638 NE 97 StApplication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the buildingli
or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores
Village, Florida, and all provisio s of the Laws of the S to of Florida, all ordinances of Miami Shores Village and all rules and regula-
tions of the Building Division f Miami Shores Villa shall be complied with, whether herein specified or not. A copy of approved plans
and specifications must bft kep at bu' ding during gress of the wool.
9
`J )
A. 0 7 No. ‘41 —___ Street..24 s,('_. '
Registered Architect and/or Engineer _1144...i2F____R JZ4AJZO
r
Owner's Name and Address
APPLICATION FOR BUILDING PERM T
Name and address of licensed contractor__
Location and legal description of lot to be built on:
Lot �l$ – Block _�_ —___ Subdivision
Street and Number where w is to be done
r
State work to be done and purpose of building (by floors)
New Building
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT r
Date_ - - -LI�s / " — — 19yz
Remodeling
Addition
_and for no other purpose.
Repairs No. of Stories__
Ij oof Cpvering_
To be constructed of_____— ____ —_____ Kind of foundation
Estimated Total cost of improvemepts $
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 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 subcontractors, on work to be performed under this
Remarks (Signed)
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
and who, being
of the above d
therein by him
Permit No
Disapproved
(Signed)
Chairman
Member
Member
by me
cribed
tated
Council Approved
NOTE: A charge of $1.00
the Planning Board.
A re- inspection fee of $1.00
materials and/or workmanship.
first duly sworn, upon oath • 'poses a
construction, that he has ca fully re
�,- Date
Building Inspector
- /
My Commission Expires_
PLANNING BOARD JL DATE
Date
Member _
Member
Member
Disapproved
Amount of Permit $,�–
_Plan Cubage
Size of Building Lot p, ,---
d says that . e is the____— __�__________
d the for; i oing application, and that he did sign the same, and that all facts
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
to me well known,
Date
will be made for making corrections or changes to this application after approval has been obtained from
will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
I hereby certify that th cons
above ,.3o. has been c lmpleted wad that the
the surroundiu premises to be cleared and
as they were before commencing said cons
•
(Date)
1
I, ai undersigned, do hereby swear that the Builder's
Bond, # to $ , issued to me on premises at # 2e g ..4 ' 61 _.,.a�v ,
and transferred to 638 N. E. 97th Street (Street Address
;sae been Lost.
IGi !;D ADD SWORN TO BEFORE MC TRIS DAY OF
19..1• EariaeiLa46
My Commission Expires:
tc tion contemplated under the
builder, -- thereof has caused
w ed in as good condition
t1or .
1 r ;
UIWIN & ZOi3IhG DIR .CTO ,
Miami Shores Village �'`'
11 lift • •
•
j r
(
4.4 ■26.11. 4 .
\ • 1
•
-1* /T
t
4 ,,./4 S
• /
fi
, f •
t
t
r*.
.■■
,
(rtAlmnoug
S I
_ %...
par ;
t _
kr t- E Y.7
(--
i (
- 4 O
oc
fit_c_cto
t
, t
I t......: ._1____ . , -
--1.. ,,... N f :., 7 -=-. •
(---
c _
- 4 - ' 1
Lnc. ic tea
Z422
I c I
350.S -
■
c__