429 NE 102 St (15)Location and legal description of lot to be built o
Lot 9 Block
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. • —�
S' 7 �Ci`t
Owner's Name and Address / M/9 �...._._ .. No . Street..._
Re Architect and /or Engineer Z' ti C G
Name and address of licensed contractor � ' 0, D x 4z.f
Subdivisiod' M b — P 4 - 4 7 - / S i l o R-6- -SAC
Street and Number where work is to be done 1 ?
State work to be do e and purpose of building (by floors)
C�� f".6' 1/e /GAY --
4/, E ,10 2- s r
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
Before me, the undersigned authority, a notary public, duly authorized to administer
Sr
—
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 $ Amount of Permit S.
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
peared
........... •
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 arc 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).
P. 0. Box 4832
Hialeah, Fla.
oaths and take acknowledgments, personally op-
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 ......... Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member ...... Member ...__ __._.._..
Council Approved Date Disapprovod 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 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.
•
AL AI �������. a. o N` M � ����Ak A AL A AL A. AL L AL AL AL AL L
FENCE CO.
P. O. BOX 4832 • HIALEAH, FLA. 33014 142 W. 29 ST. HIALEAH, FLA. 33012
2 9 W4r /02 ST
885 -7957
823 -3755
NI t Aa Sat. r t.
Ka•.sN Afa.6•'4.
MIAMI SHORES VILLAGE, FLA. N9 7688
JOB d% 2 ?
ADDRESS 2 J
INSPECTION ��—
TIME READY ll( g' , 7 5 7
REMARKS:
3PECTOR
DATE
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS
N? 5896
INSPECTION'
TIME READY i Y ° 274
REMARKS: C/ /
INSPECTOR t � t %r "! % / DATE q -57