23976Form 130.
CITY OF MIAMI
FLORIDA.
67
g
OFFICE OF BUILDING INSPECTOR
APPLICATION FOR BUILDING PERMIT
(A copy of this Application, together with one copy of plans and specifications, must be kept at building during
progress of the work)
Application is hereby made for the approval of the detailed statement of the plans and specifications her ewith
submitted for the building or other structure herein described. This application is made in compliance and con-
formity with the Building Ordinance of the City of Miami Florida which said Ordinance was approved July •
7th 1919. All provisions of the Laws of the State of Florida, all ordinances of the City of Miami, and all rules t \.`
and regulations of the Building Department of the City of Miami, shall be complied with, whether herein speci- r.yp
Bed or not.
19279_ ()\'•
Owner's Namep _
Architect e,„.,_, : ,
Name and address of contractor or builder ,
Location and legal description of lot to a built on:
Lot 3 144. it Bl Subdivision *°
Street and Number where work is to be done ,a® , 2 - ft
Purpose of building (by floors)
Date ',, =.
Stree
and for no other purpose.
New Buildin, Addition Repair
Remodeling Number of Storiesr
i
Estimated cost of Improvements (not including furnishings) 0, ,0+®a Type of Construction e 4 . �0 :0,.......,
Roof covering F
Foundation Footing 4&
Number of persons to be accommodated (maximum) per floor
Size of building lot? / 0 Distance from next nearest adjoining building (from all sides except
street)
Heating system, if any (kind) (yes or no) ----
Elevators: passenger freight manufacturer
Maximum live load to be borne by each ftoor
I hereby submit all the plans and specificatio
ing and its construction may be sent to
Plumbing (yes or no)
lec. (yes or no),
STATE OF FLORIDA,
COUNTY OF DADS. SS.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac-
knowledgments, personally appeared
notices' with reference to the build-
(Signed)
to me well known, and who, being by me first duly sworn, upon oath. deposes- atid says that he is the
of the above described constructiion, 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.
Read, sworn to and subscribed before me,
Notary Public.
My Commission Expire
This space represents the lot; make outline of ground
plan showing distance of building from all lot lines.
(Signed)
/c.a
1
4,,,Tp IS TO BE FILLED IN BY BUILDING INSPECTOR
Permit N issued upon above Application , 192_
Classification
Disapproved 192_._
Reasons:
(Signed)
Building Inspector.