1080 NE 93 St (4)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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.
Date__.
___ Street__.
Own is Name and Address._!'~` ' • ,e .-,$
Registered Architect and /or Engineer. _
Name and address of 4isextueci contractor_ _. t ._71
Location and legal description of lot to be built on:
Lot_ . 11 Block - Subdivision
Street and Number where work is to be done , 8C C 1 01 4
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.
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 foi said building. All notices with reference to the building and its construction may
be sent to - - -- - --__ --
The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act, being Sec :ion 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 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) G1_ _ ..... t �1
STATE OF FLORIDA,
COUNTY OF DADE. ss.
peared — - --
Disapproved
Date '
Before me, undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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.
p �
Permit No 1_>_ 5 Date____. � ` _____ ___ � �1..____ Read, Sworn to and Subscribed before me.
// Notary Public, State of Florida
(Signed) _1_e.<
Building Inector My Commission Expires__
PLANNING BOARD.
Chair nan
Member - .- ____.. --
Member .
Council Approved_ -_- -- _.
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.
Date
DATE
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
Lot 7,?'°n .5.5 o 27 Block 3 Subdivision 13 e716A07e ?cArk
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1456
Owner, Agent or Tencmt of Building 1:r� 7^xtcw
Street Address
Approved use by occupancy
Remarks
4120
I 7-7.an Cuba — 25,626
Tax Value 1 2, 81 3
1080 Y. ® 93rd St,
Miami Shores Village, Florida, 9 -
3 bedroom, 2 bath residence
.9
This Certificate of Occupancy is issued to the above named 6z Le'
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.
DING DIVISION
MIER'S NAME
Dr. 604.4. M,-s 4. IA. LA ...3c.
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. ORAVE.)
y A .s b 1 4 • V . { z L e e E. ms ,
LOT
1 4 i4 1,I o f Z
BLOCK
3
SUBDIVISION
- B E Lv . o E 12. e pi 2 IL.
GENERAL CONTRACTOR
�� AI Tt -R Ca ,0 $ 7-
ADDRESS
Z2 4 1U .cJ. 7,?' Si
PHONE NO,
LICENSE NO.
6 8
BUILDING PERMIT NO. 4 « �
..S ' ( 1'
DATE ' , � �
o
PERMIT FEE S.
BUILDER'S BOND
NO. z�� S 5 - 14-4o
DATE 5
iL - zr
ZONE REQUIREMENTS W, d ae.. CU. FT.
f,rx V'r- ,—_,, /2, sea
PLAN CUBE 7 ( v C. CU. FT.
EST. COSTS l
s
•�
ip ®d
'La..e' Cs_ c - ? - �u
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C (� .
DATL
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
NEW CONSTRUCTION
TYPE
el3
STORIES
o.,e
1 ROOF CONSTRUCTION
T. le
-
INTERIOR CONSTRUCTION
3 a Qd ,vxdp.s... - 2- go.-E -& 1?-4.5-
REPAIRS
DESCRIPTION
C - c(00 /'� p /6L( Ne-ere.( La.a -Zs 6-__ ( C.CI i l tti( �Q® .
ALTERATION
•
DESCRIPTION .J
L _
bcu. ,e 6104.1 +/'i .6.
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFr) TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. 4, // �i
I ISSUED 9 - '9" e /i
(n
U�q BY 'R 4 .
To A d< .)
'La..e' Cs_ c - ? - �u
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C (� .
DATL
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
PERMIT NO.
BY
INSPECTIONS
DATE
BY
FOUNDATION
� DAT c E
("��` n v' •
csSV �
ROOF ' 1
% - 40 3
4o-W2.5
BEAMS & LINTELS
(.�- ( <�C.v
✓�
POOL
*4._ c..-•
r 4.0
FRAMING
7 .
AIR CON D.
�'( -�.,
�p�y�,�,
a AC�s� -_..
FINAL
SOLAR HEATER
$
CLEAN UP
$
• . 7-L' 6 3
SLAB
C o�3
-L:....
4-/a.. 17.,c.1-
9
/-s
ci- \
SLAB
7 — (t L3
I c3/
SPECIALS PERMITS
PERMIT NO.
DATE
BY
FEE
BY
TEMPORARY SERVICE
--23
csSV �
$
//''
TEMPORARY SERVICE T1
,
Y' / s" --c�
SEPTIC TANK al�'/'c k1
r \--�- Y
e✓ S RC.
"7 '(-
$
*4._ c..-•
r 4.0
■
SEWER
SEWER
$
MOTORS
SOLAR HEATER
$
FIXTURES
$
• . 7-L' 6 3
��
a''' " 4 50
GAS
-L:....
- - 7-Q-(o §
$
SOLAR HEATER
I c
INSPECTIONS
DATE BY
RE- INSPECT
BY
RE - INSPECT
BY
ROUGHING
--23
csSV �
FEE
//''
TEMPORARY SERVICE T1
,
Y' / s" --c�
� S '
TUB &TOP OUT
"7 '(-
4.,31'
$
RANGE CONN.
SEWER
$
MOTORS
$
FIXTURES
SEPTIC TANK
• . 7-L' 6 3
��
a''' " 4 50
0 sccC+
-L:....
- - 7-Q-(o §
C g
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR \e--A-c. C- E c= T(LkC_. -
PHONE
'
PERMIT NO. 4 ' 1 1 1 DATE 1'3 -(o5
a�
FEE $ a{
NEW BLDG. e/ ...-- 1 ALTFRATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
//''
TEMPORARY SERVICE T1
,
Y' / s" --c�
� S '
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
I
$
MOTORS
$
FIXTURES
$
S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TFMP. SERVICE
I
ROUGHING .7"
(s
)R t
H. W. HEATER CONN
I
RANGE CONN.
FIXTURES & FINAL
d
PERMIT NO. 4137
NEW BLDG.
APPROVAL TO POWER CO. FOR SERVICE DATE
C.3. E
BUILDING INSPECTIONS -2 —
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR G(17 ��..,. 6 f•1 Lo. PHONE
FEE $ .3.3
REPAIRS
DATE 4 4.7
&••••• 1 ALTERATION 1 ADDITION
ELECTRICAL PERMITS & INSPECTIONS
t
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
❑
PERMIT
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORID
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $__ -
AA I a Cdr c or's
License No.
19
Amount of
Permit $
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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Signed: _ _ _ _— 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 ac•
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY x•0oT �s4