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
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ADDRESS L �/ J 9
LEGAL �p lif)'JJ � / S �� I(�. f1J S
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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