940 NE 99 StBUILDING
ELECTRICAL
PLUMBING
Owner of
Building •-- ti..):;
Architect = y
Contractor
or Builder , LAN.
Legal Lot / _r
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 1529
DATE
Work to be performed under this Permit
to A-
4 #
Bl.
Signed•
Subdi-
vision
BY
1.,
INSPECTOR
Contractor's '
License No
r , "
194—
Value of Amt. of
9 ` .',,... Project r / �_ r�'E "_
,a #(1 � i -.r... f 1. g , Permit ,, .."'
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
application 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 o the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work cone by his agents, servants or employees.
By
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
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. 4
Date :� r - - -- 19 �i�.�
Owner's Name and Address `' - �_ -�! —. `- ' _1 i� --- --- __ -- --- _--- ____ -- No.__ Street
° as r� = ,, -'
Registered Architect and /or Engineer o,_�__s __� r e__ — �� 1
Name and address of licensed contractor f',{_r_ ,a • +„ f`
Location and legal description of lot to be built on: �/
Lot___ (___t Block___11 __(/ ______ Subdivision !
Street and Number where work is to be done R "!' �� o) 7
State work to be done and purpose of building (by floors)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Remarks (Signed)
Permit No
Disapproved __________________________ Date_
(Signed)
and for no other purpose.
New Building ��aa , Remodeling Addition__ - Repairs — No. of Stories_______________
To be constructed of___ ' 'S , __ % "y �� '
_ Kind of foundation_ _'id _, ' _� "- _ F
�- __________ Roof Covering_____ � ? �s �—
Estimated Total cost of improvements $ C ' 6 :W — _Amount of Permit $
Zone cubage required 'd + " `i _Plan Cubage " X3 A p p
Distance to next nearest building Size of Building Lot ___ — i
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 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 subcont actors, on work to be jgtforrped under this
permit, as are licensed by Miami Shores Village. a'
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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.
Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
to me well known,
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 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.
(over)
LIST OF CONTRACTORS, SUB - CONTRACTORS. ETC. ' ,
REQUIRING OCCUPATIONAL LICENSES i �
MIAMI SHORES VILLAGE —_
1. General Building Contractor.
2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting.
3. Electrical.
4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. n
5. Excavating, grading, filling and Landscaping. G/
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.