399 NE 98 StAPPLICATION 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.
Owner's Name and Address . ... Orlando A gue d a N 399 Sleet NE 98th Street
Registered Architect and /or Engineer ....J......uazquez
Name and address of licensed contractor Ail: F14341 y ....308,_ „Ntaj. i.74tb ; Tj.,) B. Fla, 331_69
Location and legal description of lot to be built on:
Lot Lot 23 & 24 Block 41
Disapproved
(Signed)
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Subdivision Miami Sjor. Sect I
Street and Number where work is to be done 39.9_. .NE .. _9.8th_Str..2et. �.._..__
State work to be done and purpose of building (by floors) Swimming Pool & Slab Addition
%��lfyy -rte
Date... August 16 _— ,19. 82
and for no other purpose.
X
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Ro//o��ffy��Covering
Estimated Total cost of improvements $ 9,500.00 Amount of Permit $� !!!f!
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 Air Flow Ind Inc.., 308 NW 170th St., N.M. B. Fla 33169
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 \Vorkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup plcment,
anti has complied with the provisions thereof, and will require similar compliance from .11 contractors or sub-co actors employed by him
in the work to be performed under this permit; and will post or cause to be posted for / spection on the 'te of ; work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such su• • ntracto , o• 4•r . performed under this
permit, as are licensed by Miami Shores Village.
i • ► - _ amp r
Remarks (Signed) '' '' ►'.""tliki
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 ap-
peared 6- .9 • 4i.7 %f /d
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the. President & Qualifier
of the above described construction, that he has carefully rFad the foregoing application, and that he did sign the same, and that all facts
therein by him stated are truce.
Permit No. __.._.c2. v Date Read Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires ot8- N-4,e: s'::tc - ridla - - {Lge--
PLANNING BOARD DATE My Commission Expires 1
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.