801 NE 98 St (6)BUILDING
ELECTRICAL
PLUMBING
ROOFING
FC•
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
GL
MIAMI SHORES VILLAGE, FLORIDA
❑ `s �
DATE. 41 19
o PERMIT N9 6390 Contractor's
❑ License No. 74
❑ Work to be performed under this Permit_
C: #1 S 4 t 1.1
Lot
B1
Lr N �i
,t), 4' C? 4. 14
Subdi-
vision
Address of < Value of • I� Amount of es: ' "' •.14 8a t N c 7 ' - J proiect $ + , I Pe rmit $ '
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved 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 plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
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Signed C t J ! L / -f , `= L ..",.... INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in com.. once with all ordinances and regulations
pertaining thereto and in s - conformity with the plans, drawings, statements or specifications submitted to the props authorities of Miami Shores Village. In as
cepting this permit I assupfe for all work ..done by either, myself, my agent, servant or employee.
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CONTRACTOR OR BUILDER BY AUTHORITY AI *1 130 4.
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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_____!__ _I_ -- _ -- �' , 19 _
Owner's Name and Address z�*�i�• No fa'�r ✓__�_ Street
O
Registered Architect and /or Engineer
Name and address of licensed contractor C'44,4-4 .�_L...�
State work to be done and purpose of building (by floors) )
Disapproved ___G1 __ �_ Date
(Signed)
Building Inspector
MIAMI SHORES VILLAGE
Location and legal description of lot to be built on:
Lot_j34__ h/ __ _ L? __ Block 7L Subdivision._._ d211_.Z4‘, __r1,46- 4. -i.
Street and Number were work is to be done 1� 1 C- 9 •
'V
— – – and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $___4 0 0 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 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 contrac s or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspectio onithe site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such sub on . t rs, jorj work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks
(Signed)
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
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 stat9d are true. _
Permit No -� ' Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNI? BOARD DATE
Chairman Member
Member Member
Member / Member
Council Approved Date Disapproved Date
NdTkY: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planni/Yg 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.
M. 9'? .)1/1
39
18i