1151 NE 99 StOWNER'S NAME
C J',co 843
PRESENT ADDRESS
/t r/ w.F 79' f,.
LICENSE NO.
PHONE NO.
N JOB LOCATION (ST. OR AVE.)
fir/ /./. e. 7 1 5 , '.
LOT
/8
BLOCK
/78
SUBDIVISION
HiAMI .576.4e---1 SGc.T 8.
GENERAL CONTRACTOR
04.i.) P4 t°C,e. �i)` L4 40 d,
ADDRESS
PHONE NO.
LICENSE NO.
/q
BUILDING PERMIT NO. I. ! 4-L
DATE 1 1 - - ` r
■
PERMIT FEE $ / +
BUILDER'S BOND
NO. '— DATE
bl.'
A I,4%o�
ZONE REQUIREMENTS CU. FT.
T i ` 3.�
PLAN CUBE 4 co CU. T.
_
EST. COST S 7. O
/
DRAW NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: L. •Q -- €,....14, ♦
DATE
is- 3' (..
NEW CONSTRUCTION
TYPE
a 3S
STORIES
one
I ROOF CONSTRUCTION
, /c •
I INTERIOR CONSTRUCTION
0 T /4 / T7' 70ef -( Roo 7/0A
REPAIRS
// DESCRIPTION L
Cora. /s4L /i._,.S p / 4- t/ �15 # cG / 4;Ifs 1J.. .sr Ls
ALTERATION
DESCRIPTION
}.
, 4 - re, 1 e1 vlh ---
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFD TO VILLAGE COUNCIL,
REMARKS
CERTIFICATE OF OCCUPANCY NO. / /
ISSUED
BY
TO & /f V A C U'5/
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
$
SEPTIC TANK
ROOF
-
$
BEArt1S & LINTELS
$
TUB & TOP OUT
POOL
SOLAR HEATER
$
FRAMING
$
GAS
AIR COND.
MOTORS
$
FINAL
$
FIXTURES
CLEAN UP
SEPTIC TANK
$
SLAB
s
S
SOLAR HEATER
SLAB
I
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
RE - INSPECT
• -•
$
SEPTIC TANK
FEE
-
$
SEWER
$
TUB & TOP OUT
$
SOLAR HEATER
$
•
$
GAS
SEWER
MOTORS
$
$
FIXTURES
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE - INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
$
TUB & TOP OUT
H. W. HEATER CONN
$
RANGE CONN.
RANGE CONN.
SEWER
MOTORS
$
FIXTURES
SEPTIC TANK
$
s
S
SOLAR HEATER
I
FIXTURES
•
GAS
CONTRACTOR
PHONE
PERMIT NO. I DATE
FEE $
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
RANGE CONN.
$
MOTORS
$
FIXTURES
$
FIXTURES & FINAL
S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TFMP. SERVICE
I
ROUGHING
I
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
I
CONTRACTOR
PERMIT NO.
NEW BLDG.
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
I DATE
1 ALTERATION 1 ADDITION
ELECTRICAL PERMITS & INSPECTIONS
PHONE
FEE S
REPAIRS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
BUILDING
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
0
Owner of.
Building i€ 1 -
Architect b s..s
Contractor
or Builder
Legal
Description
0�
'
St 1
CONTRIitv'£OR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Lot / 11 B1
N9 95 itt
be > under er# under this 'Peru.
Work to p
S
a
0
To ,c > ;
ubdi-
vislon i
Address of '- 9 Value of
Building S. "� 4 Project $
This permit is granted to the contractor or builder named above to construct the
tion herefor in strict compliance with all ordinances pertaining thereto and with the enders*
plans, drawings, statements or specifications that may have been submitted * and approved
at any time if the work is not done in compliance with such ordinances or if the plane are changed wi e
permit is granted is the understanding that the contractor or builder named above assumes the
regulations pertaining to the work covered hereby whether shown en the plans or drawings or in
sibility for work done by his agents, servants or employees.
Signed:
In consideration of the issuance to me of this permit 1 agree to perform the work covered hereon
pertaining ther and ' strict conformity with the plans, drawings, statements or specifications submitted to prope
the
cepg' this it I ume responsibility for all work done by either, myself, my agent, servant or employee.
x i /
BY
AUTHORITY
F
rmit f !
or device desctilitit
be performed in
o rities. This PernAlitnati
sn A farther eondit?tt ti
rough knowledge of
apeciftk tisae and that
tried 4:''
•
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1659
Miami Shores Village, Florida, 12-12-66
Owner, Agent or Tenant of Building C. D. Jacobs
Lot 1 8 Block 178 Subdivisio M. S. Sect. #8
Street Address
1151 N. E. 99 St
Approved use by occupancy Utility Room addition
Remarks. 6956
This Certificate of Occupancy is issued to the above named OE.J 4 CZ
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.
Plan cube - 6000
. _Z
ILDING DIVISION
Zone cubage required__
Distance to next nearest building_
Maximum live load to be borne by each floor._
STATE OF FLORIDA,
COUNTY OF DADE. ss
Permit No. _ - - -- - - -- _ -
Disapproved _ _
(Signed)
t
MIAMI SH
ES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FI R 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 stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villag^, 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 Miam Shores Village sh 11 be con,plied with whether her in specified cr not. A copv of approv, d
plans and specifications must be kept at building during progress of the work.
r-4_, , /�—
ji
Owner s Name and Address Date- _ . _ - /- 19__ �E'
� f --
___ __ _ ` /
No.- Street
Registered Architect and /or Engineer __ _ _ _ / 11
Name and address of licensed contractor _ ___ _ __ .) 4 ?''!t'y �i 0 1 1,
Location and legal description of lot to be built on:
Lot / Q d Block ___1_?_./ ____ __ _ _ Subdivision_.. `_ 'r i r
Street and Number where work is to be done_ _ `/ f V E. '7
'
_ _ _
State work to be done and purpose of building (by floors)____ ` / t( 1 t 1 12-%--,
Date_
Date -
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 $ 0 _ C_ .J Amount of Permit $ /0 "
_Plan Cubage 4, 0... ma • r7. 'r u . - 3°c.
Size of Building Lot- - -- --- -- -- - -
pl ns nd specifi tions for said buil
I hereby su ? it all
be sent to _ _— � /
The undersigned applicant for this building does ' by certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensa on Act, b ' g 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 slylf contracto s, on work to be performed under this
permit, as are licensed by Miai.:i Shores Village.
Remarks (Signed) - - = - a e �� -- -
g. All notices with reference to the building and its construction may
s. -� s
Notary Public, State of Florida
S � .7`
Read, Sworn to and Subscribed before me.
/'
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 stat d are true.
fr s" - 6,1
Building Inspecto My Commission Expires
NING 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.
07/1./ Ty Roc ADD,T /°^
'�o r /
MIL . i. a. 4-, ✓•Fcovs ,
/icy , /. E, 9'? LP I,,
FX Q 4 e
6 y, / o :.cD _ et. j e..". F7.
Ti- J $r(
.P. c -.F.
6