54 NE 102 St (10)KNOW ALL MEN B HE P SEN/�S/th I, ki,
Address /?'• � O
in consideration f
of the issuance to me by Miami Shores Village, Florida, Flortda of a permit or permits to construct or repair a building
or buitdin>ilat the following ad res s: '
J Rtict 1 d //0/4/ ,
'.1r.t.Nre'l" 41C: ,,,,
do he sit with Miami Shores Village, Florida, the sum of • , and I agree with said Village that, when such construction shall
3
have been completed by me within the meaning of the ordinances of s id Village, I will clear all premises and repair any Village property damaged by me,
used for the deposit of material or equipment in the construction or repair and that, if 1 do not so clear and repair such premises immediately upon the
�r completion of such construct it l�}t e meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and
i
repairs out e)e aforesaid �Rd return the remainder to me; and that, if 1 shall clear and repair said property ' diately, as afores 'd, then
said " shall be returned to me.
iot
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Issued J 19 te
Amount S-d
No. Houses 6 v'4G.r
• WITNESS MY HAND and Seal at Miami Shores Village, Florida, this AC day of ` ?l / 41
E•
INSTRUCTIONS TO BUILDER -- -When above mentioned construction is completed and the premises are,cIrared and repaired take this bond to the
Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your monpf in accordance with the above agreement.
VILLAGE BUILDING INSPECTOR'S APPROVAL
I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof ha
caused the surrounding premises to be cleared and repaired in as good condition as they were befgre com mencing said const stir
WHEN CLEARED AND REPAIRED BY THE VILLAGE
Amount of Bond $
Cost of clearing and repairs done by Village $
k1iami cJhores9' llage
i L O R ID A
BUILDER'S ..,BOND
' ic
`Village Building Ins
N? 680
ee tor, Miami
ores Vil
Balance due Builder $ Cancelled 19 B
•
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... 'mod
(Seal)
e, MIAMI SHORES VILLAGE
� P ��
l BUILDING INSPECTION, DEPARTMENT
)kr 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.
Registered Architect and /or Engineer
Disapproved Date
(Signed)
Building Inspector
,qA .'
. Date
Owner's Name and Address ° " � 9 "' eii i y^No , Street
!. 1 / 7
Name and address of ]iee -used - contract o ____ f::? , W1 7
Location and legal description of lot to be built on:
Lot p -"7.0- --- _ f Block Subdivision_
Street and Number where work is to be ddne c.
State work to be done and purpose of building (by floors)._ - _ -'
and for no other purpose.
New Building G-`'" Remodeling Addition Repairs No. of Stories
To be constructed of C__ s • Kind of foundation C L. . :d e R94, Covering /
Estimated Total cost ofimprovements $ Amount of Permit $
w. - - -
, 1 9_4
o
Zone cubage required 8-6 _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 5966, 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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subs ntractors, on work t e performed under this
permit, as are licensed by Miami Shores Village. ,
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j 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 me first duly sworn, upon oath deposes and says that he is the
of the above des ribed construction, that he has caref y reed Jhe f oing application, and that he did sign the same, and that all facts
therein by him s at d are tr
Permit No __ Date 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 $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection 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.