755 NE 97 St (3)Owner's Name and Address .........Acd i/7
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Disapproved
(Signed)
Building Inspector
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.
D ate..._..._.
/ / ate/ _.L. � J
C �G ®..fit a✓''' _ No .<.d. . StreetAl
Registered Architect and /or Engineer t,:,.. .,.,....,,.., t........t...•tt.ttt,t- .t ......
Name and address of licensed contractor ---- AA/^/ 6 , (rm _._....__
Location a d description of lot to be built on: �j U / 3 g
Lot..' I/• 0 SBlock ,7 Subdivision ........ /sass /. -S4 ? d Sec A.O . /q -3 7
Street and Number where work is to be done �,1.. ,"- !.6 '/.
f.. l?te1
State work to be done and se of building (by floors) EC ' ! / ..11e1J 74A/4e
P� 8 ( Y ) � .� ft lt?(� ._.._.. sass.. __... ._.._..--- ..___..._
s- ..,r,e - de_ 'C.( 4 4 cf ®
and for no other purpose.
New Building Re odeling Addition Repairs' No. of Stories
To be constructed of.... Kind of foundation C. Covering
Estimated Total cost of improvements $...: Amount of Permit $,...I1450
Zone cubage required .Plan Cubage {,
Distance to next nearest building Size of Building Lot 9 7 / �1 .. //..2-
Maximum live load to be borne by each floor
I hereby submit all the plans and s ecific io for �ss id building. All notices with reference to the building and its construction may
be sent to 7.c.. of "711 ./ /GI/di/ .5 ee,5— .737.7e
` Date.._
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 uhlic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe• under this
perinit, as are licensed by Miami Shores Village.
Remarks (Signed)
O
,
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 e. 1 �
Permit No._� tv _ L Date _._.E li 7
. -- -.._-_ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
to me well known,
PLANNING BOARD DATE
Chairinan Member
Member Member
Member sass.. _----- _..._._ sass_ 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 hecn obtained from
the Planning hoard.
A re inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
•
•
This property described as:
Lot 4 and the West 40 feet of
Lot 5, Block 70
MIAMI SHORES SECTION NO. 3,
according
thereof, a
Plat Book
of the. Pub
Dade County, Florida. •
O° fib
>v. Denotes existi4n
on U.S.C. & G.S
o
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a )
r.
a, a9
PROPERTY OF :
to the Plat
s recorded in
10, Page 37
lic Records of
:,a,ES77r7iS /:G�L.Ik.t( U.'..T�^tSIS4S3�
ralr a *s:t+r »�ay =zz ee t2==iras :serixxeariSI reranar rn:ZECP=CM
7
.tion based
.L. Datum
r r
fire
1 t e reby certify that the -
attached sketch represents
a recent survey made Linder
my direction. and Is true -
and correct to the best of
my knowledge and belief. -
and that there are no en—
croachments on said land -
other ,than are s awn here-
/
on. !/
Fla. Reg. Surveyor N
Fee. Reu. Er.y.neer No.,L -]:C4
J .1/ :w) in i ..
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LANNES and GARCIA, INC.
P. 0. Boa 561131
M ems, Florida, 31156
SC ALE
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I`.)
Florida
ENGINE E R S - LAND SURVEYOR S - LAND PLANNERS
DRAMN BY DRUG. NO,
178 -659
r:ZIVI ALCX:7 " 3'Y. C. •:LL ;IX
,G 178 -1911