1199 NE 99 St (4),4'5; I, d /Oyu' /Ye yy
Subdivision No. StrE
8 / /Ye/ .'
Lic.No. Add. or
�vNp SS'f
o Add. or
g Fermi t No.
Septic Tank
Sewer
Mise'
New C ?nst,
dock
ra s Name
V }wE,e .a wo_s lJ453/ 'General Contractor Lic.No.
Zone Req.Cu,Ft, ,Z5 Ooc' Cu.Cont. a 7g// By
Plat Restriction Checked by _ EJ
To Planning Boardf7 Approved L' Rejected____
Resubmitted to P.B. Approved Rejected
Plans & Spec. Checked by d!W
To Council Approved Rejected____,_
Bldg. Permit No.4a2 Date / t- Fee /7 Cost 13
TYPe_ [. .5 J4 s Stories l Roof // &
New Construction ✓ Alterations Repairs
Alt
ation
Electrical Permit No.
Fixtures
Heater
• Motors
Misc'l
New Constructions ration
Building Inspection Date By Re -insp. By Re -Insp By
Foundation
Beams & Lintels
• Final
Final C1eantup
Plumbing Inspection
Roughing
Fixtures
Sewer
Septic Tank
Solar Heater
Final Certificate
Electrical Inspection
Roughing
Fixtures
FINAL
Temp. O.K.
fate By Re -Insp By Re -Insp By
Date By Re -Insp By Re -Insp By
Date.,
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Date
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Fee
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Repairs
Fee
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Phone
Phone
Repairs
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STATE OF FLORIDA
COUNTY OFDADE )) C (44,&5W/Xe
C. - f /244F of the Village of Mi
County of Dade and State of Florida, being duly sworn, loth de
and say, that under the provisions of Section $ 3+8, Sabi - sect$
of the Building Code of Miami Shores Village he desires to build
id; - GE: .4k //L AK ' on Lot
Block /7g ofI0 EV ... subdivision, th
is the owner of sa id property, and will be the owner of said
ES/DFiv'CE , that he will do the work perso
and that he will, at such times as are required bir the Z Xg
Building Director
1. File plans d apecificatiiona and obtain ap ro €aI
Village PlOwniM g $oOrd and of the Building Ind
2. .apply for rod secure a permit.
3. Fay the required fees, f-or .license and for permit.
4. Execute the ; work In accordance with the provisions 0
the Zoning, Building. Plumbing and Electrical Bodes
Miami Shores Village.
5. Apply for inspections.
6. File with the Building Inapeetor certificates t
vision has been Made to carry the necessary Wo
Compensation, Pudic Liability and Property Damage
Insurance.
'x File with the Building InePeetor as the Job ProSreas
certificate s showing the payment required by the
Federal Social Security Act to the State of Florida
or the United States of America.
8. Assume the respeneibility of not employing other than t.
properly lieensed contractors by Miami Shores Village .
for any part or portion of the .work:
9. Not set hiu _; of up as a "C ontrae for ".
10. Execute Builder's Bond. --
And further this Deponent says not.
A F k' I D i. V I `i
1.
SUBSCRIBED AND SWORN TO BEFORE MB this
A.D., 1947
2 ,�:
1. Signature of Applicant
2.. Signature of Officer administering oa
f
41 • ,
da l « y am"
BUILDING
ELECTRICAL
PLUMBING
Owner o
Building
Architect r
Contracto
or Builde__�.___�__
Legal Lot 11 Bl.
Description
Address of
Building
This permit is nted to the contractor or b de . arced ab• a to construct a building or tp install the equipment o • vice s d the a ppli -
cation herefor in strict compliance with all ordinan pertaining thereto and with the understanding that the work will be per armed in co with any
plans, drawings, statements or specifications that may have beer' 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 con a g upon which this
permit irigranted is the understanding that the contractor or builder named above ' 1' es the respofsibi ' ;;, for a thorough knows ordinances and
regulations pertaining to the work covered hereby whether shown on the plans'or • j_ or in str;ents or spa cations t r es respon-
sibility for work done by his agents, servants or employees.
C • TRACT S ' 0 BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N9 6605
k to b perfq'rry under this Perini
Subdi-
vision
BY
Contractor
License No
Pe
IN ` CTOR
In consideration of the issuance to me of this permit. I agree to fo ' the work covered hereunder in compliance with ordinances an
pertaining thereto and in strict conformity with the plans, drawings, , . - eats or specifications submitted to the proper auth of Miami Sh
In accepting this pe it I assume res o sib' 'ty for all work done by ei+ er myself, my agent, servant or employee.
AUTHORITY