801 NE 98 St (5)q •
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 Villap 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.— 8 1977 ,19.._..
Owner's Name and Address Switzer 801 Q 8 Street
_... » ...._ _. No.__ SM.a.► .. { tuft Shore's
Rtgistcred Architect and /or Engineer.
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision _ _... _ _.. »__.....__....
Street and Number where work is to be done 801 NJ 98 Street Miami Shores
State work to be done and purpose of building (by floors).....
Install central air conditioning 2 1- 3 Ton
New Building Remodeling. .2C Addition Repairs
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 2,000.00
Disapproved Lo a_ a ate..
(Signed)
Buildin, nspector
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,
therein by him stated are true.
Permit No._ _. L9 f '4(
Date
Ttf491 91:17111Ms:v.snv.aaen 1, 12. 9:: saauaa an:a:u..u:..:::n1,,,,::ernr•TV,
Geiger Distributors, Inc. N.W. 72 Street Miami
Read, Sworn to
11.25_
and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD _.... DATE
Chairman Member
Member _..__._ Member
Member -- - -- Member ....» ..._ ..__..» . »_.»» .
Council Approved Date Disapproved
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
and for no other purpose.
No. of Stories
Amount of Permit $.
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 \Vorkmens 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 in ection 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 u tractors, on work / • performed der this
permit, as are licensed by Miami Shores Village. I ,
•,
Remarks ( Signed _ e
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persortally ap-
peared
to me well known,
and that he did sign the same, and that all facts
Date
has been obtained from
for inspection or faulty
Name and address of licensed contractor
Street and Number where work is to 11e done
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
A PLIBAtION 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 hi 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.
Dam...19J 8 J 1977 _�.._.. Owner's Name Name and Address Switzer eAt
..
— __ �8�Str
No.. stree .♦ ami—Shores
?registered &chiteet and/or Engineer
Geiger Disj ributtors, Inc. 11 9 N.W, 72 Street ♦ Mi
Location and legal description df-lot to be built on
Lot Block Subdivision �...,,, _,•••__••,••_•�
801 YN 98Street !iamiShores
State work to be done and purpose of building (by floors)
Install central air conditioning ; 1— 3 Ton
it ttttttttfPt9 tttt999, Ott tt tt99ltttn tc19t tt 99tittttt, tat t, tia:•i.[•.,t t
•-•-.— and for no other purpose.
New Building Remodeling... X Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 2,000.00 Amount of Permit $- 11.25
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 employee
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 t work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such su ntractors, on work t. performed u L• r this
pennit, as are licensed by Miami Shores Village.
Remarks._. _ . (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. f ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ep-
peered ._.._
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 _w_. .. __ Date.
( Signed)
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-inspection fee of $1.00 will be charged
materials and /or workmanship.
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD ..,._... DATE
Chairman Member
Member Member
Member .._.._....... Member
Council Approved Date Disapproved
making corrections or changes to this application nfter approval has
When such reyinspection is made necessary by improper notice fer
Date
horn obtained from
inspection 0,7 Lathy
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