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660 NE 96 St (9)BUILDING CJ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building PERMIT N° 15154 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II M. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATF 'Contiuctq's Amt. of Permit $ l 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 BUILDING ELECTRICAL PLUMBING ROOFING O1,7mer of Building---__- Architect _ Contractor or Builder_ __ ❑ PERMIT N° 14899 [1 Work to be pealormed under this Posrzit ?,egal Lot II BI. 1);acription Address of Building CONTRACTOR OR BUILDER MBAM9 SHURE'S VH -LAGE, FL: RIDA Subdi- vision Value of Project $ DATE_ 195 Contractor's License No 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 t nie 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 ;;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of tie 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 MIAMI SHORES VILLAGE PERMIT No. Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus () g pparatus installed at • by Address for °` owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H. P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. 4;7,141,(7t 0 PPLICATION FO 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 no A copy of approved plans and specifications must be kept at building during progress gj' the work. Owner's Name and Address.... ' a MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date /CZ_ ,19 .5—e No Street Registered Architect and /or Engi er Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block o Street and Number where work is to be done Su visi State work to be done . nd purpose of building -( floor ... ' '' ' and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind q,Aoundation -- Roof Covering Estimated Total cost of improvements $. /000 ,,---- Amount of Permit $ Zone cubage required _Plan Cubage 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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 t• site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub + s, l,- work to be p:rforme• nder this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, p COUNTY OF DADE. J 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 (Signed) Notary Public, State of Florida 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA ❑ DATF 195 ❑ PERMIT N® 2467 Contractor's License No. o Work to be performed under this Perini CONTRACTOR OR BUILDER B1 Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY e=�.r BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 14814 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bl. Description. Address of Building CONTRACTOR OR BUILDER Subdi- vision Value of Project $ DATE 195 Contractor's License No. 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 OWNER'S NAME r p,,iuF30b'r TAe 6.,e .. C. // PRESENT ADDRESS 4hQ N . C, . 1 G0 %4 • LICENSE NO. PHONE NO, JOB LOCATION (ST O AVE.) �� CDC) 0.3 . 9 C ' e -..i . . LOT 1 6 e W.a.T 0E-7 BLOCK .. Lz. SUBDIVISION PA I. a isar°e s S 2 GENERAL CONTRACTOR De L D o 77 J „a a .gs ADDRESS I I ll� ......._, . S'f• PHONE NO. LICENSE NO. ��2't BUILDING PERMIT NO. 4.7-0, 3, 7� DATE so— - �7� PERMIT FEE $ # ®® BUILDER'S BOND � NO. abS DATE 10 -3? -C ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST $ DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: e.. V•.. G....k Kb�c____ DATL NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS ALTERATION DESCRIPTION C �' /!� �{(`�} oa IRq. (� �3 y, z L/-2r �+ , \ [L4 C1 & �1 .+ DESCRIPTION 1 4� CA, ua j rc , r in ris , ADDITION SUBMITTED TO PLANNING BOARD APPROVED Akin j "IV h I REJECTED ,... . 7/ L REFERRED TO COUNCIL , 1cs, p",n 4 0,4 Il �r I REASONS y - qt 4E,pn„ ; ¢ A 2 a n G ln:,, RE- SUBMITTED TO PLANNING BOARD 4 446/r, 1 -71.25:--,70 6 .. , @� ipr fir■ SUBMITTED TO VILLAGE. COUNCIL A j.. - a REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO ( - 3 BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE �Y FOUNDATION S SEPTIC TANK ROOF • S BEAMS & LINTELS TUB & TOP OUT POOL SOLAR HEATER FRAMING S GAS AIR COND. S FINAL CLEAN UP SEPTIC TANK SLAB FIXTURES & FINAL SOLAR HEATER SLAB SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY S SEPTIC TANK ROUGHING S SEWER TUB & TOP OUT S SOLAR HEATER S GAS SEWER S t INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGH ING H. W. HEATER CONN. ROUGHING S RANGE CONN. TUB & TOP OUT S MOTORS S FIXTURES SEWER S S SEPTIC TANK FIXTURES & FINAL SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TFMP SERVICE S H. W. HEATER CONN. ROUGHING S RANGE CONN. S MOTORS S FIXTURES RANGE CONN. S S INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECTI BY TFMP SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS ketee /lee ..} CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS PHONE FEE S REPAIRS DATE I ALTERATION I ADDITION ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR 1.14 G 3 T l E�7/4..,1 Q__ PHONE TIC1 PERMIT NO. ? cI 3 1 DATE / 4-1 -4.1/ FEE S C NE i ALTERATION I ADDITI REPAIRS W BLDG. APPROVAL TO POWER CO. FOR SERVICE DATE BY MIAMI SHORES VD 0 BUILDING INSPECTION DEPARTMENT A PLOCATD fN F U LLDOND PLERMDT 0 LAGE 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 Registered Architect and /or Engineer Name and address of licensed contractor "vL Location and legal description of lot to be built on: Disapproved ( Signed) Chairman Member Member . Council Approved Da Buirc�ing Inspect Date Lot Block. Su divisionN Street and Number where work is to be done State work to be done and purpose of building (by floors) '?J- and for no other purpose. New Building Remodeling Addition _...._... Repairs No. of Stories . To be constructed of . _. Kind of foundation Roof Covering.__.__ 0 - 5 - ) Estimated Total cost of improvements $ C 0 Amount of Permit $ Zone cubage required .Plan Cubage 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 bcontractors, o work to be performed u er this permit, as are licensed by Miami Shores Village. y Remarks ( Signed )1 L . . 1 STATE OF FLORIDA, COUNTY OF DADE. ss. Before nie, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 3 Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires . NNING BOARD DATE Member Member Member ._ Disapproved 7 _- , 19 No. O Street to me well known, 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 imprr; u for inspection or faulty materials and /or workmanship. .Date y Zone Req.Cu.Ft. Type c Ae -.P New Construction Plumbing Permit No. Septic Tank Sewer Phi s c ►1 New Cons t . 'Electrical Perm Fixtures Heater Motors Misc'l New Construction Plumbing Inspection Roughing Fixtures Sower Septic Tank Solar Heater Final Certificate ner_ s dmo Lic.Noo Add. or Phone Lic.NO. Add. or Phone Cu.Cont. By General Contractor Plat Restriction Checked by To Planning Board Approved Re- Submitted to P0B. Approved Plans & Spec. Checked by To Council Bldga Permit No. Date te 3/4/21 � � Fee v Faecbricai Insp action R cug.aing Fixtures Final Temp OOK0 Service to Power Co. - Va Stories Alterations Date PP PP Pf Alteration t No. Date Building Inspection Date Foundation Beams & Lintels Final Final Clean -Up J " Pf Alteration By • // Date Dat By r Approved Rejected Cost c- PP R- •airs 6Fee Rejected Repairs Fee PP n PP PP PP PP Repairs Rc -insp J <� %7 7 CertoOccup.Tssued Street Rejected By Re -Insp By a Re -insp By Re -Insp By ?e�ihsp By Re -Insp By D `!_DING I ICAL RING ier of ;ding ‘'chitect 1 / • r) o <''' I Contractor or Builder Legal Lot 2 Description MIAMI SHORES VILLAGE, FLORIDA _ / � �f ,DATE v 194 60 G ci Contractor - s / . �� OW License No. Permit No g - n e ° c 0 ® _ cis (3 4, '0 4 C V '' PERMIT N° 4316 Work to be performed under this ei 0 Address of 6, d ` ti' ° . Value of Building �& d 1i ' k , f� v , Project This permit is granted to the contractor or builder named above to construct the building or to install cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the 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 n:. which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the .. d ances -!nd regulations pertaining to the work covered hereby whether shown on the plans or drawings or in th statements or specifications a. _: i ha I ,, 1es p on- sibility for work done by his agents, servants or employees. ( ` Signed. — t SE - By L I , k covered hereunder in compliance with a - ordinances /regulations regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mi E +res' Village. In accepting this permit I 4ssume responsibility foA all \work done by either myy -"- y agent, servant o ' mployee. ..- a ,f CONTRACTOR ORILDER , p " II BY co Subdi- vision j: ff 3 4 AUTHORITY i 6 0 e" ` Ch // A o f ? G , Permit ' �- the equipment or device described in the appli- work will be performed in compliance with any Name and address of licensed contractor Location and legal description of lot to be built on: Lot _� d 3 Block s f Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a nota peared Building Inspector Member Council Ap PLANNING BOARD Chairman Member • NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. N MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PE 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. A " � / Date Owner's Name and Address____ ` ILA � �! WIA.E1P_fAR,0 S Registered Architect and /or Engineer t 0g.A..z q/ DEA_4( 7, Co.o / e j 7 l i ,z/ X1 5 . J Subdivision_ Date MIT No d io o Street di E State work to be done and purpose of building (by floors )_ __ J„L L D ie �•L�_ J..T - - - - -- and for no other purpose. New Building_____. Remodeling Addition Repairs No of Stories To be constructed of 2__ Kind of foundation_ Estimated Total cost of improvements $ "/k� @__ �r_Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building _Size of Building Lot Roof Covering 7";e-2 Maximum live load to be borne by each floor a-- 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 rovisions 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 .contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks__________ ( Signed) _ p 'c, duly authoiz d to administer oaths and take acknowledgments, ,personally ap- - - - -- .__; _.to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ 4__ 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 Disapproved Date Notary Pub ' , tate of Florida My 4 Y y Commission Expires___ � •• _ Sworn to ; nd Su)a scribe d• before me. Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 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 Budding 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. l Date / V / V e / 19 �i 1' Owner's Name and Address . 1 ml2l4 P e ` / " 0 ec H No Street Registered Architect and /or Engineer .. ........... Name and address of licensed contractor �r��S Z Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) APPLLOCATO N FD G°Q BUOLDOND P RMIOT Disapprove (Signed) " C Building Inspector Date Council Approved mil AMil0 SHORES VOU ADL BUILDING INSPECTION DEPARTMENT 0 C e_ 9' S T' Date etic AL re.9ay.c and for no other purpose. New Building Remodeling Addition.._. __ ......._._ .. Repairs No. of Stories _.. To be constructed of Kind of foundation Roof Covering ?" - r ' Estimated Total cost of improvements $ Soo , — Amount of Permit $ Zone cubage required Plan Cubage 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 hint 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) PL -' NG BOARD DATE 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. c `r Permit No.___ 3_ Date — s ' �Z— Read, Sworn to and Subscribed before me. 11 Notary Public, State of Florida My Commission Expires Chairman — Member Member Member Member . Member Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hen 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. ,r4 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. ate �_V 4 9 L„,�1 Owner's Name and Address _ � No � r Street' Registered Architect and /or Engineer �4 4/4 P7 • 3) b ., 7 „ � (','i,,/ Name and address of licensed contractor %21/1! ! �� Location an egal description of lot to be built on y o Lot Block � � Snbdivision__�r_� e e '�� State w,ork to be done and purpose of building (by,f1 ors) _ 2./g r„__ f 4 ti e' - '1 y, Street and Number where work is to be done__________ — _ - -___ �� and for no other purpose. New Building Remodeling Addition Repairs No. of Stories___ _ _ To be constructed of 4 S . (_4.. ' Kind of foundation__ _Zp ,s, �e oof ./( �')G� e' P N -� Estimated Total cost of improvements $ - - ` Amount of Permit $__ n t ” Zone cubage required _ _Plan Cubage 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 c ntractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for insp ction on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ttbco tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /7 ; r Remarks (Signed)_ , � � . / / --' C 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 e�:rue. f i > Permit No Date Read, Sworn to and Subscribed before me. Disapproved _. . (Signed) uil.t" g nsp or My ommission Expires ■ 1 AtittstiN�BOARD I / __ ____l____ DATE Chairman ____ mber 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. Notary Public, State of Florida 4 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor rit Builder MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N2 5650 Contractor's License No Work to be perform0 under this Perniii, Le Legal Lot Bl. Subdi- Discription vision C' - - /• Project Ilf -C4 0 Co Ain't. :of Permit Address of .r e "i Value Building 4 6 o ,. 1, .: / ,.) — ---/i 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,ith the understanding that the work will be performed in compliance 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 e of the ordinances and - at he ass fl c espon- permit is granted is the understanding .that the contractor or builder named 'abOVeassumes the:responsibility for a.thorough know regulations pertaining to the work covered hereby whether shown on the plaits- „dadri s or statements or specificatio siibility for work done by his gents, servants or employees. . , ''.=.; // ;I ' ` 1 - g ,• Signed: INSPECTOR • : By li ... ' N In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance withxi1L.rdinances anddegnIallions' pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper mit:bora-ilk of $iafni Sh&esiitage. , In accepting this permit I assume responsibility for all work done by either myself, y agent, servant or employee. • ' , -72 . CONTRACTOR OR BUILDER . BY • AUTHORITY • d OWN 'S NAME NN ,'( Eya zit- 0e ' ;'PRESENT ADDRESS (�' 4 9b os LICENSE NO. PHONE NO. 7-24/ JOB LOCATION (ST. OR AVE.) f/3/ Algeidd � LOT i BLOCK „4 SUBDIVISION O' S�7.-1 GENERAL CONTRACTOR aev4 ADDRESS ignee. PHONE NO. 7%213/ LICENSE NO. CC-/A BUILDING PERMIT NO. G C ?) DATE ir.:,7 PERMIT FEE $( BUILDER'S BOND NO. DATE EST. COST $ ®® 1 ZONE P EQUIREMENTS CU. FT. "2 PLAN CUBE CU. FT. DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: z� ��/ •s, DA E 4/7 NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRU TION REPAIRS DESCR IPTION ALTERATION DESCRIPTION /, ` ,,gy�pp �� y A 4�b dW ' j :e,Z® - - � 4 v3 ' 7, �A r W . , 4W /Oe Z ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL 7��7 REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS PHONE PERMIT NO. I DATE RE- INSPECT BY RE- INSPECT BY FOUNDATION ii�� 1/4 ` BY ed TEMPORARY SERVICE S SEPTIC TANK BEAMS & LINTELS S SEWER RANGE CONN. $ FRAMING __ $ GAS FIXTURES $ S $ INSPECTIONS DATE FINAL RE- INSPECT BY RE- INSPECT BY ROUGHING TEMP. SERVICE CLEAN -UP r-- GAS ROUGHING CONTRACTOR PHONE PERMIT NO. I DATE FEE S NEW BLDG. I ALTERATION ( ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE S SEPTIC TANK H. W. HEATER CONN. S SEWER RANGE CONN. $ SOLAR HEATER MOTORS $ GAS FIXTURES $ S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING TEMP. SERVICE r-- GAS ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK EANGE CONN. SOLAR HEATER FIXTURES 4IXTURES & FINAL CONTRACTOR PHONE PERMIT NO. DATE FEE S 1 NSW BLDG. 1 ALTERATION I ADDITION REPAIRS • SPECIAL PERMITS PERMIT NO. DATE FEE T6*,MPORARY SERVICE S H. W. HEATER CONN. _ S RANGE CONN. $ MOTORS S FIXTURES S S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN EANGE CONN. 4IXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING Work to be performed under Owner of y L � Building Architect Contractor or Builder Legal Description Address of Building IOU t ccepting thi Lot PERMIT N? 5073 this Permit MIAMI SHORES VILLAGE, FLORIDA BL 5,1 ,C '' -if 07 1 DATE j Contractor's License No Subdi- vision AUTHORITY 1947 Valae�,��� Amt. ' Projec /w c P. This permit is granted to the contractor � r builder lamed above to construct the building or to install the equipmen ° or devie 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 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 rpspotisibilit> fox- a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawini s or,in the statetiie is Qr specifications and that he assumes respon- sibihty for work done by has agents, serv ants or employees. Signed � � By IN R o In consideration of the issuance to me of this permit I agree to perform the work coveretViereunder in compliance with all ordinances and r egulations airing theretq and in strict conformity th the plans, drawings, statements r ecificatidns submitted to the proper authoritims of Miami Sl gs yl a ne er ' sur e,�-espops for all work done by the3 ys If, m agent, servant e_mplt2yee._,_ CONTRACTOR O UILDER BY If MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PPLIC \TI ®N 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. D � �� =�: No _ l Street STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and pu , ose of building (by flog Date it 4 L_ = 2j2, ! � f > _1 i � i . 1 �� L L / 0 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation ® Roof Covering Estimated Total cost of improvements $ A .0 °� ° ___Amount of Permit $_ Zone cubage required _Plan Cubage 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) 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 Date No.____ p ___ _ Read, Sworn to and Subscribed before me. � � � � __ Notary Public, State of Florida 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Owner ,e, ame Lic.No. ic.No. Genera Contractor Zone Req,,Cu:Ft, Cu.Cont. By Plat Restriction Checked by To Planning Board Resubmitted to P.B. Plans & Spec. Checked by To Council Approved Rejected , Bldg. Permit No.j Vv Date , 7, Fee r Type - Stories) c Roof New Construction V Alterations Repairs PlusobiRg Fe mib No. Septic Tank Sewer Misc'l New Cons t. Alteration Hate 9, 99 19 Building Inspection Foundation Beams & Lira ®1.0 Final Final Oleaptup Plumbing Inspection, Roughing Fixtures Sewer Septic Tank Solar Heater Final Certificate Date ....,%fat Electrical Inspection Date Roughing Fixtures FINAL Temp, O.K. Subdivision No, Street Service OK to Power Co. Cert. Occup. Add, or Phone Add. or hone Approved Rejected Approved Rejected 2 p Cot s7 3o-o''o Fee It it 19 Repairs By Re -insp. By Re -Insp Electrical Permit No. Date Fee Fixtures 11 If Heater - 11 n Motors 11 11 Misc' i 91 19 New Oonsruction --- TM` Ilteration repairs Rev Insp By Re ®Insp By By Re -Insp By Re =Insp By ssued 0 0 Z‘l IF r wner s Lic.No. Add. or Phone Genera .Contractor Lic.No. Add. or Phone Zone Req.Cu Ft, Plat Restriction Checked by To Planning Board Approved Rejected Resubmitted to P.B. Approved Rejected Plans & Spec. Checked by A -✓' ca To Council Approved Rejected Bldg. Permit No. 4 Date )'' Type ( Stories I New Construction % Alterations Plrfi►!ls PeseZt 1te. Septic Tank Sewer disc ►1 New Const. Alteration Cu.Cont. By Fee j Cost Roof Repairs Fee If 1► Repairs Electrical Permit No. Date Fee Fixtures s , it ►► Heater ; . n Pf Motors n 0 Itiso l 1 0 0 1 New eonstruction A,lteratfon "repair Building Inspection Foundation Beams 4 I4inte0s F,ina1. , Foal Oisapw,a., e • 4 . f 1 r • • Dat Plumbink,,InBpe.Ctit - Roughing T a <: u " Y Fixtures Sewer Septic Tank Solar Heater Final Certificate By Re -insp. By Re.Insp By • p. K 41 rip Service OK to Power Co. Cert. Occup. Issued By Re.Insp By Electrical Inspection Date By Re -Insp By R -Insp By Roughing Fixtures FINAL Temp. O.K. Owner b a , p me / Genera Coptractor Zone Req,Cu Plat Restri Checked To Planging Board ' Resubmitted to P.B. Plans & Spec. Checked by To Council Approved Bldg. Permit No. 5�6 Date / / "' Fee Type 4 Stories New Construction Plumbing Permit No. Septic Tank Sewer Mise'1 New Const. Building Inspection Foundation Beams & Lintels Final Final Cleantup ck i7 Subdivision No. Street by Alterations Alteration Electrical Permit No,. Fixtures. Heater Motors Misc'l New Construction Alteration Plumbing Inspection Date Roughing Fixtures Sewer Septic Tank Solar Heater Final Certificate Electrical Inspection Date Roughing Fixtures FINAL Amp. 0.K. Lic.No. Lic.No. By By Cu.Cont. By Date If 9f If Approved Approved Re -Insp Add. Repairs Re or Phone Add. or Phone Rejected Rejected______ Rejected Cos , 1 -142-‘, 4 - 40 Roof Fee 1I I I II airs ‘?" R OK to Power Co. Cert. Occup. Issued Fee u II 10 If Repairs Re -insp. By Re.Insp By By Re -Insp By Re -Insp By Re -Insp By ,t r �► BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description "/; Address of 6 , , ei•.' Building J , c� This permit is granted to the contractor o MIAMI SHORES VILLAGE, FLORIDA, DATE PERMIT N? 5047 Work to he perforn}ed "under this i J Bl. f errni Subdi- vision Value of..eJ% Project' Amt. Permit :? 6 Tiff builder named above to construct the buil.mg to a described in the appli- D permit is granted is the understanding that the contractor or builder named above regulations pertaining to the work covered hereby whether shown on the plapc sibility for work done by his agents, servants or employees. i U CONTRACTOR OR BUILDER Signed. WI 3 BY umesTA - 'or Contractor's License No. , install the equipment or dev' e e ' T " In consideration of the issuance to me of this permit I agree to perform the work c ered hereunder in compliance with - 1 rdinances ancI pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the :proper autharitieS of Miami Shddff In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. ' ,fns ` %a` / AUTHORITY 194 or cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfor d 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 plan - . re cha ged wi t io uthorization. A further condition upon which this ity„for a thorough knowledge of the ordinances and erartk specifications and that he assumes respon- ul ons age. 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. '" D to / Owner's Name and Address 42e/ Y7 � I.1 -�_ he d. No 1 `/ -� b -Ab7 Str e t Registered Architect and /or Engineer .L/� 4 /Q 7w_ 1_______,Z e � 4 1d' / ______ ___ -..C..5' .' C' Name and address of licensed contractor -_)_L -0 'r Location and legal description of lot to be built on: Lot _____________________________ Block Subdivi ` Street and Number where work is to be done A Sta t9 work to be done and purpose of building (by floors) _______ g _ 5 ' Y y = __ 8 — _ — Q - - -- c--- -/ - - e --S 17 o a! - ' — — - - -- Zone cubage required STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES V I L LA G E BUILDING INSPECTION DEPARTMENT A PLACATION FOR BUILOONG PERMIT Disapproved � Da • ( Signed) Buil. Ins. ctor New Building Remodeling Addition 0 To be constructed of a ° Kind of foundation__ Estimated Total cost of improvements $__ ft-C / ___Amount of Permit $ Distance to next nearest building permit, as are licensed by Miami Shores Village. Remarks_______ Chairman Member Member _ ; 19_ and for no other purpose. , Repairs No. of Stories_______ __2 _ 5 / ( 0 1-, Roof Covering_ 0 __Plan Cubage _Size of Building Lot Maximum live load to be borne by each floor I hereby sub it all the plans and spec• ications or said building. All notices /with reference to the building and its construction may be sent to -- — C A( /' -- - - -r - 0 A-� _ - - - - - - 1 A/ -- 0/ ' 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, actors, on work, to b perform d under ( Signed) __ -� tf 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,parefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Read, Sworn to and Subscribed before me. Permit No Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE 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. MOAMO RCS MOLLAGC BUILDING INSPECTION DEPARTMENT ApPL0fCATO N F (3 F U0LLD0NI FGRMIOT 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 at building during progress of the work. Owner's Name and Address 1 2-c,r7, v - art ee Registered Architect and /or Engineer Name and address of licensed contractor - TILL"- 6Jcl,� Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done G (O cJ State work to be done and purpose of building (by floors)____ Date Cr � 19 No Street t N 4 C4 Cf I ... - 2 4 - gC..., r� - and for no other purpose. New Building Remodeling Addition._.. _._. Repairs..._.__...._. No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ._ 3 Amount of Permit $ Zone cubage required Plan Cubage 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. 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 (Signed) Notary Public, State of Florida 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. O CV O © N FOR PERMIT TO FUMIGATE WITH CYANIDE METHYL BROMIDE X ACRITET APPLICATION NO. DATE 19 L Location of building to be fumigated 660 N. E. 96 Street 2. Name and address of owner of premises Renuart Bailey Cheely 3. Type, size and construction of building CBS - Frame - Office - Supplies - 4 occupied Apts. and 1 upstairs office 4. Is entire building to be fumigated? Yes 5. If not, state what portion 6. Approximate number of cubic feet of space in building or in portion to be fumigated. 177 7. Kind and quantity of fumigant to be used and manner of application and length of fumigation period Methyl Bromide — 24 Hours 8. Distance of nearest building and direction from building to be fumigated 9. In what manner will vents to exterior of building be sealed? Nylon Tent BY 177 7 )a /ey / / 3 2.-- 6 - /a - 10. Date whem fumigation will be begun June 16, 1962 Time 1000 Po M. 11. It is hereby agreed to station a guard on the premises to be fumigated during the fumigation period and to post suitable placards at each entrance into the building bearing the following words in letters at least two inches by one inch in size: "DANGER" — THIS BUILDING UNDER FUMIGATION WITH A DEADLY GAS." 12. It is hereby agreed to make such provisions that all openings into the building may be opened from the outside after the period of fumigation is over and to take such other precautions as may be necessary to insure that all of the fumigant is removed from the building before anyone is permitted to enter. 13. It is hereby agreed to notify the County Health Department when the building has been prepared for fumigation. FIRM NAME: TRULY NOLEN, INC. 600 N. W. 7th Avenue Miami 36, Florida (Signature of certified pest control opera or i charge of this umigation job.) STATEMENT OCCUPATIONAL LICENSE MIAMI SHORES VILLAGE 10050 N. E. 2nd Avenue Miami. Shores, Florida 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. Owner's Name and Address . B UJ it 4 1 - % Vee4- Registered Architect and /or Engineer _ Name and address of licensed contractor. Location and legal description of lot to be built on: Lot 131ock __ _ Subdivision Street and Number where work is to be done , State work to be • j • and purpose •f building (by floors ). 4 -62.0,2_! New Building Remodeling Estimated Total cost of improvements $.. Zone cubage required Disapproved (Signed) ■ MIIQMO SHORES MALL AGE BUILDING INSPECTION DEPARTMENT AFFLOCCATD N FOR Addition To be constructed of Kind of foundation Rpof Covering Date( Chairman ---- ---------- ---- --- - - - --V Member Member Council Approved Date MOLJDONG CSCRMIIT V-41 • 9,. f g'r and for no other purpose. Repairs_..._....._......_ __. No. of Stories _. Amount of Permit $ Plan Cubage 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 subconta, to 7 on work to I perf nncd under 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. Notary Public, State of Florida NNING BOARD DATE Building InspeFtyf My Commission Expires Member Member Member 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. No. STREET PART OF LOT LOT BLOCK SUBDIVIS ROOF COST OF BUILDING PERMIT FEE / FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE li r f ✓ me Tile Concrete Stucco Reside ae _ !`1-loto4— , 1,7 e 4 wrO • Dated JILDING PERMIT Owner of Building — Architect Contractor or Builder In consideration of the issuance and plans and specifications thereof building ordinances and zoning laws Miami Shores Village, Florida, a PROPOSED LOCATION DESCRIPTION OF BUILDING MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR 7 46e CI* , 1 N° 507 This permit is issued to .- ;f ��I/ C � � f � }` "��� % 9:�, ` To ��r ,: . the building above described, as per .'.p icaticn, Plans and`Specifictons heiofore filed in this office. Th permit is granted upon the express condition that all facts stated in the application are true and that the constrifction coffiplies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of-,Miami Shores Village, and rules and gulations of the building department of Miami Shores Village. This permit may be revoked at any time n : ++ violation of any provisions of said vs, ordinances or rules and regulations, or upon any change in the plans and specificatio : uinauthor.: " y The building inspector. GNAW:Mak UJ� INSPECTOR to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. -7✓ !'r? (SEAL) BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder. MIAMI SHORES VILLAGE, FLORIDA DATE 1 94__ PERMIT N9 1589 Work to be performed under this Permit Subdi- vision Contractor's License No. Legal Lot Bl. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described ?n 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 regula- tions 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. Value of Project Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY DING L.CTRICAL t LUMBING Owner of Building _ Architect Contractor or Builder Legal Lot BI. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2050 Work to be performed under this Permit Subdi- vision Value of Project DATE 194 _ __ Contractor's License No. 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 conditior . upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge o` 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: B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complienc:e with all ordinances and regula- - ions 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 FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTIOIN • BUILDING TO BE USED FOR Boor Cowr or BUII.DL\O PERUrr FEE - • 'Frame. Tile Concrete, Stucco lr A.�� / ° Residence . Apts., Stores. Hot , _ - - • No. .1,DING PERMIT Owner of Building Architect Contractor or Builder STREET PROPOSED LOCATION PART OF LOT MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, _ , 193.... Lor BLOCK DESCRIPTION OF BUILDING N9 ... 106 Z' 0 L >" SUBDIVISION This permit is hereby issued to Y the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any iion upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications by the building inspector. In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the state of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department F Miami Shores Village. sd 1 19 To BUILDING INSPECTOII (SEAL) BUILDING ELECTRICAL PERMIT A N° 632 PLUMBING Owner of Building NAME Architect and /or Engineer Contractor or Builder_______ NAME Proposed Location AMOUNT LOT NAME BLOCK SUB - DIVISION RECD. PAYMENT ACCT. DEPT. ADDRESS ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 19. LICENSE NO. LICENSE NO. NO. STREET This permit is issued to.... — -- — — — — - - -- — — — - -- — To buikiiug above desc ibed, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition t all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance ' compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and 'lations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said -:s, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all ;Juilding laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. Dated. -- -- — — -- — 19 (SEAL) 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 made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. - ;UILDING :LECTRICAL 'LUMBING lOOFIN l )wner of luilding address of wilding rchi tect 7-ontractor ,r Builder ' a �'2- l ' egal Lot )escription MIAMI SHORES VILLAGE, {r L•R DA PERMIT N° 5054 , -y In consideration of the issuance to me 'ertaining thereto and in strict conformity with , epting this, permit I assume responsibility for / / /rn-;'c , y q Work to be performed under this 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans ?rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 a ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining 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 lone by his agents, servants or employees. CONTRACTOR OR BUILDER /r� BY Subdi- vision Value of Project $ Signed. ,t(! + .nri INSPECTOR DATF • i 195_,ir Contractor's License No. , it Amount of 4 _ a�f� Permit $ ° of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by either, myse n agent, servant or Mplo e. J BY- AUTHORITY ,UILDING - LECTRICAL 'LUMBING )caner of luilding architect ontractor 1r Builder �egal Lot )escription MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 5650 Work to be performed under this Permit Bl. Subdi- vision DATE 194___ Contractor's License No. address of Value of Amt. of iuilding_ Proje 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- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any flans, drawings. statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be reyokked •t 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 whieh'.s )ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances .u egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibility 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 'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT Nh 5047 Work to be performed under this Permit DATE 194_ Contractor's License No. CONTRACTOR OR BUILDER BY AUTHORITY Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of , . Amt. of. Building_ - _ l ;_ Project �` .,. Permit . This permit is granted to the contractor or builder named above to construct the building or to install the equipment or devi‘e described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil be perform &d 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 dAwings 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 re pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shore* Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT Ne 4098 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 Arnt. of Building_ Project 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 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 covered hereunder in compliance with x.11 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 011 BUILDER BY AUTHORITY No. STREET PART OF LOT LOT BLOCK SUBDIVISION CONSTRUCTION ROOF CO tiT 1o BUILDING PmtMtT Fan FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO DE USED FOR ROOF CO tiT 1o BUILDING PmtMtT Fan Frame, Tile Concrete, Stucco Residence, Apts., Stores, Hotel 0 tT 6 BUILDING PERMIT Owner of Building Architect Contractor or Builder. Miami Shores Village, Florida, PROPOSED LOCATION �� j. MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR , 19 5i. . N9 20 DESCRIPTION OF BUILDING This permit is hereby issued to ;. , = f � the building above described, as per applicationLklans and Specifications heretofore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the appliCition are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any cha7 in the , nd specifications O rauthorized by the building inspector. BUILDING INSPECTOR Dated , 19. In consideration of the issuance to me of this . building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. (SEAL) BUILDING ELECTRICAL PLUMBING ROOFING Owner of r: Building - MIAMI SHORES VILLAGE, FLORIDA DATE. 0 o PERMIT N9 7323 Contractors 19�(� License No ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Subdi- Description Bl vision Address of �/ l .• Value of Amount of Building ; Project $ � 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 applica- tion 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 • egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ;bility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Signed 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 o specifications submitted to the proper authorities of Miami Shores Village. In as _eptfng this permit I assume responsibility for ell work done by either, Thyself, my agent, servant or employee. q BY AUTHORITY •Y DOT z<r Office of Electrical Inspector CERTIFICATE OF INSPECTION / THIS CERTIFIES THAT and apparatus installed at ,t by ,-, Address � r owner, and ocr. ied as. '% for 1 has been inspected and current is authorized to be turned • , until otherwise notified, for Size of Service Range Power: Connected load Other Apparatus MIAMI SHORES VILLAGE P'ERMI'T' umber of Lighting Circuits watt ater Heater watts H P. Space Heaters watts ELECTRICAL INSPECTOR. ARCHITECT TOTAL COST STATE OF FLORIDA) COUNTY OF DADE ) My Commission expires Chairman Member Member BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA APPLICATION Signe Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with; whether specified or not._,, OWNER , /' ■ ' i / 2,, DATE 1 ,--. CO TRACTOR f , // _- LOT BLK. SUBDIVISION�,�'i YJ ( ( STREET aaf %4 NEW ADDITION __REPAIRS NUMBER OF STORIES ROOF Building to be used for Vii' /,�' % -' and no other use I hereby submit all the plans and specifications for said building. Uj Before me, the undersigned authority, a notary public, daily authorized to administer oaths and take acknowledgment, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are true. Read, Sworn and Subscribed before me, Notary Public (Signed) Cubic Feet Cubic Feet required in this Block PLANNING BOARD Secretary Building Inspector 4_ ;7 / f � > 1, e) y,„_,: �� —, � c e,(- Permit No {��% Issued to /���/)/ � ,' ; � to (-= s/� Electrical Permit No Plumbing Permit No. Painting Plastering Lathing Electrical Mason & Concrote Plumbing Roofing Glazing Tile Miscellaneous LIST OF SUB- CONTRACTOkS M[JA )0SHoGCSVOLLAB BUILDING INSPECTION DEPARTMENT NT AF U L ATD N F G°3 B M D LDO N 13 FE M O 0 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 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. Date_ / =� ,19`d 6 No. CY ._ 0 street fi,-P z � ) Owner's Name and Addres - c Registered Architect and /or Engineer.... _ ..___ Name and address of licensed contractor. o' !(JY' ;irks 2 ./.5 `'J ,� A A " OAP Location and legal description of lot to be built on: Lot Block // Subdivision g Street and Number where work is to be done ____Ls9_ _s:' ! ` - State work to be done and purpose ° . building (by fJors) __._.____ __ permit, as are licensed by Miami Shores Village. Remarks Chairman Member Member . Council Approved . p. 1 dye, and for no other purpose. New Building Remodeling Addition Repairs / No. of Stories 2 To be constructed of Kind of foundation Roof Covering J l 5 Estimated Total cost of improvements $ / 7�o Amount of Permit $ Zone cubage required Plan Cubage____ Distance to next nearest building _.. ° Size of Building Lot Maximum live load to be borne by each floor___ I hereby submit all the p1ins 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 sue public notice or notices as are required by the Act. The undersigned agrees to employ only such ubcontr ctors, on work to fo ed under this 9 (Signed #e/yer✓ 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 1°.5 Date____. 1 v ' __- ° Read, Sworn to and Subscribed before me. Disapproved ._ _ � Date / - Notary Public, State of Florida (Signed)��_ Building Inspector My Commission Expires PIffNNING BOARD._ __._ DATE Member Member Member Date Disapproved Date NOTE: A charge of $1.00 will be made for snaking 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. Owner's Name and Address_ TP U__A _ _ L 8 8 6R CO • New Building- ____ -- To be constructed of4;-_4. - Estimated Total cost of improvements $ / C 6 Zone cubage required Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. }ss. Building Inspector IAMI 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. Registered Architect and /or Engineer Name and address of licensed contractor CLA &D 5 0_27/91= RN C k 2 2 Z 0 tv, L 2 Location and legal description of lot to be built on: Lot____________ Block Subdivision Street and Number where work is to be done__ _ -__ ______ ii__ _L __ __is State work to be done and purpose of building (by floors) 3 5 / 6 N 5 Date and for no other purpose. Addition3 51 6 -g Repairs No. of Stories 1 oof Covering Remodeling Kind of foundation Amount Date of Permit $ 6/ No � 7 _Plan Cubage 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 (/ 1 p )° _Si') .._ _ 22 0 A9 2_ /i vi'• 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) ���! 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._ _2 __ Date Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida 19`' _L 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. 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. A copy of approved plans and specifications must be kept at building during progress of the work. / Owner's Name and Address___ , � ^: 12 f 1 � 2__ No. _g (_— Street4e Registered Architect and /or Engi —___ Name and address of licensed contractor Location Lot Street and Number where work is to be done__ State work MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT and legal description of lot to jpe _ built on: Block _�— Subdivision ,, to be done and purpose of building (by floors) e � r iCdg_' • °sue New Building__? 1 ___— ______ Remodeling_____ Addition_ To be constructed of_- __ Kind of foundation 4 � Estimated Total cost of improvements $__�! ✓ —__ —_— _Amount of Permit Zone cubage required Distance to next nearest building_ Maximum live load to be borne by each floor_—__—_______—___ __________-- __— _ _ I hereby sub it all the plans and s cations or said building. II notices with reference to the building and its co�structt n may The und be sent to _ � j / + - - " K �� ersigned applicant for this building permit doss hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Acf, 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 Size of Building Lot STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _____ 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 be did sign the same, and that all facts therein by him stated afg.. tru). r Permit No / ° c' Date Disapproved __________________ Date (Signed) Chairman - Member Member Building Inspector Notary Public, State of Florida My omn}ission Expires PLANNING BOARD 4 4/ .� <-� DATE A Mefnber Member l Member Disapproved ---- _ _ -- - - - - -_ —mate Council Approved_________ — _ __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. (over) Date Plan Cubage _and for no other purpose. Repairs No. of Stories__ Roof Covering__ • .0.. G.. Read, Sworn to and Subscribed before me. s4aNZ-_,9*-1 -et/ to me well known, LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping,. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. New Building To be constructed of Estimated " .,tal cost of improvements $__ M OAM D 9( D GEES VFLLAGE Rernodeling BUILDIN INSPECTION DEPARTMEN APPLICATION FOR ILE INS PERMIT Addition Kind of foundation Application is hereby made for the approval of th': deviled statenien' of the plans and specific. ions herewith submitted for the build- ing or o h, -ructure her 1 described This r1-licatic is made in compliance and con o'm ty w•th the Building Ordinance of Mia 11 Shores Village, or da, and all pro isions of the Laws cf the State of Fh,rid. all o d nances if Mi ni Shores Village and all iules and regu a ion. of the Building Div . i of .lam Sho, iilage F 'I e o. pled with, whether herein specified or not. A copy of approved plans and specificati n must be kei • at bm;ding durin progress of tl.e work. Date Name and Address Registered Architect and /or Engineer._. Name nd address of licensed contractor Location and legal description of lot to be built on: Lot. __. __._____ ..._... Block.._ ___. Subdivision Street and Number where work is to be done 9 State work to be done a t{ 1 purpose of building (by flogis Repairs. _ n Street. ._. and for no other purpose. No. of Stories Roof Cov gyring__ ? 40 Amount c` Permit $ Zone •-ubage required __. _plan Cubage to next nearest building__ _ _ _ Size of Building Lot Maximum live load to be borne by each floor _ ----- 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 unde signed appli ant for th s huiding pe -mit does hereby certify Fiat he understands and accepts h;s .•bligations as an employer of 1 bor under he Florida Workmen's Co.npensation Act being S -tion 5966 Col p led Gen al Laws of Florida P r anon S•ipplc iient. and h s compl ed w:th he prov' Mons thereof, and will require s niilar coma lance from all contractors or sub-contractors cinplo -ed by him in the wo k to he p rt fined under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public nob c or •otices as are requir d by the Act. The u. d. r ign d agrees to employ only such abcontr- ctors, on work to be perforn, d der this permit as are licensed by M arn. Shores \ it ge. Remarks. (Sig-ied) - -- - - - STATE CF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm.nister oaths ,.nd take acknowledgments, personally ep- pearcd to me well known, and who, being by me first d. ly cworn, upon oath depo.-es and says that he is the of th ahov de._ ibed • istruction t, • h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. Pcrmit No Date Read, Sworn to and Subscribed before me. Disapproved Date_ Notary Public State of Florida (Signed) Building Inspector My Com:nission 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 .fh r n pprov al h is been obtained from the Plain- ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is mi ,e necessary by improper notice fur inspc -t•:m or fa. Ity materials and /or workmanship. Owner', Name and Address._ New Building To be constructed of STATE OF FLORIDA, COUNTY OF DADE. ss. MOAM SAD BUILDINI" INSPECTION DEPARTMEIsI' APPUCATD N FOR zUOLL®DNG 0 ER MOT Application is hereby made for the approval of the del, iled statenien• of the plans and specifications herewith submitted for the build- ing or o h, s`ructure her i , described. This .:rilicatic . is made in compliance and con o'm ty w,th the Building Ordinance of Mia hi Shores Village, 'or da, and all pro isions of the Laws cf the State. of I.krid. all o d nances ,,f Mi ni Shores Village and all rules and regu'ation: of the Building Div.. i of ' aam• Shoi • illage h 'l ,e -oh ipl.ed with, whether herein specified or not. A copy of approved plans an d specificati ms must be ker. at building durin progress of tl.e wcrk. \)2S-'.14-}'-43-‘-le 0 Date v T, ��° � -' No Registered Architect and /or Engineer._ 1 ,. 1,- - _ T• Name :nd address of licensed contractor . �� -��- 1 � Location and legal description of lot to be built on: \+ Lot. Block -__ ___. Subdivision ,- -- Street and Number where work is to be done. _21,0___,C2 . • (• - s n . State work to be done and purpose of building (by floors) - ,19 Street. - A -- ,-1 A and for no other purpose. Rernodeling_. ____ _ _ . Addition____ ____ ________ __ _ Repairs.. No. of Stories - K' foundation Roof Cov sing. _. Estimated '! :,tal cost of improvements '• . , .S . 'Q -- _ ....... Amount c`. Permit $._ . 9 __ eg5 Zone cubage required __. _plan Cubage to next nearest building__ _ _ _ Size of Building Lot Maximum live load to be borne by each floor. _ . _____ ___ hereby submit all the plans and speciiications for said building. All notices with reference to the building and its construction may be sent to The unde signed appli .ant for this building permit does hereby certify that he understands and accepts his .obligations as an employer of 1: bor under he Florida Workmen's Compensation Act being S. -tion 5966 Col p led Gen al Laws of Florida P r anen. Sipple vent, and his compl ed with the hrov'cions thereof, and will require similar comp�iance from all contractors or sub-contractors emplo -ed by him in the work to be p. rb,rmed under this permit and •;ill post or cause to be posted for inspection on the site of the work su :h public not, e or , as are requir: d by the Act. The u. d. r ign.•d agrees to employ only such ubcontr- ctors, on work to be perform d . der this permit as are licensed by M•ami Shores Gili:,ge. Remarks_- � (Signed) v Before me, the undersigned authority, a notary public, duly authorized to administer oaths .nd take acknowledgments, personally .p- peared _ - - to me well known, and who, being by me first d:.ly sworn, upon oath deposes and says that he is the of th abov. described ••istruction t: 1 h. has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are trie. /� r • Permit No ..�/ _ (_ __ Date__ .__1� =' Read, Sworn to and Subscribed before me. Disapproved cV e_ ;il Notary Public State of Florida (Signed) - - -- - -- - - -- - - - - -- - `�(- - - gilding Inspector My Com:nission 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 Ifte r approval h is been obtained from the Planr.ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is male necessary by improper notice for inspec hon or fay Ity materials and /or workmanship. N° 1764 Lot CE F'g TJEIICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , Owner, Agent or Tenant of Building Street Address Block Subdivision C) 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 s the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildiggs; or structures. 3 s i BUILp IVISION OWNER'S NAME Renuart Lumber Yards PRESENT ADDRESS LICENSE NO. w"R,ONE NO. JOB LOCATION (ST. OR AVE.) 660 N.E. 96th Street LOT BLOCK SUBDIVISIONL. GENERAL CONTRACTOR A. Gus tasf in ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 15154 DATE 8 3153 PERMIT FEE $ °0O BUILDER'S BOND NO1 DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 09 500 Tax u EST. COST $ 39500 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION Lumber Shed Shed ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS / )1')Z4(.,,," . ,`' CERTIFICATE OF OCCUPANCY NO.!�l- ISSUED iC ° � .2 .V.--? BY �» TO iA '',f'A____--- BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS PHONE DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION ✓," .• 1 , s $ SEPTIC TANK BEAMS & LINTELS S SEWER S SOLAR HEATER FRAMING • + - GAS •. S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT FINAL ROUGHING CLEAN -UP SEWER CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK S SEWER S SOLAR HEATER S GAS S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER oTIC TANK SOLAR HEATER FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. S RANGE CONN. $ MOTORS $ FIXTURES S S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING -W EATER CONN �N_ ' RAN/3E CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE oY N9 1841 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village F " �� �� �� i ' Owner, Agent or Tenant of B Lot Block uilding Su ' ii Street Address G �� % _ ''l C-. Approved use by occup c \i--‘,.. 1A— Remarks- This Certificate of Occupan y is issued to the above bove named for building at above named location only upon the e ress provision -fiat th5applicant will abide by and comply with all conditions of Ordinances Nos. 92,-93, 94 a9d'97, known as 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 LIST OF CONTRACTORS, SUB - CONTRACTORS, FTC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE ... 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3.. . Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper - hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone..... 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing �r delivering building materials - for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made tur 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. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address___ I r LL_•� ' E�1t.w y___: ____ /7 f Registered Architect and /or Engineer J Name and address of licensed contractor Location and legal description of lot to be built on: Lot__ — _________ Block__ tv_ _ Subdivision , l Street and Number where work is to be __! ___j:____.i + State work to be done and purpose of building (by floors) ,, s.. C 1 ' fi — --- _ — __ -- ----- - - -_ - __ — — — — __and for no other purpose. ' New Building___. �_ — ________ Remodeling_ Addition____._t__ 1r % . Repairs No. of Stories___,— ___ To be constructed of__ _ ____ r 1� s'' Kind of foundation_______��__�.� _ _ :� Roof Covering Estimated Total cost of improvements $ 1 ' 7 Amount of Permit $_ Zone cubage required Plan Cubage Distance to next nearest building________-- ____ —_____ __— ____Size of Building Lot Maximum live load to be borne by each floor_— ______ I hereby subjnit all the plans and sppifications for said building. All notices with reference to the building and its corystructipn may be sent to_ � ° —� -- h — — • r The undersigned applicant for this building permit dqes 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 STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 ajetroc. Permit NO.____ Date Read, Sworn to and Subscribed before me. Disapproved _________________ Date (Signed) Notary Public, State of Florida Building Inspector ,My Commission Expires _____________________- -_____ PLANNING BOARD f f +-- DATE Chairman Member ' ' " ----------- Member Member .. .2 *a.1.,�_1:_ j' M ember Member .�__Q►� + _- 2 ‘..„,...„_,,,, N ,..0_____ � Council Approved______— ____—___ - -___ _________________Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtain( the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection materials and /or workmanship. (over) Date__ ,r No.__ v (Signed) , 19 to me well known, is made necessary by improper notice for inspection i JOB: 1/ BUILDING ELECTRICAL • PLUMBING The following is ready for Inspection: Inspector's Report: - a WORK ; • DONE BY // ° t . . • , . . • . REQUESTED ° . . • . : w AD: - - WILL BE READY JOB: BUILDING J eo• • WORK : DONE BY ELECTRICAL a PLUMBING : e REQUESTED WILL BE READY Inspector's Report: - �;. LD: The following is ready for Inspection: • • N9 1803 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla., Owner, Agent or Tenant of Building CtIA Lot Block Subdivision n Street Address K» �1�� j Approved use by o cupancy 5.-Q r� . Remarks: This Certificate of Occupancy is issued to the above named -�`� -- for building,at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings, or structures. UILDI:NG DIVISION MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in "compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date 7/1,/53 , 19 Owner's Name and Address B.4nuaz_$__Lumbar __Yard No 660 Street Registered Architect and /or Engineer _______ _____L�___Cauataf�� Name and address of licensed contractor__________ ___Lang_ °_ofing__aY1d_Me_ Ca Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Miami__Shares State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling d Addition 1 Repairs No. of Stories To be constructed of Kind of foundation Roof Covering____ABphA t A Graitel Estimated Total cost of improvements $ ApproX 200 Amount of Permit $ 5_00 " Zone cubage required _Plan Cubage 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 erformed under this permit, as are licensed by Miami Shores Village. La Roofing and Tile Co. o 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MI1AMO SH RES VQLLAGE BUILDIN INSPECTION DEPARTMEN APPLICATICI I I N FOR E'41,JOILD11N6 PERMDT Application is hereby made for the approval of the det, iled statemen of the plans and specifi, a, ions herewith submitted for the build- ing or o h ructure her i described This n licatic is made in compliance and con win ty w.th the Building Ordinance of Mia ii Shores Villaee, or da, and all pro isions of the Law tf the Statc of Flcrid. all o d nances uf Mi ni Shores Village and all rules and regu a ion, of the Building Div. i of •iam Sho, illage 1- '1 ,e -o. ipl.ed with, whether herein specified or not. A copy of approved plans and specificati n' must be ken at building durin„ progress of tl.e wcrk. Date 9/21/53 . , 19 Owner' Name and Address Renuart Lumber Co No 660 StreetNE 96th St. Registered Architect and/or Engineer. Name nd address of licen.,ed contractor _Lang_ Roofing alld. Tile Co,, 430 L Up. 79th St. , Miami Fla. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 660 Ka E„, 96th Sto Miami Shores Flao State work to be done and purpose of building (by floors) and for no other purpose. New Building. Remodeling Addition Repairs . . No. of Stories To be constructed of Kind of foundation Roof Cov 'ring ._ Slate Estimated - lal cost of improvements $__ 00 Amount c.c. Permit $ 500 Zone -ubage required _Plan Cubage Distance to next nearest building__ .. _Size of Building Lot Maximum live load to be borne by each floor hereby submit all the plans and specnications for said building. All notices with reference to the budding and its construction may be sent to The uncle signed appli ant for th s budding permit does hereby certify rlat he understands and accepts his ,bligations as an employer of I bor under he Florida Workmen's Compensation Act being S- - lion 5966 Col p led Gen al Laws of Florida P r antra S•ippk nent. and h s compl ed w:th he prov• :ions thereof, and will require smiilar comp lance from all contractors or sub-contractors cmplo .ed by him in the wo k to be p rf med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :11 public noti c or •otices as are requir d fry the Act. The u. d. r ign d agrees to employ only such abcontr. ctors, on work to , be ..perfohi; d der this permit as are licensed by M am. Shores \ ge. Lang Roofing and 'ile Co Remarks ..... (Sigried) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adnimister oaths ,.nd take acknowledgments, personally pp- pearcd _ Chairman Member Member Council Approved to me well known, and who, being by me first d. ly sworn, upon oath deposes and says that he is the of th abov de ibed • istruction u . 11 has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr le. Permit No i.Cc231 Date -- ).- / - Read, Sworn to and Subscribed before me. Disapproved Date._ ( Signed) Notary Public State of Florida Building Inspector My Com:nission Expires. PLANNING BOARD DATE Member Member Member .Date Disapproved _ Date NOT-: A charge of $1.00 will be made for making corrections or changes to this application iftcr approval h is been obtained from the P, ng Board A re--inspection fee of $1.00 will be charged when such re-inspection is mt '.e necessary by improper notice fcr inspei-t or fa. Ity atenals and/or workmanship. it// Owner g. General Zone Roq. Cu. ' t o B ock .Name Lic. No, Address or. Phone • .....Contract-or Subdivision Plat Restriction Chltc. ;' By;,_...- .. To Planning Board ... Approved Re- Submitted to P.B. • Approved )E s7 Number Street Lie. No. Address or Phone .Cub 6 . Cont . By , 'Rejected Rejected Plan & Spec. Checked By Date To Council Approved Rejected Bldg Permit NQ, Date // -25 A Fee ..Cos.t ,fi Type L. Stories O Roof New Const. AliDrations Repal Plumbing Permit No Date Zee Septic Tank !1 11 Sewer 11 1! . 11 ... Miscelo 11 . New Const. Alteration Repairs Electrical Permit No. �L Date Z lJ ti+• / ' - rtxtures M .. .��. Heater M•otp r s. Misc'1. i u it New " Cons't. Alteration • .... --Repairs Bldg, Insp. Date — By e- Insp:. •B Re- Insp'.8y Foundation Beams &. Lintels Final . . Final Clean -UP .. ' Service 0. K. to Power Co. . +•3''. • r. Plumbing Insp Date By Re -lnsp. By .....,. Re- Insp.By Roughing Fixtures - -" Sewer Septib flank Solar Heater Final Cert:. Electrical'Insp. Date // By .Re -Insp. By Re- Insp.By RoUgh '2 Fixtures . - Final z 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. eV' " to J , 19 j Owner's Name and Address.... �� ,61 ��� ` No �a 6 Street.. 5 Registered Architect and /or Engi eer..._.. Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) Disapproved (Signed) A . Date M A f I SHORES VO]LAGE BUILDING INSPECTION DEPARTMENT PLICATION FOR U LDIN =r OT and for no other purpose. New Building Remodeling Addition Repairs_... !... No. of Stories To be constructed of Kind of foundation Roof o ering a-, Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required Plan Cubage 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, Pennanent 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 si . the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra o be performed nder his 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 (O q Date l/— (/ .7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspeo 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. 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 AIPfFLOCAS"O N F E= UOLD0NIG p[ RMDT 1/e Registered Architect and /or Engineer Name and address of licensed contractor o!Pn-a__ t!ta":sl /t of D z. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done. f State work to be done and purpose of building (by floors) and for no other purpose. Repairs No. of Stories . New Building Remodeling Addition. MO °.MO SHORES MOLL °.0 C Date D: e Buildin } nspector BUILDING INSPECTION DEPARTMENT Date r P 196 2 C... /,CStreet__ �r To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ___ — Amount of Permit $'"— Zone cubage required Plan Cubage 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 rovisions 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) L `g •- c L 7:4 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 3-3 .a Disapproved (Signed) 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 PP _ - -- -- ... .......... 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. ffi ' 1.7 - --"--"' ) wfr- • MIAMI] SS H [L RCS V O L L A G E 0 BUILDING INSPECTION DEPARTMENT AFFLO(CATO N F UOLDOND PCRMDT 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 at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Disapproved _- _ __ Dat (Signed) Location and legal description of lot to be built on: Lot Block Subdivision • Street and Number where work is to be done i l • State work to be done and purpose of building (by floors) 1._f =r_.t • / New Building i Remodeling Addition_.. _.- ._. Repairs No. of Stories ._ To be constructed of Kind of foundation Roof Covering - c,' z d Y Estimated Total cost of improvements $ .. m / • � ' - - - Amount of Permit $ — - Zone cubage required Plan Cubage 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 sub on work to be rformed under this permit, as are licensed by Miami Shores Village. Y , r„ Remarks (Signed) '' ( (mil <f 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.___34 (E et Date // — r Read, Sworn to and Subscribed before me. Building InspeAr t 7. - Date / / ) 19 No.._ ( C Street • Notary Public, State of Florida and for no other purpose. My Commission Expires NING BOARD DATE Chairman Member Member Member Member . Member Council Approved Date Disapproved _ _ D a t e 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. APPLICATION F WILDING IND °EU MIT 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. New Building Remodeling Addition Disapproved ( Signed) _.._ Building Ins mil0 [M0 S I o f C S V0LLAGC BUILDING INSPECTION DEPARTMENT ctor Date_ J �, Owner's Name and Address _ / < �/P= � _fi ".i 7 / 51 / 41 : -.2 No Street Registered Architect and /or Engineer .... i`e- y..,c.eV (... ,/-7 ..1 . '.R-d_ Name and address of licensed contractor.___. _‹,.72R_/ .1._ ,l! ad.,(2., ..5' /..? 9/ ,/✓ a- .' l / 7 X Location and legal description of lot to be built on: Lot l-..1 M ._Q.f.'..2„ Block ..6.._ Subdivision /4 f 4 piA / 1 d>2 i =-_s ' 2 Street arid Number where work is to be done__..i�. 6 L - i - State work to be done and ur ose of building (by floors) ' ' P P g ( Y ) ,�� -��- ------- �_t ✓f'ifd�d'.C:.. ° ° _/�' S. j'.i/�.:_9/ and for no other purpose. Repairs No. of Stories To be constructed of. &,e9M. .__. Kind of foundation...: aSi_A C Roof Covering •P' °.� Estimated Total cost of improvements $ -.I 7!_ £! Amount of Permit $.... Zone cubage required Plan Cubage 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 `-= 2 d / a cur/.- /i ' • ;� 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 rovisions 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) r i L � v✓ - - e;7t& —' 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 3+ a Date Read, Sworn to and Subscribed before me. 19 Notary Public, State of Florida My Commission Expires LANNING BOARD DATE Chainnan 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. 6 Owner's Name and Address ..�� Registered Architect and /or Engineer Name and address of licensed contractor MDAM0 SHOF_'ES VDLLAEI BUILDING INSPECTION DEPARTMENT A_ FO 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. � Date. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ..6 1 State work to be done and purpose of building (by floors) UIILODfNGi P(EFI(Mlllof _• __•,• and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation R Covering Estimated Total cost of improvements $ CO 0 O Amount of Permit a. `. Zone cubage required Tian Cubage 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 ecifications for said building. All nootices with reference to the building and its construction may be sent to.. -� i .t-il/ ---.-_C. / �- - - -(- -- r , C_.a--e ........... The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen s Compensation Act, being Section 5066, 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) L � .. . 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 state are true. Permit No. /- Date 24).- Read, Sworn to and Subscribed before me. Disapproved .__,. ... (Signed) �v... - • Building ate -..... - - Notary Public, State of Florida My Commission Expires PLANNI BOARD DATE Chairman Member Member Member Member .. ... Member Council Approved Date Disapproved Dat NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained frr the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is mode necessary by improper notice for inspection ea le materials anti /or workmanship. AA) MOAMO SH®f"ES VOLLAGE BUILDING INSPECTION DEPARTMENT APPLOCAT ®OWN FOR :UOLDllNG P( (MOT Application is hereby wade 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. Ow-ner's Name and Address .T,4q. x1.4d4/ Registered Architect and /or Engineer.. -- . - - - - -. - -•• '" Name and address of licensed contractor s... C1.C?. .{, _.. kft ( 6 Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done Estimated Total cost of improvements $ 7 0 STATE OF FLORIDA, COUNTY OF DADE. ss. PLANNIN Disapproved te_. ( (Signed) .. S 2 ...... -.. .. - Ca Building In cctor Ar2 .-2 Chairman \icrmber Member sass. Council Approved Subdivision Date ..._. / Street_._.. _ State work to be done and purpose of building (by floors) _ __.__ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories r te ...._ To be constructed of Kind of foundation Roof CCovging Z Amount of Permit $.. plan Cubage Size of Building Lot Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans nd 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to Jae performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. -_ re .6 L / Date ' 2 2 •_ Read, Sworn to and Subscribed before me. Notary Public, State of Florida /My Commission Expires /BOARD DATE RS 1 / to me well known, Member Member Member 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 hoard. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection ea faulty materials anti /or workmanship.