620 NE 101 St (8)Disapproved ..
(Signed) �\ \ \AN VV
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby sonde for the approval of the detailed statement of the plans and specifications herewith submitted / foi ° 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.
Owners Name and Address N r s
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built tfti` r ����
P
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Date
Building Inspector
f ++ � , t�
luicAtui
Notary Public, State of Florida
My Commission Expires
r
_.. »..._........ 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 $ t t t Amount of Permit $....;
.. 6
Zone cubage required plan Cubage
Distance • to next nearest building.. Size of Building Lot
Mfaxirnum 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,
a has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by bins
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 noticcs as are required by the Act. The undersigned agrees to employ only such subco ctors, on wor to - . rfo ed under this
pennit, as are licensed by Miami Shores Vil.lage.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j 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.._. Gv Date.. � .�. � . � __......_._._ Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Chairman Member ......._ ....................... _._...._...._......._...
Micrr,ber 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 nfter apprmal has been obtained horn
the Planning )Board.
A re- inspection 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.
yL�
STATE OF FLORIDA,
COUNTY OF DADE. j as.
Disapproved _-_ te._
(Signed). - - - -s-
Building Inspector
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.
v Date..._.- ....... ..../_ ..._.__-...__.. ,19 �1
Owners Name and Address Z .a.`-'�.. �. -. :!�&� ,..`e `� ._ No .6.. ,, Street... ?d 14)..Z.,
Registered Architect and /or Engineer , T,:,. i
le4-4. )T)• - t•, ,•ttt TTT!!)ttt!•t):ttt
Name and address of licensed contractor L. G.? , e . ..t' e.'.1.
Location and legal dcscr' tion of lot to be built on: •
Lot.. / ,e � XJ — /ilf
. -. I - er cr /e // � Block Q.�,� Subdivision ' 3 "�' _ �� ' .. Y 2� / il.�',!: <f
/A - .ii ://2-2i2/.41-4( _...� ' ._i
Street and Number where work is to be done lei ��.e .. )/.e,[_. .. —
State work to be done and purpose of building (by floors )..__._...21 --/.. /'_ ej `i f ll ..—.C.../::
c■•7
and for no other purpose.
New Building Remodeling Addition Repair, No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ AP 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 Libor under the Florida 1Vorkmnen'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 contra s or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspecti the site of th work such public notice
�
or notices as are required by the Act. The undersigned agrees to employ only such su. , a ors p n work to J6 performed under this
pennit, 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
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.__ ` c Date v ? Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
to me well known,
PLANNING BOARD DATE
Chairinan Member
Mfcrnber ... -_ 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 hoard.
A re - in' pcction 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.
Rr-
s�•
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building
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 regula-
tions 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
Name and address of licensed contractor
Disapproved
(Signed) _ — G�_
Chairman
Member
Member
Council Approved _______________________�__
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
BUILDING INSPECTION DEPARTMENT
t
Date_— ��_�'� —�?` _— 19
_
No.____— —___ Street__
Location and legal description of lot to be built on:
` _ I t — _ Block__ . — / Subdivision i + l i t t f_j _ / 'I L (44% . � - �k.t,
Street and Number where work is to be done LtI �, �. E - -� ✓�
' `
State work to be done and purpose of building (by floors) : ' t 4 ._ 4 -{ - -'1 1 C -�
------ - - - - -- - _ – — — - - - -- — — – – -- — - -and for no ether purpose.
New Building -- ______ Remodeling_ ___ __ Addition — _________ Repairs No. of Stories____—_______
To bz constructed of —___ — Kind of foundation Roof Covering .�—
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, 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 su pntr{ ors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DP.A.DE.
Before me, the ur_dersigr!ed authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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
Permit No.__ ___2___ _ Date_ —. Read, Sworn to and Subscribed before me.
Building 'aa:yZlectcr - - -- -_
My Commission Expires
r n 1
Notary Public, State of Florida
to me well known,
PLANNING BOARD DATE
Member
Member
Member —
_Date Disapproved D t
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of I.
Building
Legal
Dpserirltinn
Address of
Building
Architect
Contractor Y '
or Builder
Lot ,
CON RAC O BUILD R
MIAMI SHORES VILLAGE, FLORIDA C
DATE l
PERMIT N° 2554
Work to be performed under this Permit !
Bl.
Subdi-
vision
Signed.- 1 -
Value of , � , -�
Project
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 plansyor drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees. i / ,
1 .
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance ordinances and regula-
tions pertginin er t o and in strict conformity with the plans, d wings, statem is r specj.. ons submitted to the pro er authorities of Mi bores
Villa r. a ept ig" 's lie I assum sponsibility for all rk by e yself, m�gent, servant or employe
AM
Contractor's
License No.
Amt. of
Permit
.1 By
r
AU + ' ITY
194_
JOB: ADD:
BUILDING
ELECTR ICAL
PLUMBING
•
•
•
•
•
•
WORK
DOi BY:
The Following is ready for insDecticn:-
Inspector's Report: -
REQUESTED : WELL BE READY
JOB: ADD:
BUILDING
ELECTRICAL
PLUMB Iii ?G
The Following is ready for inspection
Inspector's Report: -
'i OR K
DONE BY:
REQUESTED : JILL BE READY
•
JOB: �D
BUILDING
ELECTRICAL
PLULiB ING
Inspectorts Report:
:7ORK
DOKE BY:
REQUESTED : 71= BJ 3 READY
•
The Following is ready for inspectIon.:-