429 NE 102 St (4)Form 130.
Architect
Name and address of contractor or builder
CITY OF MIAMI
FLORIDA
Notary Public.
My Commission Expires
This space represents the lot; make outline of ground
plan showing distance of building from all lot lines.
OFFICE OF BUILDING INSPECTOR
APPLICATION FOR BUILDING PERMIT
(A copy of this Application, together with one copy of plans and specifications, must be kept at building during
progress of the work)
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 con-
formity with the Building Ordinance of the City of Miami, Florida which said Ordinance was approved July
7th, 1919. All provisions of the Laws of the State of Florida, all ordinances of the City of Miami, and all rules
and regulations of the Building Department of the City of Miami, shall be complied with, whether herein speci-
fied or not.
ti Date ' 19
Owner's Name and Address 1 � g ✓ �1��� " -�'• "' Street 4
Location and legal description of lot to be built on: /"'
Lot I , .. Block V G Subdivision (,„ ''
C '
Street and Number where work is to be done , ? z - - �' �, `
Purpose of building (by floors)
(Signed) V ,Z ; aJa.
and for no other purpose.
New Building Addition Repair
Remodeling Number of Stories '
Estimated cost of Improvements (not including furnishings) $
Type of Construction
Roof covering el�� � �_� ^ �� Foundation 1: ' Footing
Number of persons to be accommodated (maximum) per floor
Size of building lot 7 `L Distance from next nearest adjoining building (from all sides except
street)
Heating system, if any (kind) (yes or no) Plumbing (yes or no) Flee (yes or no)
Elevators: passenger freight manufacturer
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 build-
ing and its construction may be sent to
- STATE OF FLORIDA,
COUNTY OF DADE. SS.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac-
knowledgments, personally appeared
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 constructiion, 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.
Read, sworn to and subscribed before me,
f
(Signed) n ✓'7� �.
T IS TO BE FILLED IN BY BUILDING INSPECTOR
Permit No "' 1 76 v issued upon above Application , 192-.._
Classification
Disapproved , 192
Reasons•
(Signed)
Building Inspector.