25793Application is hereby made for the approval of the detailed statement or me plans and specifications herewith submitted for the build
inS 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 March 4, 85.
Owners Name and Address Miami Shores Presbyterian Church •�» N 602 NE 96th »� •»
Registered Architect and /or Engineer.. OOO » • »• . » ».. e•• • » ••a,,,,•••••„+ +eeee,e,neeem•e•,mm11teaeee,n
Name and address of licensed contactor CARRUTH ROOFING C0. INC. 301 NW 71st Street, Miami,
Location and legal description of lot to be built on:
Lot... Block. ..........._ Subdivision ._... ».......» ».....»........ ...._.._ ............... ............. _..
Street and Number where work is to be done 602 NE 96th Street
State work to be done and purpose f building (by floon).R e–roof _46 squares on flat deck between sanctuary
fathiwshi p ba1.L.. ry l s:....!.: /f J q ,P-oVe
_...._»....._ .._. ..... for no other purpose.
New Building Remodeling Addition Repairs No. of Stories..„ Vie..........._.
To be constructed of Kind of foundation:...». .... _ Roof Covering..._ ...... _ ... ..... .. ....... ......._.•....
Estimated Total cost of improvements $•.• 6,725.00 _ . Amount of Permit $..» 20.00 ......
Zone Cubage required
Rernuks. .._.........
STATE OF FLORIDA, .
COUNTY OF DADE. ss•
MIAMI SHORES VILLAGE -.0//gS
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Distance .to Out 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 pennit does hereby certify that he understands and accepts his obligations as an employer
of Iabor 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
pennit, as are licensed by Miami Shores Village.
(Signed) • — ' i 4,v
.Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally ap-
peared .
—to the 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 star are true..
Permit No.. .. Read, Sworn to and Subscrlbed before me.
! Date. . .... ,
Disapproved ._
(Signed) -----
. --
Building Inspector
...._....Plan Cubage ........_ ............. ».................
PLANNING BOARD ............... »...... DATE
Chairman.. ».... ..... ....._........._....».......... _....»........._._»...... Member .»_
Member ......._...._.... » _...._. » .... _... ». __.... _......... .. _... Member
5 6
Notary Public, State of Florida
My Commission Expires..
OO
Member ..... ............ ...... ........__ . ..._. _..»._...._ Membei
Council Approved . _... ...Date Disapproved ...._.. ».._.. »...........» Date
NOTE: A ch.uge of $1.00 will be made for making corrections or changes to this application after approval has hecn 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 anti /or workmanship.