DRIVEWAYMIAMI 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.
Date 1/6/
19 88 •
Owner's Name and Address BILL PERRY No. Street 1175 NE 101 S t .
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to b It on: Jilt-3'1f Lo[
/3 Block Subdivision _ I Y`-��Y ' / / D4 B
Street and Number where work is to be done 1 N. E. 101St STREET MIAMI, SHORES
State work to be done and purpose of building (by floors). state exterior colors (submit samples) TO INSTALL (1) ONE NEW
SEMI — CIRCULAR & STRAIGHT DRIVE—WAY (ASPHALTED)
and for no other purpose.
New Building Remodeling
To be constructed of Kind of foundation Roof Cpvering
Estimated Total cost of improvements S 1,750.00 Amount of Permit S
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
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 \ \'orkmen'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 :. s to employ only such subcontractors. on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Sign
STATE OF FLORIDA
COUNTY OF DADE. }ss.
Before me. the undersigned auth city, a notary publi my au horized to administer oaths and take acknowledgments, personally appeared .1.= J A M E S 11 ,1 �m s to me well known'..
and who, being by me first duly sworn, upon oath deposes and says that he is the pQES ibet i T n uim EL
of the above described construction. that he has carefully read the
e iCi 1 L 3
Permit No.
Disapproved
(Signed)
Building Inspector
J.C. WTT,T & PEEP'PITE PAVING CO., INC.
Date
.rag. ga..
Date
Addition Repairs
tion, and that he did sign the same. and that 11 fa is therei'by -h`m stated are trua.
Gll-rl !l s �1 C
,02,1
No of Stories
Notar , of Florida
ry F u c, State of Florida At Large
My Commission Expires My Commission Expires Apr 17 1991
leQng@ci thru Maynard Bonding Agency
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved late Disapproved Date
NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
(1.1vv..i 100 (Al. , stin
— •
(4, — + -
r- "—
J_
■
n, •
Itc tnnw-y.lue
1 - 2,
Itlau
ca.. omr7
lo 1 1:
041.:T
k
%,L\1/ -v,■.E.- 0.4,..m.
0m-,i uun -)
Al E bC)
6 s'
6 m_,
tp 4
con
—
L _ ct)
4 •
TO PREVENT 14CV,DF.:
..:TS 't+T40 D1F,7.
• t.'
'SERVICES, Cdflt,ACT XI..4...‘SILITV C.
1.11 "E V*.-E'..i.N.TY OF
TH
CONSTRL;CTION iS .
•
j.I.ANT E.E
'
` THESE PLANS ARE APPROVED FOR
ISSUANCE OF A BUILDING PERMIT
VARIANCE(S) LISTED IN "REMARKS"
?,1I\III PORES BUILDING AND ZONING
UNLE 3`; SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMPLIED
Authori S'gn ^ture Date
• WITH NO VARIANCES • WITH
NO OTHER DEVIATIO'IS FROM T''.E
ORDINANCES WILL BE PERMITTED.
ALL OTHER APP!..ICABLE STATE
WITH BY ALL PARTIES.
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
BUILDING DIRECTOR
.
PLANNING & ZONING GIN .• .
VILLAGE COUNCIL
APPROVAL
PRELIMINARY: FINAL:
REMARKS:
' COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB CONTRACTORS ARE CHARun "'Ii , " u °0',V'.EDGE OF ALL BUILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.