585 NE 102 StAPPLICATION 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.
peared
therein by him s ted are true. / r
Permit No_..l ? Date P ! v 7
Date.
Disapproved
(Signed)
B cl ng`lnspecto
Chairman
Member
Member ......
Council Approved
MIAM,I SHORES VILLAGE
G
BUILDING INSPECTION DEPARTMENT.
Date... —..._ � o � � _......— ._.....— ._._...._... ,19.
Owners Name and Address4 Alcaro __ __ — No....5 .. Street N� E 102 St.
Registered Architect and /or Engineer Smith $1 Associat
Cabanarama Industries, Inc. d /b /a Miami Ventilated Awnings
Name and address of licensed contractor — - • —
Location and legal description of lot to be built on:
Lot...F.1. /.2.- of..23- . & -24- Block 93 Subdivision
Street and Number where work is to be #5.85
State work to be done and purpose of building (by floors )..._.E.xy te..Res
(3) Redwood Awning - Shutters .
f:t... .................tlt ttttt
Miami Shores Sec. 4
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
LANNINC BOARD DATE
lat„ 12.9r..,.Tnstall
and for no other purpose.
New Building Remodeling Addition Repairs' No. of Stories 1
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 715. 00 s. 5. 00
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 Miami Ventilated Awnings; P, 0, BON 470945 N. W. Br. Miami, Fla. 33147
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 totice
or notices as are required by the Act. The undersigned agrees to employ only such subco tr ttc�t work pe rformed u jy this
pennit, as are licensed by Miami Shores Village.
Remarks..._ (Signed)_ !
Miami Ventilated Awn gs:
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-
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
Member
Member
Member — _._ ...
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 13oard.
A rc- inspection 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.