725 NE 96 St (12)Application is hereby made for the approval of the detailed stats:me r us 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 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 progreu of the work.
Owner's Name and Address V Fr LTt
Registered Architect and /or Engineer ,,,,, VII ••• . • f.n»T[[rR. • . • aS,.n, V,/ 'II
rl i i
N ame and address of licensed contractor _. js,,tc% '1,.. — __.._...._ ........... ......................
Location and Legal description of lot to be buil; on;
Lot '1 Block G..
Street and Number where work is to be done _7 ;?5 _ A 96 S!
e..1-i f 4 A Lt_ Le el.-1>c i u
Ciu S r:, fa fit:/ - ..... 4A . v ..._. DnoR,
VI 1 4 1 00 Vs; t)
New Building Remodeling A ... Addition 1 liif4s No. of Stories
To be constructed of Kind of foundation `1 Roof Covering
Estimated Total cost of improvements $ Amount of Permit 3.._.L . t 1.(4°
Zone cubage required plan Cubage
Distance .to next nearest building.. Size of Building Lot
State work to be done and purpose of building (by floors)..
s A 4So C q.iVo rL
_
\laxirnum he 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 hercby 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 ssith the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performe under this permit; and will post or cause to be posted for inspection on the site of the wor uch public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to •_• pe meld u this
pcnnit, as are licensed by Miami Shores Village. 1, 9
Remarks (Signed)... ...
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR BUILDING PERMIT
53.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
ii5U5 E's
m stated ewe.�r . �
Per mit DateLLJ Ltr
Di sapproved Q Date.
(Signed)
Building Inspector
.43 l C Date...— ..._... !?.. —..._ .— ..... -- _.... 19.
tieke2..7a. No....70:5. ».._.. Street _P .21 ST
Subdivision... 4Z „C /
and for no other purpose.
_
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 hi
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
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 been obtained from
the Plannir.;4 hoard.
A re inspection Ice of $1.00 will be charged when such re- inspection
materials and/or workmanship.
is made necessary by Improper notice for inspeclicm or faulty