955 NE 98 St (5)New Building t;
To be constructed of
Estimated Total cost of
Zone cubage required
Permit No
Chairman
Member
Member
Owner's Name and Addre i _._ 4:'.it,ct._9`4
Registered Architect and /or Engineer # r "16/.
Kind of foundation C
improvements $._ .,� C C -
Distance to next nearest building f
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of 51.00 will be charged
materials and /or workmanship.
Date
Amount of Permit $
.Plan Cubage
Size of Building Lot
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 progress of the work.
G et /. /
' V -
No
�tr
r
, 196
Name and address of licensed contractor '✓C/k' .___ e'_• '.-c' 4' ci C L— / / � S 44 L- e.-7 T ,-% /vg. .4
Lo e l i ri R ti f .. 0 be built on:
Lint .____.,tai_ - 2 -- Block ` ( C I ubdivis .:� f
Street and Number where work is to be done ( 4 '
yr N
State work to be done and purpose of building (by floors j I' A/ c 4_7,i e ie., (.
and for no other purpose.
Remodeling Addition Repairs No. of Stories ...'IV
Roof Csvering
7
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All nnoticp� wit reference to the building and its construction may
be sent to__%__f C''S' i t '` � 4e �� ! [�' J TT: ;1'! nA
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 Ge al Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all co tractors or sub- 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 site of thew ch public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractor do wo ,,to performed under this
permit, as are licensed by Miami Shores Village. *._..— �'
Remarks (Signed) (' = xis 2' 0
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.
- 3 {r°/
Date Read, Sworn to and Subscribed before me.
Disapproved 69-4t Da
(Signed) (e �
. � Notary Public, State of Florida
- .... - - --
Building Insp for My Commission Expires
ANNING BOARD DATE
Member
Member
Member
Disapproved ...... ... ..... . . ... .---.Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
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HARRY C. SC
SKETCH OF SURVEY
The Southwesterly 20,feet of Lot 3 and all of
Lot 4, Block 80, MIAMI SHORES SECTION 3,
according to the Plat thereof, recorded in
Plat Book 10, at Page 37, of the Public
Records of Dade County, Florida.
Order No. 47537 May 23, 1980
F.B.# 871 -4B Scales shown
I HEREBY CERTIFY:That the attached "SUM
SURVEY" of the above described prrlo i$
true and correct to the best.-flay k
and belief as recently sury .. gad
under my direction.
840C: INC.
ica i'i'i►
' er Ou n ',/
Registered'ta eSurvsy10007
State of Fl is '" .7 ,,
E M