REPAIR FRONT PORCHApplication 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.
,19.‘C
Owner's Name and Address /o 1^ b K 6 o s f' 1 Q icy re No Street
Registered Architect and /or Engineer
Name and address of licensed contractor SSQL_ZgieV ___�o_ e r. 7 1 'J ,z4
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done , I �. /1.C__
State work to b done and purpose of building (by floors) 1 _S 7L-6 () e nA• .) r ?1
l oos 'r -rel�e
and for no other purpose.
New Building Remodeling Addition Repairs 17 No. of Stories
To be constructed of Kind of foundation Roof Covering _. ° —/=9° i'i L. C
Estimated Total cost of improvements $ oz S 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, Pennanent 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 subcontracto on work t be perfo ed under this
permit, as are licensed by Miami Shores Village.
Remarks ( Signed)
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
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
PPLICATION FOR BUILDING PERMIT
Date It /..
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 tie.
Permit No /s J Date___ f i Z � _ Read, Sworn to and Subscribed before me.
Disapproved _ ____ ____ Date
(Signed)
Building Inspec or My Commission Expires
Notary Public, State of Florida
ING BOARD DATE
Chairman Member
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 Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING r
Owner of
Building
rY
Lot
Work to be perfo
IAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 6423
med under this Permit
Bl.
Subdi_
vision
BY
c'
Value of `
Project ,,'
Contractor's
License No.
Architect
Contractor
or Builder
Legal
Description
Address of
Building
This . •rmit is granted o the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 responsibilit for a thorough knowledg: of a ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the st to ents or specifications an. that 'h sumes respon-
sibility for work done by his agents, servants or employees.
Signed. ' ! ,i,, 0 - "' rr, By
INgt'ECTOR
In consideration of the issuance to me of this permit I agree to perform .the work covered hereunder in compliance with,)1J ordinances an.4. µlations
pertaining thereto and in_styict conformity with the plans, drawings, statements or specifications submitted to the proper authorii of Miami Shbf4s Village.
In accept this per I ass pie responsibility for all work done by `either myself, my agent, servant or employee.
COAl'RACTOR OR BUILDER
Amt. of //
Permit
AUTHORITY
194f
MIAMI SH,,ORES 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 specfi or not. A copy of approved
plans and specifications must be kept at building during progresof
- thework. � / / / ;fr&ek No Street
19_4<e
Owner's Name and Address Date • _
Registered Architect and /or Engineers.-
Name and address of licensed contractor
Location and legal description of lot to be built on:
-
Lot Block Subdivision
� � C
Street and Number where work is to be done
State work to. be done and purpose of building (by floors)
- - -- -- - ----------------------------------------
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $_ __� � Amount of Permit $‘®
and for no other purpose.
Zone cubage required r .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. ork such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work t performed under this
permit, as are licensed by Miami Shores Village. '
Remarks (Signed)
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 rgad the foregoing application, and that he did sign the same, and that all facts
therein by him st ted ar true.
Permit No (__Z__ Date f__ Read, Sworn to and Subscribed before me.
Disapproved
(Signed) -
Date
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
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 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.