1043 NE 98 St (12)/J OWNER NAME
.VEa4A/ QC-A -0 S 3,
PRESENT ADDRESS
fa- Z� - h .L, c /4Y (�
A ') M +
LICENSE
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
LOT
BLOCK
SUBD �' O C N "--.
�,
IVN
GENERAL CONTRACTOR
7 ,J , &L,3) s SL J
ADDRESS
9e2 s A! c. 4( Ae RP -
PHONE NO.
LICENSE NO.
!4 7 z_
BUILDING PERMIT NO. 5 !,y 4
/
DATE Z-- 1` —L.c
4.kcm. PERMIT FEE $ ' �
BUI BOND /
NO. 7 _ 4 4 - ` DATE 2- --it.—L.
ZONE L. Zv REQUIREMENTS 'it po r. CU. FT.
7 , J. /1, f 2(
PLAN CUBE Z? d X CU. FT.
•■■•o
EST. COST S �', a07.45.
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: Q t'(. M i} E L.-
DATE
Z. /2. -4.
NEW CONSTRUCTION
TYPE
Ca 5
STORIES
(5r/�
ROOF CONSTRUCTION
?! Lc
INTERIOR CONSTRUCTION
3 4e ,x0.0r.,._ - Z /SA 9,4d
REPAIRS
DESCRIPTION
ie-ir- r 4.5Ece/(c-7 0A-04. .S70. / d'` 2 x 2 r T/c-E - L.J.e 0
f
DESCRIPTION
ALTERATION
le/IPTS
ADDITION //,... rw /'
� ml re, ....Y, pL- 4� r f W�LC,5 1 �}- S/// dry"{ p..'7/l ♦
SUBMITTED TO PLANNING BOARD
APPROVED
REJEC
REFERRED TO COUNCIL
J REASONS
RESUBMITTED TO PLANNING BOARD
SURMITTFr) TO VILLAGF COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. 1 //Y
ISSUED ��
BY
', ^J`- ,, I //'
TO vtJ ��,) 5 C /V
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
142. 41 N - ' r'ry `BUILDING INSPECTIONS `� 5
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
I S
SEWER
ROOF
$
SOLAR HEATER
BEAMS & LINTELS
1 $
GAS
POOL
$
H. W. HEATER CONN
FRAMING
SEWER
AIR COND.
RANGE CONN.
FINAL
CLEAN UP
SLAB
SOLAR HEATER
FIXTURES & FINAL
SLAB
FIXTURES
SPECIALS PERMITS
PERMIT NO. DATE
I FEE
TEMPORARY SERVICE I'L4't
� I
� D.3 — .�cY"( I'C -
I $ 14 .(
SEPTIC TANK
I
I S
SEWER
I
$
SOLAR HEATER
I
1 $
GAS
I
$
H. W. HEATER CONN
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
ROUGHING
TUB & TOP OUT
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
GAS
ELECTRI PERMITS & INSPECTIONS
CONTRACTOR . C. . E LeG- . LC._„ _
PHONE
ry
PERMIT NO. I DATE 4-- %6' -(®
�q, FEE $ 31. M1 mm
�{
NEW BLDG. )\ 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
CONTRACTOR
PERMIT NO. y 3 3
PLUMBING PERMITS & INSPECTIONS
Jt e/ek ?G 0., 6 , ,' Co
I DATE 3 - C.
ADDITION
NEW BLDG. K 1 ALTERATION
APPROVAL TO POWER CO. FOR SERVICE DATE
PHONE
FEE $
REPAIRS
BY
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement in ode plans and specifications herewith submitted for the build
ins or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miarni
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 fd.,Q,2�/. ...... l C, .... ,,.106..4
Registered Architect and /or Engineer ,triedete•C2G � 42.0
Name and address of licensed contractor...etlAt9 a FRAEr.'R...atb /Q.!r-c�..s „Are, _.. 20 5 W. . O
Location and legal description of lot to be built on:
Lot ,tom Block / 7 '7 Subdivision..
Street and Number where work is to be done....) .g-i-IfinO 4 / ., •
State work to be done and �Q.
osc of building (by floors ).....mt?.0..�...2L/.a....
iff
, and for no other purpose.
New Building Remodeling Addition i<--- Repairs' No. of Stories . •
To be constructed of �..e S Kind of foundation... l " X /tv r � �� ��T � Roof Covering.. r¢� . � £ �
e
Estimated Total cost of improvements $ 9,roo J. Amount of Permit S. 41.00
Zone cubage required plan Cubage al. . /..1 4(
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.. ,PA !1r a,.. .F / NCB• G3 .2. s .. 4 • 3 G?.�?. , . 3 /
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of I.ihur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup`sleruent,
and has complied with the provisions thereof, and will require similar compliance from + r contractors or sub - contractors employed by bins
in the work to be performed under this permit; and will post or cause to be posted for / pection on the site of th ork such public notice
or notices as are required by the Act. The undersigned agrees to employ only such su •ntractors, on work to ; performed under this
pennit, as are licensed by Miami Shores Village.
Remarks __._. —_ (Signe
Disapproved .... c . Date.._..
(Signed)
Building Inspcclor
Chairman
Member
Member
Council Approved Date
PLANNING BOARD DATE
Date _�� _. _ , 1fi 8 _Q
No....10.._ .. Street— .:l..e
5 ..S
Read, Sworn to and Subscribed before me.
T �►9
STATE OF FLOr,IDA,
COUNTY OF DAD1 . } 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, send that all facts
therein by him stated are true. Date
. Q�
Permit No g / r1.... . ^' /
Notary Public, State of Florida
My Commission Expires.
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
NOTE: A charge of 51.00 will be made for
the 1'L Eo.od.
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.