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270 NE 92 St (8)DATE: NAME OF PERSON REQUESTING FILE: PHONE #: ADDRESS OF FILE REQUESTED: INFORMATION REQUESTED: Acknowledged by: FILE RETURNED TO: INITIAL Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 PLEASE PRINT TIME: 3 Y� jmo 2 -qo 9s,2 S4 7 Y ADDRESS: c9-5 AJ S S� I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get '4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 8147 Contractor's License No ".."341 ROOFING ❑ Owner of Building Work to be performed under this Permit.. Date i if 17 ;j 44 i C cc Architect Contractor or Builder' a..: Legal Lot � 1 II Su + '1 Description BI 4._ — 1 vis ion r r Sq Ft Address of E ti c. - Valu of v . i i 11 Amount of Building ' �" Project $ -) b 11 Permit $ /C 19ST-`e' 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, serryants or employees. Signed s (INSPECTOR) BY CONTRACTOR or BUILDER 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. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING 0 Owner of Building Architect Contractor or Builder Legal Description Address of Building CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9476 Lat II BI Date Contractor's License No. 1 `" Work to be performed under this Permit Subdi- vision Sq. Ft. Value of f 11 Amount of Project $ / ` "` II Permit $ 19 — �7 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) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation, 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. , - BY AUTHORITY REQUEST FOR INSPECTION • ". ) Company Job 9 ;/ •/". Address' = c/ Inspection_,_ - PHONE A.M. P.M,/ a��� '; {�,°/'y�- 6 �/ -, � ® � 0 ( f - s�.� ' PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER a / l p l V / lc( (4 g 1 nil /7 is/ P /' o ® p /z - 3/ - y9' / `l0 ./-/- V P /VAS I, ,, ry / f/f. q /1 3/ V9 '' 4 4 .? - .,3-56 . /S // . „ �� /95-D ,. Al- SD '� It i - • A / 9S) /9 a / 1 / a % ,v_-31-7 kl •3/• 5V- /1 it 4-4 -;., / -0 6 -5 ) i J t ) :5 D /'/fib 1 ..„ ®, , ; % . : ' . -. ADDRESS 7O 77 6 76,1 LEGAL 3 4. 6 ,( c2 ( RECORD GARBAGE TAX OWNER'S NAME / .441 '/ PRESENT ADDRESS Aid ,1!E X���r LICENSE NO. PHONE NO. 747-71..3 7 JOB LOCATION (ST. OR AVE.) p jr O // ADDRESS fool 25 BLOCK �y � S j U � BDDIVISION PHONE NO. 7f-710 7 c � LICENSE NO. GENERAL RACTOR (U!///yEz (i.7.Ze- ,.54)®P.) BUILDING PERMIT NO. i3 ,3 �� DATE 4,/� PERMIT FEE $ / 1 1 ....-s)0 BUILDER'S BOND NO.'' DATE P EQUIREM ENTS 2.00 CU. FT ZONE ��/ �i�L PLAN CUBE ?J/ 3' CU. FT. EST. COST $.O7 ® ® ® ® / DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: CZ DATE ' ` NEW CONSTRUCTION TYPE vA • STORIES / ROOF CONSTRUCTION kz INTERIOR CONSTRUCLON /�OQfmc .Rd - / iPz.,9Y4 ,4 e,R.CEAl4 REPAIRS DDESCRIPPTIION /� Or// "Lo A D l!/.o!- 6/ /A:eie �.✓TC/ /. 1 . e//�/V /I.'jW� • 4.e04F /ZeC '' /Yy42 �f q 3:9 , iZ f//P/ .f - ,7 - 7 0 9C #E0 6e9 ALTERATION DESCRIPTION /� ,p P/�Y.SOO/y ML1S /o /L/A dg',icy /SAEO ADDITION SUBMITTED TO PLANNING BOARD APPROVED .19 A C REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL ' REMARKS 77�/ n 41-®®a d CERTIFICATE OF OCCUPANCY NO. S ISSUED �7/` / BY Em5 TO / BUILDING PERMIT AND I CTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY _ FOUNDATION , 7 °4 / y ,( TEMPORARY SERVICE . ®/7 094 7 $ BEAMS & LINTELS .�A r /�� j �� E 5 Ertl /Y/ ��/, Zegis FRAMING 2/��6�1 1/ $ GAS $ $ INSPECTIONS FINAL WV 7 ffd�. BY RE-INSPECT BY ROUGHING CLEAN -UP � Ponar 6 BY 1.05 GAS CONTRACTOR A y!4/,E /.,. C.; PHONE / 4V , d PERMIT NO. 41 DATE �/ AI/ FEE $ f2. NEW BLDG. A I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE . ®/7 094 7 $ SEPTIC TANK 1C.Agi J®0 04047 s /©® SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY ROUGHING 44/417 Zti?1S � Ponar 6 BY 1.05 GAS 3 t'a.7 / SEWER SEPTIC TANK 0/910 y 6 .L06 SOLAR HEATER FIXTURES 44/ / y spicS CONTRACTOR ___ PHONE / / v'gd FEE $ 1O/ PERMIT NO. 403 47 DATE if /4 NEW BLDG. A ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE . ®/7 094 7 S /® �,&ri/-Qf" H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE - B RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE /j /' 7 'SOS ROUGHING 3 t'a.7 H. W. HEATER CONN RANGE C&NN. FIXTURES & FINAL 4 /6/�/ 1; BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE • REQUEST FOR INSPECTION Company" /./ Job Address =- Inspection_._ Time Ready PHONE A.M. c P.M. OWNER'S NAME BUILDING PERMIT NO. JOB LOCATION (ST. OR AVE.) .77 p GENERAL TRACTOR ai//YEZ Kez K3 O 3 DATE ZONE/6� REQUIREMENTS gap/ O00 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCLON NEW CONSTRUCTION �!�/. / n a M E 5 4 g R A " t , ooz- CGA1EHY DESCR I PTI ON 07Nze 12oa4S • N' REPAIRS 1444 h% C/4-411V/7247 42 4e/IeCJy- /1-4 f-0 .11J / -///7/9C# �.Qi'f ALTERATION ADDITION SUBMITTED TO VILLAGE COUNCIL SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD CERTIFICATE OF OCCUPANCY NO. i/ ISSUED BUILDING PERMIT AND I 71' 4(E OT BLOCK ADDRESS PERMIT FEE S / CU. FT. CUBE CHECKED BY: • P/9 Y,&o ,f/ ,/4L1s o /1hY' �f /A PLAN CUBE ..4 .4 / 3 CU. FT. APPROVED REJECTED REFERRED TO COUNCIL BY E TO ,• . U ®a66,:e0 PRESENT ADDRESS DESCRIPTION REMARKS CTION RECORD -MIAMI SHORES VILLAGE LICENSE NO. SUBDIVISION PHONE NO. NO BUILDER'S BOND DATE EST. COST S /4,0 DATE REASONS PHONE NO. 71-7/.37 LICENSE NO. INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION ,y# 7 ,` 7 TEMPORARY SERVICE S® /,9 007 S BEAMS LINTELS & �/7 ,C 4'' E'5 4'E �13 "V7 /' zwis $ MOTORS FRAMING 'As 7 ,/ FIXTURES S GAS $ $ S INSPECTIONS $ INSPECTIONS FINAL e� .'y e .s BY RE- INSPECT BY ROUGHING CLEAN -UP AA Pv ,(!✓°s- ROUGHING ' V��9 GAS CONTRACTOR y1(7d/2 ✓ Cs PHONE ' .427 PERMIT NO. J 1 DATE I��e /' FEE $ f-7.5- NEW BLDG. s 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE S® /,9 007 S SEPTIC TANK "kW � - cri - 0 7 $ is-)® SEWER $ MOTORS $ SOLAR HEATER $ FIXTURES S GAS $ $ S INSPECTIONS $ INSPECTIONS DATE BY RE-INSPECT BY RE- INSPECT BY ROUGHING 4/ 4'7 f�✓s Pv ,(!✓°s- ROUGHING ' V��9 GAS H. W. HEATER CONN !!! SEWER RANGE CNN. SEPTIC TANK We`eJ ‘/Ys SOLAR HEATER FIXTURES & FINAL `%1�Vg#49 FIXTURES �( Al,�(t� r�e7' ct CONTRACTOR r-� "�/1 /}!E c PHONE PERMIT NO. ..7 Z 3 DATE /9/40 FEE S /O NEW BLDG. 9s 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE S® /,9 007 $ / ° ,4170/0- $ H. W. HEATER CONN. RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE , B'Y/ RE- INSPECT BY RE- INSPECT BY SERVICE // �S TEMP. / LWS ROUGHING ' V��9 RA H. W. HEATER CONN !!! RANGE CNN. FIXTURES & FINAL `%1�Vg#49 Sri BUILDING INSPECTIONS P LUMBING PERMITS & INSPECTION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE taM BY ! I� , � /c --- ��_/�- V ��'� a, _ �., PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER • II . _ _ u �! /„ , O ® /- ' r /2 i — / ?- VP- r'9er /,, „ /1 v 01 - V9 '' , -- 4 /1 —`� c23 /957) a - .1i -Sa , " .� - � 3 -� /�so 'o It 1, I) ` /9_.i iv.-d/-C/ .5P- , 1 i 4 -6 -°, . 'S& � , y < ADDRESS 7 77 6 9„ LEGAL 3Iiz s- RECORD GARBAGE TAX