777 NE 98 St (5)Registered Architect and /or Engineer ....
permit, as are licensed by Miami Shores Village. Se
Remarks--- - - -__. __gaga •_-- .--- .__.._...._...__. _ ._.. (Signed)
Disapproved Date.
(Signed) 1-
uilding Inspector
Chairman ._
Member ..._ -
M ember ....... _._.... — — - — -.a..— : .. _.
Council Approved _..__Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-inspection fcc of $1.00 will be charged
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
PLANNING BOARD.
•
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.
� f Date Ianhiia t:.. .19 79
Owner's s Name and Address l:.'� P t . Ev� i i�.� Lt ......_ .._._. No.. t� ....�� SUreet ». �_.. ».......
Name and address of licensed contractor Sea Bee Construction Co. Inc s ,,,
Location and legal description of lot to be built on: �
Lot Block Subdivision c '...,.
Street and Number where work is to be done Pt-
State work to be done and purpose of building (by floors) Yirtg...40.0Qrdi1l to 23 -anS.
and for no other purpose.
New Building X Remodeling Addition Repairs No. of Stories 1...._.... ...._
To be constructed of.&.Spbalt Kind of foundation ....» Roof Covering
Estimated Total cost of improvements $ Amount of Permit $,. `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 oLl,. . Bea- .C.anatruetien-- .Cn,..... Inge..-- 13AQL.N...-- E..- .17.th...A.vct.
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, Pennanent Stipplenient,
and has complied with the provisions thereof, and will require similar compliance contra orsuntrac s employed by him
or notices as are required by the Act. in the work to be performed under this perm t; and will post or cause to be posted fo asp c n the e o th v such notice
The agree- -- m ploy o -- -L b t n r rform under this
C I StrUC On • Inc.
• pees.
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-
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. 1 Date..l���� Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires ...
DATE
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
whcn such re- inspection is made necessary by improper notice for inspection or faulty