920 NE 100 St (4)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.
Date 7 '-- / 9 , 19.1I/ ,
Owner's Name and Address ._........ /._t__. � i No . Street �pa
Registered Architect and /or Engineer
Name and address of licensed contractor 7 141'?
Location and legal description of lot to be built on
Lot Block Subdivision / �
Street and Number where work is to be done t _._ � / t/ (/
State work to be done and purpose of building (by floors)_.
t
Remarks (Signed) I ,S- .A •
Notary Public, State of Florida
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roo Co vering
Estimated Total cost of improvements $ Amount of Permit $ Ls1. U
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, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by hint
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 ul 'c notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe r this
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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 are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved
Date
NOTE: A charge of $1.00 will be niade 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.
R18AMO S r ,RES V0 Li_ t•>.GE
4 ` . (3lJ7LDING INSPECTION DErARTMENT
APPLICATION F. R UILDING PERMIT
Application is hereby made for.tbc 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 spec' Pied 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 ../
Registered Aiehite t "and/or Engineer .... °:...
.
Name and address of licensed contractor. a a 't/ '1
• Location and legal •scription of lot to be built on:
Lot., 3, . 4 Biock / 742 Subdivision - /1
Street and Numb r where work is to be done /17-6
1 6. ‘/ C)
State work to e clorie an purpose �of lluillding (by floors)_._..
Kind of foundation
Remarks (Signed).
peared
Permit No
Disapproved . _ ate
(Signed)
uildin nspector
No
Street
,19
E Az •ui....,
,141, +d1.R \_ S',n.Qt.,N1AJliri114•A'l•
New Building Remodeling Addition Repairs No. of Stories
/ 7/8 / i l 1/ t -
and for no other purpose.
To be constructed of '
Estimated Total cost of improvements $ (P-.027 Amount of Permit $
one cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
Roof Covering
tf .
I hereby submit all the ns and Cifications for said uildi . All notic s witb, reference to the building and its construction may
be sent to C--
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 front all contractors or sub - contractors employed by him
in the work to he 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 der this
permit, as are licensed by i fiami Shores Village.
C /e/r/
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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 are true.
-Li-- 7
1 �[7 Date / Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
',ember Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Building Department
Miami Shores Village
City Hall 10050 N. F. 2nd Ave.,
Miami Shores, Florida 33138
Gentlemen:
We are informed that our next door neighbor
to the east of. us, the W. Bedford Prices, propose to
have central air conditioning installed in their home
and desire have the condenser located on the west
of their house.
We understand that our approval for the location
of the condenser will be required. We wish to state
that we have no objection to this installation.
900 N. E. LOOth Street
WBP /jp
Yours truly,
May 31, 1973
Mr. / R. J. Boul os
?,
Mrs. R. J. t$oulos