868 NE 100 St (7)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 applicatiom is made in compliance and con'onnity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws cf the State: of i lurid.i. all ordinances of Miami Shores Village and all rules and
regulations of the building Divit.inn of Miami Shore; 1 illage shall be coffiplied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building durin progress of the work.
'bate March_ .22. _ - ... -_ -. _ .19
'/ Owner's Name and Address - __ .'"No 868 --Street- N E St.
- registered Architect and /or Engineer _. Martin Hauri ,Architect
`Name and address of licensed contractor Alum Screen Patio & Mfg.Inc. 275 N.W.27th.St.
` and legal description of lot to be built on:
Lot. #3&E--- .I12 ..Z.ot4. Block... #I69 .
✓Street and. Number where work is to be done..
✓State work to be done and purpose of building
All aluminum framing
/New Building _ Remodeling -_ ...__ _.... Addition.. _ . Y - s .... - - Repairs
To be constructed of Alura.Scregtio of foundation Exi -sting - - Slab - - - - - - -- Roof Cov- rring_
b'Estimated :tal cost of improvements $._ 500 ..QQ _._ Amount c` Permit $ . 500.. 00
Zone cubage required ._... _Plan Cubage..
Distance to next nearest building.. ...._ Size of Building Lot .
Maximum live load to be borne by each floor
f hereby submit all the plans and speciiications for said building. All notices with reference to the building and its construction may
be sent .
T h e undersigned applicant for this building permit does hereby certify ,hat be understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, bt;ing S:•ction 5966, Compiled Gem cal Laws of Florida. Per,nam-nt Stipp!, ,ent,
and h,s complied with the provisions thereof, and will require similar cornniiarcce from all contractors or sub - contractor:, entplo...ed by hint
in the work to be p. ri :'•med under this perntit: and will post or cause to be posted for inspection on the site of the work such public note, e
or notices as are required l y the Act. The ILA, r•.tguod agrees to employ only such su :ontr..ctors, on work to be perform d miderr tthis
permit as are licensed by Miami Shores Vilitige. ` % � -`+w+ y r-i
Remarks_ ( Signed= - -- -- --- ------... -- _ .... !/
STATE OF FLORIDA,
COUNTY OF DADE.
Disapproved
(Signed) . -... _.._
•
88.
Chairman ...__.
Member
Member ._
Council Approved
MIAMI SHORES VILLAGE
Date_
nspector
BUILDING INSPECTION DEPARTMENT
•
_ Subdivision.... .. Shor_e.s
868 N .E .I OO th.S t .
(by floors) Screen rear Patio, on existing slab.
and screening as per print.
0 CLAaf,AA,SL
._. .Date
Read, Sworn to and Subscribed before me.
Notary Public. State of Florida
My Gnn:nission Expires. .... ...... ... .
PLANNING BOARD s3 • 21 ... ... ...... ....DATE
and for no other purpose.
No. of Stories
.Screen Wire
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally pp-
peared _
to me well known,
and who, being by me first drily sworn, upon oath deposes and says that he is the ..
of th abov. e .instruction. t....t he has carefully read the foregoing application, and that he did sign the same. and that .:11 t.;cts
therein by him stated are true.
Permit No.__.__ IS _ _ O .__ ... Date__
Member
Member
Member
Disapproved . . Date
NOTE: A charge of $1.00 will be made for making corrections cr :changes to this application sftcr approval has I n t from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is m:: Ile necessary by improper notice for inspc t'i o ter i,t ty
materials and /or workmanship.
ALUM SCREEN PATIO & MFG.. INC.
278 N. W. 27TH STREET
MIAMI 37. FLORIDA