921 NE 99 St (8)5-71 6 ,z"
MIAMI SHORES VILLAGE ` P /O5
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date t!O' -- ° 5
Type Insp'r§'.1 G. -. e'°•
Permit No. F v -5', 7 3
Name cc r et.
Address 9' al t' F FP sr `
Company t-4 d 3 a .�- �� .-c S `
Phone #
Inspection Date I. Z J
Correction
Re- Insp'n Fee
x
•
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 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.
Owner's Name and Address VnQS ��1� -A �`\ Q J No. Street
Registered Architect andior Engineer C M - 1 ) 1 ( 2--\ S2- 1 y \ d 1 Q /' l
Name and address of licensed contractor (-13/1 1 N O f MIA M 1 No )%) c oV ` 3I C1 )Q� uV �' L �� /
Location and legal descriptio of lot to b_built on: i, ��S ,[ 4'°° [
Lot kock ! Subdivision �1 h AM' v 1'f0" - 1/ f '/ JV
Street and Number where work is to be done 1 ✓N�, 1R ST
State work to be done and purpose of building (by floors). state exterior colors (submit samples)
C.N rJ Q C2, h l 6
and for no other purpose.
New Building Remodeling
Addition
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S „pa Amount of Permit S 90 �
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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to
N I ' 1 C o7 k 16
6�A @:.►a a M )w
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 -c. tractors 1.: oyed by m in ork to be performed under this permit: and will post or cause to be posted for inspection
on the site of the work such publi ce or no ✓' as are utre the Act. The undersigned agrees to employ only such subcontractors. on work to be performed
under this permit. as are licen
Remar
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known.
and who, being by me first duly sworn, upon oath deposes and says that he i the
of the above described construction, that he has carefully read the foregoing '.lication. and that he did sign the same, and that all facts therein by him stated are true.
Permit No.
Disapproved
(Signed)
3
fJ fl
Building Inspector
Date
/l
(Signed)
Repairs Na of Stories
Read. Sworn to and Subscribed before me.
PLANNING BOARD DATE
Date
19
Date
�� 4 , / Notary Public State of Florida
My Commission Expires
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and+or workmanship.
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is property described as —1
Lots 15 and the West 4
Lot 16, Block 170, 1
feet ;:.
SECTION NO 8 OF MIAMI SHORES ,
;;
3 4 3
,
' r '
,*1
according to the Plat
thereof, as recorded in
Plat Book 14, Page 33
of the Public Records of
Dade County, Florida.
FLOOD ZONE: X
o .
U
0 rc-134 41
4‘e-De0
weal.
(40 /6 ;Wed
PROPERTY OF:
• •
v, •-• .• ,.• ,f • Sc
143.-Aorokl:-tc. Agg44g4T--v"!r
Lara, 921 N.E. 99th Street,
A BOUNDARY
••t,
•.r Ihe It..• MVO'
.pied ht Merl, ftlin.11,,n•
!tbchtlirtil sIdfldIII3 St ! t001
h-ard ,)? Land SiJ 1,
Se(tiori St/lutes. Inert- arr
fit."• r.,41.1.1..
.1:•,4:11,74; ••:' • • .1
1 0 hert•I• • ,
4.'17
Id Rrg. vid,iurve■of Ns) /
k..E A)
•
D AU
12-
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Note: Underground encroachments and,
utilities, if any, not located. -
SCALE
-6 tO tzo
AG.
LTod 4e. trm
MAr
ztoot
VW:
Certi,fied! To:
M and't4 Title
Services, Inc.,
Commonwealth Land
Title Insurance
Company" Sears
5 "Mortgage Corporation
— its successors and/
• or assigns.
Miami Shores, Florida.
LANNES and GARCIA, INC.
I %CAN( ER> - LAND IVORS - I AND PI k N
0 "'"' ddWos■ 359 Alr dzar A .enue, Coral Gablvs. Florida 33114
.• P.0 B 561131. Miami. Flolida 33156
DRAWN B' VRIVG.NO
1 6A. 90
ams
:
a
3
BEARINGS. IF ANY SNOWN. BASED ON
THESE PLANS ARE 1,PPLLLED PUILDING PERMIT
El WITH NO V. • n - :1;!! vp-1; • ) IN "REMARKS"
NO OTHER BE111/ :3 ;:;:-. • .1:LOING AND ZONING
ORDINANCES 1M- LE Pr ' lrj L;. Y I MED BELOW.
ALL OTHER AP? E A;.f.; tA'.'3 MUST CE ■',OMPLIED
WITH BY ALL F."..S
1
FIRE DEPARTE:: •
1
POLICE DEPAR: • •
BUILDING DUV
PLANNING & Z
VILLAGE COUIT.T
PRELIMINARY:.
nEMAR(S:
APPROVAL
FINALs
Dlte
CUPLANCE W Ti )UV'-2 P ( ...".t? • EVA* ' :"C..*•E
BY MIAMO SH07,E. v::Ar.F 4 % 47 BU'.! )fiR &
SUB CONTIIACli;R:
amULATIONS WHETHER OR NOT SPECIFICALLV INDICATED HEREIN.
•••• •er •
;UILDING
- LECTRICAL
'LUMBING
) wner of
wilding
architect
ontractor
it Builder
.ega1
)escription
address of
luilding
Lot
MIAMI SHORES VILLAGE, FLORIDA
ril PERMIT N° 6464
Work to be performed
f
This p it is granted to ie contra or •r builder named above to construct the )Building or to install the equipment o device described in the appli-
ation herefo in strict compliance with all ordinances pertaining thereto and w'th the understanding that the work will be performed in compliance with any
.lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
.t 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
iermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the "thements or specifications and that assumes respon-
ibility for work done by his agents, servants or employees. ll 1 , " f
Signed• / - -' t •E 0 - ! / .. .. C „ ` j /
/ -- - INSPECTOR
In considera ' of the issuance to me of this permit I agree to ,perkiin the work covered hereunder in compliance with all ordinances and regulations
iertaining theret nd in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accep ermit I r ns' .'li for all work done by either myself,uv} agent,' servant or employee.
Z.r. CONTRACTOR ORB DER -__-_? BY �,. AUTHORITY
/ 1
Bl.
under this Permit
Subdi-
vision
DATE
194_
Value of Amt. of
Project , ] Perm' --'
Contractor's
License No
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Legal Lot
Description
2 '
Contractor 17„;
or Builder f i` . . T L
V�
PERMIT N° 6464
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
C>
DATE t 194
Work to be performed u der this Permit
X41.
Bl.
3.,
Ft
Subdi-
vision
Value of
Project
Contractor's
License No.
of
Address of
Building
This pe is granted to the contractor •r .uilder named above to construct the building or to install the equipment or device described in the appli-
cation 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 . finances and
regulations pertaining to the work covered hereby whether shown on the plans o drawn or in,11'e statements or speci • tions an at umes respon-
sibility for work done by his agents, servants or employees. 4 v 0 ,-
Signe , / j B
4 �- INSPECTOR y i.
In consideration of the issuance to me of this permit I agree to per o the work covered hereunder in compliance with all ordinances and,rewlatidi;»
pertaining thereto and in strict conformity with the plans, drawings, sta ents or s ifications submitted to the proper authorities of Miami Shor S'Village.
In accep g is ee t I ass e responsility for all work done by self, Ili gent, servant or employee.
Amt. of
Permit f 0
a
AUTHORITY
Owner's Name and Addres
Registered Architect and /or Engineer
Name and address of licensed contracto
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
State work to be done and purpose of building (by floors) _
New Building Remodeling
To be constructed of Kind o f d
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
Disapproved Date
( Signed)
Building Inspector
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 p tress of the work.
Addition
Date___
Repairs
Roof Covering
Amount of Permit
and for no other purpose.
No. of Stories
.Plan Cubage
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 s - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspe ion on the : of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subo c , on g k to be perfo • ed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed}""
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 red the foregoing application, and that he did sign the same, and that all facts
therein by Permit No hirri I stated ire tiug
Date__ _Sr____ Read, Sworn to 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 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.