970 NE 100 St (8)BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA
Date
ELECTRICAL ❑
PLUMBING ❑ PERMIT N° 8984
RO FIB ❑
Owner of
Building -
Architect
Contractor '-•'
or Builder
CONTRACTOR or BUILDER
Legal Lot 11
Description 11 Bi
9 7 IP' E . .drao•fir
Address of
Building
Signed"—
In consideration of the issuance to me of this permit I agr
pertaining fie eto and in strict conformity with the plans, drawi
In accep this permit I assume ry9pon ' ility for all work
1,r., `' ' 'ff `
Work to be performed under this Permit
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 abovLassumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or dr''awings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or emplo es.
Subdi-
vision
Sq Ft
Value of Amount of
Project $ 11 Permit $
SPECTOR) BY
to perform the work covered hereunder in compliance with all ordinances and regulations
statements or specifications submitted to the proper authorities of Miami Shores Village.
..either, myself, my agent, 'ervant or employee.
BY
Contractor's f
License No.
!,t
A!� t fit.: eP t*Lia l Alf As
4
AUTHORITY
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.
,1.813 '7 (
Owner's Name and Address 4 J 4 E f No._ 9 7 0 Street_ LV � I .SS.O
Reg1 tered Architect and /or Engineer
Name and address of licensed contractor. __ 4 7./.?!9 /',► b oN . _ / _
Location and legal description of lot to be built on:
Lot. Block
Street and Number where work is to be done J__�__0.____ .___ v" E. i_ -13 u 3 l •
State work to be done and purpose of building (by floors)_ _ I!� S -t/__4 4-L Ain ('o N., SJ/ '4I T A N 0
.4 L' Cr .t.✓ 1 1-te' - - -- - - -. . - -- Ns eL a.kJ -t�/ 0 iv •° - (- G ' • 3 t 7- oar
/' / CJ _6 -1 a and 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 $ Z 3 7 .__ i
Amount of Permit $ IN -
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 foi said building. All notices with reference to the building and its construction may
be sent to_ __._
The undersigned applicant for this building permit doe hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Sec :ion 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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks ( Signed)
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
Disapproved ____.._
( Signed) W •
ate_
Building ; spector
PLANNING BOARD__ __ .
Chainnan
Member
Member .
Council Approved________ ______ _ Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date' v (1 (- 2 - Q , 19. .�
.t� P o iv p . C € ,1' • 79 )5 - £4— _- _ .4.4_1Y0 Hi/►
Subdivision
My Commission Expires
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._ a' ) Date.-_ ?' Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
DATE
Member
Member
Member . _.._....
Disapproved
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
Date
BUILDING ❑
ELECTRICAL ❑ DATE 195T
PLUMBING ❑ PERMIT N9 9455 Contractor's
License No
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
•
Sq. Ft
Value of
Project $ s
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. G
Signed • x BY -
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.
Amt. of
Permit $
BY •• AUTHORITY
7
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed c ontracto
Location and legal description of lot to be built on:
Lot Block
New Building
To be constructed of
Kind of foundation
Estimated Total cost of improvements $.. -e at". O°
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
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
fo 2--
Date - - - Oat 013; L g`3-91 , 19
9 7a No. /ire4- Street-- -./00 - z
Subdivision-
Roof Covering
Amount of Permit $ - -.
Street and Number where work is to be done - - -. .'2.--041% 4: ta:a
S� ork to be done n purpose of building (by floors) 1 rI7?r rrQ
and for no other purpose.
Remodeling Addition Repairs No. of Stories
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 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.
Remarks (Signed)
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 `� l
Disapproved Date
� ( ;
( Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Build g 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 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.