69 NE 99 St (4)FORM A -58
APPLICATION FOR BUILDING PERMIT
(A copy of this Application, together with one copy of plans and specifications, must be kept at building during
progress of the work.)
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 con-
formity with the Building Ordinance of the City of Miami, Florida, which said Ordinance was approved July 7th
1919. All provisions of the Laws of the State of Florida, all ordinances of the City of Miami, and all rules and
regulations of the Building Department of the City of Miami, shall a complied with, whether herein specified
or not.'
Date..- -���l1� —,
Owner's Name and Address'
Architect
Name and address of contractor or builder I ee
Location and legal description of lot to be built on:
Lot )s " Block
CITY OF MIAMI
FLORIDA
OFFICE OF BUILDING INSPECTOR
et
Subdivision U-
Street and Number where work is to be done.
New Building Remodelkig
To be constructed ..- .:; : >. %_ Ki
Estimated Cost of improvements $ -® 0
Distance to next nearest building
Maximum live load to be borne by each floor
,Permit No. 3
issued on above application. J
Classification
Disapproved
Reasons
} SS.
Zet
(Signed) .-
Size of building Lot
Building Inspector.
4. i ;' / ll I � ° 2 ..
�K // ✓ / 1-- ��� ����1v Q,,r-
6 A-
State work to be done and purpose of building (by floors) ,_ 2 r ■
1
193----- -
E - - -. - -- ..
and for no other purpose.
Addition ��Y Repairs No. of Stories ��
nd of Foundation ' `�- Roof Covering.SA -%
Plumbing Elec ./.tr`- .L.
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 � , �`= �� e . \r\\ � � � � � � g �/. 1 t ?_,�
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
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.
Read, sworn to and subscribed before me,
Public. (Signed
My Commissi xpires
authorized to administer oaths and take
This space represents the Lot; Indicate the building in space showing
the distance from lot lines and other buildings.
11
,,\