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1161 NE 98 St (3)MI SHORES VILLAGE ILDING 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. DateM Z , 19 4.D4--- Owner's Name and Address__ �er1t_a/ in �_ ___�? rt_a_ % N C /� Street_ r]7 _f � __c' Registered Architect and /or Engineer _L SZr� t' l%2 444A 4 1._l-t_>_v= ,, Name and address of licensed contractor 1,14 M __ = _ _ %i-. --,:° 112'.4 Location and legal description of lot to be built on: s Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) _ ___ n -c 42,0 Cle-,,n, G ci c,/4 `/0©G" aft ;,_, 1 and for no other purpose. New Building Remodeling Addition__ T '_( Repairs No. of Stories i To be constructed of _C • 8 S Kind of foundation____Ca_kt_e_r>2. s_, / Roof Covering e.;2...:.:2_72.4 ____ 'r' 2 `� c Estimated Total cost of improvements $ -_` :8.^__f2_e:n' Amount of Permit $ Zone cubage required _Plan Cubage 2434 - 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 ublic 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. � - ? Signed - - - --� Remarks ( �g ) �� � -- � -�--�- =- �- - - -� -- 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 Permit No G_3 1 Date 3 - t Read, Sworn to and Subscribed before me. Disapproved ____ Date Q.,. (Signed) uilding Inspector My Commission Expires 0 T, iJ. = 14-I. l Notary Public, State of Florida 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 Architect Owner of Building Contractor or Builder &Pt -' . /1- Legal Lot /, Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT MB1 X71 • t N °p /L.a CONTRACTOR OR BUILDER • BY Work to be performed under this Permit Subdi- vision Ali a • Value of Project $ ri Z/ .. D x 12. t? •A. ..„az.: 4_ r Amount of Permit $ ee /0 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 regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he aumes respon- sibility for work done by his agents, servants or employees. Signed. ZO Z. ` "" INSPECTOR In consideration of the issuance to me of this permit I agreneto perform the work covered hereunder in compliance wit all ordinances and regulations pertaining thereto and in strict conformity with the plans, dset'wIngs, statements or specifications submitted to the proper authgriti of Miami Shores Village. In as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. AUTHORITY MIAMI SHORES VILLAGE, FLA. NO 6968 JOB -4A-- . (Q O C ADDRESS / 1 6 1 ,ti INSPECTION TIME READY REMARKS • i ),(ze--(_. r INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. N? 6948 JOB i 1 ADDRESS CD / / R J r INSPECTION TIME READY / ° J62 S REMARKS • INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. No 6933 JOB F `. `ij ADDRESS 1 (L ( <� INSPECTION P TIME READY REMARKS : INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. N9 6983 JOB De, ADDRESS //6 / � O 6 INSPECTION F? 6 6 TIME READY "9",-2 • ��°�`� REMARKS • INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. N? 6910 JOB /S ?")-- ADDRESS t 1 ( INSPECTION / 8 TIME READY d t� REMARKS • INSPECTOR DATE CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1607 Miami Shores Village, Florida, 11 -1765 Owner, Agent or Tenant of Building HENRY DE (GAFF Lot 19 Block 179 Subdivision MTAMT SNORTS SFf;TTON #3 Street Address 1161 N F 9 R1 h . St Approved use by occupancy FLORIDAROOM APT)TTTON Remarks. 6385 This Certificate of Occupancy is issued to the above named owner 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 = 2934 6,X TAX VALUE = $1,1x67. BUILDING DIVISION OWNER'S NAME HENRY DE GRAFF PRESENT ADDRESS 1161 N.E. 98th. St. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1161 N.E. 98th. St. LOT 19 BLOCK 179 1 I SUBDIVISION Miami Shores #3 GENERAL CONTRACTOR owner builder ADDRESS PHONE NO. LICENSE NO. p BUILDING PERMIT NO. 6385 5 r DATE -3 -65 PERMIT FEE 5 10.00 BUILDER'S BOND NO. 4. DATE Addition ZONE REQUIREMENTS CU. FT. T.V. = 1467 PLAN CUBE 29311 CU. FT. EST. COST 5 7nn_nn DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: BUILDING PERMIT AND INSPECTION RECORD IAMI SHORES VILLAGE DATE NEW CONSTRUCTION TYPE GRS STORIES nnP ROOF CONSTRUCTION INTERIOR CONSTRU6TI6N Rui 1 t yip I Fl nri da room REPAIRS DESCRIPTION nnhan 'H l P fl chnr p1 astPrPr3 walls and i 1 i ng wood base and trim ALTERATION DESCRIPTION tile sills ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGF COUNCIL REMARKS /I e CERTIFICATE OF OCCUPANCY NO. ((AM I ISSUED 11-(7,4k1 BY ( , _ f� TO �> , SJ 0 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: BUILDING PERMIT AND INSPECTION RECORD IAMI SHORES VILLAGE DATE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION ROOF SEPTIC TANK DATE BEAMS & LINTELS 5 POOL I S FRAMING SOLAR HEATER AIR COND. $ $ FINAL SEWER CLEAN UP SLAB a SEPTIC TANK S I SLAB a SOLAR HEATER SPECIALS PERMITS PERMIT NO. DATE I FEE TEMPORARY SERVICE BY RE- INSPECT $ SEPTIC TANK DATE FEE 5 SEWER I S $ SOLAR HEATER $ $ GAS SEWER $ S a INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE I S TUB & TOP OUT $ RANGE CONN. SEWER MOTORS S FIXTURES SEPTIC TANK S I I a SOLAR HEATER FIXTURES GAS CONTRACTOR 1_ , GS ,l c4... .�` PHONE PERMIT NO. (,, L4Q & 1 DATE '7 `(-) <) FEE $ �!. NEW BLDG. I ALTERATION 1 ADDITION '� REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE I S H. W. HEATER CONN. $ RANGE CONN. S MOTORS S FIXTURES FIXTURES & FINAL S I I a INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT' BY TFMP SERVICE I ROUGHING I H. W. HFATER CONN RANGE CONN. I I FIXTURES & FINAL I I BUILDING INSPECTIONS .ra 01i tas(�t� CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS DATE 1 ALTERATION 1 ADDITION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE $ REPAIRS BY