310 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 Shores
Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores 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.
Owner's Name and Address____
Registered Architect and /or I ngineer r
Name and address of licensed contractor ,' •■(1,/ /
Location and legal description of lot to be built o
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
BUILDING INSPECTION DEPARTMENT
Date_
eo •
, 19. _____
No. _�____��
Lot__._w_____ _______ Block___ ___________ _ Subdivision
s �
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
V 1 /
'J
f`"° -and for no other purpose.
New Building ____________ Remodeling_ __ Addition Repairs No. of Stories____- ________
To be constructed of Kind of foundation o F..o lcri _ ____�_
Estimated Total cost of improvements $______ —_ Amount of Permit u_
Zone cubage required__ Plan Cubage
Distance to next nearest of Building Lot _
Maximum live load to be borne by each floor
1 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 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. . t ,
Remarks (Signed) �L �' � , 6. { ' � f1
r
.t
r "�
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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 caref lly read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No._ ° _____.____ Date_�_ 17/i _ Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Notary Public, State of Florida
Building Inspector My Commission
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 faul
materials and /or workmanship.
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 Shores
Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores 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.
6/� d /
Owner's Name and Address_..__
Registered Architect and/or gineer_ —____
Name and address of licensed contractor
Location and legal description of lot to be built
Lot____________________ —_ Block_______— _______ Subdivision___
Street and Number where work is to be done 3 / a
State work to be done and purpose of building (by floors)
T be td f
Zone cubage required___
APPLICATION FOR EIJILDING PERMIT
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Disapproved �_________________________ Date________
(Signed)
Date
New Building Remod ing Addition Repairs No. of Stories
R oof eying
To e construe e o Kind of
foun ati n J -
Estimated Total cost of improvements of Permit $
_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 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.
(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
appeared
and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefjtlly read the foregoing application, and that be did sign the same, and that all facts
therein by him stated ar true.
Permit No 2 &3 _— Date__ 2 ° —J,/ --_ Read, Sworn to and Subscribed before me.
Building Inspector My Commission Expires_
' PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved — Date Disapproved
Notary Public, State of Florida
, 19 —___
No._______________ Street______ _ ________
and for no other purpose.
to me well known,
_,_.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'cbarged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship. .,