543 NE 102 St (2)MIAMI SHORES VILLAGE, FLA. NO 6173
JOB L 7
ADDRESS ftc A c /0
INSPECTION ` ... * a g A,�'°�� , .� 1 tb .S�e �
TIME READY vI 2 11 ° , 4
REMARKS :
INSPECTOR
DATE
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of r
Building ! .. i
Architect
Contractor
or Builder ��'` "A.
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Bl
Work to be performed under this Permit
N° 5464
Address of t ` Value of
Building k. ", �' ' Project $
DATE 1 19
Contractor's
License No.
/jr, C ka." 9 e O„ Arie Ja
Subdi-
vision
Amount of ...
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. - F', -�} ' . .— INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY 4aeoT
be sent to
Owner's Name and Address_
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.
Permit No T Date
Disapproved _GA's Date
(Signed)
Building Inspect
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Registered Architect and /or Engine
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
State work to be done aid purpose building (by floors) 11/P__4/ – dia g1 0 1/2_4.. 61 E,1
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
Subdivision
Date/
NING BOARD DATE
7 ,19
No 1 �7 - Street_/ aLr.
pa ,1T
/1Q (s E' X /) r T bc _6 -sti/ Q t 1,14 00/
and for no other purpose.
A
New Building Remodeling dition (.../ Repairs No. of Stories 1
To be constructed of ap o__ Kind of foundation C e5_rr Roof Coverin _ .SJ
Estimated Total cost of improvements $ ka 0 0 �' — Amount of Permit $ CJ d
Zone cubage required – _Plan Cubage
/
Distance to next nearest building �:2 _ U J ` Size of Building Lot
Maximum live load to be borne by each floor
I hereby s ; mit all the pl ns and s ecificafons or said buildi . All notices with reference to the building and its construction may
The undersigned . plicant for this building rmit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compen ation 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 public notice
or notices as are required by the Act. The undersigned agrees to employ only such su ntractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks ____________________ (Signed)
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
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
n
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Scale: 1/2" equals 1 ft.
North Elevation,-Green-house, D. Al Y, 543 NE 102 St.
Framinz:_ 4X4 Fir
Covering Saran seeeen cloth
O.A. Dimensions, this elevation, 7 ft. 4 in. by 9ft. 0
Door 0 8 in. X 3ft 0 in fir, screen
Footing 8 in cont. concrete, 1 5/8 round rod cont.
ATIching Hardware Hurricane clips at all rafter -stud
j,o nits. Post anchors where studs rest on footing. Bearing
anchors to secure rafters to 6X6 be beam of existing Florida
Room.
Post anchors to be secured to footing by 6 in X 1/2 in.
galv bolts buried in the concrete
Concrete specs.
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MIAMI SHORES VILLAGE
Disapproved Date
(Signed)
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.
Date ., 19
Owner's Name and Address No Street
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
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 $
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 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 public notice
or notices as are 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)
STATE OF FLORIDA, I
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.
Permit No Date Read, Sworn to and Subscribed before me.
Building Inspector
Chairman
Member
Member
Council Approved Date
BUILDING INSPECTION DEPARTMENT
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
Disapproved Date
corrections or changes to this application after approval has been obtained from
NOTE: A charge of $1.00 will be made for making
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
for inspection or faulty
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