841 NE 98 St (9)Application is hereby made for the approval of the det..iled statenien of the plans and specifications herewith submitted for the build-
ing or o h, r si:ructure her i described This rilicatic is made in compliance and con•onin ty w.th the Building Ordinance of Mia, ii
Shores Villave, ii.or and all pro isions of the Laws t f the Statc of 1.1,..rid. all o d nances if 1111 in Shores Village and all iules and
regulation:. of the Building Div.. i of ,lam Sho illage 1- '1 ,e -o. ipl.ed with, whether herein specified or not. A copy ot approved
plans and specificati n must be ket . at blinding durin, progress of tl.e wcrk.
Owner' Name and Address. 1 2-44
Registered Architect and/or Engineer
Name ,nd address of licemed contractor. _a_
Location and Jegal descrjijon of lot to be bu'
. ./._... ...._ Block SubdivisioAo . ) *--:2-
Street and Number where work is to be done. V + I • 9
State work to be done and purpose of building (by floors)
New Building
STATE OF FLORIDA,
COUNTY OF DADE. . ss.
APPLICATIDN FOR BUILDING PERMIT
Remodeling
MIAMI SHORES VILLAGE
BUILDIN " INSPECTION DEPARTMEN'
To be constructed of. ... . . Kind o tio. Roof Coy ling
Estimated ". Dial cost of improvements $_. Amount o Permit $. ,c9.
Zone rubage required _Plan Cubage_
Distance to next nearest building._ _Size of Building Lot
Maximum live load to be borne by each floor.
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 uncle signed appli ant for th's bulding permit does hereby certify Cie he understands and accepts his ..bligations as an employer
of 1. bor under he Florida Workmen's Compensation Act bang S. -tion 5966 Coi p led Gen al Laws of Florida P r anen S,Ippk mint.
and h , s cornphed with the prov•:ions thereof, and will require similar complance from all contractors or sub-contractors emplo .ecl by him
in the woik to be p.irf i-med under this pern it and \ill post or cause to be posted for inspection on the site of the work su :11 public noti.ie
or i•oti,. es as are requir d by the Act. The u.,d,ir- ign..d agrees to employ only such ubcontr. ctors, on work to be perform d der this
permit as are licensed by M aim Shores Nil:: ge.
Remarks..
Date fi
Date 0 - 1
, 19
No. Street
Addition Repairs
(S■gned)
eaked-.L.
j ALL 5- if and for no other purpose.
Read, Sworn to and Subscribed before me.
Notary Public State of Florida
My Com:nission Expires
No. of Stories
-
Before me, the undersigned authority, a notary public, duly authorized to administer oaths ...nd take acknowledgments, personally Pp-
/
pearcd
to me well known,
and who, being by me first (Lily sworn, upon oath depoFes and says that he is the
of th abov. de ibed , istruction t: h. has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated ar tr ie.
- 6
Permit No
Disapproved Date._
(Signed)
uilding Inspector
PLANING BOARD /(- 92,5 - 3 S
m ,..
Chairan 7)(Y\ 6 JI..,i.„._ Member
Member ____ 6 Member
Member _ yl Q.--0-4, r , Member
.) ......--
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application Ift,ir approval h is been obtained from
the Planting Board
A re-Inspection fee of $1.00 will be charged when such re-inspection is ma :te necessary by improper notice for inspe...t.ar or fa. ity
materials and/or workmanship.
Pew__
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UN
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Total
Width —
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Wall Ht.
Wall Ht.
Color
Stripe
Color _
Roof—
Roof—
Total —
Stripe
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Remarks:
•
Location
1
1
Ham d~
ware
Roof
Sec.
Val.
Sec.
E. W. S.
Flash
Conn
Made
Hard-
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Made
Packed
Packed
Quan.
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it
Type
\ Flash
Roof
Pitch
No.
Pan.
No.
Corr.
UN
AS
Total
Width —
�.
Wall Ht.
Color _
Roof—
Stripe
Total —
Purlin Quan.
Remarks:
Location
Roof
Sec.
Val.
Sec.
E. W. S.
Flash
Conn
Hard-
Wore
Made
Packed
Quan.
Inches
Type
Yp
Flash
Roof
Pitch
No.
Pan.
No.
Corr.
UN
AS
Total
Width— -I
'''\
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Wall Ht.
Color '
Roof—
Stripe
Total—
Purlin Quar#. \
Remarks:
Location
Sec.
Sec.
Flash
Conn
Hard-
ware
Made
Packed
NAME: Job
Dealer No.
DATE:
Our
Order No.
i
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
AF FOR BUILDING PERMIT
Application is hereby uunde for the of the detailed statement or ore plans and specifications herewith submitted for the build
inc 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, whcther herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date..._ Juli 23 19.......
Owner's Name and Address Mr. R MrS t Piper . _ No Y1.. L.E. Street_96tih .Sarre ti ....._.
Registered Architect and /or Engineer David l Rich ,,,..., ,,.. „,,,.,.„,,.,- .,,.,„,
Name and address of licensed contractor r Conditioning t ] n.c e _ _ / ! i ,3. &>
Location and legal description of lot to be built on:
Lot 16 & 17 Block 72 Subdivision Miami Shores Section 2, Folio X11- ,3206 -1L- 21190 - 5
Street and Number where work is to be done 81J1,..B....T1ca...9821... tX:Pet
Replacement of existing unit with a 3 Ton
State work to be done and purpose of building (by floors)
Hi efficiency Split System
and for no other purpose.
New Building Remodeling Addition Repair; No. of Stories 1
To be constructed of Kind of foundation . Roof Covering
Estimate Total cost of improvements $ 1 Amount of Permit $4..9.51?...a`�
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.. Rich Air Conditioning, Inc. 111869 N.E. 20th Avenue, N. Miami, Florida 331
The under igncd 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, PennAnrnt Supplement,
and has complied ssith the p rovisions 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 inspectoo, . the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontr �, on work • rformed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed).
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..__.__ L ra Date g.3 -' i I Read, Sworn to and Subscribed before me.
R
Disapproved Date
t q a Notary Public, State of Florida
(sinned) � .. 1 d�/
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member .. .. _ Member -- . - .• - ••
Council Approved Date Disapproved Date
NOTE: A ch,irgc of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Plannir.. lto.rrd.
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.
