78 NE 98 St'w y
MIAMI SHORES VILLAGE
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 regula-
tions 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_ —
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Registered Architect and /or Engineer ^';
Name and address of licensed contractor_ —
Location and legal description of lot to b uilt on:
Lot___. Block_____— Subdivision
Street and Number where work is to be done 7 71
State work to be done and purpose of building (by floors) Ltd !1
_and for no other purpose.
Repairs _— N j S oes_ —___
___ L i _ �y`"14..1/_1hoof Covering , ".- It?� _____ _
Estimated Total cost of improvements $� __ —_ —_1 mount of Permit
Zone cubage required Plan Cubage ✓ 0. /
Distance to next nearest building_______: ' __ _— _____________—__ —Size of Building Lot �> 1 /
Maximum live load to be borne by each floor
I hereby submit he plans a �.fications for said b� A,1 notices wi h reference to the building and its construction may
be sent to 1+(
New Building_______ // Remodeling— ______—____ Addition__
: foundation_
To be constructed _- -LL�1,{! __ Kind of
1 �?
Date
No
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 subcontract; ojs ibork to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned autho 'ty, a tart' 1 ic, duly� 'z
appeared - , ic,r, 1.
6,-/e
PLANNING BOARD
Chairman Member
Member Member
Member _ Member
Council Approved_____— _____— _________________ —__—.Date Disapproved
4L
19
dminijtery oaths and take acknowledgments, personally
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to u ribed Tore me.
Disapproved Date
Notary Public, State of Florida,.
(Signed) ------ - - - - --
Building Inspector
My Commission Expires
DATE
__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 Boaid.
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.
1
LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC.
REQUIRING OCCUPATIONAL LICENSES
MIAMI SHORES VILLAGE
1. General Building Contractor.
2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting.
3. Electrical.
4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators.
5. Excavating, grading, filling and Landscaping.
6. Moving or wrecking.
7. Septic Tank and Drain Field.
8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum.
9. Carpentry, Millwork, Awning and Shutters.
10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone.
11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging.
12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise
specified.
13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors.
14. Roofing, Sheetmetal and Skylights.
15. Solar Water Systems.
16. Well drillers.
17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc.
18. Structural and Reinforcing Iron and Steel.
19. Tile, Terrazzo, Marble, Granite and Cut Stone.
20. Electric Fixtures.
21. Illuminated Signs.
22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga-
tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work.
23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus-
iness of supplying, furnishing or delivering building materials for any construction project within the
Village Limits and not having a regularly established and licensed place of business in the Village.
Permit No. —_
(Signed) ,
To be constructed o4_ _— ___ Kind
STATE OF FLORIDA,
COUNTY OF DADE.
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 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 regula-
tions 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.
•
Registered Architect and /or `Engineer .;1
Name and address of licensed contractor
Location and legal description of lot to b built on:
Lot____�L____�4 — Block —__— ______ Subdivision __/__e •
Street and Number where work is to be done 7 $ 2
State work to be done and purpose of building (by floors) _1__ 6
D to
t Cc.
Building Inspector
Date
Street__
and for no other purpose.
New Building___, " Remodeling
foundat on. dition c______
__ Remodelin �!d Repairs ,�+
3 - u t - - -- ` pr of Covering 4i. ?? _
Estimated To cost of improvements $— __ mount of Permit $
Zone cubage required ,C__4___: 'Plan Cubage
Distance t next nearest building_ —__ tZ_L_ _-- _— ___— __________ —Size of Building Lot 1 EIE X / 1' J
Maximum live load to be borne by each floor
I hereby submit all the plans andrspecifications for said b All notices with reference to the building and its construction may
be sent to ' . . } 3 1f M A Vk" -
The ufdersigned 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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Read, Sworn to
j ibed fore me.
Notary Public, State of Flori
My Commission Expires
Remarks (Signed) _ r 2 7 4 4 1 4
Before me, the undersigned ty a
ui t tary p ic, duly., authorized to d�m�in' er', oaths and take acknowledgments, personally
appeared ' __:__ _ r / e ,' ; 'r :_____z__
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
PLANNING BOARD DA'1
Chairma2__,. � – ;•/ Member - ` t c_5.. o —_`- ' P " t `, IA- f 'L_
Member Membei : ,,
Member r :£ :��st� j / — - �_ 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.
(over)
LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC.
REQUIRING OCCUPATIONAL LICENSES
MIAMI SHORES VILLAGE
1. General Building Contractor.
2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting.
3. Electrical.
4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators.
5. Excavating, grading, filling and Landscaping.
6. Moving or wrecking.
7. Septic Tank and Drain Field.
8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum.
9. Carpentry, Millwork, Awning and Shutters.
10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone.
11. Decorating (interior and exterior), Painting, Waterproofing, Damp- Proofing and Paper- hanging.
12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise
specified.
13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors.
14. Roofing, Sheetmetal and Skylights.
15. Solar Water Systems.
16. Well drillers.
17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc.
18. Structural and Reinforcing Iron and Steel.
19. Tile, Terrazzo, Marble, Granite and Cut Stone.
20. Electric Fixtures.
21. Illuminated Signs.
22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga-
tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work.
23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus-
iness of supplying, furnishing or delivering building materials for any construction project within the
Village Limits and not having a regularly established and licensed place of business in the Village.