1178 NE 99 St (4)OWNER'S NAME
DR. 0. G. Mt KENZIE
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
L178 N. E. 99th Street
LOT BLOCK
3 I 179
SUBDIVISION
GENERAL CONTRACTOR
OWNER
ADDRESS
PHONE NO.
LICENSE NO
BUILDING PERMIT NO. 1127 �}
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DATE 4 -11 - 5 1
P�
PERMIT FEE S 5.00
BUILDER'S BONO
NO. ATE
ZONE REQUIREMENTS CU. FT.
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PLAN CUBE jQ CU. FT.
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EST. COST S 1, 0
DRAW
NGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY
DATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
I INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
ALTERATION
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ADDITION
SUBMITTED TO PLANNING BOARD
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F{�FERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
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CERTIFICATE OF OCCUPANCY NO. ( I ISSUED 1 - 1 J
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TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
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1 ri
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
BEAMS & LINTELS
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7 a
SEPTIC TANK
RANGE CONN.
$
FRAMING
MOTORS
$
SOLAR HEATER
FIXTURES
$
GAS
$
$
INSPECTIONS
FINAL
Fo,
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INSPECTIONS
DATE
BY
CLEAN -UP
. .
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RE- INSPECT
BY
ROUGHING
CONTRACTOR
\
PHONE
PERMIT NO.
DATE
FEE $
NEW BLDG. LT
RATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
H. W. HEATER CONN.
$
SEPTIC TANK
RANGE CONN.
$
SEWER
MOTORS
$
SOLAR HEATER
FIXTURES
$
GAS
$
$
INSPECTIONS
DATE
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
ROUGHING
GAS
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
CONTRACTOR
PHONE
PERMIT NO. DATE
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
s
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
P4[U61�5 99 RMIT5 & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
--,„1111111111lisamar