358 NE 101 St (4)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.
Date
Owner's Name and Address �___ No _1__ _ a — Street —! /` S! • �`r
Registered Architect and /or Engineer
Name and address of licensed contractor
Location d le al t Ap bn high on:
Lot_ _�� c �._ __t ______ Subdivision
Street and Number where work is to/ be done e II
State work to be done and purpose of building (by floors)
_ _and for no other purpose.
New Building _ Remodeling ddition__— ______— _______ Repairs —__ No. of Storie
To be constructed of__ SCJ___V__sl Kind of foundation — ____ oof verin 1
Estimated Total cost of improvements S.
Zone cubage required — _____.4Ps 4 `_-'4
Distance to next nearest building
Maximum live load to be borne by each floor_— _____— __ —____—
r said uildi . All notices with reference to the building and its construction may
I hereby submit all the plans and specifixion
be sent to____-1 _ Q W _LUV__ !s
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 subcontr tors, on work to, be performed under this
permit, as are licensed by Miami Shores Village.
Remarks
_ atrtnan
Member
Council Approved
Permit No
Disapproved _____ Date_
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
Building Inspector
rg
— Amount of Permit $
(Signed)
(over)
Read, Sworn to
Member
-- -- Member
ate Disapproved
Notary Public,
Commission Expires
ribed ore
at
Mew
o
_Plan Cubage .`�rT — — —" �
Size of Building Lot ___71_7 �- ___ _--- _ — - - -�
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a note publ duly a.. rized to administer oaths and take acknowledgments, personally
appeared
y�— to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the - ---1 &L`7 -- of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Florida
ING BOARD— _DATE
__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.
LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC.
REQUIRING OCCUPATIONAL LICENSES
MIAMI SHORES VILLAGE
1. General Building Contractor.
2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting.
3. Electrical.
4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators.
5. Excavating, grading, filling and Landscaping.
6. Moving or wrecking.
7. Septic Tank and Drain Field.
8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum.
9. Carpentry, Millwork, Awning and Shutters.
10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone.
11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging.
12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise
specified.
13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors.
14. Roofing, Sheetmetal and Skylights.
15. Solar Water Systems.
16. Well drillers.
17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc.
18. Structural and Reinforcing Iron and Steel.
19. Tile, Terrazzo, Marble, Granite and Cut Stone.
20. Electric Fixtures.
21. Illuminated Signs.
22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga-
tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work.
23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus-
iness of supplying, furnishing or delivering building materials for any construction project within the
Village Limits and not having a regularly established and licensed place of business in the Village.