70 NE 97 St (7)Owner's Name and Address.
Name and address of licensed contractor fn't--. 4 —
Location and legal description of lot to be built on:
Lot 4 ` t / ' Block
Street and Number where work is to be done 7-i2
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building._
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.
Registered Architect and /or Engineer
Subdivision
766 _.
State work to be done and purpose of building (by floors) -_ C A< e _.E'z . `_L 2) • ./..e- F
• 4 AI_!__- GY°� and for no other purpose.
rte"
New Building Remodeling Addition Repairs No. of Stories
To be constructed of. Kind of foundatbo Roof Covering
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 subco tractors, j r wo� to l ) performed uncjer this
permit, as are licensed by Miami Shores Village. f
Remarks (Signed) _ .___ .
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
Date s�
d �... • No ,,C a Street
/M:: . r
2 .
_Amount of Permit $
...Plan Cubage
Size of Building Lot
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that ]to is the
of the above described construction, that he has carefully re the foregoing appli ac`t and that he did sign the same, and that all facts
therein by him stated are true.
Permit No -" Date a '
z ` .S
�- 7- J,
• r
Read, S . rn to Subscribed before me.
Disapproved e
(Signed) -, Z — c
Building Inspector My Commission Expires
Notary Public, State of Florida
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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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FRONT
DI U.=
HEIGHT
STORIES
TYPE
OF CON;
R. . ION •
BUILDING TO BE USED FOR
ROOF
COST OF Rumor-No
PERMIT FEE
joy '�
�7
o�
Fran .
7
_
rete, Stucco
Reside e, Apts., Stores, ,T3ote1
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f/
BUILDING PERMIT
•
No.
Owner of Building
Architect
Contractor or Builder
DESCRIPTION OF BUILDING
ami Shore er V.j ge, Florida,
r
PROPOSED LOCATION
MIAMI SHORES VILL
OFFICE OF BUILDING INS
SUBDIVISIO\
N° 236
Posted on Tax Roll
This permit is hereby issued to I 44 4 :7'
. ' � / _ To
the building above described, as per application, Plans and Specifications heret ore filed in this office. This permit is granted upon the ex-
press condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications
submitted, and in accordance and compliance with the building laws of the State of Florida and with t building ordinances and zoning laws
of Miami Shores Village, and rules and regulations of the building department of Miami Shores Vill.!. This permit may be revoked at any
time upon the violation of any provisions of said laws, ordinances or rules and regulation . � .j' change in the plans and specifications
•authorized by the building inspector.
In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the
application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the
State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rulCand regulations of the building department
of Miami Shores Village.
Dated ..... E'.. .l. ~..S de , 19.
6)
/ 4 N 41 e / /‘ /(3 — 7 3S
, I93..
DI_O INSPECTOR
Ir
(KeL)