858 NE 97 St (6)Owner's Name and Address ...............
Registered Architect and /or Engineer ,5
Name and address of licensed contractor Am.
Locatiorland legal description of lot to be built on:
Lot 2- 1 " 1...OJ1c . Block `7
C' i .. et
Street and fi �st•er whert, work is to be done
State work to be done and purpose of building (by floors)
Disapproved
(Signed)
MIAMI SHORES VILLAGE
DUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement ur ore 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
Date... fh _ ..._ _
• _ No
Nat l/G -
f!!Y1•• ,. ... 1,1,111,1-111
roc £.
Notary Public, State of Florida
Building Inspector My Commission Expires
,..._ - , D
Street_
SubdivisionNVI. . G..f Z ^ LL- 3i 01g - !}0 - l
5 /72e . .42./1/7 _..
_.._. 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 $....r.3QU' 0 Amount of Permit 0-
0
Zone 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 for said building. All notices with reference to the building and its construction may
be sent to.
The umler.igacd 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 ite of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors on ork to be performed under this
perrnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY QF 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 9 "O r Date - a 3 Read, Sworn to and Subscribed before me.
,•r
-r
PLANNING BOARD DATE
Chairman _ Member
Member Member
Member .. .. Member r ..__...
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 1'Lrnnir,;; l:o.trd.
A rc- irr■pection 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.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement ur me 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 \'ell :rge, 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...‘ 2'4
Owner's Name and Address ...... er ..... No...
Registered Architect and /or Engineer.. ` '/ MLI . ,
Name and address of licensed contractor 6.0,9::._ » .. . L4 .57
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done _
State work to be done and purpose of building (by floors)........
Estimate Total cost of improvements S.4 W
STATE OF FLOIl I DA,
COUNTY OF DADE. se.
peared
Permit No
Disapproved
(Signed)
Council Approved
lacA
mg Inspector
MIcrr•ber Member
Member .. ... Member
NOTE: A charge of $1.00 will be made for
the P1.innir,;; Board.
A re- inspection fee of $1.00 will be charged
materials anti /or workmanship.
Date Disapproved
PLANNING BOARD DATE
Chairman Member
_.... :......and for no other purpose.
Ncw Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Amount of Permit 0.1.
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot
Miaxirnum 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, Permxnrnt Supplement,
and has complied ..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 site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such su •ntract• `. w or t;� performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed) ....... .
Before me, the 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.
Date L -D" Read, Sworn to and Subscribed before me.
_Date .._........ - .......— -
Notary Public, State of Florida
My Commission Expires —
nuking corrections or changes to this application after approval has
when such re- inspection 1s made necessary by improper notice for
1Pot .. Ole 41
to me well known,
Da
been obtained frit
inspection or fatly
IAw1N G. LICHTE$
ATTORNEY AT LAW
CO) e lj( A 0P-
(30 51 358-8070
1492 SOUTH A
MIAMI AVENUE
SUITE MIAMI, FLORIDA 33130