70 NE 97 St• - •
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.
APPLICATION FOR BUILDING PERMIT
Owner's Name and Address
Registered Architect and /or Engineer
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 one and p o o uilding (b floors)_
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date L/ - 3 -
No
Date (. ( 19
Street C » 7
?' 7
1 5
Notary Public, State of Florida
Read, Sworn to and Subscribed before me.
and for no other purpose.
New Building /fie odeling _Addition Repairs No. of Stories /
To be constructed of__l!4 Kind of foundation ^ �?��U s y Roof Covering��
r�
Estimated Total cost of improvements $ - / U Amount of Permit $ �' --S 0
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 suit all the plans and ,specificati for said building. All no ices with ref9re9ce•;o the building and )ts constructiop i-i y
be sent to.„,-1 —.cae'/ " A ' -31'75 2? / /- f; „ ,7j ,1i,% ,,...% �� , , C ,- F
Y
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 p rovisions thereof, and will require similar compliance from a 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 i pe ion on the site of the work uch public notice
or notices as are required by the Act. The undersigned agrees to employ only such sublontr ctors • on work to be permed under this
permit, as are licensed by Miami Shores Village. -I
Remarks (SigneW ' •�•'�' _ y ? �' /
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
Disapproved /�'
(Signed) 4.� 21>
Building Inspector � My Commission Expires
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 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.
,\ A' 11( e
;registered Architect and / a•.... _
Name and address of licensed contractor
Locatio an legal d scription of lot to be buil n:
Lot... 4.._ E' /N Block SN
Street and Number where work is to be done
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
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 cr 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. _ .._ l!J/ v j' Ee WiPPE No 7.V Street_
/4_RP/V ER
SEA d /Ew ZAr .vi
Subdivision
Ne
Sf
Ali. ) Sro ems
NW z6 ! $7
Notary Public, State of Florida
SS cam. /
,196/
State work to be done and purpose of building (by floors)___ rT/9 ,4'0 AcsowA)
A NN .._ S#u TTE2553 7' ' , E" /S 724J %G /oE.d�E
and for no other purpose.
New Building Remodeling Addition " Repairs No. of Stories
To be constructed of__ -__ T j Kind of foundation Roof Covering 19._
Estimated Total cost of improvements $.. __ .. 2i�.? 7 Amount of Permit $
Zone cubage required plan Cubage A
Distance to next nearest building Size of Building Lot 7 x/26
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, 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 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 erformed under this
permit, as are licensed by Miami Shores Village. "'�"�N
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 " 71 Date C - L_So - eil Read, Sworn to and Subscribed before me.
Disapproved
(Signed) ___
Bui'' ng Inspector My Commission Expires
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- inspection fee of 61.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Y/76x5 G ) 67
SEA - VIEW INDUSTRIES INC.
3375 A w. 25
MIAMI, FLOR /DA
/VA ME
A DDRE5S
v
c M u N I C I PA L I T Y
Jo B No. (-2
LEGAL DESCRIPTION
L oT
B LOCK
S UBDIVISION
COST Or TOB
FEE r At t .%
X - /OO 9-23-58 t
WLS 29