BUILDINGBUILDING 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
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and 1 1 description of lot to be built on:
Lot ,t Block. Subdivisi.n
Street and Number where work is to be done k
State work to be done and purpose of building (by floors)
New Building . ______..._. ( .. .. _ ernodelin
Tn be constructed of .... ... __. Kind o
Estimated Total cost of improvements
Zone cubage required
Distance to next nearest building
MIAMI SHORES VILLAGE
and for no other purpose.
Disapproved
t Addition... . _
f foundation
permit, as are licensed by Miami Shores Village.
Remarks-._ (Signe
Date ..__ 6-3-.60
ae .
( Signed) e t 1r� --
Building Inspector
airs. No. of Storie
_Roof C overing.
Amount of Permit
Plan Cubage...,; j,,.
Size of Building Lot / 7•
Date * J -� -/ � .. , 19. ..O
No. V Street
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 o e work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such bcontractors, on performed under this
X J ' 3 . 7 '---
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
the build -
of Miami
rules and
approved
1,1•146( A„,
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 facts
therein by him stated are e.
G7
Permit No 1t
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 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.
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J. B. FORD. CO.
1774 W. Flagler Street
MIAMI 35, FLORIDA
Phones: FR 9 -3508, FR 1 -0027
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ORDER NO, 2356 .3
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I HEREBY CERTIFY that the attached sketch represents
a surrey made under my direction and is true and correct
There are no encroac
PIS
pee
REGISTERED LA
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ReP 147 DF ,oeTioAi Dp k-9.4/A/6)/ � E' ((,ver -coe, )
According to the Plat thereof as recorded in Plat Book , at Page
Public Records of Dade County /
Fo r„Efi Y T C , fi U•J, 5 E Y Date EB 4 /_, 6 O
P
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 1 r.iC��-- fi
Registered Architect and /or Engineer ...
Name and address of licensed contractor
Location and legal description of lot to be built D rys /
Lot._..7 ;�C' l/ Block 0 " Subdivision VerAce— •G'e
Street and Number where work is to be done. / C 4 • 4*• yai. d
St to work to be done and purpose of bui 'ng (by floo ) Isom 3 /. O /v
Maximum live load to be borne by each floor
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
6 c Date JZ l - r
Date Y.--
No
I hereby mit all the ns and spe ' cation for id building. All nnoo�'ces with refere
be sent to iiL _y l 9" 5 . fR larA
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation oof Cove ing
Estimated Total cost of improvements $..__ "0 D Amount of Permit $ __1 ,
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
A 7 I
Street- _.g�.f`4A t L'AtObt,Akie
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
t4 buildi n c�strpctio J 7 •
The undersi ed applicant for this building permit does hiby certify that he understands and accepts his obligations as an employer
of labor under ffhhe 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 inspec ' on the site of the work such ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcont s on work to be perform under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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 facts
therein by him stated a true.
Permit No
Disapproved f ti Date
(Signed) —
Buil mg Inspector 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 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 and Address Ah
Registered Architect and/or Engineer
Name and address of licensed contractor
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Applieatioi L . 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.
■
L .
Location and legal description of lot to be built on:
0.06110m....000„1, L.
Block Subdivision
_—__.---- —,...fitireet and Number where work is to be done / it? 6 5 V C 9' V
State work to be done And purpose of building (by floors),,, / ' 3 Art- Ai,t(„64-iu ce l ef
.1U-4 C'eo ait-i=e
LC-
f elae Z4:
New Building L.- Remodeling Addition .
To be constructed of Kind of foundation i
Estimated Total cost of improvements $ /CSC 6' 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 5968, 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 inspe tion on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcotfactors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
_ 04_,-(__-----
Remarks (Signed) 1 (44-r
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peased
• 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 s ed are true.
7 Date 7-6.— 6
Permit No :)..,0 Read, Sworn to and Subscribed before me.
Disapproved Date.- (7.
(Signed) A/ „...1..-ciA. ,, Notary Public, State of Florida
Building Inspect My Commission Expires
Date 7 -
No Street
e)
and for no other purpose.
...... Repairs No. of Stories
Roof Covering
NING 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 Planning Board.
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 workmanship.
4,Lia-ne
118
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BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE
o PERMIT NPOgted to T
CONTRACTOR OR BUILDER
B
Signed"
Work to be performed under this Permit
1
r-1
BY
Subdi-
vision
Value of
Project $
11 Amount of s ,,
11 Permit
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 whether shown on the plans or drawings or in the , ataten hts or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
BY:
In consideration of t� issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining there and in s strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this t I assn xyclibiiAlyAii.,51k done by either, myself, my agent, servant or employee.
AUTHORITY
19
ARROT PRINT