230 NE 101 St (10)a- Er , 9
/3
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT '1 S7
�S `� /�
Application is hereby made for the approval of the detailed statement ur toe plans and specifications herewith submitted (or 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 prggress of the work.
/� c Date... ~ ............1 /..� 1 _....__......_._— ......... ,19. :�
,
Owner's Name and Address ... .i .6!Ml:Z: ( I £.tin ._ e — LS No.... '__.. .. Street.Vl .I-OL.5?�_
...
Registered Architect and /or Engineer
m 1. i.
Name and address of licensed contractor C IA ae � .._E - Pi c:a...Co • 1c'.' /._.,t.t.L� » /..4.':
Location and legal description of lot to be built on:
Lot Block Subdivision
z 3o I ...,_ / s•/ 7..;( .
State work to be done and purpose .of building (by floors).....„414.5*0
and for no other purpose.
Street and Number where work is to be done
New Building Remodeling
To be constructed of Kind of
Estimated Total cost of improvements $
Zone cubage required
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
Addition Repairs No. of Stories _
foundation Roof Covering
Z5 - c-1.2
Amount of Permit S.
_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 unriersigncd 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 La of Florida, Permanent Sup p leurent,
and has complied .vith the provisions thereof, and will require similar compliance from all contr • r sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for i sp• tion site of the work such 'Wilk: notice
or notices as are required by the Act. The undersigned agrees to employ only such s ; per • itt• •rk to be perfo.• e under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorizcd to administer oaths an • 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 tated are true..
//'
Permit No. 4 JC Date
Disapproved ; { 3.- Date
(Signed)
srn .,•• ••,,,
t,• :•
ac • rs
• t
3, o
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
3 )-°6 /-
/ ' r'
to me well known,
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member .. ... Member
Council Approved Date Disapproved
NOTE: A charge of $1.00 will be made for making corrections or changes to
the Planning hoard.
A rc- inspection fee of SI.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty
materials anal /or workmanship.
Date
this application after approval has been obtained fmm
KLE /0/
BUILDING
ELECTRICAL
PLUMBING
Owner of 7?A �; f
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 3524
Work to be performed under this Permit
I I A KA"
R 'iP';': Ti Ts Consrrur.tion may trP in «oia
DATE <,
F0
Contractor's
License No
uV'a, F,oeu:uon fioaio &nerd lumtat,o,rs t.;
You are , auticn-d to consult your War Producuo,r
Board office before starting the work authorized in
this permit.
194
Legal Lot Bi. Subdi-
Description vision
Address of f , �, R _ Value of
Building / rat 1 " t „ ” a Project 2
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 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
theft he assumes responsibility for work done by his agents, servants or employees. -
Y Signed. ct� By - ! `rr
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work codereii hereunder in compliance with all inances and tub
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au tes of Miami �/
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
A
r CON ACTOR OR BUILDER BY AUTHORITY
Amt. of
Permit / to, O
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 regula-
tions 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 Addre s✓ v
Registered Architect and /or Engineer
Name and address of licensed contract 4�
Location and legal description of lot to be built on:
Lot_
Street and Number where work is to be done
State wo to, be done and purpo
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Permit Date
Disapproved _______________________ Date
(Signed)
IAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date._
e of ba' ng (bY)" —
Building Inspector My Commission Expires
o y.— Stree
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Block Subdivision
_- - -_ - -� - M__ -- -__and for no other purpose.
New Building emodeling_ Addition__ Repairs
• No. of Stories
To be constructed of Kind of foundation. Roof Covering_______ _____
___ —
Estimated Total cost of improvements $ 1 1 _Amount of Permit $
Zone cubage required— Plan Cubage
Distance to next nearest 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 be 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 subcoptractors, on work to be perfor . ed under this
permit, as are licensed by Miami Shores Village.
Remarks
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, 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.
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
PERMIT N9 3524
Work to be performed under this 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 specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and •regula-
tions 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.
F
MIAMI SHORES VILLAGE, FLORIDA
DATE • 194
Bl.
•
Subdi-
vision
Value of
Project
Contractor's
License No
, [is ! ; u ,r on msy ha in v nl .
'cu ait L aiitititfL to curislt;t your War PiOG'NLii0ii
5c4id office before starting the work authorized in
this permit
Amt. of
Permit
CONTACTOR OR BUILDER BY AUTHORITY
rl