MECHANICALBUILDING E7
ELECTRICAL 0
PLUMBING 0
ROOF.W ❑
lig
Owner of
Building
Architect
Address of
Building r
•
FERNIT
1/4 *5 OIL
N. 6916
Legal Lot
Description II BI.
Subdi-
be performed under this Pon
y&
AO lb
or Builder i t -.1i ..�, {f."
vin i
Il oLlt of
i •0-4 4 p , r‘ *Au. e tr 744 4 a-.
it Pert
Value o f lst. «.
ProJect $ `)
This permit is granted to the contractor or bider trained above to construct the building or to install thaequipment or day
tion herefor in strict compliance with of ordinances pertaining the and with the understaading a at the wet* will be porter
authorities.. Thhe
B. - A lather
Inesiecte
ona sad tit
plans, drawings, statements or specifications that may hove bun eulinimed to and approved by
at any time if the work is not done in compliance with such erdioaeeee Or if the plans are changed w
permit is granted is the understanding that the contractor or builder named above sesames the rapearikatY fee :a
regulations pertaining to the work covered hereby whether shown en the plans or drawings or in dm statements er
sibility for work done by his agents, servants or employees.
Signed; 4""
in consideration of the issuance to me of this permit 1 agree to perform the wont covered hereunder in
pertaining thereto and in strict conformity with the plane, drawings, ett cent pacification' nub ; +rd to the
assume
ceptinq this permit I ry ponstbility)or all work done b either, inn, my agent, serv�t r employee.
f I ' ( Ar
CONTRACTOOR B
1 ./
Owner's Name and Address . . 6 90f''- .. e "■-1$ / U 14
Registered Architect and /or Engineer ..
Name and address of licensed contractor. -_- j / e
Location and legal description of lot to be built on:
Lot Block.._._ ... _ _.._ ... -__ Subdivision - ..
Street arid Number where work is to be done . / /_. T/ ..,... '91 .- f9 l c 1 2
State work to done and purpose of building (by floor)
and for no other purpose,
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 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 Disision 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.
1Jate
Z
:uw .luig Inspect
New Building .... Remodeling Addition
To be constructed of . _..._ _.... Kind of foundation.
Estimated Total cost of improvements $ .. o- J
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 perinit 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 the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontract,,. on w to be p rmed under this
permit, as are licensed by Miami Shores Village.
PtoAN I;; 11OABD...
Apprjvcd._.- __._-- --._ i'':;tr
aut' �3
and sass .•.at is is do
eaci the .inir. ; . ,
•
Date aC / /f
No // rJ Stree
Not.! r hi ail('
9736 r /
Repairs No. of Stories
Roof Cover
/ -
• 1
ono n
the sarite.., and to at 4 fa
n i' fL-i nuking, �o1 r; ::a0,.s or cllaiLers to this a; hC;._;iti: :!'.L
i oard. I •. �.1�it• ft;,'n
? ap i.'on fizz of SI.UU will lit cI .r
ur svl: t such n _, 1 .. h'