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1000 NE 96 St (3)1 MIAMI SHORESNILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT I 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. 1 + Date — — - - No Street__ , _� Registered Architect and/or Engineer i 1 / . 2_ ,f.r, n y/ Name and address of licensed contractor — L Location and legal description, of lot to be built on: ,g Lot _._i _2 Block Subdivision Street and Number where work is to be done - - — ------------- ----- - - - - -- State work to be done and purpose of building (by floors) _ New Building Remodeling Addition Repairs No. of Stories To be constructed of_ _ ____. T __ -_,.. Kind of iound n__� - - _�___.___ Roof Covering Estimated Total cost of improvements $ / Amount of Permit $ Zone cubage required _flan Cubage a .` E2_1J _ ' Distance to next nearest buildirig T . , i ; �� _ __Size of Building Lot Maximum live load to be borne :by floor _ 4' r ' / -, I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may and for no other purpose. PLANNING BOARD DATE 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. ss. 3 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. /J - iN / /in n Permit No 4._ .,. - Date__ f,_ - Read, Sworn to and Subscribed before me. ti Disapproved 1! . Date \\ = �� � -- - 4 i Notary Public, State of Florida (Signed) ' - - -, = - - - - -- Building Inspector � i My Commission Expires 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- inspegk' n is made necessary by improper notice for inspection or faulty materials and /or workmanship. f PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 1 tie in, 0 N1 b'L.(. /� % S ( / o� , 0 f( / , .`��.r; / /c2 -3 ,��� . &I) lv' /- '-,V- -cl I 1 f / q s -). ADDRESS L �/ J 9 LEGAL �p lif)'JJ � / S �� I(�. f1J S EC • RD GAR AGE TAX. OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONI NO. JOB LOCATION (ST. OR AVE.) _ 1000 N.E. 96th Street LOT 16 & 73.40 BLOCK b.5,. 81 SUBDIVISION GENERAL CONTRACTOR qq�� Dean ►ssn Dean ADDRESS PHONE NO. LICENSE NO. yQ BUILDING PERMIT NO. 11879 Q Cy 'DATE 8 ° 9 ° J 1 PERMIT FEE $ 40° e �� "" N/` • BOND G NO. DATE ZONE REQUIREMENTS 2 5, 0 0 0 CU. FT. PLAN CUBE 2 999 1 5 CU. FT. EST. COST $ 179000 DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE j� i aa9• 51 $ NEW CONSTRUCTION TYPE g, o.b•s• STORIES 1 _, ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION how. f s, plaster eeiling eri REPAIRS lie p, 2 bedroom, 1i® roan , screen porch, dine roam 2 ldtora. gv as with ALTERATION laundry and servants toilet and VGVd% 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. /0 }{ (, / I ISSUED 7 O�D BY i� l'..1.l'..1..0(0 TO 40,.. Li,. °- N- --` BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 3 7 Pil SERVICE $ BEAMS & LINTELS S (/ SEWER FRAM ING SOLAR HEATER $ GAS $ 5 INSPECTIONS FINAL /2-6 -s� X;. -. -SJ !% BY RE- INSPECT BY ROUGHING CLEAN -UP CONTRACTOR .- ` C'". - PHONE PERMIT NO. � I DATE ,f FEE S NEW BLDG. I ALTERATION ADDITION REPAIRS i` SPECIAL PERMITS PERMIT NO. DATE FEE SERVICE $ )SEPT }SEPTIC TANK S (/ SEWER $ SOLAR HEATER $ GAS $ 5 INSPECTIONS DATE B . Y f RE- INSPECT BY RE- INSPECT BY ROUGHING S . ..1_1--,:i Ala . GAS . j SEWER SEPTIC TANK SOLAR HEATER t FIXTURES a -6-5/ d/ry 1 CON;iRACTOR PHONE "T PERMIT NO. 1 r ' -` DATE " m FEE S NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS $ FIXTURES $ 5 INSPECTIONS D TE , __ :g RE INSPECT BY RE- INSPECT BY TEMt;. SERVICE S 1/ f at- ROUGHING . j H. W. HEATER CONN RANGE CONN. -r, FIXTURES & FINAL /2- (1S/ Oil BUILDING INSPECTIONS /° " " 0h' / / PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS Ai.PROVAL TO POWER CO. FOR SERVICE DATE ! �" BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT ‘N? 11879 n ❑ Work to be performed under this Permit • ,,4 P 46 Lot to i +r fie Nano CONTRACTOR OR BUILDER Subdi- vision DATE Contractor's License No a Value of ! Project $ • Amt. of Permit This permit is granted to the contractor or builder namedelkove to conetRict the building or to the equipment or device described in the appltion herefor in strict compliance with all ordinances pertaining thereto and with, the ubderstanding that 'the work will be performed in compliance with aliy Frviss, drawings, statements or specifications that may have been submitted to nd ipproveli 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 th plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named abov iassdines the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dtawidgs or in the statemesits or specificationsonc4 that he assumes responsibility for work done by his agents, servants or employees. 4.1w. i .... ... -4 4i. pertaining thereto and ir. stnct conformity with the plans, tVal In consideration of the issuance to me of this pe 't I agree tatements or specifications submitte to the prop authorities of Miami Shores Village. perform the work covered hereun in compli ce with all ordinances and regulations In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY N9 1488 Street Address 1 ®® Im Approved use by occupancy CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla., 7- / 60" 5 Owner, Agent or Tenant of Building Lot `� Li 0 loc Q Subdivision I Remarks: This Certificate: of Occupancy is issued to the above named 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 buijdin or s uctures. g b Q. w BUIL I ING DIVISION I!T9 1488 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , ■ Owner, Agent or Tenant of Building Lot ` ` = Blocl Subdivision Street Address Approved use by occupancy Remarks. This Certificate of Occupancy is issued to the above named 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 ss the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION BUILDING 0 DATE 195 ELECTRICAL 1 PERMIT 'N° 12177 Contractor's PLUMBING n License No Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit ROOFING Owner of Building CONTRACTOR OR BUILDER BL Subdi- vision Value of Project $ Amt. 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 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 or in the statements or specifications and that he assumes responsibility 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. BY AUTHORITY