437 NE 102 St (8)fail0A'M0 SHED EE V6LLASE
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.
Owner's Name and Address
Registered Architect and /or Engineer
be sent to
STATE OF FLORIDA,
COUNTY OF DADE. ss.
1
Date 1).-12
a/de-
Date
No
/ ,19
`*.. '2 Street N' � ` BZ S7 ---'
Name and address of licensed contractor � - 1 `‘ IS.41X-/ / :.. /. 1_/,0 N � c
Location and legal description of lot to be built on:
Lot /7e __ ld g
Block ./#0 Subdivision
Street and Number where work is to be done 41(.97
State wor to be done a d purpose o(, buildin� floors) _ - G9'
- -- -- 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 $ Sao 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 submi all thejalans and specifications for said building. All notices with refe ence to the buildi g and itq construct' n iay
i
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as . • ,p1 •r
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener ws of Florida, Permane. a )I ent,
and has complied with the provisions thereof, and will require similar compliance from all c." ra. ors or sub - contractors nplo -..y him
in the work to be performed under this permit; and will post or cause to be posted for ins cti.. on the si > •e wo• sue u c notice
or notices as are required by the Act. The undersigned agrees to employ only such sub :n.: tors, on ork to .�.er:� der this
permit, as are licensed by Miami Shores Village.
Remarks
(Signed )
o rtirws/ '.- /
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. . i Q
Disapproved � D te__
( Signed) W 1_Y.f!° (f" z-'°v (11
Build g Inspector
•
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member -.__ Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 01.00 will be made fcr making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re fee of 51.00 will be clari,�d when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
To whom it may concerns
Having reviewed the plans for central air conditioning
in 437 N.E. 102 St;.„ Miami Shores, Fla., we, the under—
signed, approve the placement of the compressor on the
west side of the building. $
Nov. 9, 1971
/y7/.' /on! e
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/feS x=17" '4?-9 J
/ c e-� � Doch PVoi � / Gah
4N d /S /� NPX7
1
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 En neer
Name and address of licensed contracto
Location and legal description of lot to. .e built on:
Lot Block
Street and Number where work is to be done.,
APPLICATION FOR BUILDING PERMIT
State work to be done and purpose of building (by floors)
I hereby su
be sent to__
Permit No
Disapprove
(Signed )'
Date
uilding Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Chainnan
Member
Member ...
Council Approved Date
NOTE: A charge of $1.00 will be made for making
the Planning Board.
A re- inspection fee of 51.00 will be charged
materials and /or workmanship.
ubdivision
Date
Member
Member
Member
Disapproved
PLANNING BOARD DATE
A all the plan an. .ecificati .. s for sii_24iileVA ices with reference to th buildi
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -
in the work to be performed under this permit; and will post or cause to be posted for in ection on the site
or notices as are required by the Act. The undersigned agrees to employ only such sub
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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 $ 0 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 1. or
g
Read, Sworn to and Subscribed before me.
corrections or changes to this application after approval
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 Sup element,
ntractors employe by him
the work s v �f c notice
per .rm•: nder this
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 foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
My Commission Expires
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty