117 NE 98 St (7)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 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 November 14, 9V , 19__5
Owner's Name and Address Elizabeth Lindsle No 117 Street_ E..88th St,
Registered Architect and /or Engineer
--------------- - - --
Name and address of licensed contractor Miami Heating & Ventilating Co. 2515 S. W. 8th St.
Location and legal description of lot to be built on:
Lot __ Block Subdivision___
117 N. E. nth St. --------------- - - --
Street and Number where work is to be done _
State work to be done and purpose of building (by floor )
Install fireplace furnace floor BTU hr 110 gallon tank.
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 $ 440.00 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 ___ Miami Heating & Ventilating Co. 2515 S. W. 8th St.
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-co.. • c . s employed by him
in the work to be performed under this permit; and will post or cause to be posted for ins .ection on he site •. the • such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subc• tractors, • •e performed und 's
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
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 e true.
Permit No Pe) 1 Date /r' 1 ) • f((' Read, Sworn to and Subscribed before me.
Disapproved _ . Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
to me well known,
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.
STATE OF FLORIDA,
COUNTY OF DADE. j ss•
Disapproved — Lktrtgr
i'
( Signed)
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 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.
t Date )� �- 1
eet_. 2r_.. .
Owner's Name and Address j ' .. .,C`?:?d......____... ... ._ .•••_. No.1 �...�Cl.._.. Str _ _
R egistered Architect and /or Englncer ■ ...„ ..., •••••••••••••......,.,...••••
Name and address of licensed contractor . .
Location and legal description of lot to be built on:
Lot ... Block Subdivision.
Street and Number where work is to be done .......... : � 1.. ') !L
State work to be done and purpose of building (by floors). _ / - � ; �... L � _ . : .
• \
_ -_- r __ \ _..... _.... for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _ .....
To be constructed of C °v` • Kind of foundation Roof Covering
Estimated Total cost of improvements $ ,' I r' - - ` ?mount of Permit $,.. , c
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
Notary Public, State of Florida
The undersigned applicant for this building perniit 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 Flori.: , Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance fro r 11 contr efors qi sub- • tractors employed by him
in the work to be performed under this permit; and will post or cause to be posted r inspecti or t}�b site the work su ublic notice
or notices as are required by the Act. The undersigned agrees-to employ only sue s or gd wor to be perform - : under
permit, as are licensed by Miami Shores Village.
•
Remarks. (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well kaown,
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. / 3 � ___ Date Z 5 _. 1 / ...___ Read, Sworn to and Subscribed before me.
Building Ins/ My Commission Expires
P LANNING 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 lrns been obtained from
the Planning Board.
A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
J
d r,. Q�