810 NE 95 St (12)OWNER'S NAME
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PRESENT ADDRESS
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LICENSE NO.
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PHONE NO.
JOB LOCATION (ST. OR�AVE')
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SUBDIVISION
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GENERAL CONTRACTOR
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ADDRESS a_ c.
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PHONE NO.
LICENSE NO.
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BUILDING PERMIT NO. ��
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DATE " (' ��- " /
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PERMIT FEE $ O a ,
BUILDER'S BOND c,-p
NO. Z DATE ((� ( e
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 3 6. q I. " d CU. FT.
EST. COST E 4 = 7 :" t ��
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DRAW NGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: Le-- - 62 • -1 ."- -- / - }[)r- ®
DATE
1 (I 2. 7
NEW CONSTRUCTION
TYPE
X13
STORIES
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ROOF CONSTRUCTION
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INTERIOR CONSTRUCTION
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REPAIRS
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DESCRIPTION /'
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DESCRIPTION /
ALTERATION
ADDITION e-.4.),.9::.> L C4--s c f ld•... . - `
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUITCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
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CERTIFICATE OF OCCUPANCY NO. .1.4. ` 1 I ISSUE /
BY �
TO �� (5,,y �` 7
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
SEPTIC TANK
ROOF
$
SEWER
BEAMS & LINTELS
$
SOLAR HEATER
POOL
5
GAS
FRAMING
$
RANGE CONN.
AIR COND.
e
$
FINAL
RANGE CONN
CLEAN UP
FIXTURES
SEPTIC TANK
SLAB
$
It
SLAB
FIXTURES & FINAL
- I
SPECIALS PERMITS
PERMIT NO. DATE
FEE
TEMPORARY SERVICE
I
5
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
TUB & TOP OUT
5
GAS
I
$
RANGE CONN.
e
INSPECTIONS
DATE BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
ROUGHING
TUB & TOP OUT
H. W. HEATER CONN.
5
RANGE CONN.
SEWER
$
MOTORS
RANGE CONN
5
FIXTURES
SEPTIC TANK
$
It
SOLAR HEATER
FIXTURES & FINAL
- I
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
ROUGHING
$
H. W. HEATER CONN.
5
RANGE CONN.
$
MOTORS
RANGE CONN
5
FIXTURES
$
It
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN
FIXTURES & FINAL
- I
--
CONTRACTOR
PERMIT NO.
NEW BLDG.
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
DATE
1 ALTERATION 1 ADDITION
PHONE
FEE $
REPAIRS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY