848 NE 100 St (8)Application is hereby made for the appro\•al of the detailed statceeecne art roe ptans 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 tiuitding 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
Cnair ;ran
\Icrr,bcr
Member ..
Registered Architect and /or Engineer -,,:,. ., ,.,, „•,,
Name and address of licensed contractor ..f3.. !L _ 93 -6 I 1 at 1
Location and legal, desc / rription of lot to be built J.�
ilt on: p (/
Lot... .d '. A 4 Block. ... 7 ......... Subdivision._ n._.A.4 /l S.,2•eZ, li .0030 4
Street and Number where work is to be done..._ .4"..i _ N X J o ° s r ji
e. State work to be done and purpose of budding (by floors)...__ l4 // I L!� ± 4t /•
. __._..... for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ ... j O Amount of Permit & f OD
Zone cubage required Plan Cubage
Distance .to next newest budding.. Size of Building Lot
Maximum live load to be borne by each floor
Disapproved ...C..: . Date.
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
V J f let .sr-e-!t
Building Inspector
Data - q - %1 . 1�._�
— No._ $ 4.I..__. Street E !' _._. / e o _sr
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 uneienicr,cd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Penn:me•nt Sip pteneent,
and has complied .kit h 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 subcontractors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLOI;IDA,
COUNTY OF DADE. 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 face
therein by him stated are true..
Permit No.. ibn-I t t _ Date I ( I ) .._. -.. —, Read, Swom to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
me well known,
PLANNING BOARD _._.__DATE
Member
Member _....._....—. _...._ _..._._......__._..._ ..__...___......... - ...._.._
Member ___ _...- -- ...— .__...
Council Approved _......Date Disapproved
.._.._......____ ..................Dale
NU T E: A charge of $ L00 will be made for making corrections or changes to this application after approval has been nbtained from
the Plannit,. llo.erd.
A re-inspection fee of 31.00 will be charged when such re inspectior is made necessary by improper notice For inspestinn or faulty
materials anu /or workmanship.
•
Ni!
/ • v
BUILDING & ZONING — ADMINISTRATION
PLOT PLAN
Lili
NO SCALE
Legal: Lot No. Ellocl. Nu
, TERR MT.. CT., PL.
NORTH AkkfAV
Subdivision SFC TA P. RGF
Metes & Hounds
T
Ne i)