78 NE 98 St (11)APPLICATION FOR BUILDING PERMIT
Application is hereby umde 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 budding during progress of the work.
Owner's Name and Address ... a,S.e
Registered Architect and /or 1; gineer.......
Name and address of licensed contractor . a.119igb
Location an lcga description of lot to be built on:
Lot! a- f.J�.. Block 7 ry {� � Suubd di ivision
Street and Number wh work is to be done 7 11/., ..
State work to be done a l purpose of building(by floors)
io
--ate -- -
#Q ® iT _ if-. — . 2 ana for no other purpose.
To be constructed of New Building _ Remodeling Addition / Repairs No. of Stori _
Kind of foundation... E Il Roof Coverin •�Iy(� 1tV /
Estimated Total cost of improvements $... . .Q..C1b Amount of Permit
Zone cubage required plan Cubage *is" //
Distance to next nearest building aQ: Size of Building Lot ... .l
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 s bcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks
(Signed)
r � MIAMI SHOR VILLAGE
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Bcfore 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 foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. 2_ -
Permit No.._ ._ t Date `-� (_ - Read, Sworn to and Subscribed before me.
Disapproved ,.. �f'Date
Building Spector
BUILDING INSPECT ON DEPARTMENT
BUILDING INSPECT ON DEPARTMENT
Chairman
\fcrr,ber
Member ...... _ _..._._ -
Date. _� .._. ,19..L0
o ... Street ._ .� , .a..e7
L/ 4.
-JI
(Signed)
Member
Member
Member
11 14/e.qh
.4A c
Notary Public, State of Florida
My Commission Expires
MANN kNG BOARD _.._......DATE
to me well known,
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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built
Lot Block
Street and Number where work is to be
State work to be done and purpose of bu
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 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.
Date
Owner's Name and Address No.
Street.., /__6
Notary Public, State of Florida
19 x7
and for no other purpose.
New Building Remodeling Addition ' Repairs No. of Stories
To be constructed of Kind of foundation oof Covering
Estimated Total cost of improvements $__ 45
Amount of Permit $ °j a `11
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 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 Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors -mployed 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 wor sub-contractors public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractprs on wgrk to be ormed under this
permit, as are licensed by Miami Shores Village. � A _
Remarks (Signed)
STATE OF FLORIDA, i
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. 7
Permit No 2 Date s� � ' 0 Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed) L': ,.._ ..ism+ --r. _
Building Inspector 1/ 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 after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
•
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
� Date < R/ C / , 19. "t17
_ /1
Owner's Name and Address... le°i ..... '..$ ,( / �!ePi.'94 /gA No 7I Street A• E.
Registered Architect and /or Engineer 7 6' ae p /._._T..i . _
Name and address of licensed contractor
F
Location and legal description of lot to be built on:
Lot _. ,3-_ 4 /2__., . Block 7 / Subdivision 0/'
Street and Number where work is to be done.___!.. ti /A _ Sf
State work to be done and purpose ofding (by floors)
,rZ eeie _ /L?,fV 0__e:2_..es ,Q_,J_t__.7.d_.__p__..f -
and for no other purpose.
New Building Remodeling. Addition < Repairs No. of Stories
To be constructed of CIS .5 Kind of foundation C-0 .1,) C Roof Covering 1 4.,.7 — '/1.9 .
Estimated Total cost of improvements $._._ .4Qc_o_ Q_a Amount of Permit $ 61 • Q
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 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 formed under this
permit, as are licensed by Miami Shores Village.
A
Remarks (Signed)_ . _ _ _ E- ,fit —r6L-
E S �e✓c /
`7.S 3
3.4
STATE OF FLORIDA,
COUNTY OF DADE. j
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 Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector 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 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.
--.‘
';'
/
y
o
333r co
1
=
c/ A-to 3 tioz >i ,)3,""
STATE OF FLORIDA) SS
COUNTY OF DADE )
And Further this Deponent says not:
SUBSCRIBED AND SWORN TO BEFORE ME this
195
A F F I D A V I T
1 /P1 s I /7A Z/ A of the Village of Miami Shores, County
of Dade and State of Florida, being duly sworn, doth depose and say, that under
the provisions of Ordinance No. 185, dated June 15, 1948, amending paragraph
(d) of Section B-368 of Ordinance No. 97 of the Building Code of Miami Shores
Village, he desires to build a FLoj p.
on Lot 3- 4.o 94. .;" Block /7 of ;,� • SAv.,,c c S • (
that he is the owner of said property, and will be the owner of said
-1-50„ p , „); , that he will do the work personally, and that he
will, at such times as are required by the Zoning and Building Director:
1. File plans and specifications and obtain approval of the
Planning Board and the Building Inspector.
2. Apply for and secure a Permit.
3. Pay the required fees.
4. Execute the work in accordance with the provisions of this Code.
5. Apply for inspections.
6. File with the Building Inspector certificates that provision has
been made to carry the necessary Workmen's Compensation, Public
Liability and Property Damage Insurance.
7. File with the Building Inspector as the job progresses certificates
showing the payment required by the Federal Social Security Act
to the State of Florida or the United States of America.
8. Assume the responsibility of not employing other than properly
licensed contractors by Miami Shores Village for any part or
portion of the work.
9. Not set himself up as a "contractor ".
10. Sign an affidavit before commencing work to the effect that he has
read this Article and will do the work personally and observe all
of the requirements of the Building, Electrical, Plumbing and
Zoning Codes of Miami Shores Village. Such affidavit to be
properly notarized upon blanks to be supplied by the Building
Inspector.
11. In order to prevent abuses and subterfuge the right of such
owner-builder as herein provided, is limited to but one
owner - builder permit each 2 years, and where an owner- builder
has once exercized the privilege herein conferred no second
application for owner - builder permit shall be granted in less
than 2 years, unless the applicant is qualified as a licensed
General Contractor under the applicable Ordinances of said Village.
NOTARY PUBLIC
Subdivision,
be sent to
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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
Date...—....1C—Z. 12 . ._._......... --- ..._._._- ..._... ,19
Ow-nci ./.? & � s Name and Address 7.e. - Str eet..ir J.r....��,.�.8.._.
Registered Architect and /or Engineer f1 /�--�7 ..
,.• ..,1.,.-,._ <.... .•:*I*,_Il _C*
Name and address of licensed contractor � a y. /... _. g:101-1 .e..e .... 7V - .1 2 �'_'
Location and legal description of lot to be built on:
Lot Block Subdivision -.....-._....-...• —
Street and Number where work is to be done 1 8 .. -._ C. 8.. S.1.1.... _Al - ..E... .._.._.... _.._..
State work to be done and purpose of building (by floors )......CLd. ?..t -it; 41 - 4.$ p et.e..tS% t1.."1_.... v .cai..A.L , ...___
and for no other purpose.
New Building Remodeling Addition. -.. Repairs No. of Stories..
To be constructed of Gi 1 3,4 - Kind of foundationL a». .h.e.'.. -- Roof Covering I lIx^`s-.►'`.!1!1.. ./......_
Estimated Total cost of improvements $..rzv- 4-4)0 c? Amount of Permit Si- /./ --/.
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
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 ' ction on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such s ors, on be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed) e r
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 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 N9./—.
Date
Disapproved Date
(Signed) ...
Building In cctor
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
to me well known,
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 after approval has been obtained from
the Nanning Board.
A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty
materials and /or workmanship.