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BUILDING PERMIT
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 he kept at building during progress of the work. Owner's Name and Address.. Disapproved (Signed) , 19.e/ A-7 fr / Street -.. & -- 2d $/, Date....; Registered Architect and /or Engineer Name and address of licensed contractor � -- -. . dz. ) Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and pu s -A — Gd ' purpose of building.,(by floors) d ./ .f' l y1 and for no other purpose. New Building.... Remodeling Addition Repairs No. of Stones To be constructed of Kind of foundation Roof Covering ` 4.. �. Estimated Total cost of improvements $ ea �� — Amount of Permit $ c, 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 The undersigned applicant for this building pennit 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, Pernanent 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 as are required by the Act. The undersigned agrees to employ only such sub ontractors, on w. k to be .erfor ed ugc) -this permit, as are licensed by Miami Shores Village. j /. /� Remarks (Signed) 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- peared - - - - - -- 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 therein by him stated are true. Permit No -Q G Date ' / Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Spector My Commission Expires PLANNING BOARD DATE Chairman " Member Member 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. 4.. W 4„ 16 fl ) _ /e)./1 (4)C - - - 7 1 j - 60.4 -73 • 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 plum and specifications must be kept at building during piggress of the work. y� Date r � . „�� _...._ �r�`. ILL Owner's Name and Address "....11-4.;44../F . . .. „' / / . „�.1 No...l��..flLs._... Street Registered Architect and /or Engineer 4 L - t /�la E - Name and address of licensed contractor... n..b l ✓1,? L. Location and legal description of lot to be built on: Lot -- Block 7 Subdivisten.4 Street and Number where work is to be done .6 / 57- State work to be done and purpose of budding (by floors) L•.Q.,- .4 -. . - _ and for no other purpose. New Bui!ding Remodeling Addition. ...;•• — Repairs No. of Stories To be constructed of ..` .ece.6 — .64 ..... Kind of foundation t ----, r/ 5 • Roof Covering 3 .. A I - Estimated Total cost of improvements $ /7' Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building.. Size of Building Lot 6 — i A 13...C... . ... ....... ._,- , -.• -.„ Maximum live load to be borne by each floor I hereby submii1it all the plans and specifi tions for said building. All notices with reference to the building a d its construction may be sent to... /A. .S.J ...._.... -.. . - / 7 f 3' a /Q , �7 `�. /11:6 The undersigned applicant for this building omit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida \Vorkmen•s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied withh 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 inspecti. • ” e site o such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr or . to be pe ormed under this permit, as are licensed by Miami Shores Village. Retnuks (Signed). STATE OF FLORIDA, COUNTY OF DADE. ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths an peared 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 therein by him stated are true. Permit No. -____/ ,riL Date /I— ead, Sworn to and Subscribed before me. Disapproved (Signed) Date Buildin nspcctor PLANNINC BOARD DATE Chairman Meuriber Member .... Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 31.00 will be charged materials and /or workmanship. MIAMI SHDRES VILLAGE Ice acknow / gments, personally ap- Notary Public, State of Florida y Commission Expires ..to me well known, Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty • 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 at building during progress of the work. Owner's Name and Address' /// Registered Architect and /or Engineer Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date.-- , � / e ,V/JJ sass No / 3 > � Street.L. / 9/ - 5-- l t. G4 0, f,1 7666 ., ... LI : 2 4 C. -C Name and address of licensed contractor.., .t ' A / J . _ l I V ` te r ' L / 9 5 . £J 7 -S I r./- _.. Location and legal description of lot to be built on: �J Lot .. Block 7 Subdivision : 0 /` t _S r. - _.1. State work to be done and purpose of building (by floors). S.. / 760 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering . =- Estimated Total cost of improvements $ 4 ©© 0 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 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 notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr ors, on work to be a formed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) �� 7e�i .G ' - - Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap - •---- ----- _ --__� ��r 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 therein by him stated Fe true._ Permit No._____. 0 'o Date.._ ` ? ' / Read, Sworn to and Subscribed before me. peared Disapproved Date.___.._ _ Notary Public, State of Florida ( Signed) Bu ' - � _�. r• - _, .�_. t"g Inspector �_ My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member sass.. 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 anti /or workmanship. N / TY, c, e. s, ,DES f//36 N ° 4 20' P r ID' 1 20,/5/ /k 0,0 E _9/57- Ip,3� !6" P4V'r• 50 -00' vv4 e ti 9Q \ q. ti V 4' /2, 7i[ E • F /I p A, ree✓ • y r yJO / 1 2 3 ' i _' •'" - /- LI 1 I f ''✓ '^' ill 5r 1r LOC, T/J// 0,341 PIPS" ▪ I i .; — - • �/�C - t` - - -r I T NOTE: ALL ELEVATIONS SIIOV /N IN FEET REFER TO U.S.C. & G.S. MEAN SEA LEVEL DATUM. . G ;9/ /Vag. /2. 1.9 DETAIL 5CA LE,' if 20' SURVEYOR''.:. ,;ERTIF CATION: We hereby certify that t..;, attac: "Sketch, . ' Sur- vey" of the ab ;ve described pro is true enc. correct to the best of our kr..)wl- edge ar: relief as reces't'd surveyee. order our dirtaction. DONALD W. MrlNTOSi A SOw1aa o k , r; • Reg. Surveyor, ' gt�i'' :da • Z T VAUD UNi..7 ,, 3KETC/H OF 5UR VE Y OF 107 3/ O CK 7 CL PO/c 7 AL _ Jr: C7/ OW TW O 5 /-/0kr ? l / %I .) 1940E COUNTY, flO,P /04 According to P! , _ g._.....Page.... // of the P County, Fla. DONALD W. Mchv' O :;i 581 91s-t. Street and Number where work is to be done Estimated Total cost of improvements P/4_"; Zone cubage required .____V__` � •�� Distance to next nearest building Chainnan Member Member .... Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. 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 at building during progress of the work. Owner's Name and Address _.. fli e ///9 / ?D 1 , & Registered Architect and /or Engineer..._ / I 8 . / 1 7 . 6 . 4 6 " ® _ ✓ E 7/ Name and address of licensed contractor .21/4/ _e J Location and legal description of lot to be built on: Lot r Block Subdivision r � fiO /P7,11 State work to be done and purpose of building (by floors) .__.__ ZZ)e New Building. / Remodeling Addition To be constructed of ._Lc L5' Kind of foundation e.6.../ce Date No Street. t ,2 /S 7 and for no Repairs No, of Stories Roof Covering - ' / Amount of Permit $ G I�J o G) .Plan Cubage__. 2 .y r -!._ ' Size of Building Lot PLANNING BOARD DATE Read, Sworn to and Subscribed before me. • ,19‘ other purpose. 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.. 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 notice or notices as are 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. Remarks (Signed ) -.tO_ ec' STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 therein by him stated are Permit No Z3 Disapproved � jf ( Signed) � ls. B ilding Inspector Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty ) , ..,-... ,Lec1/4? 1 aA.0,4 in li- p( 73- 7)---s /- _ 6 /7/ r` Ae-e( /7/7• 4 „ W91 /0/0/ Lot No. _. __ Dl Subdivision . 3 L. Itik :AL 0,yC1 for Plat /look . c'. trigs Public r...rds r f LAPP. cowry LOCATION Section _. Y1LLEIG (; ii• J HEtDIA, Nog. Engln.ar N:. 31irr 1!t.q. SURVEYOR No. 717 STATE OF FLORIDA 1186 17 W RSrh Street Mianl 47, Florida PL $ 8369 - P1. 8 8677 NOTES 1P —iron pip. II— iron bar 5 8 ' rd. EP - -Elea pole evrk —sidewalk DH — drill hole PL —property line CL center Ira• W.M. - 441; !r4 M T .G 1 4.4 tvt �� y O S 7•_ D -J c 6 - c. lot. t 'fit - -th II.. Z.. EL i'QHTAL, Th& . _Atrium 19 60 FLORIDA 1 h.rroY • "e•:'y 77at the c' •,. :rd SURVEY of Ole afaremrcir;. id pr':errty, is t:i,c ;rr:d - 4.4, t: Cho best of rry k. •, .Irdg. and ;.�l:oi re..-t;y +irveyed and ri rt t r. ;tar ny d :n. ,,,, and ra. trsist n. also, 111?1 t• "I.r* .u* no moron - *cri '1rl • 41 l,hOw t h.rear.. �• 1 t0 '‘!" U4 .5. 1 ; r to 4 e 3 T C., ,4 / 41 ,4 f 4 /' J c.t t.• / rlee 1.1I ILA .4 .. 1. -.--•- 4 - aa.c.4. , . 4cw- .i... -.4 -.a a.c wt.. ..Q• - ., 1 11 .r« r • Owner's Name and Address to Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: 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 rdinance 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. Date..._ / ,19 ..�C 771 of (C hi/ VA D E, No. .� Street_e $ / -9 77 e-e/ $ Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) i a and for no other purpose. New Building...- Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ (A e • C� Amount of Permit $ „.i.I Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor II hereby submit all the plans and specifications for said building. All notices with reference 'Co the building and its construction may be sent to 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 5988, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em loyed 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 s public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor be fo ed under this permit, as are licensed by Miami Shores Village. ✓ j l Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j as Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ...... — 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 therein by him stated are ,3e. Permit ..... Date , �� — °'� — 4 Read, Sworn to and Subscribed before me. .•- -- Disapproved _.._.._...._ Dat Notary Public, State of Florida ( Signed) ....._� Sul B lding Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member 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. <_L 2 c 9 ( 0 "" 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 mad in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the St to of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Villag sha be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during pr ' res91 of the work. • Date I c , 19 Owner's Name and Address . " ' �� .�- L � � - No._.�'_.....__� Street Registered Architect and /or Engineer Name and addre:,s of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done / State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering �� '7 11 c Estimated Total cost of improvements $ . 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 q • 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 notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on worklo` be performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 therein by him stated are true. Permit No Date 0� ' Read, Sworn to and Subscribed before me. Disapproved Date.___ Notary Public, State of Florida (Signed) r. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member 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. MIAMI SHORES VILLAGE, FLA. JOB ADDRESS INSPECTOR N2 67 t\J N E ctif t L) INSPECTION r TIME READY REMARKS: h DATE OWNER'S NAME 41/M I - + Let..- Ai PRESENT ADD t )3 N -c- l/" 6 LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) iv,,- , `/r 5 r LOT BLOCK 1 7 - SUBDIVISIO GL Pdti rozi c zz.7, Z GENERAL CONTRACTOR ?4'"/I�/-►' a ( . E f b(.7G,C ( e_ , 7P ` �' - A 7 DDRESS �'7 , TL Ali c�•fir. �a.•� /� ; C. �p PHONE NO. LICENSE NO. r J BUILDING PERMIT NO. / r n r+ 3 / DATE 1 / 7 c BUILDER'S BOND NO. DATE l / PERMIT FEE $ �_ ZONE REQUIREMENTS CU. FT. PLAN CUBE ��.,..,2, CU. FT. EST. COST $ '7" r (p2>a:5Z-, rrr777 DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: (.,,[(,4-y__. 7 ! •`-' R / 41- �JLtSX DATE ! / - 2 NEW CONSTRUCTION TYPE / STORIES ROOF CONSTRUCTION d/ j CONSTRUCTION • REPAIRS DESCRIPTION / I( (� A-30( Q ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL '- REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE Prior to a final inspection this application must be filled out; if sub contractors have failed to take out permits the general contractor shall be responsible for the permit and fee. A final i7.3pection must be made prior to the release to Florida Power and Light Co. and the issueance of a certificate of occupancy. OWNER LOT BLOCK BUILDER • SUB CONTRACTORS & SUPPLIERS NAME & ADDRESS mfanmar IMANYMPT irlairriarlrAW a c � IMIIINWIROMMAIENIEIVAM rte; :��r VORAMTS or Shower or Tub Enclosures Reinforcin: & strl. orar Pre -fab. Sewera in Concrete Power e & Screens 1. _Architectural Fee laps 2. _Architectural walks drives etc. 3. Cabinets - Bath Vanity Cabinets - Kitchen 5. Cabinets - Medicine 6. Cabinets - Unit Closet 7. Clean .r g 8. Clearin mite 90 Concrete - Foundation Slabs Beams 10. Concrete - Talks,drives,etc. 11. Contractors Fee 12. Electric Fixtures 13. Electric Wirin 14. Equipment Rental 15. Excavation 16. Fill for Slab 17. Floors - Danish wood & kitchen 18. Floors - ':'errazzo 19. Garage_ Boors 20. Glass Slidin: Doors 21. Harjuare - Finish 22. Hardware - Rough 23. Keating 24. Insurance - Liabilit com.. -bond 25. Labor - Payroll 26. Labor - Contract 27. Labor - Contract 28. Landscaping, Fill, Grading 29. Lath Plaster.. Stucco 30. Lumber All 31. MasonryLabor 32. Masonry Materials Block 33. Millwork 34. Miscellaneous 35. Ornamental Iron Work 36. Oven & Plate - Built -in 37. Overhead 38. Painting 39. Permits Tem 40. Pilin Foundation 41. Plumbing Complete 42. Pool - Swimmin• 43. Roofin & Sheet Metal Work 44. Roof Trusses 45. Screen Enclosures 46. Se.tic Tank 47. 48. Steel 49. Supervision 50. Surveys 51. Tile & Marble 52. Water - Public 53. Water - Well & Pum 54. Windows - Glaz° 55. Window Frames - ITEMS cOAI ACTOIt a Y 7 Miami Shores Village APPLICATION FOR FINAL INSPECTION JOB ADDRESS JJ b e SUB. e. - BOR CONTRACT DATE lipxmlmonommw TOTAL 19 AMOUNT INSPECTIONS DATE DATE INSPECTIONS DATE BY FOUNDATION 4 -21_ V o " 4 ROOF /O -��Cc � Z....4/4.6 Z....4/4.6 � BEAMS & LINTELS to -Y -(.. 1 .44 C POOL _ � $ FRAMING (1- 4- 6s. t-e5 AIRCOND. I SEWER FINAL RANGE CONN. SOLAR HEATER CLEAN UP I SLAB go —t_ L., ��p' � GAS SLAB I - V'(. $ SOLAR HEATER E' _ 1! SPECIALS PERMITS PERMIT NO. I DATE RE- INSPECT FEE TEMPORARY SERVICE BY ROUGHING I t4./.4.A $ � SEPTIC TANK , -56..... , ..+6: �/r -4-° L ,- - r? � � _ � $ err_, _S SEWER I SEWER $ RANGE CONN. SOLAR HEATER q - .4.41 .. I $ // . /�'d.l GAS I $ SOLAR HEATER E' _ 1! /...... $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING /0.- �*- 4. t4./.4.A ROUGHING �/r -4-° L „AAA TUB & TOP OUT Il- 2, _ (oa " H. W. HEATER CONN II SEWER RANGE CONN. j 1 O. q - .4.41 .. SEPTIC TANK // . /�'d.l SOLAR HEATER E' _ 1! /...... FIXTURES GAS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR 7E:1K2 4 , -F- y,;', _ PHONE PERMIT NO. 5e -5 I DATE I 9 - 6 -.` S' 5 , - .3 .n FEE S' S �i NEW BLDG. o., 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 7E.:/(..? ) H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE j G --1 ., GO ��BY��JJ 1. ROUGHING �/r -4-° L „AAA H. W. HEATER CONN II RANGE CONN. j 1 O. q - .4.41 .. FIXTURES & FINAL E' _ 1! /...... .j O bi! a BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS CONTRACTOR —kr.7 lc�ar, � f✓f c-� ldBov j PHONE PERMIT NO. � 1 DATE FEE $ a � `- NEW BLDG. X., 1 ALTERATION 1 ADDITION REPAIRS APPROVAL TO POWER CO. FOR SERVICE DATE BY OWNER'S NAME f:1-Fd! -Rp t: PRESENT ADDRESS LICENSE NO. PHONE NO. ,// //// JOB LOCATION ( -T. OR AVE.) / h )4 ) E. 9/ / E1 5T 1 LOT r � BLOCK OJ El SUBDIVISION - Pow TA 110:5074- PNO, LICENSE GENERAL CONTRACTOR )...L � �� DESCRIPTION �� 5, �� ADDRESS IAA p � ' BUILDING PERMIT NO. / J �(j DI 'L7 6 / i/ - 60 PERMIT FEE $ 40 / .- BUILDER'S BOND NO. DATE REFERRED TO COUNCIL CIL ZONE R J / 2EQUIREMENTS /7 5 CU. FT. PLAN CUBE /L+/ 1 74/3 CU. FT. EST. COST S /,/ 0 ' - 62 : 5 - DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE /1-- -6a DAT= NEW CONSTRUCTION TYPE C 1 - 0,5, STORIES 6 J1 ROOF CONSTRUCTION c°EM, T1 1.- INTERIOR CONSTRUCTION tea ,00h - T3 A - T REPAIRS C 11 r E� A 'RP A . DESCRIPTION ` t A-1-1.4- � �/ M `� T I L -1-00 R C 1 T1 i. E� ALTERATION DESCRIPTION ADDITION 1'LA 5fi 1-R \4)A -L.l.5 U X11-1 A) i -14)002 13h 5 %TRI �i SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL CIL R ASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFD TO VILLAGE COUNCIL REMARKS /17 Z- CERTIFICATE OF OCCUPANCY NO. p 1 /2 -"t-- ? - - ISSUED BY jl'� (/_� �1 TO • ` , vv,) - ,-/ _ DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE /1-- -6a DAT= 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 at building during progress of the work. 5 Date - Z , 19 c . Owner's Name and Address t 42_(..v f tii' ►Sl fht - '!=`g tNo Street Registered Architect and /or Engineer _4— 0 Name and address of licensed contractor 4/ O Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done J_ Ssa N C 5-t" State work VQ to be done and purpose of building (by floors) �tl l_1Y_Cr.1 40 wdl'� -1{ V 7'O (L. / n o G .. 7 4 ' J ' A ,G d G E P e - s t A . T Gv�Lk, T o S Le, pc-- �b if/A -LK 6 7b �'j" A n D w r • 0o Tel v/A-Th w4-L I and for no other purpose. New Building '' V Remodeling Addition Repairs_... Fl No. of Stories To be constructed of__eineRerF Kind of foundation Roof Covering Estimated Total cost of improvements $ 1 Amount of Permit $ h� -� Date _.__ 7-?-6r Chairman Member Member Member Member Member c io ontractor Zone cubage required flan 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 -- __ ---- _ 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, Pennanent 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 in . - on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su • on work to erformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 therein by him stated are true. e Permit No.. ` 1 Disapproved (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida B ilding Inspector My Commission Expires PLANNING BOARD DATE 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.