800 NE 96 St (8)Application is hereby mode for the approval of the detailed statement to me plans and specifications herewith submitted for the build •
ine or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, l lo•id.s. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the i uilslirtg Division of Minnti Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and spccificat. ins must be kept at building during progress of the work.
Owner's Name and Address
Disapproved
(Signed)
Zone cubage required
MIAMI SHORES VILLAGE 1 -9-7 x-1
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
R. ()&t
Registered Architect and/ - Engineer •,.,. •,,•••, ^" ^ TM "MT +• ^••••, +',,,,'C„
a A G � -
Name and address of llccns� contractor. A4' e �1 ---�� !- g•��'�'� AA-Z =� 0
Location and legal description lot to be built on: i 1 c
Lot 9 t 0 B .-ck S Subdivision S. - -- U J
Street and Number where work , : to be done VQ� f1.) E �-�— - �- •� -�•
� --2=E! 0LV 6 yL .4 fao .5)
State work to bed a and pu .e of uilding fl
1
Building Inspector
_„
19 C . Q Date
Date
1 9 t QQ
No.. ? Streets/
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation Roof Covering
Estimate Total cost of improvements $..•.ZV�' OO Amount of Permit S.
.Plan Cubage
Distance to next nearest building Size of Building Lot
Maxirnum 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 Libor under the Florida Workmen's Compensation Act, being Section 5066, Compiled General Laws of Florida, Permanent Sup ilenrent,
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 inspecti• on the site of the wore uch public notice
or notices as arc required by the Act. The undersigned agrees to employ only such su • ors, o. •rk be formed nder this
pcnnit, as are licensed by Miami Shores Village. /
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. i ss.
Bcfore 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 careful) read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No 6
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
to me well known,
PLANNING BOARD DATE
Ciwir:nan Member
\icrr,ber Member
Member ..
Member --- -. - - --
Council Approved Date Disapproved Date
NOTE: A ch.rrge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained front
the 1'Lrnnir.:4 Board.
A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection ow faulty
materials and /or workmanship.
ACC AIR CONDITIONING INC.
BOILER SERVICE
SERVING SOUTH FLORIDA AND THE ISLANDS
P.O. Box 971245, MIAMI, FLORIDA 33197 • 305/251 -9741 • TELEX • TWX 8108484041 ITT441582
CON DM $ I N (p
QED Room
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DR. O'GRopy RES toc&icE
''oO NE 94, 54E4-
MAMt goes, Ro ZiOA
(?o5) '757 30 (
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT_
BUILDING DIRECTOR
PLANNING & ZONING L0.
VILLAGE COUNCIL
PRELIMINARY:
REMARKS:
APPROVAL
FINAL:
■
BYMP MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHI BUILDER &
SUB CONTRACTORS CON TRACTORS AFE • C ' • ''�•'•
r, !IT'- :'1r K' W/LEDGE OF At BUII D-
�
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT
❑ WITH NO VARIANCES 0 WITH VARIANCE(S) LISTED IN "REMARKS"
NO I N AN R CC S CIA 11 BE PERM PERMITTED, UNLESS BUILDING AND BLOW
ORDINANS
ALL OTHER AP PAR� ESE STATE AND COUNTY LAWS MUST BE COMPLIED
WITH BY ALL
Authorized Signature Date
•
CHUCK FOSSLER
PRESIDED
SERVING SOUTH FLORIDA AND THE ISLANDS
305/251 -9741
TELEX
TWX 8108484041
177441582
P.O. BOX 971245, MIAMI, FLORIDA 33197
AIR CONDITIONING, REFRIGERATION, ICE MACHINES
• 5ti SALES, SERVICE, INSTALLATION
BOILER RETUBING AND PIPING • BOILER REPAIRS
A.S.M.E. CERTIFIED WELDING • PIPE AND PLATE WELDING
BOILER REFRACTORY INSTALLED AND REPAIRED
BIG OR SMALL, WE SERVICE THEM ALL (PROUDLY)
(' ALL WORK GUARANTEED
AIR CONDITIONING INC.