1249 NE 100 St (14)11.
Main
11111111111111611211511111NZIEWINIENVIEN
MATCPIALS COPP.
CEMENT - AGGREGATES - BLOCKS - CONCRETE - - BUILDING SUPPLIES
SERVING THE CONSTRUCTION 1NDUSTI1Y IN CENTRAL AND SOUTHEAST FLORIDA
INKE
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On
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ANW--v ,C7
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FIRST
WITH
THE
BEST
FLORIDA'S SYMBOL OF QUALITY SINCE 1926
Application is hereby matte foe the ainwoyal of the detailed statement a the plans and specifications herewith oubep►tted fat{.the bwTd
Mg Of other structure burin disc-robed. This appplieation fa anode M oompl„nts and conformity with the Building (hd,runet of Miami
Shores Village. rk•rid•i. reed all provisions of the Laws of the State of Florida, all ordinances a/ Miami Shores Village and all naki sod
erp;ulations of the Shuttling Division of Miami Shores Village shall be complied with. pieties Old et rat. A envy al approved
pares and apocifications at be kept at building during po=mp of the work.
Owner's Name and Address .
14 L. d_ 61°
MIAMI SHORES VILLAGE 7s7_1r
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
Registered Architect and /or Engincet . -._.
Name and adclias of licensed. eontrpctor. elle
Location �7 legal of lot to be built on
_ mock. 1 // Subdivision/ha/441
Street and Number where work is to be done 1j7 9_��. I1
' 3U
State war t done and s building (by s) �p_ • �• l �T�
New Building
■
J3Z
.�- s o; DplO
•,/
41- -- 1 4-
L
__... atod for oo other purpose.
Remodeling Addition Repairs _.. No. of Stories
To be constructed of .... .............. Kind of foundation. .. // - -- Roof Covering
Estimated Total cost of improvements i.. ..�.f..l!/Q� 0f_/ _..._. Amount of Permit
' tOO .._
Zone cubage rewired ..Plan Cubage
Distance •to next ne.uest building _ _... Size of Building Lot
Maximum live load to be borne by each floor
Disapproved
(Signed)
Building Inspector
Criair ;ran
MCIALLI
Member Member _.
Council Approved ...._.. - ..._ Disapproved
NUTT- A cdr.rrge of 11.00 will In mule for snaking corrections or dranges to
the
A
•
rr•in•tn t titan fee of 51:00 will be charged when ouch tawtaR+eef on Y made
sasater.als taw /or workmanship.
Date..
PLANNING BOARD.. ._._._ ..... .........._._ -. -.- _._DATE
Member .�_._....�...._..._
Member
Notary Public, State of Florida
My Commission Expires
t40.1.2e/ ser•rtlie.._110.f
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 un applicant flu this'hu,IJing permit does hereby certify that he understands and accepts his obligations at an employer
of Libor under the Florida %Vorki n.i
ren's Compensation Act, being Section 5966, Compiled General Laws of Florida. Prnnrnt Sip plr . ent,
complied anti hacomplied W iii% the provision. thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in tl:c wort: to be performed under this permit; and will post or caupe to be posted for inspection on the site of the work such uhlit notice or noiiccs as are required by the Act. The undersigned agrees to employ only such subcontractors, on work be per under this
pennit, as are licensed by Miami Shores Village.
Rema:l.s (Signed)
STATE OF FLOMDA,
COUNTY OF DADE. } •s '
Before me, the undersigned authority, • 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 tl.e aho.e described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facu
therein by him stated are
Permit No.. b ( . .. . Date it5i ' .._._._ Read, Sworn to and Subscribed before me.
Dote
this applieetton after appnWiI has here obtained from
oseeasary `y Improper aetks for inspection or lataky
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROQFING
f p ❑
leir
Owner of A '' f ``
Building -' a' "- `4) ` . .
Architect
Contractor
or Builder
Legal
Description
Address of
Building
I -"1 4
PERMIT
Lot
CONTRACTCR OR BUILDER
/s
Bl
Contractor's
License No.
Work to be performed under this Permit l
Signed.
N° 6274
Subdi-
vision
Value of
Project
DATE /
195
Amount of " a
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 to the work covered hereby whether shown on the plans or drawings or in the statements or sp- ations and that he assumes responsibility for work
done by his agents, servants or employees.
.
INSPECTOR
BY
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 regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
Permit No._
Disapproved
( Signed)
2?
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.
Owner's Name and Address.. 57 " ( i9 d
Registered Architect and /or Engineer �
Name and address of licensed contractor �/ /
State work to be done and purpose of building (by floors)
Subd ivision
Date/ 5' 3-2
Date // ` 19
Street /
/ O s
No A
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of dation... Roof Covering
Estimated Total cost of improvements $ Amount of Permit $ / C G
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 pennit 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 rp$rformed under this
permit, as are licensed by Miami Shores Village.
Remarks ( Signed)
STATE OF FLORIDA,
COUNTY OF DADE. J 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.
Read, Sworn to and Subscribed before me.
D
Building nspector 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Notary Public, State of Florida