468 NE 100 St (7)STATE OF FLORIDA,
COUNTY OF DADE.
Disapproved
( Signed) __. CA 5/1 --
Council Approved
ss.
MIAMI SHORES VILLAGE
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 /1 • )Oh A' !/ u/'4'/A' No..
Registered Architect and /or Engineer...) T41 WQr S 1i +Sloe .
Name and address of licensed contractor. Fd. 2!te Ls1 1_. ell_ .._.C.. 2.4f..__f771M'410.4r/
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done .4.1r_11e.4fr1U __s1
State work to be done and purpose of building (by floors) A_ Lk9./7Le ay 13zil/_ qtr /_41.7 __. f.12llell_7!kl.P
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation
r idwering
vri
o
Estimated Total cost of improvements $.44../C1 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 5966, Compiled General Laws of Florida, Pennanent 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. �/j��
Remarks .. - ( Signed )/ W #iC? 1_G#1 Ade _f�Mti_!!1 N,.G1i. C1.Pta
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 ar true.
Permit No Date 4 _ �° _
BUILDING INSPECTION DEPARTMENT
Notary Public, State of Florida
Building Inspe ,I' My Commission Expires
ANNING BOARD DATE
Chairman Member
Member Member
Member Member
Date Disapproved
Date ___4 i' l /!
Read, Sworn to and Subscribed before me.
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
Date
has been obtained from
for inspection or faulty
6 // "9
opHo Sr
IR 2WL,Ael Ar
i-7‘47
BUILDING ID MIAMI SHORES VILLAGE, FLORIDA
Date_l 19
ELECTRICAL ❑
PLUMBING ❑ PERMIT N° 9557 Contractor's
ROOFING ❑ License No. fir
Work to be performed under this Permit
Owner of 4 " /lam ca,it 4 f ►,►I'
Building � �C''- �w.;. It a i r x �,,,,, ,.1
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lox
0
4
t11
1L
* 4 „ ,s...* J i o. . 4 r,
Amount of
Permit $
Subdi-
vision
Sq. Ft.
Value of
Project
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. t he grails or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agentser' ants 3 )f employees. • y "* t
d '
Signed:— 33 4 . (INSPECTOR) BY
In consideration of the issuance to me of this permit I agregfio perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawing9, tatements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit f I assume responsibility for all word done y either, myself, my agent, servant or employee. Idi le -, if '
CONTRACTOR or BUILD BY AUTHORITY
Address of
Building
BUILDING
ELECTRICAL ❑ PERMIT o
PLUMBING ❑ N •
ROOFING ❑
El
Owner of q
Building 'a . A
Architect
Contractor
or Builder
Legal
Description.
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
4 t' t
Bl.
9580
Work to be performed under this Permit
Subdi-
vision
DATE 31
Sq. Ft
Value of
Project $
Contractor's
License No '
•
r
Amt. of »�
Permit $ �G.
1954
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: . `''u
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 regulations
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.
BY
BY AUTHORITY
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._
Re .. _ _..
Registered Architect and /or n inee
g g r
Name and address of licensed contract d ✓' - J ?,,��
Location and legal description of lot to be built on:
Lot Block Suubdivi i
�L•
Street and Number where work is to be done
Stat work to be done nd,�Q
1 ' and for no other eurpose.
New Building
'nodding ddition... Repairs No. of t es /
To be constructed of _ Kind of foundation Roof C9yering
Estimated Total cost of improvements $ 449 Amount of Permit 8 2 ' J
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 su it all the laps an
be sent to _
at't%t• Date 2 / S
NoelO O fsg ei 6
ing (by floors)...
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. Pennanent 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 ins ection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such sub ntractor d under this
permit, as are licensed by Miami Shores Village.
Remarks (Signe L
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 Date /l- ?re' ... Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Date 1
Building Inspecto/
All notices with reference
t o t
e b �,r god its construction may
19
to me well known,
Notary Public, State of Florida
My Commission Expires
P .ANNING 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.
5EAVIEW INDUSTRIES ING.
3375 N. VV. 25
M I A M I , F O R% DA
NAME '
,A -DDRE 55
6 8 /V /oo j/
MUNICIPALITY /7/4017-1
t
LEGAL _DE SCR .I PT_ /oN
LOT
BLOCK
5 UBDIVISION
_COST OF J
FEE
X - /OO 5 - 23 -58 A'
6.3
i s