Bathroom 2005MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby arcade for the approval of the detailed statement ur me plans and specifications herewith submitted for the build •
ine 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 - . . "'"1 .5 _ No.... . ».._ . Street.d
Registered Architect and /or Engineer „. .t.•••f,.•.ItIIITTIVn,•:•,,
Name and address of licensed controctor .,!ll .lT.lf C & ..r
Location and legal description of lot to be built o
Lot e � 1(!l/ J •7... Block J" v Subdivision
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories iop _
To be constructed of Find of foundation J f... Roof Covering l G-
a-b
Estimated Total cost of improvements $ / . �� C' Amount of Permit 5.. / i
Zone cubage required Plan Cubage
Distance .to next nearest building. Size of Building Lot
\faxirnum 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 ..! - (- - F o/d/ih$ C cm(s it/ 2... k✓e...5. %.f�.1�: ... 1 1t� � C/f �� . 3i./5
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 NVorkincn's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performe 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
pcnnit, as are licensed by Miami Shores Village.
Remuks (Signed) _ k
&c 9'4'3 7
State work to be done and purpose of building (by floors) 4 ..1 4 '1 0 V2 eAre kl90. 4 .. 1v e. �•:.K.(��!`_�lzz.
7," 004 ..._ - T...1...575.) .f 'AW e c O 1 •- • 74 -. 2-'4" ..... a rP
:" /..1.E
Street and Number where work is to be done ljS / „Y.._!?. _.
Building Inspector
� i cf ger . 7,3 ._....
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
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.
Permit No.. 7!5 7 } 1.V Date...'1..1. Read, Sworn to and Subscribed before me.
Disapproved . % .. . Date..
Notary Public, State of Florida
(Signed)
My Commission Expires
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 niter approval has been obtained from
the Plannir;; 11o.rrd.
A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty
materials and/or workmanship.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
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 rules and
regulations of the iuilding 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 .............. ... L-AGN 4.. .E _. No. ._ .Street _ 8 N:
Registered Architect and /or Engineer
Name and address of licensed contractor —
Location and legal description of lot to be built on:
Lot Block Subdivision ..-_ ...
p
Street and Number where work is to be done 95 V t - ,t 8..S 7- _
State work to be done and purpose of building (by floors). ..f'C.?.g C ! ..K'lt -P AL,te,_
7 - ._t1.A..7 egi s' - P'CIA. T o s c-g 6' Al 5
�+ N Q COI- Z)
New Building Remodeling Addition Repairs. ,X No. of Stories _
To be constructed of.. i%C.K... Kind of foundation C...40, –s Roof Covering —
.
Estimated Total cost of improvements $ 6 .. 5o, od Amount of Permit S,. .r
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
The undersigned applicant for this building pennit 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 - contractor 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 a wor such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontracjers, on k be • •formed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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 he has carefully read the oregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No.._– ..�'.? Date " ' Read, Sworn to and Subscribed before me.
Disapproved Date
/ Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLA NC BOARD _.._......DATE
Chairman
Mcrnbcr
and for no other purpose.
to me well known,
Member
Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of x1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
1 0
I . ..
,1<, - - 7 - / A,/ t---:
1 ._ rt3 ..• c
--- 71---
••"/ - 763
4/5" /V. . 9 0 -3 7 T4&
A /■./ •—/ c7 r c /
ro ;
--
1 -- __ _I
1
T .s i F
i n ., 1_ 1-
1: l 11-1 5 . I ■ . I '1 r
CO - 1Ij i • 1 1 I t 1 ,II
I °I o
11 11 i i I I
I I ! C I I 1 1 1 . 1 1 !
111 1 I I ri I 1 ) 1 i I
\
■ 1 i \
L Fl
J 1 - ...,_ .. ,... 0" __,. 1 1 ,
7 r i i
I 1 I ; ! 1
I
. i 1 1
i I I 1 —'
1 • 1 -, -
t -
77-..; ..rf
, r ! .
; !
.._, 1 , .11 L' I ti ' ■ , 11
1 1 )1 II_ 11 1 ) I r. 1- ,. ■
. \ ; 1 _ -. 11 l 11 1 11 - i - LT . U_ II 1 0 . I:iv-1-4 -
t
1 i i • i , _I to" -- --,:r
, - 1 . --- _ - IL _,, ._ 1 =r t ][.■ .... !..■■ ■.... ■
1 i II d
r) 1 - ------, 1 1
ii ri ", 1 •T ''
1
I i t IT Jr 1 ' 11 '; 1 1.
Ilo, ..,--
•
r: LI _01 II 9 - rri 1 11
r, 1 11 T g P 11 11!:11$ •
') 1 - t____ I li . 1 A 4 pIL___:_ v - 11 -- 1 -i • i 0 :-I ,...----__:.■
. ' 's • '
7
• /- / • )4A /■/ C- 1=
0 67 ,/ c".
BUILDING PE;f.ltT
. - •
'SrED IN "REIVIARI;S"
- ' CING 7:!!G
' 1 LY LISTED BEI OW.
L P;•:?"r
. II; • E . .1) • MUST BE COr'.
DII:c. 9
//1-
PRELIfilNARY
REARS.
APPROVAL
ure
FINAL:
L f
COPLI"
P„'1E WITH TPE otjv
BY 17,1A1Vel '.• „ • • • I,
I SUB CO !T,1 ; • • - •
ING REGULATIONS WHETHER OR NOT SPECIFICALLY 1■:DICATED HEREIN.
•
•
•
7o L.
t
N
• c c•t_ • V E
4 LY47/04
LEA
- S 'iocVc •
To.
• S.j u a s 0.
• t
7 ..
s1o<AC sc••at�N V j
• /✓o //
- fc. - y0'' c 'v
/0 0 / .
•
•
111A/ • CE /3 4L. ` / L. 4 2 0 0t
401 /7 / 1 f Lcl / 6.
/ y,/,0 !V9 / SA/ �•
it
Is
L ,C k 4 7 / O 47
4 - 0 C 4 A c
0•
11 J G G o
1•
o
C PACTS ,1
t. : IOG G•t[-. 7A•t
10 CA/Ci C0 /` t
A7 II '
t N fie fei.cw i ..,
�AC�e.cc P"-
� 1 •
1^
Yom.. .•- i
3 _ a .,
Z
1
1
C'd418 III 44-XI
L.- ;
•
•
•
•
•
•
1;
i
•
•