276 NE 98 St (5)' , Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building
• • or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami hores
Village, Florida, and all provisions of the Laws of the State of Florida, a;) ordinances of Miami Silures Village and all rules and regula-
tions 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 Az_x_ect-u6Azi-_-_._
Owner's Name and Address .
Registered Architect and/or Engineer
Name and address of licensed contractor_
Location and legal description of lot to be built on:
Lot _9- Block__ .3 I Subdivision FA. ‘..A.A.
Street and Number where work is -a be done___,__2:7_6
State work to be done and purpose of building (by floors) 4�.toi 0-k- PotM.,
.s4 (A. *V. .L'A. ta.
and for no other purpose.
New Building 1."'" 1 Remodeling Repairs
To be constriv,ted of_C..-121.1).s..K__ Kind of foundation___t___)e_QZ.R___N71.13it_entie4Roof
Estimated Total cost of improvements $ 0 0 _Amount of Permit $
Zone cubage required __Plan Cubage
Distance to next nearest building_____2_04.9i_cfr:17_ 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
4 )7 27 ip 2L2 71 ' SA
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) .6...1 ParM/__Ola-ge,eAtt&isee:Iteoi
STATE OF FLORIDA, I
ss.
COUNTY OF DADE.
appeared
Before in: un thorit a n.tar
4(0
/. /
and who, being by me first duly sworn, upon oath deposes and says that is the 44
of the abo44 construction, that's he has carefully read the foregoing application, and that-"he did sign the same, and that all facts
therein by stated are true.
Permit No.
Disapproved
(Signed) _
Ch '
Member
Member
Council
APPLICATION FOR BUILDING PERMIT
Building Inspector
L,AINTNING
>
Date_
Approve&
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
p u b , fl ly auth ized to administer oaths and take acknowledgments, personally'
---
--Date
(over)
No. of Stories L
Covering
"
to me well known,
Notary Public, State of Florida
Wotary POP, of florid3 of
y Co mission Expires A: ut‘ttnix..3.3_exp.14.44-14_4114-
Z _DATE
'Da /
Membe "
Member
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.
LIST OF CONTRACTORS, SUB- CONTRACTORS, ETC.
REQUIRING OCCUPATIONAL LICENSES
MIAMI SHORES VILLAGE
1. General Building Contractor.
2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting.
3. Electrical.
4. Architects, Engineer, Surveyors, Landscap4Architects and Interior Decorators.
5. Excavating, grading, filling and Landscaping.
6. Moving or wrecking.
7. Septic Tank and Drain Field.
8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum.
9. Carpentry, 1V lwork, Awning and Shutters.
10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone.
11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging.
12. Flooring, santaing or finishing; wood, rubber, composition, linoleum and other flooring not otherwise
specified.
13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors.
14. Roofing, Sheetmetal and Skylights.
15. Solar Water Systems.
16. Well drillers.
17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc.
18. Structural and Reinforcing Iron and Steel.
19. Tile, Terrazzo, Marble, Granite and Cut Stone.
20. Electric Fixtures.
21. Illuminated Signs.
22. Bridge, Bulk- heading, Drainage.: Sewer, Water and Gas excavation and Construction, Dredging, Irriga-
tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work.
23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus-
iness of supplying, furnishing or delivering building materials for any construction project within the
Village Limits and not having a regularly established and licensed place of business in the Village.
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