504 NE 101 St (11)Owner's Name and Address
Location and legal cscription of lot to be built on:
Street and Number where work is to be done
State work to be done and purp / Q. of building
nto Vim- ell / rp/ / 2. o--
STATE OF FLORIDA, 1 .
COUNTY OF DADE. j ss.
d
Disapprove. � :.... . ' Date
(Signed)
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
.Application is hereby mode for the approval of the detailed statement ur me plans and specifications herewith submitted for the build •
in or other structures 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.
Building Inspector
BUILDING INSPECTION DEPARTMENT
h
r.
Registered Architect and /or Engineer ..... ...... �.,,h:,�,... ,.:1,,.
Name and address of licensed contractor Walter Scott Roofing. ,8t,_ Repa�,r,,,_lmc St. J Opa .IDocka,
r Fl. 33054
Lot - f./.0 // ./0 4 1 Block ./ Subdivision � U /`n s S'N .__ / fy / 2 //f 2
.5 (/ �� /O / 5 7t
y floors)
m-u e_/ Ike P/i e GUt ) 1 -
n:? 0'/S ?O _C al
h�� 1- e lfi`^t� -S
Date... �P.L...sl.. °. �'.._._._..._._._...... �........ ,19.._._
._... street. .0/ — s t .__
u/ // !!/l�
' S )I Cni (i ..... for no other purpose.
New Building Remodeling Addition Repairs 'k' No. of St�o 1es /
To be constructed of Kind of foundation Roof vering -7 1 ' 1 'C. .... °.�-. ...?! Se.
Estimated Total cost of improvements S 9 b "' Od Amount of Permit _
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 t e ,p I s and specifications for said building. All notices with reference to the building and its construction may
be sent to.
c o 7`7�
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 w. k such public notice
or noticcs as are required by the Act. The undersigned agrees to employ only such subcontr 'et work be donned under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed).... __. _...
/3S/
Before me, the undersigned authority, a noto-ry 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 stattedd are true.
Permit No..__!SO__" Date ‘10 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
to me well known,
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 Pl.ennirg Board.
A re.in'pection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
t
f
or
er
L10
0
G
ICAL
NG
■TG
MIAMI SHORES VILLAGE,
❑ PERMIT N9 8599
Work to be performed under this Permit
his 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
n strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performl'd in compliance with any plans,
, statements or specifications that may have been submitted to and approved by the proper municipal authorities. Thi ermit may be revoked at any
ie work is not done in compliance with such ordinances or if the plans are changed without uthorization. A further con on upon which this permit is
is the understanding that the contractor or builder named above assumes the responsibilityffor a thorough knowledge of thl rdinances and regulations
g to the work covered hereby whether shown on the plans or drawings or ' the statem'nts or specificabions,and that he assu responsibility for work
his agents, servants or employees.
R y "
INSPECTOR
Signed•
n consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and .l re*gxilations
ig thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
ting this permit I assume responsibility fo all work done by eithe myse1T, mmagent, servant or employee. t
CONTRACTOR 6R BUMPS BY AUTHORITY
FLORIDA
DATE ` 195
Contractor's x
License No
BY ""
7
41/ L / ` fi ✓ ` ".
t'
Lot
1
Bi.
Subdi-
vision
%.1 0 ..
sq. Ft
Amt. of
Permit
$
N r
.," .
•
� . •
,.,,,.
Value of
Project
$
..f
�.
*. .....
t
f
or
er
L10
0
G
ICAL
NG
■TG
MIAMI SHORES VILLAGE,
❑ PERMIT N9 8599
Work to be performed under this Permit
his 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
n strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performl'd in compliance with any plans,
, statements or specifications that may have been submitted to and approved by the proper municipal authorities. Thi ermit may be revoked at any
ie work is not done in compliance with such ordinances or if the plans are changed without uthorization. A further con on upon which this permit is
is the understanding that the contractor or builder named above assumes the responsibilityffor a thorough knowledge of thl rdinances and regulations
g to the work covered hereby whether shown on the plans or drawings or ' the statem'nts or specificabions,and that he assu responsibility for work
his agents, servants or employees.
R y "
INSPECTOR
Signed•
n consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and .l re*gxilations
ig thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
ting this permit I assume responsibility fo all work done by eithe myse1T, mmagent, servant or employee. t
CONTRACTOR 6R BUMPS BY AUTHORITY
FLORIDA
DATE ` 195
Contractor's x
License No
BY ""
7
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.
ate
Chairman
Member
�� Date l t "1 " / , 19
Owner's Name and Address ._M!'_ / . .._.e�� ��1�� hz) No �O Street..I' _ /0 /-srra
Registered Architect and /or Engineer /
Name and address of licensed contractor.._. /L[.,% I.L ,F fg 6 QD-
Location ay legal description of lot to be built n om" � /
Lot « 7 Block Subdivision. .._/ /�j/ �� ��// � o� CJ /2
Street and Number where work is to be done._. 2 ( 4 2X _ /
State work to be done and purpose o uilding (by floors)._._. /41 CI-
0-0 el l_7(d - - - - - -- (961) 6 1u_6._ J%
f
and for no other purpose.
New Building Remodeling. Addition V Repairs No. o Stories
To be constructed of Kind of found n Roof Covering � '"'e' f✓
Estimated Total cost of improvements $._! " ^ Amount of Permit $
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, Pennanent 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 s bcontractors, o work to be pert ed under this
permit, as are licensed by Miami Shores Village. fe, rf /#/ /-
Remarks (Signed)
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 fore:oin application, and that he did sign the same, and that all facts
therein by him sstaa d are true.
Permit No / 2 .3 - 5 _ Date ��� ' ead, Swo to and Subscribed before me.
Disapproved
( Signed)
otary Public, State of Florida
Building Inspector ' v y Commission Expires
PL KING BOARD DATE
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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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.
Owner's Name and Address.
Registered Architect and /or Engineer
jJ
Name and address of licensed contractor.` v? r
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
STATE OF FLORIDA,
COUNTY OF DADE.
Disapproved
(Signed)
APPLICATION FOR BUILDING PERMIT
SS.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date
n
No ' Street.
77c'rGo
< <
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 $ G 0 "--• • " Amount of Permit $ 7 • t
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 pennit 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 subcontracjprs, oy work to be per ormed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed).
,1 c
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 stat d are true.
Permit No Od- Date o Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Buildil(d 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 nmde 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.