390 NE 98 St (13)•
Lot
Permit No
STATE OF FLORIDA,
COIJNTY OF DADE. ss.
gift
Disapproved
(Signed) ....iv R.
(2.,)
Building
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 niles 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.
Aug. 12, 7
Date 19. ... ..
Owner's Name and Address J . W. Moore No 390 Street N.E. 98 St. .
Registered Architect and/or Engineer
Name and address of licensed contractor. Brandon Air Conditioning W. 8th Lane, Hialeah
Location and legal description of lot to be built on:
Block Subdivision
Street and Number where work is to be done 390 N.E. 98 St.
.
State work to be done and purpose of building (by floors)_ Install (1) 4 Ton A.0 with duct work as
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 $. 2 , 751 00 Amount of Permit $ 8.00
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 foi said building. All notices with reference to the building and its construction may
be sent to G. Conklin, .Brandon Air Conditioning .Tt .2475 M. 8th..Lan.e.,...Hialeah
The undersigned applicant for this building permit dm hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act, being Sec: ion 5966, Compiled General Laws of Florida, Permanent Siipphalient,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in ti work to be performed un this p an d w ill p or cause to he posted for inspection on the site of the work such pliblic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o k to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks.. ..... (Signed)
Before me, :h. undersigned authority, a notary public, duly authorized to administer oaths and take a,1:,lowledgments, 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date -
Date
spector
shown on plans.
PLANNING BOARD.. __ DATE
Chairman .... Member
Member . . Member
Member Member
Council Approved .. Date Disapproved .
to me well known,
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires.... ...
Date
NOTE:: A charge of $1.00 will be oxide for making corrections or changes to this application after approval has been obtained from
the Planning 130ard.
A re-inpection tee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials irld/or workmanship.