925 NE 98 St (17)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 regula-
tions 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______�� d_�
Registered Architect and /or Engineer I" •�4t t"1
Name and address of licensed contracto
Location and leg }1 description of lot to be built on: , ,
Lot____ f� T' /.J____ Block ____ o_______ Subdivision y� 'r�'°f't !t
Street and Number where work is to be done —_ �__ 7.1 _ _ _______q
State work to be done and purpose of building (by floors) _
7.6 `67
Remarks
Disapproved ____
(Signed)
C
Me
Member ______
Council Approved
to
A . No
New Building v"-- Remodeling Addition____ Repairs No. of Sto
To be constructed of___ 161__S1' '- • Kind of foundation_ __i,ei_?'" __! 't Roof Covering__
Estimated Total cost of improvements $ - - -_,L L2_ __— _— Amount of`"Permit $
Zone cubage required____ �_ __ t'' `` J
Distance to next nearest building__
Maximum live load to be borne by each floor_
I hereby submit all //hei�plans and s ifications for said building. All notic s with refer ce to th ° t�yildin and its construction may
be sent to 4 4�' c�'�.2�_�,Q -.^ "cam c � .a. L(
_21- ANNING BOARD____ �/ / .� :�1 _DATE
_and for no other purpose.
lC °_
Plan Cubage - f _
_Size of Building Lot ____Z o_ __k'____ %_4___�_
The undersignd applicant for is 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 ,perfor under this
permit, as are licensed by Miami Shores Village.
(Signed) =� — — —
STATE OF FLORIDA,
COUNTY OF DADE.
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 is the �—
of the above described construction, that he bas 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.. ! . /f r �
.___�_ u� __ -- _ .0 f __1' ! Read, Sworn to and Subscribed before me.
Member
Member
Notary Public, State of Florida
mmission Expires____________
Date Disapproved
(ov er)
r
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.
Date
LIST OF CONTRACTORS, SUB - CONTRACTORS. ETC.
REQUIRING OCCUPATIONAL LICENSES
MIAMI SHORES VILLAGE
1. General Building Contractor.
2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting.
' ° /
3. Electrical. ���__.
4. Architects, En� �ginee , Suryey rs, Landsca a Architects and Interior Decorators. +'f° ' '. O , G G?
5. Excavating, grading, filling and Landscaping.
6. Moving or wrecking.
7. Septic Tank and Drain Field.
8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum.
9. Carpentry, Millwork, Awning and Shutters.
10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone.
11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging.
12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise
specified.
13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors.
14. Roofing, Sheetmetal and Skylights.
15. Solar Water Systems.
16. Well drillers.
17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc.
18. Structural and Reinforcing Iron and Steel.
19. Tile, Terrazzo, Marble, Granite and Cut Stone.
20. Electric Fixtures.
21. Illuminated Signs.
22. Bridge, Bulk - heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga-
tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work.
23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus-
iness of supplying, furnishing or delivering building materials for any construction project within the
Village Limits and not having a regularly established and licensed place of business in the Village.
34
STATE OF FLORIDA) SS
COUNTY OF DADE )
And further this Deponent says not,
SUBSCRIBED AND SWORN TO BEFORE ME THIS
F I 1 I T
1. Signature of Applicant.
2. Signature of Officer administering oath.
2.
•
Nelson L. Whyte of the Village of Miami Shores, County of Dade and
State of Florida, being duly sworn, doth depose and says that under the provisions
of Section B -368, Sub- section (d), of the Building Code of Miami Shores Village
he desires to build 925 NE 98th Street single family residenccon Lot 16 and 17
Block 80 of MS Section #3 subdivision; that he is the owner of said
property, and will do the work personally, and that he will, at such times as are
required by the Zoning and Building Directors -
1. File plans and specifications and obtain approval of Village Planning Board
and of the Building Inspector.
2. Apply for and secure a permit.
3. Pay the required fees for license and for permit.
4. Execute the work in accordance with the provisions of the Zoning, Building,
and Electrical Codes of Miami Shores Village.
5. Apply for inspections.
6. File with the Building Inspector certificates that provision has been made
to carry the necessary Workman'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 tho responsibility of not employing contractors or sub - contractors
other than those properly licensed by Miami Shores Village or any part or
portion of the work including, but not limited to, gonoral contracting,
plumbing, heating, electrical, septic tank, solar system, lathing, tile,
torrazo, painting, roofing and shoot metal work or installation,
9.' Not sot himsolf up as a "Contractor ".
10. Execute Builder's Bond.
DAY of A. D. , 19 _,_.
STATE CF FLORIDA) SS
COUNTY OF DADE )
And further this Deponent says not.
SUBSCRIBED AND SWORN TO BEFORE ME THIS
1.
1. Signature of Applicant.
2. Signature of Officer administering oath.
s
AFFIDA,1
of the Village of Miami Shores, County of Dade and
State of Florida, being duly sworn, doth depose and says that under the provisions
of Section B-368, Sub - section (d), of the Building Code of Miami Shores Village
he desires to build on Lot
Block of __,_subdivision; that he is the owner of said
property, and 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 Village Planning Board
and of the Building Inspector.
2. Apply for and secure a permit.
3. Pay the required fees for license and for permit.
4, Execute the work in accordance with the provisions of the Zoning, Building,
and Electrical Codes of Miami Shores Village.
5. Apply for inspections.
6. File with the Building Inspector certificates that provision has been made
to carry the necessary Workman *s Coapensation, 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.
Assume the responsibility of not employing contractors or sub» contractors
other than those properly licensed by Miami Shores Village or any part or
portion of the work including, but not limited to, general contracting,
plumbing, heating, electrical, septic tank, solar system, lathing, tile,
terraso, painting, roofing and sheet metal work or installation.
9. Not set himself up as a "Contractor ".
10. Execute Builder's Bond.
DAY of A. D., 19 •
2.
n