80 NE 97 St (5)in zame
permit, as are licensed by Miami Shores Village.
Remarks__ ..
-fe
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.
September 30 70
Date , 19
Owner's Name and Address Rs; _____ ... No. 8-0 Street---DLE.-97
Registered Architect and/or Engineer
o
Name and address of licensed contractor Sh * re Electric 10611 NOW. 7 Ave
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
rgaLage_thg. 8500 24.i'±...0 rari.
State work to be done and purpose of building (by floors)
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 $ Amount of Permit $
Zone cubage required _Plan Cubage
Size of Building Lot
Distance to next nearest building
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 su subcjptractors, on work to be performed under this
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 Date ; 1, .11, — " ;
Read, Sworn to and Subscribed before me.
I 1- '
Disapproved Date__
,. i - ; ''•
Notary Public, State of Florida
. ? - '
(Signed) ' ' '---,,, 1 '''' .- -,/-= , -='- --"=-----,
Building Inspector I My Commission Expires
PLAN ING BOARD DATE
Chairman Member
Member _____ Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of 51.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
Application is hereby mode for the approval of the detailed statc,nent in me plans and specifications herewith submitted for the build
inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores �'ill.t�c, Florida. and all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address L .t. "C'L 1 0
Registered Architect and /or Engineer
E �S OU/ c , 2,_4
Name and address of licensed contactor � ._ ,$ d9 2
Location and lcgal of lot to be built on: j�` f } �/ /
Lot / n .......... Block .f'..� _ Subdivision...l...AA /I d.� sVl T`t 5 �(1* :[.. A7 L . /jt( / �1' n ' %
MIAMI SH®RES'VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Street and Number where work is to be done._.
State work to be done and purpose of building (by floors)
. L. . . �1 !:1: r f G ._.. u' f t rZT .... � ° .. A.l
' T — l U __.._........end for no other purpose.
Disapproved
(Signed)
Date.
Building Inspector
Date ZZ
.19..
... _
Ncw Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ U� Amount of Permit t. ... ._.._..?. / � ° —
Zone cubage required -Plan Cubage ..
Distance .to next newest 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 un,ler.icncd applicant for this building permit does hereby certify that he understands and secepts his obligations as an employer
of iabur under the Honda Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida. Permanent Supplement,
anti has complied with the provisions thereof, and will require similar compliance from all costractors or sufir- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspeetton od the sits f tld wodt such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontT+tctor ion ybe performed under this
permit. as are licensed by Miami Shores Village.
Remarks (Signed) / � ' f„
Notary Public, State of Florida
My Commiuion Expires
.t
c,3ee -, ae /
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..__ ) 7 ._ Date i jr/m .._......� Read, Sworn to and Subscribed before me.
PLANNING BOARD .._.._._...
Chairman T »_.._.._....._ 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 frosts
the I'I.tnnir.;.; liu.ard.
A re—inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty
materials and/or workmanship.
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