70 NE 99 St (7)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATIi]N 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.
Owners Name and Address w"
Registered Architect and /or Engineer — Y..,,
Name and address of licensed contractoTll. r.......0 il S..P
Location and legal description of lot to be built on:
Lot Block Subdivision
Chairman
Member
Member
Council Approved
Permit No.
Disapproved /C /
(Signed) 1
�`r.�.... _ .....�....__ _ No7e ..._..�!�treec — _�_
Street and Number where work is to be done
St woyk' to be done and purpose of build'
(by floors)
,�..... _3e3 4G Gzi'
New Building Remodeling
To be constructed of. . Kind of foundation.... Roof Covering
Estimated Total cost of improvements $. Amount of Permit S.
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 ‘Vorkinen'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 - contractors employed by him
in the work to be performed under this pennit; and will post or cause to be posted for inspection on the sit of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only su subcontractors, on Pk to bb performed under this
pennit, as are licensed by Miami Shores Village.
Remarks..._ (Sig
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
and who, being by me first duly sworn, upon oath deposes and says tha he is the
of the above described construction, that he has carefully read the fore oing application, and that he did sign the same, and that all facts
therein by him stated are true.
Building Inspc , • r
/_.
LANNING BOARD
aggi
and for no other purpose.
Addition Repairs No. of.Stories
[Z ,j
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
DATE
to me well known,
Member
Member
_ Member - ---
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 3L00 will be charged when such re- inspection is made necessary by improper notice for inspection as faulty
materials and /or workmanship.
'MIAMI SHORES VILLAGE
Street and Number where work is to be done
State work to be done and purpose of building (by floors
peared
and who, being by me
of the above described
therein by him ` tatid
Permit No
(Signed)
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 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 during progress of the work.
Owner's Name and Address _ --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
y am% ._
a nd for no othe urpose.
New Building i ` Ad.'.: l • pairs No. of Stories
To be constructed of____ ind . ndation . ( _, Lr_ `� t _ ' Roof C
Estimated Total cost of improvements $___ Amount of Permit $
Zone cubage required Plan Cubage
Distance to next nearest building
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 permit 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 - contractors 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 the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcrntractors, on work to be performed under this
j .
permit, as are licensed by Miami Shores Village. (
Remarks (Signed) '''4/7
�,' ` / ✓ �/ U
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
to me well known,
ly sworn, upon - • ath deposes and says that he is the_
ction, that he carefully read the foregoing application, and that he did sign the same, and that all facts
Cha
Member
Member
Date
Size of Building Lot
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
No Street
Building Inspec r My Commission Expires
PLANNING BOARD___ DATE
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.
, t
t.
44-
' I
4_1k
GO" .■"; O
g 2
S
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of 4.
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
1
f
MIAMI SHORES VILLAGE, FLORIDA
PERMIT IT? 11980
n
❑ Work to be performed under this Permit
/ :4:
8o
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project $
BY
DAT
Contractor's
License No
Amt. of
Permit $
..-� .+
This permit is granted to the contractor or b icier named above to co struct the building or to i 11 the equipment or device described in the applica
herefor in strict compliance with all ordinances pertaining thereto and vv� ththe understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to ac*d approve ¢ by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the 41ans are ganged without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above ssumes th iresponsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans—et d wings or i the ttateme r ° at he assum -s res nsibility for work
done by his agents, servants or employees.
Signed:
INSPECTOR
In consideration of the issuance to me o 1 this permit I agree to pe orm the work covered hereunder in co • lance with all ordina : es and regulations
pertaining thereto and in strict conformity with t e' Iftat dtawin ents or specifications submitted to the proper authorities of Mi. .i Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
by
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus installed at
Address
for It' � 'rY ;)f '' .c° owner, and occupied as - y
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service ' `' N umber of Lighting Circuits
Range watts. Water Heater watts
Power: Connected load H P. Space Heaters watts
Other Apparatus
PERMIT
No.
ELECTRICAL INSPECTOR.
( ) I
APPROVED BY:
OUS INSPEC
PERMIT NO. WILL GET
INSTALLED BY ies
OWNER'S NAME
LOT BLOCK SUBDIVISION
INSPECTION A. M. P. M.
RELAYIDRAINFIELD 7`%S WELLS
GAS APPLIANCES WATER PIPING
SOLAR MISCELLANEOUS
CONDEMNED BY:
REMARKS
APPLICATION
Application is hereby made for the approval of the plans and
specifications herewith submitted for the building or other
sturcture herein described. This application is made in com-
pliance and conformation with the Building Ordinance of the
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 Department of
Miami Shores Village, shall be complied with, whether specified
or not
OWNER 7n °` ! %-, , , //:
ARCHITECT, ' ) k r ^ CONTRACTOR /�'
LOT 34- i 8 SUBDIVISION , ,4 A,,, l'REET# 741 9 ``
NEW DITIONREPAIRS 7:
COST (excluding Archtitect `s fee, landscaping & garage) ` , '`�
Building to be used for
mp' �-oasa 11,e no other use.
I hereby submit all the plans and specifications for said biildin .
Signed 3
STATE OF FLORIDA)
COUNTY OF DADE )
Cubic Feet
Chairmap,
Member
ar 4.4 r
Secretary
Building Inspector
Permit No. Issued to
BUILDING 'PERMIT-RECORD
MIAMI SHORES VILLAGE
FLORIDA
NUMBER OF STORIES
Notary Public(Signed)
My Commission expires
DA TE
ROOF
Before me, the undersigned authority, a notary public, duly
authorized to administer oaths and take acknowledgment, personally
appeared to me well known, and
who, being by mo first duly sworn, upon oath deposes and says that
he is the builder of the above described construction, that he
has read the foregoing application, and that'he did sign the same,
and that facts stated by him are true. Read, Sworn and Subscribed
before me,
Cubic feet required in this Block 074 tO
PLANNING BOARD
4; Date / 3
Electrical Permit No. Plumbing Permit No.
n 1
^ - x/94 ; / O (/ ' 1 j U , -% 6. 1, t:
REQUEST FOR INSPECTION
Company ,,, ' rz P/L �� -.,2
Job
Address
Inspection
Time Ready
Date Ready
PHONH
P.M.
FRONT
DEPTH
HEIGHT
STORIES
TYPE
OF C•
ST
TION
BUILDING TO BE USED
FOR
ROOF
COST OF BUILDING
PERMIT FEE
Fra a
le C
ete,
Stucco
Residence,
w _
I
o6 46 a .�.
M ®-�.
BUILDING PERMIT OFFICE SHORES VILLAGE
FICE OF BUILDING INSPECTOR
Mia ' Shore 1 Villa e, Florida, .�` ` �°'":(/ , I931
Owner of Build' ... . Jz
� gg
g .. `' .�.!`C 4w o - ....
O
Architect � � � � � NO
1
Contractor or Builder ` ... .... ...`.........� a � 7,0
V . Jfi.. 1°jt P c ° v
d
�V-
Dated...... a 4,
This permit is hereby issued to
1
PROPOSED LOCATION
BLOCK
DESCRIPTION OF BUILDING
/ WWVISION
, 4a4 ? 7' / , ,i ''''
To
the building above described, as per application, Plans and Specifications heretofore fil in this office. This permit is granted upon the ex-
press condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications
submitted, and in accordance and compliance with the building laws of the State of Florida and with a building ordinances and zoning laws
of Miami Shores Village, and rules and regulations of the building department of Miami_Shore
* me upon the violation of any provisions of said laws, ordinances or rules and regulations,
authorized by the building inspector. NN
This permit may be revoked at any
change in the plans a specifications
G INSPECTOR
In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the
application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the
State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department
of Miami Shores Village.