386 NE 99 St (9)•
Date
OCTOBER 18, 1918
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT S r9yD
APPLICATION FOR BUILDING PERMIT
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 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 MIAMI SHORES CCi�A]NITY CHURCH. 759 -34 No '386 N_E_ Street 99, MIAMI SHORES, FLA.
Registered Architect and /or Engineer
SECURITY WINDOWS. 5100 N.W. 72 AVE MIAMI , FLORIDA 33166
Name and address of licensed contractor SEYMOITB C01'HEi
Location and legal description of lot to be b uilt on:
Lot frt9t Block 1 9! b
Street and Number where work is to be done 386 ICE- --99 S
State work to be done and purpose of building (by floors). state exterior colors (submit samples)
REPLACING 7 JAL WDWS. WITH 7 ATW IN EXISTING OPENINGS. NO STRIICTIIRAT, CHANGRS.
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 S 1 382.00 Amount of Permit S
Zone cubage required Plan Cubage
Distance to next nearest building
Maximum live load to be borne by each floor
I hereby submit all 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 obligatons as an employe .f Labor under the Florida Workmen's
Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with th and will require similar
compliance from all contractors or subcontractors employed by him in the work to be performed under- his , an. �;f/ • t or cause to be pos -. • inspection
on the site of the work such public notice or notices as are required by the Act. The undersigned a • to employ ubcontractors. on work to be p armed
under this permit, as are licensed by Miami Shores Village.
Remarks (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
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 carefully read the foregoing application. and that he did sign the same. and that all facts therein by him stated are true.
Date! /�7 /d X Read. Sworn to and Subscribed before me.
Permit No. r e9:99q
Disapproved
(Signed)
Subdivision / /q/l/tP // .0.v1 5 ;4�
M
Date
;w I ; 1 , gyp• - ■• •
Size of Building Lot
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 525.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials andror workmanship.