585 NE 102 St (4)s
BUILDING •
!LECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot - Bl.
Description .l t� % e . , y
Work to be
a4t t
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 5361
Address of _ � r , , , Value of g/ '7 r, e Amt. of t e , fa
.�
Building t G P roject 7r Ni; 6I ."' Permit t, %.■
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 appli-
cration 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 nunicipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans ar ha ith t. authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above as on '.'lit .r a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the . • • stl;1 specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
In consideration of the issuance to me of this permit I agree to perform the w• ° cov: , d hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifi . : tuns submitted to the proper authr�•,i�ips of Miami Sties Village.
In acce ling t permit I assume re ponsibility fora work done by either myself, my a: •nt, servant or employee. " "i•
under this Permit
BY
Subdi-
vision ✓ j t )
DATE ti G� 4::-L-- L - -' 194
Contractor's
License No.
o
Signed . By
AUTHORITY
Permit No.__
Disapproved
(Signed)
Chairman
Member
Member
Council Approved
ofie
Registered Architect and /or Engineer
and address of licensed contractor
Location a d le al dee iption of lot to be built on:
Lot / ��}� Block___ _____ Subdivision
Street and Number where work is to be done______ __e 6 _ /er
State work to be done and gurpose of building (by floors) pt
hi4 r�o3�t? Jib „CI),
- -- -- - -- - - - - - New �__ Remodeling —__ Addition Repairs
To be constructed of �f s> Kind of foundation
Estimated Total cost of improvements $___ 7fr /� —: of ermit $_
Zone cubage required _Plan Cubage /
Distance to next nearest building Size of Buildi g Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices
be sent to
The undersigned applicant for this building permit does hereby certify that he
of labor under the Florida Workmen's Compensation Act, being Section 5966, C
and has complied with the provisions thereof, and will require similar compliance
in the work to be performed under this permit; and will post or cause to be posted
or notices as are required .by the Act. The undersigned agrees to employ only such
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to ad
appeared
and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregoing applic
therein by him stated are true.
Building Inspector
Date
Date
PLANNING BOARD
ember
Member
Member
Date Disapprov
NOTE: A charge of $1.00 will be made for making corrections or changes
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEP RTM'ENT
APPLICATION FOR BUIL.ING PERMIT
•
Application is hereby made for the approval of the detailed statement of the p ans and specifications herewith submitted for the building.
or other structure herein described. This application is made in compliance and con ormity with the Building Ordinance of Miami Shores
Village, Florida, and all provisions of the Laws of the State of Florida, all ordina ces of Miami Shores Village and all rules and regula-
tions of the Building Division of Miami Shores Village shall be complied with, w ether herein specified or not. A copy of approved plans
and specifications must be kept at building during progress of the work.
Date_
Owner's Name and Address___ _'
Read, S
Roof
orn to and Subscribed before me.
Notary Public, State of Florida
M Co mission Expires
DATE
and for no other purpose.
No. of Stories
tzo
Covering_ ? '
with reference to the building and its construction may
understands and accepts his obligations as an employer
mpiled General Laws of Florida, Permanent Supplement,
rom all contractors or sub - contractors employed by him
for inspection on the site of the work such public notice
subcontractors, on work to be performed under this
■
•— �1e.rl.'�L
inister oaths and take acknowledgments, personally
to me well known,
ion, and that he did sign the same, and that all facts
Date
this application aftet approval has been obtained from
necessary by improper notice for inspection or faulty