ __
Name and address of licensed conttactor_5 —) 6 C`' C'(_Z f (C,. ,!< / • 4 G; 4 " 9 ,
Location and legal description of lot to be built on:
Lo. __ __ . _ 3lock Subdivision_..
Street
c.zd Number wherz work is to be done .`2i _ ,d' _ . _ -56 �. -' -•__ - -- .-- _ - -_ -- .
State work to be done and purRose of building (by floors) ilLS - e ‘ /111.1 ___il e :1;1/_:5 ; kZ.f:.e
._ __,A. i_192.1__' .. 4.i:._(.. 1 ' kr 264 e .;)(A' .. i i- ) 44 /4,- i r e),..),-.
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation ;loaf Covering
�S et<=
Estimated Total cost of improvements $_ .�. C va- ' _ Amount of Permit $..____ -0 .
Zone cubage required _ . plan Cubage
Distance to net nearest building . Size of Building Lot
Maximum live load to be borne by each floor._
II hescay 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, Pennanent 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 he performed under this permit; and will post or cause to be posted for inspe tion on the site of the work such public notice
or noaces as c_ e. required by the Act. The undersigned agrees to employ only such subcontr tors, p'Yi woz to be erformed under this
Remarks _ (Signed ).,'-
Disapproved __ - _ - Date (Signed) (mil _ / �����
3u:1d2I Inspector
Chairman _
Member _ _
Member
Council Approved
STATE OF FLORIDA,
COUNTY OF DADE. 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
therein by him stated are true.
Permit No.._ ___ 5�� .. ___ Date 3 ~ / _7 J ‘ _7 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or worlunanship.
BUILDING El MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑ Date
PLUMBING ❑ PERMIT N9 8511 Contractor's
License No
ROOFING ❑
Work to be performed under this Permit
Owner of -- •�--
Building C. - -?t _i .
Architect
Contractor
or Builder--:-=
Legal Lot j
Description j � BI i
Address of / Building � / -I 1
r :t_
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 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 • z" • (INSPECTOR) BY - 1 L
In consideration of the issuance to me of this per • 1 agree to perform the work covered hereunder in compliance with all ordinances and regulation,
pertaining 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.
CONTRACTOR or BUILDER BY
Subdi-
vision
Sq Ft.
Value of 11 Amount of
Project $j, e 11 Permit $
AUTHORITY
7 2..
STATE OF FLORIDA, I
COUNTY OF DADE. Ss.
Disapproved
(Signed)
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 specifications must be kept at building during progress of the work.
Date..._ ..... _.
Owner's Name and Address . !M� M
.. .........._ — No. Street--. M. :d�o
Registered Architect and /or Engineer ,-_ 1
- , 111. .. ,,, ..,,..,, .1-,
... ,- 1111,,., ,_. . -.,
Name and address of licensed contractor S('a -�� _..... .... 2'.5'Q0... a?,. -2 s .z
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done ___ ..-5 - 0.1..... A. .....9 � `° _
State work to be done and purpose of building (by floors) .1� . d i. _ 6 . ! ALz?. _r a'�.. -.1 _��
.2 . « -....h 5 lzr.` `1°.Q K.1.1.5: .F.�- _._ a. e v . . _... 't eeci .4
1.111 ?.
- - -- ... AiP6 5._ f Eft f .i ! r and for no other purpose.
New Building Remodeling Addition rT Repairs No. of Stories 1 _
To be constructed of Kind of foundation Roof Covering .._
�"U f�
Estimated Total cost of improvements $ 1.9 5 Amount of Permit $.._... 7--- -„
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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on wort torformed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed).-
C
_ 111__1
o
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_ _L. u_ Date ........... Read, Sworn to and Subscribed before me.
a
: off
Building I pcctor
Notary Public, State of Florida
My Commission Expires
to me well known,
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 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.
•
Application is hereby evade 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.
Date.. - 19.17
Owner's Name and Address . tg��f h ..._._ ._. No Street _' � �� 5Y°
Registered Architect and /or Engineer
Name and address of licensed contractor aP `y ....... . ®0 N'g° `2 St
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 fl rs) .� c� T�� d 144 5 A e L' '.�� '' .6 .. �..._. _
_ ° li A :vr . _ s tom A -11 �'� t r .
cog j� 1"S Rigs .hif.41r.
Disapproved Date
(Signed)
Building Inspector
Chainnan
Member
Member ...... _.._.�..._._..._._ ._._
Council Approved Date
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ L.
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 NVorkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pernanent 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
rte: 27. 7s
STATE OF FLORIDA,
COUNTY OF DADE. 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 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
PLANNING BOARD DATE
1.... . ,.,..1.,,..1t.y....R....1,,,,r, e!1
and for no other purpose.
to me well known,
My Commission Expires
Member
Member
Member -- . - -...-
Disapproved Date
has been obtained Irmo
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re 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.