157 NE 101 St (2)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement m rte plans and specifications herewith submitted for the build•
inc 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.
CV (R''T ' ,FOX Date... / /4.___ _ _ •• ,19 7,
Owner's Name and Address , 4 • . ... — No.... / S,2.._... Street._. /.4.. ../Q_./
R egistered Architect and /or Engineer ,.,. ,., ....1.1,,..,.,..,.,, . _.._...
Name and address of licensed contractor /0 4 .._...
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1.1-7 ... .5
State work to be done and purpose of building (by floors)...r. :(._.
0441 Crkill
_..__ and for no other purpose.
New Budding Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation II __ Roof Covering
Estimated Total cost of improvements $ Amount of Permit S` V `..0
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 Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has compiled se nth 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 arc required by the Act. The undersigned agrees to employ only such suogtractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks . (Signed) >< •t�!'!
STATE OF FLORIDA,. 1
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
therein by him stated .. (
are true. �J
Permit No 1N Q) Date )1(d Read, Sworn to and Subscribed before me.
Disapproved ... ... ' Date
(Signed)
Notary Public, State of Florida
wilding Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Mlcrnber 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 1. oard.
A rc inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for insprctitrn or faulty
materials and/or workmanship.
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.
\_ Date 4 ` P' 2 , 19 G
Owner's Name and Address.. T N. d * a >N.,. No /S ? Street 11 i 10) S 7'
Registered Architect and/or Engineer ,� n
Name and address of licensed contractor... t _ L
Location and legal description of lot to be built on: oC Q 3 Y 7 vi. A L( Q4,_ •
Lot Block Subdivision c j .
Street and Number where work is to be done 1v` ' - - -- 1- -.1 a l 4
State work to be done and purpose of kuilding (by floors )` 70 ter '��
? -
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation oof Covering
Estimated Total cost of improvements $ Amount of Permit $- . - CM"
�t� X
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 .rk to be performed 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
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 �/ ° z-6
Disapproved
(Signed) "
Date
Date
to me well known,
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Insp or a-Gcd .. My Commission Expires
PLANNING BOARD 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 $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
° MIAMI SHORES VILLAGE, FLORIDA
DATE 6- " 19
° PERMIT N? 5420
Contractor's l
° License No. 1 "�€
A p e /
Architect
or Al 0 d v.i ?iri; L . 0 t 3'/ hi. id: - Ai ileiE..
Legal Lot g
Description II Bl vision
Address of ��,, Value of 1 Amount of
Building / .� ' . E. ../ i Project $ 1 Permit $ u
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 applica-
tion 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 specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
CONTRACTOR OR BUILDER
Work to be performed under this Permit
BY AUTHORITY
t.w
4-/0:4 ti,ae r:. y 401 INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complian6e with all ordinancel and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper crtthorities of Miami Shores Village. In cm>
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
A Y .OT
MIAMI SHORES VILLAGE, FLA. NO 7078
JOB `cSz-e
ADDRESS / /o / �
INSPECTION c7.2 2'-<-"
TIME READY 1 Y
REMARKS • ' 71 5
INSPECTOR DATE
Permit No. 5
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 work.
Owner's Name and Address. 49 ° . ,1.:.7.4
Registered Architect and /or Engineer
Employing Electrician's Name..... ..2, ../I
Location and Legal Description Lot lock
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building Remodeling
Amount of Permit $
STATE OF FLORIDA, , l
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 6 - / + co
55.
My Commission Expires
No
4 ,I No
(Signed)
(Signed)
,6
Street.../(2k' / /
Stree / /
Subdivision
Street....( (K I 0 /
Floors)
Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installatio —Conduit Tubing B.X.L � r-� tal Moulding
rical Inspector. Q _ /
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ins as an employer of
't�./
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.
Notary Public, State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T's
FIXTURES
N O. LAMPS
REFRIG.
OUTLET
IRON
O UTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
AGE
H ATER
STRIP
H EATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
C L ETR.
Lg4
a `^
CHECK
Permit No. 5
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 work.
Owner's Name and Address. 49 ° . ,1.:.7.4
Registered Architect and /or Engineer
Employing Electrician's Name..... ..2, ../I
Location and Legal Description Lot lock
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building Remodeling
Amount of Permit $
STATE OF FLORIDA, , l
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 6 - / + co
55.
My Commission Expires
No
4 ,I No
(Signed)
(Signed)
,6
Street.../(2k' / /
Stree / /
Subdivision
Street....( (K I 0 /
Floors)
Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installatio —Conduit Tubing B.X.L � r-� tal Moulding
rical Inspector. Q _ /
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ins as an employer of
't�./
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.
Notary Public, State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.