1270 NE 100 St (8)therein by him stated are true.
Permit No Date ..=°
Disapproved __ Date
(Signed)
INC P BOARD__
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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.
May 7, 1970
Date__ , 19
Owner's Name and Address Ni'. Gross - 1270 N.E. 100 St. M. S1pres. Street
Orkin Exterminating Co.Inc. 1960 N.W. 27 Ave.Miami
Registered Architect and/or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot_ Block Subdivision
Street and Number where work is to be done
State work to be done and urpose of building (by floors) 1270 N.E. 100 St. M. Shores.
lon Tent Fumigation — Vikane 18 hours 33! $390.00
and for no other purpose.
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 $
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 5968, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will req 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 subcontra .rs, on work to be 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 read the foregoing application, and that he did sign the same, and that all facts
.4 - 1 9 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspect My Commission Expires
DATE
Chainnan 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 inspt tion or faulty
materials and/or workmanship.
:
K�
74
4
n�
THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE
A Penalty is imposed for failure to keep this license exhibited at your establishment or place of business
i ; � i � �t + ► � .�. � � i r � � i r � i � i r � r t r.. ��-y �.�a r t i � efi�' � i'' ' .� my ' '' i i � o�m� t �m� � i �� � ► i r '
~•� TRIPLICATE
N° 6220~
rr
r� i
Ii
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r
1270 N. 100th 3t.
VILLAGE LICENSE
This License Expires►
In consideration of the sum of
Tbr.nt7 flv. and * (&ee. S "` Dollars $ 5.00
Paid to Miami Shores Village, Dade County, State of Florida,
Address 0 °Mua
is hereby licensed to engage in or operate the business of
alisar.bol1dor liawa a�foa ai= sao tha tram data of iaauaa:o of Chia lioenao
For the period beginnin iQ 1mb 23, 1951
subject to the Provisions of all ordinances.
(SEAL)
Date Issued Novambor 2 3+ 1951
B
and ending yay 23. 1952
MIAMI SHORES VILLAGE, FLORIDA
VILLAGE MANAGER
THIS LICENSE NOT TRANSFERABLE_ WITHOUT APPROVAL OF THE VILLAGE MANAGER
a�
!t
....� �ii� sib• .�•'•li�•'•i►�'•ii� + �°• �ic�•'• ii`• a�•'• ii`•°. �°.•'• iri�ii�°•'•i i`•° �°'• ii�° �•'• ii `•°�ii�'•ii�•'•ii�•'•ir•
.•
i. lei!1 Department
o: LSi ores
! ) ('C bounty, 21oriC.a
RILEY AND ROSS
ENGINEERS
3047 BISCAYNE BOULEVARD
MIAMI 3Z, FLORIDA
TELEPHONE 3'0973
1.o: Lot 3, loc 1
Cnt10::1cn; .L,arleton S! ores
:i s office as Iliad() an investi,atien of tie soil CUnC!itions
on. t o a')o ,e referoi -iced pr :Torty wit' t. e fol "lor' 1� find.'
- 0 Zand, rauci , loose rock
- 0'- 1U "- to -2' -t ond, muck, marl, loose rock
- 2 -to-/ ;arcs gray clay an sand
- 11 ' -3` an buloti hock
vround water level o t
� viOW of te auovo, it is considered ti__at a footin ddsi n-
ed on a soil ooarin; . value oC 1200 pounds per sgl._cro :foot r ;c used on
a s trL c turc built in t location.
Very truly yours,
.�ovom.)or l� 1C,51
STATE OF FLORIDA) SS
COUNTY OF DATE )
of the Village of ' Miami Shores,
County of Dade and State of Florida, being duly sworn, doth depose aDd say,
that under the provisions of Ordinance No. 185,, dated June 15, 1948, amend,.
ing paragraph (d) of Seetion B -368 of Ordinance No. 97 of the Building Code
of Miami Shores Village, he desires to build a
on Lot j Block // of - ' = /414-V.4 Subdivision,
that he is the owner of said property, and will be the owner of said
, that he will do the work personally, and that .
he will, at such times as are required by the Zoning and Building Director: -
1. File plans and specifications and obtain approval of the
Planning Board and the Building Inspector.
2. Apply for and secure a Permit.
3. Pay the required fees.
4. Execute the work in accordance with the provisions of this
Code.
5. Apply for inspections.
6. File with the Building Inspector certifics►tes that provision
has been made to carry the necessary Workmen's Compensation,
Public Liability and Property Damage Insurance.
7. File with the Building Inspector as the job progresses certi-
ficates showing the payment required by the Federal Social
Security Act to the State of Florida or the United States of
America.
8. Assume the responsibility of not employing other than properly
licensed contractors by Miami Shores Village for any part or
portion of the work.
9. Not set himself up as a "contractor ".
10. Sign an affidavit before commencing work to the effect that
he has read this Article and will do the work personally, and
observe all of the requirements of the Building, Electrical,
Plumbing and Zoning Codes of Miami Shores Village. Such
affidavit to be properly notarized upon blanks to be supplied
by the Building Inspector.
11. In order to prevent abuses and subterfuge the right of such
ownera.builder as herein provided, "is limited to but one
owner - builder permit each 2 years, and where an owner builder
has once exercized the privilege herein conferred no second
application for owner- builder permit shall be granted in less
than 2 years, unless the applicant is qualified as a licensed
General Contractor under the applicable Ordinances of said
Village.
And Further this Deponent says not:
A F F I D A V I T
SUBSCRIBED AND SWORN TO $EFORE.ME this /4 day of
1 9 . 57
NOTARY PUBLIC
A.. D. •