867 NE 91 Terr (3)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT „„
305- 795 -2204
Building Inspection Request
Dat
Type Insp'n J- 0301Ca r l C.(Th
Permit No.
Name h (1(0Ini-G' �p
Address 3 G1 f\' L I TCerr
Company «fCtkCt
Phone #
Inspection Date
Approved
Correction ❑
Re- Insp'n Fee ❑
OWNER'S NAME
C.-Earl Hensel
PRESENT ADDRESS
LICENSE NO.
.. - ...
PHONE NO.
. - ...
JOB LOCATION (ST. OR AVE.)
867 -N. E. 91st Terr.
LOT
23• 4-
BLOCK
2-
SUBDIVISION
Golden Gato Park Addition
GENERAL CONTRACTOR
Richard M. Besola
ADDRESS
830 N. E. 1k14 V- St. , • ,
PHONE NO.
LICENSE NO.
`✓. i 7 '
BUILDING PERMIT NO.
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DATE
DATE
18 0
PERMIT FEES � .,
BUILDER•S BOND
NO. v DAT -E.. •• `
-
ZONE REQUIREMENTS CU. FT.
PLAN CUBE ?J. , 6U5 CU. FT.
EST. COST S 12, ;00
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY
DATE
NEW CONSTRUCTION
TYPE
O
CBS
STORIES
1
ROOF CONSTRUC IN CONSTRUCTION
le ivin r oom, di ro kitche
Tile bedrooms,, 1 bath_
REPAIRS
Red oak select s r p floor, plaster walls t ceiliri€
bee
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
,/ REMARKS
`v �1 ,L `- - ,c- 4 � , .4 . � , " xI y `-2.
CERTIFICATE OF OCCUPANCY NO. ' L/}
ISSUED ' 'S`t - .
BY I r -'
1 TO -
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
n,
(FISPECTIONS`
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
(" J .,
DATE
FEE
TEMPORARY SERVICE
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$ / a��' ,,,,,,///'''
BEAMS & LINTELS
,
'$
$
SEWER
$
FRAMING
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$
$
GAS
$
$
$
$
INSPECTIONS
DATE
BY
FINAL
-
BY
ROUGHING
; "')�:. »
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CLEAN -UP
ROUGHING
GAS
SEWER
CONTRACTOR 1 . -
PHONE
PERMIT NO. '' 1 k DATE
y„+
FEE $ .'
NEW BLDG. . r I ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
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$ / a��' ,,,,,,///'''
$
SEPTIC TANK
'$
$
SEWER
$
$
SOLAR HEATER
$
$
GAS
$
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
; "')�:. »
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ROUGHING
GAS
SEWER
H. W. HEATER CONN
SEPTIC TANK
RANGE CONN.
SOLAR HEATER
FIXTURES
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.ham•
FIXTURES & FINAL ;C: a r _
= +�
CONTRACTOR 1'Y �_if .
PHONE r
PERMIT NO. 1 4 - r ^ 1 DATE / .
FEE $ ii)- `�._
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
'5'''%1 /ill f
,r
$ / a��' ,,,,,,///'''
H. W. HEATER CONN.
'$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
a. f;t
T <
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL ;C: a r _
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v 8 iILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE