795 NE 97 St (6)Registered Architect and /or Engineer
O Name and address of licensed contractor api 12,4) .m ..._..
Location and legal description of lot to be built on:
Lot r 7 Block 7D
Street and Number where work is to be done ...... 3
State work to be done and purpose of bujjding (by floors)
Building Inspector
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby nude for the approval of the detailed statement ut we 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 Vill.tge, 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 iuilding 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
,�y� Date..._. - - -•� �►y O'� . ._._......_._._..._._._..._.... , lfl!!�
Owner's Name and Addressi 1 "®" �" 4 ®QR _ No... ... Street._. e _ F 7
4
New Building Remodeling Addition
To be constructed of Kind of foundation
Estimated Total cost of improvements $ O' cV
Amount of Permit $.
Zone cubage required ........... 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 5966. Compiled General Laws of Florida. Permanent Supplement,
anti has complied ss ith 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 he work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work , o.. a erfo med under this
pcnnit, as are licensed by Miami Shores Village.
Remarks.
STATE OF FLORIDA,
COUNTY OF DADE. i ss•
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
Permit No therein by him stated are true.
q�q z
.._ �� � Date �" / ..
Disapproved ' �. .... s Date
(Signed)
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 hero obtained from
the Planning Board.
A rc•in fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspectiom or faulty
materials and /or workmanship.
7/`",3 cZ
MIAMI SHORES VILLAGE
Subdivision 771 S --Z./-1112t d, .. A
t...........• - •... •......t.!t... -..,,
CE e4 rip 'q& e
.*J( wood Pe -- - e.
and for no other purpose.
Repairs No. of Stories
oof Covering
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
to me well known,
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scala •14
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date ..5 — d2 Time
Type Insp' n �, � % )Z1!2
Permit No. �J3P 1 0® Z ° 95D
Name Ka
Address 9C 4// 97 5r
Company /4/44/ //ri- 7 il. 24
Phone # 3e C fS °" 7 g
For Inspector:;,] Name & Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
B uilding Inspection Request
Date 6 3 6 ' Time
Type Insp' n "24.4
Permit Permit No. B e 2 ° � 6
Name
Address ,5-; 4. ,__
Company
Phone #
Correction
J2r 9 86 - ?P ?F
For Ins - ®2, Name & D
Re- Insp'n Fee ❑
` ± L f3 . 7 2
Type Insp'n
Permit No.
Name
Address
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date l0 3' Time
Correction
Re- Insp'n Fee
;fly' air
2f ecZ- Fs O
7/5 /1/g' f7 S � -
Joy-- 9 -99' ?F
For Inspector: t - LD� Name & D e
Remarks _
STATE OF FLORIDA,
COUNTY OF DADE. ss
peered -
Disapproved
(Signed)
Charnan
Member
Member _
Council Approved
Date-_
Lc: Cy
Building In ector
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.
Date M
, Location and legal description of lot to be built on:
RegLaered Architect and/or Engineer
Name and address of licensed contractor_ .5.7 4 : 2 ',FL," '
Street and Number where work is to be /Via
51_ ' _/�' 7 r
State work to be done and purpose of building (by floors). /d r
- - -- and for no other purpose.
New Building. -_._ ___ Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation. __ Roof Covering.
Estimated Total cost of improvements ° �'
p $��� Amount of Permit $
lone 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 the plans and specifications foi said building. All notices with reference to the building and its construction may
be sent to__.._
The undersigned applicant for this building permit doe hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act. being Sec :ion 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-contract • employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on - of the Jork'such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontracto . •n wo to - .'tformed_r this
permit, as are licensed by Miami Shores Village.
- •--- -------- - - --•• - (Signed)
Before me, undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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. / Date
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires__
/PLANNING BOARD__ __ . DATE
Member
Member
Member
_Date Disapproved
to me well known,
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.
Legal: Lot No.
NOTE: 1. Show existing
2. Show distance
additions.
3. Locate septic
Subdivision
or
Metes & Bounds
PLOT PLAN
ST., TERR., AVE., CT., PL.
NO SCALE
Block No.
Plat book and Page No.
NORTH ARROW
SEC. 74P. RGE.
buildings and additions.
from property lines to buildings and /or new
tank or sewer and electrical service.
Legal: Lot No.
Subdivision
or
Metes & Bounds
NOTE: 1. Show existing
2. Show distance
additions.
3. Locate septic
PLOT PLAN
ST., TERR., AVE., CT., PL.
NO SCALE
Block No.
buildings and
from property
tank or sewer
NORTH ARROW
SEC. 1WP. RGE.
Plat book and Page No.
additions.
lines to buildings and /or new
and electrical service.
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