RC-9818 Garage ConversionBUILDING
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MIAMI SHORES VILLAGE, FLORIDA
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PERMIT N° Pffled
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Work to be erformed under Permi
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Litect
±actor
uilder_ r '
xl Lot
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Subdi-
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ress of �, '^
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Amt. of v ;
Value of Y*�
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Project $
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Permit $ '
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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 application
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 responsibility for work
done by his agents, servants or employees.
Signed: 1. i 'r BY
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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
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CONTRACTOR OR BUILDER
BY
AUTHORITY
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIMION
N4 1179 12-30-60
Miami Shores Village, Florida,
Owner, Agent or Tenant of Building W.W. Mc CLUAN
1 1(
Lot � ��� � �i Block I Subdivision Ronmar Park Ar3r3i hi nn
Street Address 160 N.W. 101st Street
Approved use by occupancy STORAGE BUIL DING ADDITION AND CONVERT GARAGE INTO
Remarks: BEDROOM 879019818
This Certificate of Occupancy is issued to the above named OWNER
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
Mwrr"Plan Cune 3525
ToTq- Tax Value 1763
BUILDING DIVISION
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/ OWNER'S NAME
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PRESENT ADDRESS
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LICENSE NO. PH .
JOB LOCATION (ST. OR AVE.)
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LOT
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BLOCK
SUBDIVISION
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GENERAL CONTRACTOR
ADDRESS
PHONE N .
LICENSE NO.
Ocul/JL_/` - lei, ! /JLr/JC
BUILDER'S BOND
BUILDING PERMIT NO. /
DATE �-/ d /
PERMIT FEE S /O
NO. •- DATE
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ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. J EST. COST S
DATE
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED
BY:
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION INTERIOR CONSTRUCTION
cT6 S_
DESCARIPTI
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REPAIRS
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I ALTERATION
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DESCRIPTION / q
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ADDITION
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
SUBMITTED TO PLANNING BOARD
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RESUBMITTED TO PLANNING BOARD
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REMARKS
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SUBMITTED TO VILLAGE COUNCI
E
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W,cJ. /t1cG�C.IRA�-
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CERTIFICATE OF OCCUPANCY NO /� %/
ISSUED
BY
TO
BUILDING PERMIT AND INSPECTION RECORD-MIAMI SHORES VILLAGE
BUILDING
INSPECTIONS"
Tii
INSPECTIONS DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
P'.
ROOF
BEAMS'& LINTELS
POOL
FRAMING
AIR COND.
FINAL
CLEAN UP
SLAB
SLAB
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR LC n'i � it- 1� ra Ks VL
ONE
PERMIT NO. f154a DATE 3- (.O
FEE S
NEW BLDG.
I ALTERATION
I ADDITION
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REPAIRS
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
I
S
SEPTIC TANK
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SEWER
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SOLAR HEATER
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GAS
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INSPECTIONS
DATE
I BY
RE -INSPECT
BY
RE -INSPECT
BY
ROUGHING
TUB & TOP OUT
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
GAS
ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR
PHONE
PERMIT NO. DATE
FEE S
NEW BLDG.
(ALTERATION
(ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
t
H. W. HEATER CONN.
s
RANGE CONN.
t
MOTORS
s
FIXTURES
I
s
Is
INSPECTIONS
DATE
BY
RE-INSPECTI BY
RE -INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
I
FIXTURES & FINAL
APPROVAL TO POWER CO. FOR SERVICE DATE BY
y') MIAMI SHORES VILLAGE
- BUILDING INSPECTION DEPARTMENT
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 a, building during progress of the work.
`'' Date..--"..11..«µ.....:K12.-....../------- 1y9, .0/,.
Owner's Name and Address....wt..1K.t. ..k4r.!gr. ___.--_.._......__.._..- ._ No.14.9-`--..-.-. Street .l.CKW--- 1_Q.�4 4. _G..1
Registered Architect and/or Engineer ---- ..._............................................ r
Name and address of licensed contractor ...-.-._....-...--------------- ..—---------------------------------------------------- ........-_--_..._._...-.__._...........---
Location and legal description of lot to be built on: ,,pp .p
Lot44'�'!Q._Y�'�...I.l.......... Block......... I .. ................. Subdivision........- ---R P"V_�a4f_1.�3e�dt.-- - -- ... _..........
Street and Number where work is to be done .... ............. ZOAMmA.............. ........ ........—.-............_._-..-.._-......-.--..._...._.........-._`.._...
State work to be done and purpose of building (by
New Building....._ ....................... Remodeling _*................. Addition_ ........................
.__.-and for no other purpose.
No. of Stories ..........................
To be constructed of ----------- ................ Kind of foundation .... _....... ._........................................... _. RoofClovering..._.....___.-........_........ _ ......_..._
Estimated Total cost of improvements $.....---. 1. 0...... ......... _........ Amount of Permit $... ._t. �. _..... .
Zone cubage required ------'-'----`--------------------------------------Plan Cubage..l.C•�C .. -'-'-- '---..... _1! _ . ' - . -' --9L1.(/t Z
Distance to next nearest building ._..._.___.
Maximum live load to be bome by each
of Building
I hereby submit all the plans and specifications for said building. AB notices with reference to the building and its construction may
besent to --------- -- ------ ------------...---_----_----------_------_------...---'-- _............_:--------------------------------
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations its an employer
of labor under the Florida Workmen's Compensation Act, being Section 5900, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices mere required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. ,�f
Remarks-'---'------------__.....--_-----------------------------"------- (Signed)..- !-�---_C.. �'-
STATE OF FLORIDA.
COUNTY OF DADE. J a$
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally up.
peared------'------------- ----------------------- -------------'--'---------- --- -----....-----------------.—_..-----------------•---._...---.-...---
.._.....-..._......_........_....._...__....—...—_—_.-...--'---'.....................---------.._........_......._._-........_.to me well known,
and who, beingg by me first duly mom, 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- l
Permit No.—_!= ---.__ Date.....___._.._... Read, Sworn to and Subscribed before me.
Disapproved -- ----._._. .._.__ Date. 11
_._.. ------- ---- - ------ ---------------------- -` ------.... _--._.-------------`----------..._._-.
Notary Public, State of Florida
(Signed) .....(..LL-a..G.-G. :. '- _ .'-- -- - ._..------------------------
Building Inspector - My Commission Expires ._...._....._.___....................._------------------...___-
Chairman ....
Member ....__._
Member .- __
PLANNING BOARD ............ ........ _......... ................-......DATE
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.
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