1238 NE 98 St (4)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyaI of the detailed statement ui we 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.
Ow Date..._... _._..._... ,1 B.S? 1_
Owner's Name and Address WILLIAM E . CLI N €BELL _, N . sd . R I FF ING LVD .
Registered Architect and /or Engineer . ....t1.I.LL.IA4...R ...B.L.ADRQRD..........
Name and address of licensed contactor WILLIAM L LINEBELL O WNER
Location and legal description of lot to be built on: f ivy- d��
Lot #7 Block 4 Subdivision [AEI- ETON ._ SI D R .. ... _ . i/ 3-to� of ojj/ o
Street and Number where work is to be db 3 ' 324 ..N. .x.E..s._ TREET..A...MI.AMI S.HD.RE5 V.I.Li,AG E
State work to be done and purpose of building (by floors) CONSTRUCT. .. OER.S_.RESIDE. E........___.._.._..._
X
To be constructed of CBS
Estimated Total cost of improvements
cubage required
Distance .to next nearest building. 20 FT.
New Building
peared
Disapproved
(Signed)
and for no other purpose.
Remodeling Addition ' Repairs' No. 9f Stories ......
c f Covering ., ONCRETE RILE
]rind of foundation CONCRETE
U CL r � Op Plan Amount
Cubage ermit S . ZO, 000+
J V75 FT. X IDS FT.
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All otices wi b refer f b o4he building and its construction may
be sent to.. .119 O FFING BLVD.,, BISCAYNE V ARK, L. )Jl
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 II contractors or sub - contractors employed by hint
in the work to be performed under this permit; and will post or cause to be posted for nspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such su ntractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signe
Date
L1061111 FLOOR ELEVATIOM
Size of Building Lot
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally op-
/ 2 L, >?!f .... i a.1 e ,;S e ( to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the. (. ./(J £
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 hi d
Permit No.. Read, Sworn to and Subsc 'bed fore me.
m s to e true..
A! Date 6
otary Public, State of Florida '
15 Li68
My Commission Expires i6J �� :� s`
fi PLANNiN8
Chair :Ban 1%1 Kb1ST•RtCTS tuber
\1crr,ber - "'- ember
... ..._ ............... �': t1' :' --t°'F: 'Ft•; " "(NTH E,
Member .. .. Rtsr(flirert Ore t. ember _ — .._ .....
Council Approved _f it}r,8 " "' DDale sapproved Date
NOTE: A charge 1.00)141 t c f iiprisibeingiSitA[eltlions orichoogeo to this application after approval has been obtained from
the J'L.nnir.g Board.
A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
DATE
r'3 -623r