1099 NE 99 St (4)BUILDING
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
Owner of • }
Building �.
Architect
Contractor
or Builder
Legal Lot ` II Bl .
Description !
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATF. f
PERMIT N? 14019
Work to be performed under this Permit
Subdi-
vision
CONTRACTOR OR BUILDER BY
Value of
Project $ 1 %
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 responsibili for work
done by his agents, servants or employees. . Y
;`.. 1 i
Signed • BY
INSPECTOR
In considderation of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining the to and in stkt conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In acceptingit is permit_Vassume' responsibility fo; all work done by either, myself, my agent, servant or employee. re t. _
AUTHORITY
OWNER'S NAME
J.S. Carroll_
PRESENT ADDRESS
371 N.E. 103rd St.
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
1099 N.i . 99th St.
LOT
15
BLOCK
178
SUBDIVISION
Sec. 8 Rev.
GENERAL CONTRACTOR
Same
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 14019
‘' - /
DATE 12 - 5 - 5 2
PERMIT FEE $ 19.00
--ro V UILDER'S BOND
•NO 51511 DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 21 CU. FT.
EST. COST $ 15,000
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
DATE
X
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
tile
INTERIOR CONSTRUCTION
oak floors, plaster walls and
REPAIRS
DESCRIPTION ceilings
2 bdrm. -2z- baths- living room - jalousie porch - kitchen -2 car garage
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
6T'0
CERTIFICATE OF OCCUPANCY NO. i (
n ' V
ISSUED r -' C c
A
BY '''
TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
DATE
FEE
TEMPORARY SERVICE
S
BEAMS & LINTELS
pp ;;-- ••''��''''}�
t -�-+ -� a- !jam -i-�l
• /2
- --
SEWER
( r
FRAMING
--. kC
5
GAS
$
S
INSPECTIONS
FINAL
,� -
•�
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
^a ' - +'
GAS
CONTRACTOR - • lt:>>• �';�� � ' - ' % -
PHONE
PERMIT NO. DATE
FEE S / '
NEW BLDG. ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
S
SEPTIC TANK
pp ;;-- ••''��''''}�
t -�-+ -� a- !jam -i-�l
• /2
- --
SEWER
( r
S
SOLAR HEATER
5
GAS
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
I / A' 5
^a ' - +'
GAS
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
ELECTRICAL PERMITS & INSPECTIONS
,'
CONTRACTORL.:... 2 - _.
'PHONE
PERMIT NO. - "' DATE ,•
FEE Sy/
NEW BLDG. ' ALTERATION 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
i ,11; BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
APPROVAL. TO POWER CO. FOR SERVICE DATE
' BY
l \
MrAMI SHORES VILLAGE
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Permit No \-
Disapproved
(Signed)
mg T.' for
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 l ✓____ EC °� --- ,.1.9 � ._,� --
Owner's Name and Address _._ 4� e4 e __!__...4 i-- No. ,....V.7./ Street _ 44,'__!___ (24_,. 4 - I c -
Registered Architect and /or Engineer_ C_,__ ?! :__T' 7
Name and address of licensed contractor %.1 C_ •q_ e e e" AY 7/ /I. 6 / < <%' ° .' 1
Location and legal description of lot to be built on
Lot , Block / 7 Subdivision s e __s
Street and Number where work is to be done / L4_
- _a !-_ 1__s1--; .
State work to be done and purpose of building (by floors) O .4(_t= t[ e 0 ' y
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation C' o ele_t - . Roof Coye g ,l ! .._ ' —
Estimated Total cost of improvements $ .ma y . 0 o . _'________Amount of Permit $ G ����
Zone cubage required 62 12 d v _Plan Cubage - _ _•__ 2__,
g � _1J .1 Distance to next nearest building �J
� Size of Building Lot ! '4 -Pc_1_/__._.,e
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 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 inspectu n on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontry ors, on work to be performed under this
permit, as are licensed by Miami Shores Village. fir_
Remarks ( Signed) - �C!� - -- �•� ��'��'
to
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.
Date V 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 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.