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179 NE 94 St (4)MIAMI SHORES VILLAGEttt BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Type insp'n 1 �C Permit No. NCO ° !D Name ro = d Jc'' ''e S - Address I c �� � d 4 l � f Company I r ) r� I v r Y?� . Phone is Approved Correction Re- lnsp'n Fee C 305 )7.5e3 — 7545 . Inspection Date �~� Inspection Dale 7 Approved A5) Correction Re- Insp'n Fcc • MIAMI SHO ES VILLAGE BUILDING DEPARTMENT 365 -795 -2204 Building Inspection Request Date Type Insp'n" d ncm) p Permit No MCA ° 106 . Name t ro Joralc �5 Address 17 9 4 �r Company R2 1M A9 f7 - Phone # ( - ' 5 - 7545 c, o.,.L7V MOAMO REG VI1LLAGE BUILDING INSPECTION DEPAiFaTMENT A PLDCATO NF Q E:LiOILDDDNIG PERMDT 0 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 he complied with, whether herein specified or not. A copy of approved plans and specifications must be kept a' building during progress of the work. f7 l �� , 19 _ Date � Owner's Name and Address /r/ n/ � - 4' 7 i" l ' , { � 74, No..Q 1 d- �y _._ _ ��Street...___�. Registered Architect and /or Engineer _ ,// Name and address of licensed contractor .EA/ /L,f. ' -4- ` X .) A at --7 rol E 4 fit/ /a/ . Location and legal description of lot to be built on: -.-2/./ 1 a Lot t .�- -: J- - Block. - -- .. -.( . ......... . .. Subdivision // ,` ' V I Street and Number where work is to be done t_. f /7' C a- State work to be done and purpose of building (by floors) E"RA � jr d A-11- p z; Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. ss. � 4 At Disapproved (Signed) uilding nspcctor My Commission Expires _CA) /ms` .Y3 `rig .5' f - Notary Public, State of Florida and for no other purpose. New Building_- ___..__.. __ .. _ ._. Remodeling Addition . -. Repairs...... _ .. _... No. of Stories ... To be constructed of ._ Kind of foundation...._ - _ Roof Co Bring . _.. � Estimated Total cost of improvements $_ ..�� r o ® i p A mount of Permit $ Zone cubage required Plan Cubage Size of Building Lot Maximum live load to be borne by each floor I hereby submi 11 the plans and specific ions for said building. All notices with re£ryrence to the building and its construction may be sent to - -• i/IP .. 0 C/ v C= /s — a ni 3 7 7 S i, 4 "v. ,' . The undersigned applicant for this building permit does hereby certify that he understands and accepts 'ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori. nt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contra ors or su. . n toyed by him in the work to be performed under this permit; and will post or cause to be posted for ins ctian the s' of such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such s. trait rs,r : .• i under this permit, as are licensed by Miami Shores Village. Remarks s ob 1 ern), trac �r . e wo • 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 Permit Ni 1 ✓ 3 Date Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chairman ._. Member Afemb� Member Member Member Counil proved Date Disapproved PP - Date OT . A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the PI nni ,. Board. mater a d /or workmanship. rr a spection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot (- Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N? 7034 Work to be performed under this Permit Bl. Subdi- vision Value of Project 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 appli- cation 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: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work cove hereunder it compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificat mitte to the proper authorit�of Miami Slams Villi* . In accepting this permit I assume responsibility for all work done by either myself, my agent,i,sery ck en�pltt ; , ( r _ , f ir (. ra CONTRACTOR OR BUILDER BY Contractor's License No. Amt. of Permit it Y P1 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT PVT° 0 Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER i License nse l q '` Work to be performed under this Permit Subdi- vision x____195 ' Address of Value of I Permit $ Amount of Building Project $ .'f ; / 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. � Signed' . , / �. }'` INSPECTOR a tBY i7 ` 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- -epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY urn "y. BUILDING =LECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 4375 Work to be performed under this Permit Owner of Building DATE 194__ Contractor's License No. Architect Contractor or Builder Legal Lot Bl. Subdi Description vision Address of Value of Amt. of Building _ Proje j 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to a id 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: 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. CONTRACTOR OR BUILDER BY AUTHORITY Permit No. Disapprove (Signed) 0A S S Vii€ = ES VILLA f and who, being by me 4uly sworn, upon oath depo of the above described . i sjruction, t . t he has careful therein by lgm stated Building Inspector New Building Remodeling___ 'Addition To be constructed of Kind of foundation ® r Estimated Total cost of improvements $__ ® Q Zone cubage required Late_ Amount of Permit $_ Plan Cubage ° `BUILDING INSPECTION DEPARTMENT APPLI ATI N FOR _,IUILDIN$ PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address p(L, i e f/ NoL 7 street— _. Registered Architect and /or Engineer 7 1 e, K-..173; �2 Name and address of licensed contractor Location and legal description of lot to be built on: Block____—___—_______. Subdivision Street and Number where work is to be done____4_2_4___LU_1=:___9 -- State work to be done and purpose of building (by floors) L 0 � off n � c end for no other purpose. Repairs No. of Stories 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) ✓. STATE OF FLORIDA, COUNTY OF DADE. Before me, the under Igned authority, a notary public, duly authorized to administe oaths and take acknowledgments, personally appeared that he is t foreg•g plication, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires.. PLANNING BOARD DATE Chairman Member _ Member Member Member _,___ Member Council Approved - - --- _ - -- -- - -- _ - -- _ - - - - -- -.Date Disapproved • � overing IV _0 to me well known, - -mate 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. INSPECTIONS DATE BY BY RE- INSPECT BY RE- INSPECT BY SPECIAL PERMITS �� FOUNDATION //// , &i.s FEE TEMPORARY SERVICE $ BEAMS & LINTELS 3//9/4/7 tt $ $ SEWER FRAMING $ SOLAR HEATER $ $ GAS $ $ $ INSPECTIONS FINAL DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP / Iy Vfr "Y F4 S ROUGHING CONTRACTOR jg1fe0®Sh O Vsg®. / 6,15fg , PHONE J /9 FEE S �®.d P' PERMIT NO. 474 d DATE � / 4ee7 NEW BLDG. SL ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ 5 SEPTIC TANK $ $ SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING / Iy Vfr "Y F4 S ROUGHING GAS £+ //,,/e,,, ,:: H. W. HEATER CONN_ SEWER „P�ANGE CONN. SEPTIC TAN K .521P. A / - 0 FOS SOLAR HEATER FIXTURES & FINAL FIXTURES CONTRACTOR 44 CT PHONE --53 0 0 P PERMIT NO. £ 3K 4/7 DATE 49 A / , - FEE $12 ...: NEW BLDG. P' 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 7 /! `� � ROUGHING t /�2 £+ //,,/e,,, ,:: H. W. HEATER CONN_ „P�ANGE CONN. FIXTURES & FINAL �/ �� ��77 &i7i BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE / BY 4Id X OW ER'S NAME .CA E Eivz/si JOB LOCATION (ST. OR AVE.) /7 GENERAL CONTRACTOR 04Z /I& 4 EUILDING PERMIT NO el ?CS /CS ZONE ^ PEQUIREMENTS NEW CONSTRUCTION REPAIRS ALTERATION ADDITION SUBMITTED TO PLANNING BOARD RE SUBMITTED TO PLANNING BOARD �.' BMITTED TO VILLAGE COLLMCIL CERTIFICATE OF OCCUPANCY NO. LOT PRESENT ADDRESS ADDRESS BLOCK 740// AJC.i 1?/) E 4 siD, LICENSE NO. /I S .S�cr. / DATE 3 7.O 41°4 PERMIT FEE $ O0f� CU. FT. PLAN CUBE 2z, 145 CU. FT. DRAWINGS. SPECIFICATIONS. R ESTRICTIONS AND CUBE CHECKED BY: 4r L4 TYPE STORIES ROOF CONSTRUCTION APPROVED REJECTED REFERRED TO COUNCIL REMARKS ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE SUBDIVISION PHONE NO. LICENSE NO. 7—/231 /.SAD tt , l �,BUILDER'S BOND/ O..`� DATE EST. COST $ 6700 DATE INTEPS.LOR CO STRUC 1 N `,4 j / CEA/ 44 E2 ,? t4 4 J g j4.XT .vE ftacW fN . T,eousnber DESCR IPTION .44,.. •.. AY. ZAP ,E'ire Efttoiez aeoe- .? 8�- o,P.0- 7dveys- 40.494'i -,y E- DESCRIPTION 4 - bIR.96E / �E.9)Ee i;e2Aes REASONS , 'Dprr 77- 6 -0/22e i PHONE) 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 Adc(ress Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot____ 411 -"_A ` Block X Subdivision_ Street and Number where work is to be done (• p' State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a pared -------------------- --------- ------ --- ---- - - - - -- PLANNING BOARD Date yt �+' , 19 �i No. l- Street__ / and for no other purpose. New Building t/ Remodeling Addition Repairs No. of St i To be constructed of e - f4. Kind of foundation Roof Covering .l '` 'am , Estimated Total cost of improvements $ / � F 4 Amount of Permit $ Zone cubage required________________ - ___ n_t f5 __fl____O_— _____________Plan Cubage �^ 'rao� Distance to next nearest building ° -__- ______ of Building Lot / D 1{ 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 performed under this permit, as are licensed by Miami Shores Village. ^ Remarks (Signed]; ry public, dul a f orizedd • administer oaths and take acknowledgments, personally al)- 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 (' �7 Date 4- Disapproved Date (Signed) L'' 4 i • Building Inspectoir to and Subscrib _% t My ! m tary Public, ission Expire DATE to me well known, 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. ' - r • • 1 44 BUILDING ELECTRICAL ' PLUMAiNG Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot PERMIT N° 4375 Work to be erformed under this Permi 2 a%- 2 c d CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. • 0 This permit is 'ranted to the contractor or wilder named above to construct the building or to install the equipment or device described in the appli- cation 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. 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 accept{ng this permit , 17 assume responsibility for a work done by either myself, my agent, servant or employee. Subdi- vision Value of Project 1 DATE C { o ASPECT Contractor's License No. a G • Amt. of Permit /1( By BY AUTHORITY INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION - / / - e , ,, , ."-J /2/J . FEE TEMPORARY SERVICE $ BEAMS & LINTELS $ H. W. HEATER CONN. S SEWER $ RANGE CONN. ` FRAMING , SOLAR HEATER $ MOTORS $ GAS $ FIXTURES S $ INSPECTIONS FINAL BY RE- INSPECT BY RE- INSPECT BY ROUGHING CLEAN -UP _ � , GAS CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. .1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE FEE TEMPORARY SERVICE $ SEPTIC TANK $ H. W. HEATER CONN. S SEWER $ RANGE CONN. 5 SOLAR HEATER $ MOTORS $ GAS $ FIXTURES S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING BY TEMP. SERVICE GAS ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK RANGE CONN. SOLAR HEATER FIXTURES FIXTURES & FINAL CONTRACTOR PHONE PERMIT NO. I DATE FEE S NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 2=7 7r,.I) Ulf `✓ GC I N - T - 22 LD NG SPECION PLUMBING PERMITS &INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY E I,ILDI NG PERMIT NO OWNER'S NAME JOP. LOCATION (ST. OR AVE.) • - • GENERAL CONTRACTOR ZONE REQUIREMENTS DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY, NEW CONSTRUCTION REPAIRS _ ALTERATION ADDITION S LE3MITTED TO PLANNING BOARD RE - SUBMITTED TO PLANNING BOARD S TO VILLAGE COUNCIL DATE • r • i aoorn. 1 on APPROVED CU. FT. REJECTED LOT PLAN CUBE PRESENT ADDRESS ADDRESS PERMIT FEE S BLOCK TYPE STORIES ROOF CONSTRUCTION DESCR IPTION DESCRIPTION REFERRED TO COUNCIL REMARKS LICENSE NO. PHONE NO. �., Ls). r lj ®, RTIFICATE OF OCCUPANCY NO. � ". I SSUED BY TO ,�.. BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES ILLA GE SUBDIVISION BUILDER'S BOND CU. FT. EST. COST $ - REASONS DATE INTERIOR CONSTRUCTION PHONE NO. LICENSE NO. DATE ADDRESS 79 ?q.4 LEGAL Ss R CEO !ir SAR ASE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID NECEIER NUM BET / / 7 " / . -. �/y /6C a� //�/� /2/4//‘ '. 0-0 /2. 1/ �, ( //A. // et - - ' " :g.' , I/ / 4,i s J y 4 - ii /9/ / /95 . ° Ii / I II/ /f1 - � f A,_.$ /_S I/ II e � /_ Vv L / ,C'a / II' Ii „ , /1, /, , <� P.- % /` • c?/-6 /P- ° - / -/D---V Aril ,.r , / 1 . - ADDRESS 79 ?q.4 LEGAL Ss R CEO !ir SAR ASE TAX BUILDING ELECTRICAL PLUMBING Owner of Building Architec Contractor or Builder Legal 7 Description MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7 634 Work to be p rfo med unde " his Permit 4 0 CONTRACTOR OR BUIL»Ea Bl. Subdi- vision DATE Contractor's License No. H Address of i ( ) _, % < % a Value of i, ii �/" _� Amt. of This pernit is anted to the or builder named above to construct the huilding or to install the equipment or device described in the appli- cation herefor in stri 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 arty 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 Ahe respenObility for a thorough lcnowled e the ordinances and regulations pertaining to the work covered hereby whether shown on the plans ottdrawi gs or ireistatements or th4t he assumes respon- sibility for work done by his agents, servants or employees. 3 .7, . j 3-- ,-/ /,-',,/ / Signed. ,- i' ' J ' ti /' _ e INSPECTOR , ,. i'Y t In consideration of the issuance to me of this permit I agree to perforny(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 194_ G Plat Restriction Checked by To Planning Board Plans & Spec. Checked by New Construction Plumbing Permit No. Septic Tank Sewer Mis c' l T& New Const. 'Electrical Permit No. Fixtures Heater Motors Misc tl New Construction Building Inspection Foundation Beams & Lintels Final Final Clean -Up Alteration Alteration L �. Lot Block Subdivision NoT Street Owner's Namo ic.No. Add. or Phone Contractor Lic.No. Add. or Phone Zone Req. Cu.Ft . �� � 'Ji r, Cu. Cont • °, f Approved l% Rejected Re- Submitted to P.B. Approved Rejected To Council Approved Rejected Bldg. Permit No. / Date Fee OK Cost Type e Stories / Roof Alterations Date Fee 11 PI 11 11 II 11 Repairs Date Fee 11 It II Dato By Re-insp By Re -Insp By P?um1nb g Inspection Date By Re -insp Roughing �Jx 7fy7 ems , 9iJ 1 Fixtures Sewer Septic Tank Solar Heater Final Certificate It 11 It Repairs By Electrical Inspection Date By ReZiEsp By Re -Insp By R cugning Fixtures Final Temp, O.K _3ervice O.K. to Power C . f CertmOccup.Issued 77--o‘C-0/s Re -Insp By N? 4503 V& 9e of Miami Shores ADDRESS ' ? 5 '') ) ' S'" \ INSPECTION +' C- / N i' i / v "_ TIME READY REMARKS INSPECTOR DATE ' 3 Niltage of Miami Sh, es JOB ADDRESS INSPECTION TIME READY REMARKS N° 1397 INSPECTOR DATE Cam �� Owner's Name and Address. ,47TY rd Name and address of licensed contractor Location and legal description of lot to be built on: - �,; - "/ , �� . _ I MIAMI SHORES VILLAG 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. Registered Architect and /or Engineer / /r 1/, .d4 0 Date /Y/4 , K 6 , 19 'S e No /29 Street. it)/ ,f�_.1/ ,S'L Vds /Q Pees /J R/ Arm L! 7 Lot.. c? + Block > Subdivision ._._. /l 1 B e1L' 6 S A?e 1 Street and Number where work is to be done / 7 ? �.ef� 9 .S T State work to be done and purpose of building (by floors) /C-44 6 ee /P 14 A.O P / 7 7r 2 and for no other purpose. New Building Remodeling. Addition 4 i Repairs No. of Stories S To be constructed of_._>$ .,1 Kind of foundation e 49 r i _ Roof Covering ..._ -A 2 •s +- if ei v. .. Estimated Total cost of improvements $ :..s e Amount of Permit $ Zone cubage required _Plan Cubage_. 2 . 4 k __1 Distance to next nearest building ./z2. ' Size of Building Lot Ld e 4 i a-' Maximum live Load to be borne by each floor I hereby submi all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ..x..1 •7 /.? 9/ .4/�// 7 r zr .. e ' '' 41 e 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such contractors, on work to be performed un 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. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Vilktge of Miami Shores JOB To of - / AI MVP ,51 ADDRESS INSPECTION r s oL ' % r o TIME READY 1/ -- REMARKS �-� (`) • g N° 4248 INSPECTOR DATE ArT