1150 NE 100 St (9)//3)-z 5 / nyas a
MIAMI SHORES VILLAGE ni k -.
BUILDING INSPECTION DEPARTMENT 6
APPLICATION FOR BUILDING PERMIT L /7Y
Application is hereby made for the approval of the detailed statement of me 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
Shorts Village, l lorid.t. 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.
STATE OF FLORIDA, 1 .
COUNTY OF DADE. i ss.
Disapproved Date.
(Signed)
Building Inspector
Ch
Date..._...49. L i ._ _._..._.__...._... 19.. _
Owner's Name and Address ......... .........._ .(. . :..__ ._ NO. _.. Street_...
Registered Architect and /or Engineer
Name and address of licensed contactor s ..le�. �.
Location and legal description of lot to be built on:
Lot Block Subdivision __._ ...._._. _. ..._....
Street and Number where work is to be done /BYO .... .. 1 /M _• ....._.._ _ _
State work to be done aw�ll purpos of building (by floors Z 7--- _' ! 6ti.10 . .. !� _ .. 7.l qX22.2._
?L � C� . Al/ E , - i ; &1AC, %//7'' / -- S — ./.7 _ 4WD
N s " / 4/4 1_ 2.. • and for no other purpose.
New Building Remodeling Addition Repairs; No. of Stories..,.. . _
To be constructed of .CES Kind of foundation Roof Covering / G • _
Estimate Total cost of improvements 5.... / 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 the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.. . . ',erg ..GN.C. ,
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 Sop tleiment,
anti has complied M. 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 f7the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco ct ors. on wor b ' performed under this
permit, as are licensed by Miami Shores Village. �J
Remarks (Signed) w /'
41!1. Itt t.. •l..tTtt[!T.t..•
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap-
peared
My Commission Expires
Notary Public, State of Florida
..... 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.
Permit No. r 7'- 6- U Date 'j,s Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Citair ;ran Mcmbcr
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 PI.rnnir;; Board.
A re-inspection fce of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty
materials and /or workmanship.
Owner's Name and Address
Registered Architect and /or ngineer
Name and address of licensed contractor
Location and legal description of lot to be built on: 3 7/D
Lot Block Subdivision
Street and Number where work is to be done .12,57? e
State work to be don�'••�and purpose of building (by floors ) __
�
�. O�i _ / 'i — A'' y � - � - � 7 + 'O
STATE OF FLORIDA,
COUNTY OF DADE. } ss.
Disapproved
(Signed)
uilding 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 progress of the work.
. o'
✓ , 19_q
No ././,5' Street • t.____AO
Addition Repairs
ov
and for no other purpose.
New Building Remodeling
To be constructed of Kind off foundation Roof Covering
Estimated Total cost of improvements $ 7.ho ,e)
No. of Stories
Amount of Permit $__
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 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 subcontractors, on work to be performed 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 read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No /1 l/ / Date G�7 ' 1P 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 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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
Address of
Building 11 v
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT N? 8824
1 f Vii" ) 9°. / 8.1
Bl.
Subdi-
vision
DATE
Work to be performed under this Permit
Sq. Ft
Value of
Project
ems.
Contractor's
License No
Signed • BY..
INSPECTOR
Amt. of
Permit $
or
195.
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 autiorization. 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 to the work covered hereby whether shown on the plans or drawings or in the statements or specific that he assumes responsibility for work
done by his agents, servants or employees.
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
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.
CONTRACTOR OR BUILDER I BY AUTHORITY
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.
Disapproved
(Signed) 6?-
Owner's Name and Address..
Registered Architect and /or En fneer
Name and address of licensed contractor.__
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date
State work to be done and pu po. o building (by floors)
J - 3® Y -/ -,1'.� ,� �
Subdivision
e Jbo
T
Date
.T
o._JACO 7A eet--..��
New Building Remodeling Addition Repairs i No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ c ? O
Council Approved
Date
Notary Public, State of Florida
s e ,19f
6 a
and for no other purpose.
Amount of Permit $
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 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 rovisions 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, o work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed).
STATE OF FLORIDA, j
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 constru 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
Permit No d' Z Date — Read, Sworn to and Subscribed before me.
Building Inspe. o .My Commission Expires
ANNING BOARD DATE
Chairman / Member
Member Member
Member Member
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.
materials and /or workmanship.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty