990 NE 100 St (8)Application is hereby uinde for the approval of the detailed statement ur me plans and specifications herewith submitted for the build
ine 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.
Owner's Name and Address I G- E. 1 - C3 U R M
Registered Architect and /or Engineer
Name and address of licensed contractor........ _ ...!kal�.ki 3 6.=00
Location and legal description of lot to be built on:
Lot ley mock X49 Subdivision ±.V6 J
Street and Number where work is to be done 910 fU
State work to be done and purpose of building (by floors) .....____,_____,._ „__
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
Building Inspector
Disapproved Date
(Signed)
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
New Building Remodciing Addition Repairs No. of Stories...
To be constructed of Kind of foundation Roof Covering v .c1
Estimated Total cost of improvements S ) p Amount of Permit $... .1rni
Zone cubage required / .Plan Cubage
Distance .to next nearest building Size of Building Lot
\faxiunum 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 i n vlersigncd 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 59G6, Compiled General Laws of Florida. Permanent Supplement.
and has complied %eith 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 su tract work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
�, d �
Reinuks �'7 --- .XU'... . .. (Signed)_.._ .. _.=. {..._
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 facts
therein by him stated are e.
- Permit No.._.. {' Date 9/ "l Read, Sworn to and Subscribed before me.
7int
Date. ..._ _ ._ . ._._.�.__. 191
.... , �.._.. street a..,e._,1.0...1...
and for no other purpose.
Notary Public, State of Florida
My Commission Expires
•
to me well known,
PLANNING BOARD DATE
Chairman Mcmbcr _
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
tic P1. nir.g Huard.
A rc-in.ppution fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
THE PLANS FOR
HAVE BEEN TAKEN TO BE PHOTOSTATICALLY
COPIED AT THE REQUEST OF THE OWNER OF
SAID PROPERTY & WILL BE RETURNED WITHIN
3 (THREE) DAYS, _
COMPANY ' DRIVER
.5'76 36
TELEPHONE
DATE
THE PLANS FOR
HAVE BEEN TAKEN TO BE PHOTOSTATICALLY
COPIED AT THE REQUEST OF THE OWNER OF
SAID PROPERTY & WILL BE RETURNED WITHIN
3 (THREE) DAYS, _
COMPANY
c76 0/ 36
TELEPHONE
DRIVER
DATE
ABRAHAM ZIGHELBOIM, M. D.
CHEST PHYSICIAN
MIAMI, FLORIDA
VP
(i —sus
U c((
VO\-4L
ric -Fog-- : 4(7
-C-vt"c 4-Y
ry r 76P
c\Z(AAL
SWELL Z UMBER COMPANY" • '
CGN /sm
PHONE 743.5767
1255 • 107th ST. GULF
MARATHON, FLORIDA
Attention Mr. Bradford
Dear Mr. Bradford:
LUMBER and BUILDERS SUPPLIES
PHONE 448.4401
2733 S. W. 27th AVE.
MIAMI, FLORIDA 33133
April 29, 1969
Miami Shores Building and Zoning Dept.
Miami Shores, Florida
Very truly yours
This letter is to confirm our conversation which
I assured you the 20 Hemlock shipped to the Waters
Construction Co. Job in Miami Shores. Conforms
gradewise to the present Dade County Building Code.
CHARLES G. NIEMETTA, Vice -Pres.