80 NE 97 St (6)Permit No.
Disapproved
(Signed)
New 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 building 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.
Owner's Name and Address C} r1 fit- rna&1 r
Registered Architect and/or Engineer / a
,p� -a- ��
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R ' {� �j C ,
Name and address of licensed contractor -0 6� 0S 5 " '(� g " 1�� 6 351 3 4
Location and legal description of lot to be built on: � „p-, 4 /3 ®/ �y U 'l® ?
Lot (� O Block 6 / Subdivision a meticed `c't- `� p� u' /�J
tQ'n; Sk reS � -e-C1 h 4
Street and Number where work is to be done gV N• r 9 9 8 frrce-4-
State work to be done and purpose of building (by floors), state exterior colors (submit samples) LA9 C & ck n It r'
COX S` Gi.t'°
-Pe fr c/C 5 ` lik.a4
ing Inspector
Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S - 7 0 Amount of Permit
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
IA A
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 subcontractors. on work ,o he performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Bg ore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 'IWbC.( J
0 S 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.
Date
Date
Plan Cubage
Size of Building Lot
Read, Sworn
My Commission Expires
/9 7 oz `f
and Subscribed before
PLANNING BOARD DATE
Date
kV °y `i yk ID 19 (
No. 80 Street ? I
451Tx 115'
and for no other purpose.
of -y Public, State of Florida
lay CoMG': :ss cn gal, :•:s . `i
Bonded Thru Trcy fa;n • m>uranca Ina.
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 825.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
P
SURVEY OF LOT / /q A.1p y'�F ., // o... C 01_ -:2'-. , ---- . MOCK .
SUBDIVISION FIN /TN4- 1J !?5a_ e r . = _ � � / 1,..), � - /C._e'r!_ .'_: ` • __ �T' /' .v__ _
ACCORDING TO THEPLATTH EREOFASRECORDEDINPLAT BOOKNo. /O y ' Z
PUBLIC RECORDS OF 1.,.— /� AT PAGE No. ,7
DATE: �� c r t -.3.!..- - , COUNTY, FL
/ `) �_� 1 / FOR: ..,,t L i ! . ,.. ■
LOCATION SKETCH
Me::: % /' -r
n•
801 MADRID ST., SUITE 105
CORAL GABLES. FLORIDA 33134
TELEPHONE: 444.7692
•
1-1'E• 76 71 �-f
FA4 f'
N ,4 /L
THE F.I.AINSURA•
3EP 00, 1972 AN E RATE M DATE Tr
r1 • EVISED MA CH 111, '"s a.
1977 PUBLISHED THE UNITELj STATEr4.
)EFAI;TMENTO FFOUSINOAN URBAFy3\
E1ELOPME INEATESTH HEREIhh
• DESCRIBED LAND BE S1TUADE WIIMIN 1
CONE
THIS IS NOT A F
HAZARD ZONE
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Tg J. KELLY, CNC
LAND SURVEYOR SUnvEV No. _3 /
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SUITT � OF
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I hereby certify that this sketch of survey of the above c'r•.crIt nn ' r,; rt, ; two ''I'1 ' • nrr t In tho Logt nI ..y 'rr • ..,f.•n • 1 t • '
recently surveyed and platted undor my diroclion. 1 haft,' rnri 111:'t tl '; nrrooi moult 1110 m nunt,rl n' '' err nonts n'' .; v' 1 Fv I •
Flo ictS ietj of Profrs ^.ionnl l and 'urvnynrs:mri 1110 r n .111 .1, td''' A .• 1111 n' or , r• +r r ' . r.1 r1 ( ;i
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THESE PLANS ARE APPROVED FOR
ISSUANCE OF A BUILDING PERMIT
VARIANCE(S) LISTED IN "REMARKS"
C11AMI SHORES BUILDING AS!D ZONING
UNLESS SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMOIIED
Aut"o•i-el S'gnrture Date
• WfiH NO VARIANCES • WITH
NO OTHER DEVIATIO"!S FROM THE
ORDINANCES WILL BE PERMITTED.
ALL OTHER APPI ICAB!..E STATE
WITH BY ALL PARTIES.
FIRE DEPART MENT
PUBLIC WORKS
POLICE DEPARTMENT
� ^
' � " I " J
d
BUILDING DIRECTOR
1
PLANNING & ZONING L:0 . .::t
VILLAGE COUNCIL
APPROVAL
PRELIMINARY: FBNAL:
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. ThE ARCHITECT, BUILDER &
SUB CONTRACTORS PRE " ' ` " ': n'.'I FtMq nF Al ! BUILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.