822 NE 96 St (9)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 M ami
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.
February 20, Ig 56
Owner's Name and Address Dr• R• Wellington Ritter No. 822 Street l.E.,a6th....St .
Registered Architect and /or Engineer
Name and address of licensed contractor
Date
Chastain Fence 1lAa 4i6_1 �?., >t- h•_..14e- •--- .Nlii.,-- -1 ?l�.
Location and legal description of lot to be built on:
Lot '7 & 8
Block '75 Subdivision._ MiaAli._. Shares. ._Sente- - - -5.o (P8- 10_,_p..37
Street and Number where work is to be done 822 N.E. 96th. Street
State work to be done and purpose of building (by floors)
48" high -gals. chain link wire F.' TtE
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 $ 320.00 Amount of Permit $.
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to_.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on e site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subc nt;actors o work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed )'-- -"- / 'CJ _ _ c-"/
Che$tain Fetbe Compeny, rot Inc,
Disapproved __
(Signed)
Date
Chairman
Member
Member ....
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
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 farts
therein by him stated are true.
— j 2 `i
Permit No _ Date Read, Sworn to and Subscribed be. ore me.
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
Disapproved Date
or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
X
i
G ALE
Al 96' " 5 - T
-
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building - 11-
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
❑
❑ PERMIT N° 3249
Work to be performed under this Perini
Bl.
Subdi-
vision
Value of
Project $ —'
DATF
Amount of
Permit $
195 �'
Contractor's
License No.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assume s the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
BY % - . , C'; .: +°
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
j/ r,
CONTRACTO*t Itnt Burt
Signed-
AUTHORITY a