577 NE 96 St (12)UILDING
LECTRICAL
LUMBING
<<
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 5473
Work to be performed under this Permit L !,
)wner of
wilding
rchitect
: ontractor
r Builder
.ega1 Lot Bl. Subdi
)escription vision
.ddress of Value of 1,
,ding r , Project
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 appli-
ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t 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
ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
3gulations pertaining to the work covered hereby whether shown on the plans or drawings or in thg atements or specifications and that,he assYthes respon-
ibility 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
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village,
n accepting is permit I assume esponsibi ' for all work done by either myself, my agent, servant or employee.
.;- COITTRAC,`TOR O1. BUILDE BY AUTHORITY
DATE '',r x- 1944.
Contractor's 1
License No.
Amt. of
Permit
BUILDING ' t. y
ELECTRICA •
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
•
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N2 5473
Work to be performed under this Permit ` r: .
7 �
o; s a il V �1./Li/FF� -? ?lt b,` �p°'� t
,r
Bl.
Address of „ — 2 1 1 ' ® Value of '/ / 9 A B�
Building </ t.?; • �' r Project t
This permit is granted to the contractor or builder named above to construct the building or' td install the equipment or device described in the appli-
cation 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 awings -o • thtatements or specifications angl_tha he ashes respon-
sibility for work done by his agents, servants or employees. ? n ., , °y
Signed. 67. o f „1 • � 1 Q R By . •
INSPE OR y
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a}inances and rg s
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities f Miami Shor 'g a,,0.
In accepting i rmit I assume responsib'_ ty for a work done by either myself, my agent, servant or employee.
Subdi=
vision
Contractor's
License No.
Amt. of` 9
Permit 4L
BY AUTHORITY
194
MIAMI SHORES VILLAGE
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.
Owner's Name and Address____l::iCl_•f�
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
BUILDING INSPECTION DEPARTMENT
Date
State work to be done and purpomof building: (by floors)__
7 ) • /
P
No
Lot Block Subdivision
a '
Street and Number where work is to be done_ _ = =/ /, °
■
Street
, 19_
7
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation RjpJ Covering
Estimated Total cost of improvements p $ Amount of Permit $__
Zone cubage required flan 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 5968, 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
permit, as are licensed by Miami Shores Village. ` _
Remarks
(Signed)_1.,__ / 7 __ %%_ " -
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 / 3 Date
Disapproved Date
(Signed)
Building Inspector
7
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
PLANNING BOARD DATE
and for no other purpose.
Read, Sworn to and Subscribed before me.
Y.
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
2/B 1
, y k approval or trt"e a 'the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the
State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
Name and address of licensed contractor
Street and Number where work is to be done
1005 3/D %IN,-bfr 131
(ORES VILLAGE
PECTION DEPARTMENT
IR BUILDING PERMIT
ate t� /F 19
L FCA440 S < / �� 9 J Ne Street
Registered Architect and /or Engineer
Location and legal / �rip
description of lot to be buil on: , I �� / /
Lot/ � �°� —�' Block 9 Subdivision l J% %,/ // )� 526 f / /
—7 77'7 e 9$
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of ,-j Kind of foundation Roof Covering
Estimated Total cost of improvements $ " `� Amount of Permit S . 9:0 B 7v
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 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 obligatons 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 subcontr + .rs. on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
PLANNING BOARD DATE
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared
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 foregoin application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No. 1) C' Z Date 0 Read. Sworn to and Subscribed before me.
Disapproved (� C Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
Chairman Member
Member r Member
Member Member
Council Approved Date Disapproved Date
i
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.