853 NE 96 StMIAMI SHORES VILLAGE
�l7 BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp
Permit No.
Name
Address
Compan
Phone # C
For Inspector•
Correction
Re- Insp'n Fee
Time
Approv
Name : Date
75 t.Lt`
eg_c_( arc/
�
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Tim
Type Insp'n ( , 1
Permit No.
Name
Address
Company
Phone #
For Inspector:
, ,
4 //'
;45
P /! .e cvcc C) /c7,-
Owners Name and Address
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for thc approval of the detailed statement ut Inc plans and specifications herewith submitted for the build
ing or other structure herein des This application Is made in compliance and conformity with the Building Ordinance of Ntiarni
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.
No.— . Street--
Registered Architect and/or Engineer *****
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Mock Subdivision
Street and Number where work is to be done
State work to be done and purposc of building (by floors)
.............................
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 $ Amount of Permit S.
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..
Th un dersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e mployer
of labor under the Florida Workmen's Conipensation 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 to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
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.. Date t0 Read, Sworn to and Subscribed before me.
(Signed)
Disapproved Date
Notary Public, State of Florida
My Commission Expires
Building Inspector
PLANNING BOARD DATE
Citairinan Member a
Nferriber 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 froin
the Planning Board.
A re -inspection fce of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
0.
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address y:
Registered Architect and /or Engineer
cubage required �®
Disapproved Date
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
�s
z
a
—? 4:
Name and address of licensed contractor
Location and legal descri tion of lot to be built on:
Lot 2 3 " Z Illock.______ _ Subdivisfjn i. "` � __ •�'�.--s..,
Street and Number where work is to be done - A- _ r
State work to be done and purpose of building (by floors).3 •–
Date
jNo
�=/ =s1
Street
=�-- lam
Notary Public, State of Florida
1
and for no other purpose.
New Building Remodeling Addition Repairs No. of–Sion
f S$o _ess
To be constructed of CAS. Kind of fpu dation C ° it C- _cam �=z Roof Covering ;,. .
Estimated Total cost of improvements $ ' / Amount of Permit $
_Plan Cubage 2 �.. 5 L" ? ,
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 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 to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) "I
jJ , 27 i
STATE OF FLORIDA, ! —49 �j d
COUNTY OF DADE. J
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 Ile 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 Date Read, Sworn to and Subscribed before me.
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chainnan 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 annrnval hnc he,...t,e,,:.,o t t - •••
t
1 �y it
1
- - g o .
7/4
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5 '¢
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#2671,ir
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11711()"
e
1774 W. Flagler Street
MIAMI 35, FLORIDA
Phones: FR 9 -3508, FR 1 -0027
I t
ti
For r / /=" `
I HEREBY CERTIFY that the attached sketch represents
a survey made under my direction and is true and correct
to the best of my knowledge and belief.
There are no encroachments except as shown.
REGISTERED LAND SURVEYORS 427
STATE OF FLORIDA
U i9= Y
// //4.
N /
/6
l •j: . -.
1'
According to the Plat thereof as recorded in Plat Book /O , at Page 7
Public Records of Dade County, Florida. /
.7:i.7air
rti';
Application is hereby made for the approyal 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 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
Registered Architect and /or Engin
Name and address of licensed contracto
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)
and for rio other purpose.
New Building v Remodeling Addition Repairs No. of St
f
oof C
To be constructed of Kind of ipdation moo• -‘iv
$overing
Estimated Total cost of improvements $ 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 pennit 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 St ,,lenient,
and has complied with the provisions thereof, and will require similar compliance from all contracto •s or sub - contractors emplo /.d by him
in the work to be performed under this permit; and will post or cause to be posted for i spectio j ' o the site of the work such r blic notice
or notices as are required by the Act. The undersigned agrees to employ only rtiuch su contrac o, work p be pert under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) .
STATE OF FLORIDA,
COUNTY OF DADE. J ss
Disapproved Date
(Signed)
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
✓•
,z)
Before 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 carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No 2 1 1 Date — Y' Read, Sworn to and Subscribed before me.
Building Inspector
MIAMI SHORES VILLAGE
Date _ , 19.
V
Notary Public, State of Florida
to me well known,
y.Commission Expires
NG BOARD DATE
Chainman 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 Planning Board.
A re- inspection 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.
OWNER'S NAME
AGAR Z. WELLS
PRESENT ADDRESS
9737 H.E. 13th Ave
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
853 N.E. 96th Street
LOT
23 <; i¢
BLOCK
74
SUBDIVISION
Miami S hores Sec # 3
GENERAL CONTRACTOR
Edgar Z. Wells
ADDRESS
PHONE NO.
LICENSE NO.
1828
BUILDING PERMIT NO. 5116
DATE 2-2b-57
p
PERMIT FEES 29.00
BUILDER•S BOND
NO. 2096 DATE 2 - 26 - 57
ZONE R EQUIREMENTS 20,000 Cu. FT.
PLAN CUBE 27,836 CU. FT.
EST. COST $ 23
660
Markel DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY C. H. Markel
2 -1 -57
NEW CONSTRUCTION
TYPE
CBS
STORIES
One
ROOF CONSTRUCTION
Tioe
INTERIOR CONSTRUCTION
2 Bath, 3 Br, f la room,
REPAIRS
DESCRIPTION
Hard wood floors, Plastered walls and ceilings, tile baths and sills
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
^�
CERTIFICATE OF OCCUPANCY NO. S� 1
G .- it -s7
ISSUED
.,,,r Z. 4
BY
el f ,,,._ J. cJ.. -
TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECT
BY
RE- INSPECT
BY
F`%UNDATION 3a - $7
tJrP/.5
x .57
c � RE-
l5. - ' S1.4 r3.
4- -
-0,,, /g ,x
$
ow AMS & LINTELS
3- 2► --S ...
1 � 3
C
-Js �- i' /O_..
y �;
/ /'�� ✓' (.r
S � . 7 Z
SEWER
N AMING
r-�
4-- 1Y /
LJR,S
40v * L
$
$
GAS
$
FINAL
b� u
, C -- 7- 1 j - 3
$
S
INSPECTIONS
CLEAN -UP pjl c.,.1 Rt<
, Y 2.4- s 7
RE- INSPECT
BY
RE- INSPECT
CONTRACTOR AJ LL. 0 /* a0 f'" F
PHONE
PERMIT NO. %V V C f DATE S /e- v 7
FEE S
NEW BLDG. X
I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
$
SEPTIC TANK " , C i I'�
C
-Js �- i' /O_..
y �;
/ /'�� ✓' (.r
S � . 7 Z
SEWER
$
$
SOLAR HEATER
$
$
GAS
$
$
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY .
ROUGHING4¢0JwJJ
- 3 -.!/
j ..J/&
- TSP
OJ7
_ ,A_
4 -2
GAS TJ•3 -% Ti
,co
4 -4- - 1.,3a5
a` 4
YS .C
SEWER
. ^k 1.144,
?
SEPTIC TANK 3- a
J —S? ....t 4...;
0 k . ,.,i2(
SOLAR HEATER
FIXTURES r-
?4-n .-3KlS
O rc
FIXTURES & FINAL
' -'. ,_)tf/S
-
2 t/- E
CONTRACTOR /I/1 l L C H c Q C LE — 7/2 t C.
PHONE
3
PERMIT NO. ZS� 1 DATE 4- I ? - .1"J
FEE$ /7. 7i !/ a
1 NEW BLDG. Y 1 ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
M OTO R S
$
R.Y:TU R ES
$
.
$
.- INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE j�
4• S7-
ThifeAJ`.D
Id ).
A 3.7 .3 - 7(
el:(..: h
ROUGHING 1
Y r7 -
=,-
?'` ‘,..,, 0
H. W. HEATER CONN
. ^k 1.144,
RANGE CONN.
0 k . ,.,i2(
FIXTURES & FINAL
' -'. ,_)tf/S
-
2 t/- E
7
t 4
w
4
0
NJ
-1 � c ". r / Tit F /H i' - Co - 4 - I - S ? -
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE Li
BY
S7
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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 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 atio specifications i the
Ca Building Division
kept ivi n pt at Miami Shores shall be co shall ore. w whether herein specified or not. A copy of approved
,19
Owner's Name and ------ - - - - --
_____ _________ -- No era Street
Address_/Y.-- f�_.:.__>_�_� $ _Af1.3 1 _________•----
Registered Architect and /or Engineer
Name and address of licensed contractor _T_Oa- .r¢.. t� . r � - , �' - N!k 1- -/`f -i -- ' --- --- ` '°
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done � n
State work to be done and purpose of building (by floors)_�Y c it
Disapproved A D
(Signed) 1°
Chainnan
Member
Building Inspr or
Date____ w ° r
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of found t on Roof Covering
Estimated Total cost of improvements $ o G 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, Pennanent 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 to be performed under this
permit, as are licensed by Miami Shores Village. n_t�� CV CZ--.=.7 t.`� c
Remarks (Signed). __ Aft
r '
STATE OF FLORIDA, ss.
COUNTY OF DADE.
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
1.4E241"_7 Date__ - Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
LANNING BOARD DATE
Member
Member
Member
- �cdo ® rJ.j. - - A—
Member Date
Council Approved Date Disapproved
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
the Planning Board.
materials and /or workmanship.
Company
2160 NW IRT 17 Ave.
Address
Name and quantity of Fumigant:
Date & Approx. Time of Realease:
Length of Fumigation Period:
Distance to Nearest Building:
FUMIG.'TIfN NOTIFICATION
Bruce Terminix Co.
Location of Structure: 853 NE 96 St., Miami Shores
Owner's Name and Address : H.A. Weismann
Type of Structure: Residence
Approx. No. Cu. Ft. 58,864
Name:
Vikane 59 lbs.
6/6/68 10.30 am
18 to 24 hrs.
over 10 ft.
Certified (or Special ID. ) Fumigator in Charge:
Jerry Ledford
Telephone: 635 -4538 223 -1299
Night
FUMIGATION SHALL BE PERFORMED IN STRICT ADHERENCE TO THE FUMIGANT'S
REGISTERED T AND FLORIDA STATE BOARD OP HEALTH RULES 1701 -2.
NOTIFICATION TO BE RECEIVED NOT LATER THAN THE DAY PRIOR TO RELEASE
OF THE FUMIGANT BY:
0- County Health Dept. 0- Fire Dept. 0- Other
Nylon Tent
OWNER'S NAME
Ade,S,-',9,/n/
6.T3 i✓ 96 Sr
JOB LOCATION (ST. OR AVE.)
REPAIRS
ALTERATION
ADDITION
GENERAL CONTRACTOR
BUILDING PERMIT NO. Z 2 3 4
400., Ti o wJ -
ZONE REQUIREMENTS
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: edd• /C. 13,4.441,25
NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION
SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
CERTIFICATE OF OCCUPANCY NO.
�mA
RE- SUBMITTED TO PLANNING BOARD
Zei
DATE
SQ / Oa. rie/s// nr� '[ �DESCRIPTN t /rJ /- B / (•ai�`s GO/
�•
Vt S Q... dl /'s or
APPROVED
CU. FT.
REJECTED
ISSUED
PRESENT ADDRESS
8S'3 n/ c: f 6 t
LOT BLOCK
a44Zf
93 0 A4c-.
0.
PERMIT FEE $ /0 —
T v. _ /.sAt.
PLAN CUBE 30 re-
REFERRED TO COUNCIL
ADDRESS
DESCRIPTION
BY TO
CU. FT.
REMARKS
BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE
LICENSE NO.
NO.
PHONE NO.
-
SUBDIVISION
iY , ss�..c Fg - 11C " 3
BUILDER'S BOND
DATE
LICENSE NO.
E.3
•0
EST. COST S 3 -�e 0
DATE.
INTERIOR CONSTRUCTION
REASONS
PHONE NO.
+:XISPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
$
SEPTIC TANK
ROOF
TEMPORARY SERVICE
$
BEAMS & LINTELS
TUB & TOP OUT
H. W. HEATER CONN.
POOL
SOLAR HEATER
$
FRAMING
$
GAS
AIR COND.
MOTORS
$
FINAL
$
FIXTURES
CLEAN UP
$
SLAB
$
SOLAR HEATER
SLAB
FIXTIIRFS & FINAL
FIXTURES
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
BY
ROUGHING
$
SEPTIC TANK
FEE
TEMPORARY SERVICE
$
SEWER
TUB & TOP OUT
H. W. HEATER CONN.
$
SOLAR HEATER
$
RANGE CONN.
$
GAS
S
MOTORS
$
$
FIXTURES
S
INSPECTIONS
DATE BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
ROUGH ING
TUB & TOP OUT
H. W. HEATER CONN.
$
RANGE CONN.
SEWER
S
MOTORS
RANGE CONN.
$
FIXTURES
SEPTIC TANK
$
$
SOLAR HEATER
FIXTIIRFS & FINAL
FIXTURES
GAS
CONTRACTOR Dr s. IL `4I / /Rs 4. 1 E i G -
PHONE
PERMIT NO. 23 74. 1 DATE /Z - G /
FEE
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
ROUGH ING
$
H. W. HEATER CONN.
$
RANGE CONN.
S
MOTORS
RANGE CONN.
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT
BY
TFMP. SERVICE
ROUGH ING
H. W. HEATER CONN
RANGE CONN.
FIXTIIRFS & FINAL
BUILDING INSPECTIONS 23 2�ewrt S 2- '
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR /44 S C °04 , ck- ' got&-it PHONE
PERMIT NO. . ) % e. 5 1 DATE /L-S -L./ FEE S
NEW BLDG. I ALTERATION 1 ADDITION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
REPAI RS
BY
1D �_
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1293
Owner, Agent or Tenant of Building
H. WE ISM4ANN
Lot 24 && 25 Block 74 Subdivisio
Street Address 853 N.E. 96th Street
BEDROOM ADDITION
TAX VALUE 1543
Miami Shores Village, Florida, 1'9 -
u A
Approved use by occupancy
Remarks- 2234
This Certificate of Occupancy is issued to the above named 01MMNFR
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
PLAN CU3E 3086
BUILDING DIVISION
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑ n Date L'
S
19
PLUMBING ❑ PERMIT N? 10074 Contractor's
License No 31 9 L.
ROOFING ❑
❑ Work to be performed under this Permit
O Bu w il n d e i r ng of 1 • • A - VJ t I s M A 1 /d 7 leo, le .. '0 7 --, . • .,... ,
Architect
Contractor - '',:i /'!�
or Builder tZ. 4 `i- 1t.4 - r ti I h.3 • E Ca,
Legal Lot
Description II Bl
Address of �i
Building f] 4 3 k4 C 74.7 ST
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 applica-
tion 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 assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby w ether shown on the plapq or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, se vants or e oyees.
Signed&' 'r (INSPECTOR) BY
In consideration of the issuance to me of this permit I g ee to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, dra Ings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all wor t one by either, myself, my agent, servant or employee.
CONTRACTOR or BUILDER
Subdi-
vision
Sq Ft
Value of I� � 11 Amount of
Project $ cr 11 Permit $
BY AUTHORITY
�• o
MIAMI SHORES VILLAGE, FLA.
fr
JOB
ADDRESS 7.1 /V L . J 6 J'
INSPECTION a c �C v
TIME READY / 6, -4 7
REMARKS:
QP
N? 5994
r Z £ Cis
INSPECTOR r� DATE 4'/6 "S?
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building •) tr
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR Oft BUILDER
MIAMI SHORES VILLAGE. FLORIDA • ,,% 2. C
❑ DATF 2 - $ 195 ?
PERMIT N? 511
❑ ctor �
- .4,...; A Ili
O NI
❑ Work to be performed under this Permit
Bl *1 4
'14 fe
Subdi-
vision
Value of
Project $
Amount of
Permit $
BY AUTHORITY
22
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 assumes the responsibility for a thorougk knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specific ions and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. /%'"
`
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,.d$ne by either, myself, my agent, servant or employee.
6
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
• rerny}rer 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.
i , 1 Date .�V� C fif
Owner's Name and Address.. lA. M.A./JO ' 1.5 i`
Registered Architect and /or Engineer. 7 - � . tic- ej -C
Name and address of licensed contractor f 4 V t. L. A A J (: q3 ( 10 E 6 .f\t, C
Location and legal description of lot to be built on:
Lot )..--4 4- * LS Block 7 y Subdivision c'"I 1 I
Street and Number where work is to be done er_ A 6 9 t!o
State work to be done and purpose of building (by floors)
STATE OF FLORIDA,
COUNTY OF DADE. J ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Building Inspect°
Chairman
Member
Member
Ai a L .Ct i.)
Member
Member
Member
trr
L«L
<57J 6
and for no other purpose.
New Building Remodeling _. Addition _...c/ Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
o r+
Estimated Total cost of improvements $ Amount of Permit $ l 0 ��
Zone cubage required .Plan Cubage 3 °5L - 41 = 7 1 14 4 P .
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 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 to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) podia
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 t,ne. /�
Permit No Z3 `� Date 1 - 6., Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Notary Public, State of Florida
My Commission Expires
ANNING BOARD DATE
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be macle for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection 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.
/7=-O
308 S a-
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the appro \al of the detailed statcrr or 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 progress of the work.
Date...... N,52 _ ,19. eC
1
Owner's Name and Address . 4. . � % �5.:.....T.. .. ° ...f..Y.0 _ No e5 Street_... 961_4
Registered Architect and /or Engineer..... - ...... VCxip�.47 I/Q-7 . e ..... ..............,..,,,...,,, _,,...
Name and address of licensed contractor C...�l.C?.1..`.GS. /
Location and legal description of lot to be built on: ��
Lot 4.3...? - -cQ_ Block - 7� "':U.
Subdivision � '!/ � 5°r. :_
Street and Number where work is to be done (5 A/. F.:/a.'` , C.tr'r _.._
State work to be done and purpose of building (by floors) Li Ze.)t' 2L?Q .r / _a. /447. % 7
Disapproved ,.... Date.
(Signed)
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
�/�„�/ /7G / /V') .
_.._. 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 $ - Co Amount of Permit $.
Zone . cubage required Plan Cubage
Distance to next nearest building.. Size of Building Lot
\taxirnum 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 «itl, 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed). '.—.
STATE OF FLOF1DA,
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 facts
therein by him stated are true.
Permit No Z%/1101 Date l40 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member l.fembcr
Member .. .. Member _.._.....
Council Approved Date Disapproved Date
MUTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the 1'Ltnnih;; Eo.trd.
A re 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.