318 NE 102 St (8)j
Application is hereby mode for the approval of the detailed statement in cue plans and specifications herewith submitted for the build •
in 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 progreu of the work.
Owner's Name and Address .
Registered Architect and /or Engineer w. .
arse tet••nr, •:rttnwnwae•
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot../e, W f Block �0
Street and Number where work is to be done
State work to be done and purpose of building (by floors) .............._
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Estimated Total cost of improvements $
MIAMI SHORES VILLAGE 75,--6o-
Date..
A et ..s1 u !CA. ._ Nair: . stree - a
0 1 .- 0 'f .5. - �..
cc.
C eti)
Ncw Building Remodeling Addition Repairs
Amount of Permit $...5
Subdivision "d... .! GO
3/ /)i.= /02 S
K W Q- r
and for no other purpose.
No. of Stories
To be constructed of Kind of foundation Roof Covering
3 . a o
Zone cubage required .Plan Cubage
Distance .to next nearest building. Size of Building Lot
Maxiunum 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, Perinxnvnt Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in tI.c work to be performed tinder 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 under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA, I
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 .2/ (01.6 Date ` 6 e�_ ............._._ Read, Sworn to and Subscribed before me.
Disapproved 14V _ n Date Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
Chair:nan
Member
Member _....._......_..._.�...._..... _
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection ice of 31.00 will be charged
materials anti/or workmanship.
PLANNING BOARD DATE
Member
Member
Member
Disapproved
Date
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
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Lot 10 and the West # of
Lot 9,,Block 38,
AN AMENDED PLAT OF MIAMI SHORES,SECTION NO.
according to the Plat
thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, Florida.
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PROPERTY OF: Stachura, '318 N.E. 102nd Street, Miami, Florida.
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LANG L - ANN E - S and G A�it G
with Surveyors Seal. SURVEY .
1 hereby certify that the survey rerre-
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Lot 10 and the West # of
Lot 9,,Block 38,
AN AMENDED PLAT OF MIAMI SHORES,SECTION NO.
according to the Plat
thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, Florida.
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PROPERTY OF: Stachura, '318 N.E. 102nd Street, Miami, Florida.
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LANG L - ANN E - S and G A�it G
with Surveyors Seal. SURVEY .
1 hereby certify that the survey rerre-
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IN C
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' THESE PLANS ARE APPROVED FOR
-
ISSUANCE OF A BUILDING PERMIT
VARIANCE(S) LISTED IN "REMARKS"
MIAMI SHORES BUILDING ArD ZONING
UNLESS SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMPLIED
Authorised S °an^ture D -Fe
• WITH NO VARIANCES • WITH
NO OTHER DEVIATIONS FROM THE
ORDINANCES WILL BE PERMITTED,
ALL OTHER APPLICABLE STATE
WITH BY ALL PARTIES.
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
q It
a
-1/
BUILDING DIRECTOR
PLANNING & ZONING BOARD
VILLAGE COUNCIL
APPROVAL
PRELIMINARY: FINAL:
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING GEODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. TI`.E ARCHITECT, BU'I
SUB CONTRACTORS ARE G "r -`: "ED .. .. .4 Q ''I r "" r �.,
` ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED
DER &
' ' „ !I D-
HEREIN.
4 •' .