534 NE 102 St (7)APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of ine 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 .....J rl
h ,by n
Name and address of licensed contactor 1 b tj a ?� ?% q+,,Jn ¢, r' . �.
Registered Architect and /or Engineer T Q
STATE OF FLORIDA.
COUNTY OF DADE. ss.
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
,
� ta � . A _!..!� =. 19. ? �
I '� )� }1 147C0... 5 3 ` L_..__. Street_. —) d _.. •
Location and legal description of lot to be built on:
Lot 7.':i ✓/. i Block frS t N I
Subd FL 9, �W.L _.�� AP (0.3 .h
Street and Number where work is to be done .- 3 `l_ C I o a S f
State work to be done and purpose of building (by floors) ._ t. Gl� + ' f l iteA
aces fh e) b et-a- y y- ( � . I o o r c2L aLci
and for no other purpose.
New Building Remodeling Addition ''/ Repairs; No. of Stories _
oil m P -1 1 1 e nc'o ✓e d- n G.on Roo
To be constructed of ..L.J.o..o.. Kind of foundetion..A l c- '"e-�"� � Cp verin g
Estimated Total cost of improvements $ 1400 • 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 5066, 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 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)
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 l�.� are true.
Permit No. ._.. P( Date 4-) 7 hb Read, Sworn to and Subscribed before me.
Disapproved ....... , . �_. _ _ Date Notary Public, State of Florida
(Signed) v wr
My Commission Expires
PLANNING BOARD DATE
. Chairman Member
Member Member
Member .. .. _. _ Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fron
the I'Linniwg Board.
A re fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
• 1
ef
T
34
oid
x :$ r;,,/ pwrll:Nig of
J / T ti /, t 604R c,
F-- ► 3• __� ► M E. /(1Nd ST,
J N1 1 1/ 1 4 I 5A 04 4ES RA'
.- 10 ' 6"
fi :/ ;'r
e;
TAft
<- g ,''', 4'
e ir {
` p 4k.r %E "
r 'ocA
rRe'E
/ /0 ' -> /
F--- , 3 • --3 y' f
P /o os (d Dec/ -
" Ef ai/Rr/oN
F--- 2 7 ' -----�
r '
$
1
Dok
/‘vw`Qlr ,7/ r i i i
jcc efa' 19,/ o e
1 :///eZ/AVT — `7 -1:Z e 11
X i C4'' /i
ScA/ L' /
Tx:,'3'7/ /�/ �'3 !"f{r'� .T1
oOO &/.// 6'
MV/x7,//
.2 , 9 0 -cA' f /oo/f
CJ C.:11:21 t c7r 7 v .
Z X6 0
awe Oi e 6
•
THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT
1
p WITH NO VARIANCES p WITH VARIANCE(S) LISTED IN "REMARKS" AND
NO OTHER FROM THE MIAMI SHORES ORDINANCES DEVIATIONS WILL BE PERMITTED, UNLESS SPECIFI LISTED B
ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED
WITH BY ALL PARTIES.
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
BUILDING DIRECTOR
PLANNING & ZONING BOARD
VILLAGE COUNCIL.
PRELIMINARY:
REMARKS:
APPROVAL
COMPLIANCE WITH THE SOUTH FLORIDA BUILDUIG CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB CONTRACTORS !'.`''E • K 'OW'.EnGE OF ALI B' IILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
Authorized Signature
FINAL:
Date