1183 NE 99 St (13)OWNER'S NAME P
PRESENT ADDRESS L
LICENSE NO. '
''? { R
JOB LOCATION (ST. OR AVE.) L
LOT B
BLOCK -
- UBDIVISIOM !�`
1185 E. 99th St. 2
GENERAL CONTRACTOR A
ADDRESS P
PHONE NO.
BUILDING PERMIT NO. 13001 D
4 -1 2 P
19.00 N
1417 D
DATE 4
PERMIT FEE S 1
NO. 1
20,000 2
23,689 1
15,000 =-
DATE
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
a C
NEW CONSTRUCTION —
TYPE S
STORIES R
ROOF CONSTRUCTION I
INTERIOR CONSTRUCTION
plaate
REPAIRS $
DESCRIPTION and ceilings r
2 bdrm. -2 s -
bathlivin dinin porch-kitchen-den-2 car ar
ALTERATION
DESCRIPTION s�
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED R
REJECTED R
REFERRED TO COUNCIL R
REASONS
RE- SUBMITTED TO PLANNING BOARD `
I.
SUBMITTED TO VILLAGE COUNCIL
REMARKS A Wi,
" -i. W yk:
CERTIFICATE OF OCCUPANCY NO. ( 5 i I
ISSUED 9 - .5-S"1. B
BY 44W I
I TO (Il
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHARES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
DATE
BEAMS & LINTELS
SEPTIC TANK
1 ) j'; ' r 7 /
•
$
SEWER
1
FRAMING
S
SOLAR HEATER
$ 4
RANGE CONN.
$
GAS
$
$
S
FINAL
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
1,
a 1.7 - DY
E
INSPECTIONS
DATE
BY
RE- INSPECT
CONTRACTOR S .„ ( _r C i..
PHONE
PERMIT NO. ( DATE y 9 :`j -
FEE $ / 3 a /
NEW BLDG. I ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
DATE
$
SEPTIC TANK
1 ) j'; ' r 7 /
•
$
SEWER
1
S
SOLAR HEATER
$ 4
RANGE CONN.
$
GAS
$
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
1,
a 1.7 - DY
E
INSPECTIONS
DATE
BY
RE- INSPECT
GAS
BY
TEMP. SERVICE
1 <-1 `VY'.f -- 3 .
• LL-.,
- .; - r - J
SEWER
ROUGHING
.. .. -
SEPTIC TANK
( . . . i . ) - ' 5
'
SOLAR HEATER
RANGE CONN.
FIXTURES
.'p T : \'
. ,f -.
FIXTURES & FINAL
.
•.
�, ,.
CONTRACTOR ,; t/O )/ ('' } !
PHONE
PERMIT NO. v (,. ' DATE �.
___.-�
NEW BLDG.
ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
an /-
-4
r
'-, 0j.
, ‘ V''.' , ." ) t1 ' 1 _
H. W. HEATER CONN.
$ 4
RANGE CONN.
$
MOTORS
S
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY RE- INSPECT
BY
TEMP. SERVICE
1 <-1 `VY'.f -- 3 .
• LL-.,
- .; - r - J
d d /ly p ° - ,��
ROUGHING
.. .. -
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
c., .-2_6 J I7- �
1
�, ,.
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL. TO POWER CO. FOR SERVICE DATE
N9 1519
Mimi Shores Village, Fla.;,
Owner, Agent or 'reliant of Buildi
Lor
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAQE, FLORIDA
BUILDING DIVISION
2 4 Block—la"—
Street Address
Approved use by occupancy
Remarks:_
This Certificate of Occupancy is issued to the above ream
for building at above named location only upon the express
abide by and comply with all conditions of Ordinauoes >
Zoning, Electrical, Plumbing and Building Ordinances of
the erection, construction, alteration or remodeling of
/,, -rw64 VLA.A.04.
r‘uu1•t55 — .' „bu al'•
LEGAL lot 20, bl. 1 8 MS Sea.° RECORD LiAKISAtOt. IAJ
P AID BY - 1 -
Robert Miller
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
R BP®(
HUMS= _
F �s,�� „w
Owner's Name and Address
Disapproved -
( Signed)
Location and legal description of lot to be built on•
Lot ¢ Block
Street and Number where work is to be done
Zone cubage required
Chair
Member
Member
Council Approved •
MIAMI SHORES VILLAGE
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.
Registered Architect and /or Engineer
Name and address of licensed contractor
Subdivision
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building ('� emodelin Addition
C
To be constructed of `.2 Kind of foundation
Estimated Total cost of improvements $__1 1i!j__a O a Amount of Permit $
Distance to next nearest building :L
Date
Date
No.
_.Plan Cubage 1
Size of Building Lot
PLANNING B • 1 DATE
Roof Cove
Street
Replttrs No. of Stori
Notary Public, State of Florida
c
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 public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontra on ork to be performed under this
permit, as are licensed by Miami Shores Village. '7 -
Remarks____ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j 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 du sworn, upon ... . ses and say that he is the
of the above descried constr en, that he �.� read ` � regoing application, and that he did sign the same, and that all facts
therein by him stat w are tru .
Permit No \.1 Date- ..
/ Read, Sworn to and Subscribed before me.
Y--
y Commission Expires
ember
ember
Member
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 lanky
materials and /or workmanship.