139 NE 96 St (2)INSPECTIO
DATE
0
s
w,
I RE- INSPECT
BY
RE, INSPECT
BY
FOUNDATION
FEE
TEMPORARY SERVICE
FEE
TEMPORARY SERVICE
$
BEAMS & LINTELS
$
l
$
SEWER
$
RANGE CONN.
FRAMING
SOLAR HEATER
!
MOTORS
5
GAS
$
FIXTURES
0
5
$
INSPECTIONS
FINAL
'..
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
TEMP. SERVICE
- •`
- ,I#--
GAS
CONTRACTOR
PHONE
PERMIT NO. / i 1 DATE " -
FEE $ f
REPAIRS
NEW BLDG. ALTERATION ADDITION
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
H. W. HEATER CONN.
$
SEWER
$
RANGE CONN.
$
SOLAR HEATER
_
MOTORS
5
GAS
$
FIXTURES
0
5
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
�.
TEMP. SERVICE
- •`
- ,I#--
GAS
L
H. W. HEATER CONN.
SEWER
-
RANGE CONN.
SEPTIC TANK
/,/ m ,) - ''
' ..'.-'
SOLAR HEATER
Ai,
FIXTURES & FINAL
. - 1
FIXTURES
M � � l
L' 1
h I�
CONTRACTOR
PHONE
PERMIT NO. I DATE
FEE $
NEW BLDG.
I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
D 7-g % 6
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
5
3
INSPECTIONS
DATE
BY
111------
RE-INSPECT
I BY
RE- INSPECT
BY
TEMP. SERVICE
- •`
- ,I#--
ROUGHING
L
H. W. HEATER CONN.
RANGE CONN.
FIXTURES & FINAL
. - 1
-
y /f d. c -
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL P ERMI d S 6a INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
I3^
T7 OWNER'S NAME
Paul, ,.z....
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
- � - JOB LOCATION (ST. OR AVE.)
139 N.':. 96th 3t.
LOT
i+;' 20- 21
BLOCK
19
SUBDIVISION
GENERAL CONTRACTOR
T.eopto Cont. Co.
ADDRESS
PHONE NO.
LICENSE NO.
q
BUILDING PERMIT NO. 12061,..
�
DATE 9- 0[7_j1
18.00
PERMIT FEES
/ BUILDER'S BOND
1 X 9 -18 -51
DATE
ZONE R EQUIREMENTS 20.000 CU. FT.
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED
PLAN CUBE - � /C . FT. �
-.
BY:
ES COST '$ 1
',, 004
DATE
X
NEW CONSTRUCTION'S
-FYf,F+
l� e�
STORJES
1
ROOF G�.j STRUCTION
1 e
INTERIOR CONSTRUCTION
oak floors, plaster walls and
1 �ya�
REPAIRS
t, DESCRIPTION
2 bdrr. -2 bpfh -? iv'nn ®_ ..w r .... . � ... • • • a
ALTERATION
�
D CRIPTION ' - � s
conditional-subject to final working drawinc to be anprovea by i 1aDni nE
B ger 11 TAD' I }1LTE'jT�;ri
1912
ADDITION
.'do
SUBMITTED TO PLANNING BOARD
Af�'�OV C(3;2
E 3
R'EL
FE�2R C7 COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
RUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.L -
ISSUED
BY
TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
PAID BY
YEAR
ANNUAL TAX PERIOD
USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
ADO ':s5
LEGAL. Z.:20-21 b) 19
is
REr
RD EAR
AEE TAX
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 Address 7274.‘' l
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date Se-4/2Y— 7 , 19
No. Street
Registered Architect and /or Engineer Le i i - vet-- y
Name and address of licensed contractor 77--s, z 3 S. 1 Co
Location and legal description of lot to be built on: �,,
Lot_ `�-ti; �� Zip 1__ Block 1___ _- ______ Subdivision 2C! !� '
✓ F
State work to be done and purpose of building (by, floors)
Zone cubage required
Distance to next nearest building
STATE OF FLORIDA,
COUNTY OF DADE. j ss •
L4 Ld �
„ — — - -flan Cubage - — -
-
Street and Number where work is to be done
_Size of Building Lot 7S X
wd
and for no other purpose.
New Building F Remodeling Addition Repairs No. of Stories
To be constructed of C f- • • Kind of foundation 6 _ Roof Covering - s1 ..e.g„ --
Estimated Total cost of improvements $____,' - ' 6 s Amount of Permit $
Maximum live load to be borne by each floor _
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may
be sent to G tr a / s- A - 77-e de, i G S ��, �� cd Ov! r d! F A 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 o the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcoptractors, on work be performed under this
permit, as are licensed by Miami Shores Village.
Remarks-_------____ ___ __ -- — __ —_—_ —_ (Signed)
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.
i
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved _ -_ Date
( Signed) — (
Building Inspector
Notary Public, State of Florida
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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Date
Type Insp'n
Permit No.
Name
Address
Compan
Phone #
For Inspector;
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
7 rJ •
P1/