456 NE 100 St (3),.
gi'
IANi SH2ORES.•!/,ILLAG
BUILDING• INSPECTION DEPARTMENT.
•APPLICATION FOR BUILDING PERMIT.
Application is hereby rnnde for the approt•al 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 prggreu of the work,
A ril 15 1981'
ONx-ner's Name and Address e'v : :Horvath
•
No 4�
' Registered Architect and /or &ngi JQSe.Rh......L .t ):'.z.d �,... , • •
Name and address of licensed contractor National `' Scree'n' Enclosure Corp . I 17850 State Rd #9 :N.M.'B;:
Location and legal description of lot to be built on:
, l
Lot EY•2 �S '-/ * Block '. s9 Subdivision M.S. .er t/'
Street and Number when; work is to be done 456 N.E. /00th 'Street Miami' Shores'.
, State work to be done and purpose of budding (by floors) A s Patio Encl,osure'With ,Screen ,•Ro'of
' .i th .. Concrete slab * - .... . .._. ..•• -- . •-
tand for no other purpose.'
New Building Remodeling Addition ' X • Repairs No of Stories , 's
To be constructed of Al umi mum Kind of foundation Concrete'
. Estimated Total cost of improvements $ 2,236'. 00 ' . Amount of Permit
Zone cubage required plan Cubage
Distance to next nearest budding Size of Building Lot',
Maximum be load to be borne by each floor
' I hereby submit all the plans and specifications for said building , AI1, notices with reference to the building and its co structw
be sent to • ''Nat.i'o'nal Scre • Enclosu Corp p:' 1785,0, State :Road, ;'# 9•.No;r't'h•�,Mi:ami,,•;Be ;,33'1
Til undcrsii;ncd applicant for this building permit does hereby certify that he understands and accepts his'ohli A e ations as mployer h
of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennnnent Sup lenient,;
and ha complied with the provisions thereof, and will.require similar compliance from. all contractors or sub- contiac , rs, employed' y hfnt
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of.the pork such nnotice'
•
or notices as are required by the Act. The undersigned agrees to employ only such subcontra..ra, o work to perform ides this:
permit, as are licensed by Miami Shores Village, � 10 71 y,, , ., r r;
Reinuks
STATE OF FLORIDA,.,''
COUNTY. OF DADE,. ; ;
Before me,,the undersigned au onty, notary . public, duly authorized to administer oaths and take personally
peared d&I / ,
/?J to me well known,
and who being by me first duly sworn, upon oath deposes and says that he is. the ( �' r c ) .e. /R16 �,.
of tl.e 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., ; r 1,' 1 ' ,. •.t` • ' ,, ''`i' • . '�,
Permit No - - 7411'99 t : 6 '
Disapproved
(Signed)
. Building Inspector
ead, Sworn to and Subscn
Notary Public, Stat f OO ��,,aa . ; A
R � tic S7lift OFr1GRIQA AYE
My ;Commission; Expires .gm ^AAAIS OfitES_99Aik. 6.:>
' r , , 4 OP!D D l GfP4 f ! INNS liR'�E .JC
DATE
Chairman • •':',!,:•:;:1;',',' :
M em b er .
NIcrrrl.cr Membcr
\tern . r . . '
Member •
Council Approved ' ' \ '
'Date Disapprovod r; . , :ic; Date;;
NOTE: A c•h.irge of ,$1.00, will lw nradesfor' making corrections or changes. to this application after apprrn•nl has kern obtained front,1
the l'Lmir.:z. I;u.ird. i it
A re- iii‘pecti..n fee of 3100 will be charged .When such re- inspection is made necessary by;amproper notice for inspeatrnn of faulty
in.tcrirls and /ur workmanship• ''' ; ' '
',PLANNING BOARD