1208 NE 98 St (12)Permit No N \ ..1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 01 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
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 work. /� �c
Owner's Name and Address t��oo� � ®`� �/� / G.� / � No / 2 ' Street A/6-1Fif5/
Registered Architect and /or Engineer e'/ i,4 !� / ✓� Gco , - e 26
Employing Elect 'ciah's Name..... / I /`6 ,e.. i �' No /' Coe/Fi t , fe l l'`' A� �s c
ti S O S an O Q8 / c9 Block 3 Subdivision E4e2 Z�.!�� ET u�
ocation and Legal Ueacription Lot /1/6"---
Street and Number where work is to be performed —No / Z 67 4P - 9 ' 7 Street �y
State work to be performed and purpose of building (By Floors) ..J/.9< � ` ' 6 � # •
New Building Remodeling Addition Repairs No. of Stories
Service Overhead
Amount of Permit $
STATE OF FLORIDA, Ij
l
COUNTY OF DADS
Underground
Site Feeders Conduit Main Sw Amps Main Fuses '
Type of Installation — Conduit Tubing B.X.L Metal Moulding
*15% OP
se.
Before me, the undersigned authority, a notary
appeared
to me well known, and who, being by me first duly sa
of the above described construction, and he has carefl'
therein by him stated are true.
My Commission Expires
NOTE: A re•inspection fee of $1.00 will be my
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(Signed)
BPD
(Signed)
Date 6��S_
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 subcontractors 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 subcontractors, on w be performed uyder this permit, as are
licensed by Miami Shores Village.
Muter Electrician.
Amps
SWITCH
0
LION,.
OUTLETS
PLUG
RECE'P'T'e
FIXTURES
NO LAMPS
REIRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHICK
ENT.
SW.
015T.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No N \ ..1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 01 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
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 work. /� �c
Owner's Name and Address t��oo� � ®`� �/� / G.� / � No / 2 ' Street A/6-1Fif5/
Registered Architect and /or Engineer e'/ i,4 !� / ✓� Gco , - e 26
Employing Elect 'ciah's Name..... / I /`6 ,e.. i �' No /' Coe/Fi t , fe l l'`' A� �s c
ti S O S an O Q8 / c9 Block 3 Subdivision E4e2 Z�.!�� ET u�
ocation and Legal Ueacription Lot /1/6"---
Street and Number where work is to be performed —No / Z 67 4P - 9 ' 7 Street �y
State work to be performed and purpose of building (By Floors) ..J/.9< � ` ' 6 � # •
New Building Remodeling Addition Repairs No. of Stories
Service Overhead
Amount of Permit $
STATE OF FLORIDA, Ij
l
COUNTY OF DADS
Underground
Site Feeders Conduit Main Sw Amps Main Fuses '
Type of Installation — Conduit Tubing B.X.L Metal Moulding
*15% OP
se.
Before me, the undersigned authority, a notary
appeared
to me well known, and who, being by me first duly sa
of the above described construction, and he has carefl'
therein by him stated are true.
My Commission Expires
NOTE: A re•inspection fee of $1.00 will be my
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
(Signed)
BPD
(Signed)
Date 6��S_
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 subcontractors 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 subcontractors, on w be performed uyder this permit, as are
licensed by Miami Shores Village.
Muter Electrician.
Amps
PLANNING BOARD AGENDA OF Aty' Iggb ITEM NO.
Name of Owner /Appl i cant''f1}e /VOTE. DOV404 e Phone No.
Address of Property, and /or Legal Description I lo`5 N cR 5
Nature of Request APPR4dA L O p\544 AN` Nth A 1 t40 rtttU,ATt 9t4
Present Zoning R IZ�
Area of Present Building
Area with Proposed Addition
Parking Spaces Provided
Parking Spaces Required with Addition
Setbacks as per Code
Setbacks Provided
Variances /Exceptions /Zoning Change
Council Action Required
Date of Applicant Notification
Planning Board Action
Council Action
iami Jhores9i1Iage
F L O R I D A
f'4 tgiao,
Director of Building and Zoning
' 1 22
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,IcAL.e: F,
ASSUME:
DATE: February 3, 1986
Engineering Calculations for drawing dated:
2/3/86, Entitled "Support System for Ground Mounted
Receiving Antenna"
1300 S.W. 12th Avenue
Pompano Beach, Florida 33069 •
305 - 782 -3110
I-800-7'
REQUIREMENT: - The South Florida Building Code, section 2306 wind
requirements and the Southern Building Code congress,
section 1205 wind loads.
CRITERIA: Loads and dimensions are based on 120 M.P.H. wind
velocities with a corresponding pressure of 29 pounds
per square foot.
GIVEN: RayDx Satellite Systems Ltd.'s 8.5 foot diameter Ray -
Dish Antenna: Approximate weight 95 pounds; heat
treated aluminum construction, reflector is aluminum
mesh - 40% solid.
Concrete: F'c = 2500 p.s.i. @28 days
Rebar: A.S.T.M. a615 GR60 or A.S.T.M. A616 GR6O
Mounting Pole: 4.5" O.D., schedule 40 Steel pipe
A53 or A501 with 3/8" baseplate &
stiffeners
Assembly reacts as rigid frame and overturning moment of
wind is countered by deadweight resisting moment of
assembly.
Area of 8.5' Diameter antenna: 4.25' X 4.25' X 3.14
= 56.7 square feet
Total Load on antenna: 29 lbs X 56.7 s. f. X 80%
(Shape Factor) = 1315 lbs)
Wind overturning moment: 4.5' X 1315 lbs = 5918 ft.:lbs.
k
'U.S.A.'
UNIVERSAL SYSTEMS ACCESS, INC.
ENGINEERING CALCULATIONS
Total weight of assembly: 4,589 lbs.
BY:
P. 2. (continued)
ASSUME: Required resisting moment: 5918 X 150% = 8877 Ft. lbs.
Weight of concrete: 4.5' X 4.5' X 1.5' X 144 lbs.
cubic foot = 4,374 lbs.
Weight of antenna, pole, rebar, anchor bolts, plate, etc.:
215 lbs.
Resisting moment (dead weight only): 4589 lbs. X 2.5' =
11,473 foot lbs.
11,473 is greater than 8877, therefore base is adequate.
William L. DePollo, P.E.
State of Florida No. 20067
Date: 2/3/86
(305) 782 -3110
o.
1" Slops
Plan
46"
0
4 ea. 3/4"0x10"
Anchor Bolts
1424 Rebar - Both Directions
12" O.C.
Section
2 =3"
• r Slope
• /4(l i41
TYPICAL
4" 0 Pipe
MI It.
1 Non- metallic
conduit
WILLIAM L. DE POLLO, P.E.
STATE OF OF,FLO,%2A #20067
Date: d //
NOTES
1. Concrete: f' = 2,500 psi @ 28 days
ACI 318 -83
2. Reinforcing Steel- ASTM A615 Grade 60 or
ASIM A616 Grade 60 or AS7M A617 Grade 60
3. Support Pipe: 4" ID Sch. 40 Steel Pipe A53
or A501 with 3/8" baseplate and stiffeners.
4. Antenna: 8' - 6" Diameter "Raydish" with
expanded aluminium mesh.
5. Erection: Erection is to be performed in
compliance with codes, drawings, and
the specifications.
6. Loads and dimensions are based on 120 M.P.H.
wind velocity with a pressure of 29 pounds
per square foot.
7. Grounded per N.E.C. 810 -21 & 250 -81
8. 60 °C Direct burial Sun Res. (U.L.)
Satellite antenna cable
'USA'
UNIVERSAL SYSTEMS ACCESS, INC.
Pompano Beach, Florida
Support System for Ground Mou +t
Receiving Antenna
drawn by:
wld
2/ 3/86
1
THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT
p WITH NO VARIANCES p WITH VARIANCE(S) LISTED IN "REMARKS"
NO OTHER DEVIATIONS FROM THE MIAMI SHORES BUILDING AND ZONING
ORDINANCES WILL BE PERMITTED, UNLESS SPECIFICALLY LISTED BELOW.
ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED
WITH BY ALL PARTIES.
,
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
BUILDING DIRECTOR
PLANNING & ZONING BOARD
VILLAGE COUNCIL
PRELIMINARY:
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA 3UILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB CONTRACTORS ARE Cu'‘irF" "'''. " ' O.VI.F.ICE of Al' B'JILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
Authorized Stnature
APPROVAL
FINAL:
Date
Application is hereby made for the approval of the detailed statement or ore 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 bc kept at building during progreu of the work.
Date..._..._ -.S __.........._ /' ''� ...s. ,19. 6
No/ 2 _... StreeL4/E �.7., cT` .._.
s Engineer (fi I? pp e �t2 6�
Registered Architect and /or incer.. �l..J.l�rU ��'V'' �' �..€a... ,,. ..,,�:,E;,, ... .,� ., 7
Name and address of licensed contractor O8f L ... �e. i g F /60_ G 4f CY ... b
Location and legal description of lot to be built on: f/ 3 - OS"' 0 9 t'J e' p
Lot /0 Block 2 Subdivision 6 4 ro C7 S J oe6 S 7` - So
o
�r..�.�.2...,[Ysi/ .._..
Street and Number where work is to be done /
.ls.. .._.._ - �
State work to be done and purpose of building (by floors).... �_ ...ts' 9.7 _ GC, 4a1, /g,,,.0 rt 7` G
Owner's Name and Address flrE.0.. /Ate PowiA du
....
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation Z 5 t OCA-CI42"' tC' Roof Covering
S 3
Estimated Total cost of improvements $ /) Amount of Permit '1 `
Zone cubage required Plan Cubage
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 ds+
specifications for said building. All notices with reference to the building an its construction may
be sent to.. , S - - ) .• . A•........ /F% . �!0 K'� E ( s G ..1(/ ' 14 6 „i 27 b "' ?.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a n employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Snpltlement,
anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to bc 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 subcontr • , on work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)..
STATE OF FLORIDA,
COUNTY OF DADE.
Permit No —
Disapproved
(Signed)
APPLICATION FOR BUILDING PERMIT
SS.
Building Inspector
A ‘r ° a 7 /i /dd
MIAMI SHORES VILLAGE Arcli 1 RO 1)6
BUILDING INSPECTION DEPARTMENT
f Date
l Date .._........_
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 4e trpe..
_.... .....
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires ...
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 Inns been obtained from
the Pl.rnnir Board.
A re fce of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
Ow-ncr's Name and Address
APPLICATION FOR BUILDING PERMIT
.Application is hereby utnde for the approval of the detailed statement oe uee plans and specifications herewith submitted for the build •
inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Flnrid,e. 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....! l/
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Disapproved
(Signed)
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
v
no Ugx. ........_ Date.
ate
S bdivls o
L ». T j - -•- ---
( t
- __. and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation � Roo Covering
Estimate Q
Total cost of improvements $..3..A Amount of Permit $. v LL. Cj
Zone cubage required .Plan Cubage
Distance •to next nearest building. Size of Building Lot
\taxiunum 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 5e966, Compiled General Laws of Florida, Permanent Suit clement,
sand has compiled ssith 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 arc required by the Act. The undersigned agrees to employ only su k bcontra ors, wo to ,bt; performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA.
COUNTY OF DADE. 0.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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'true.
Permit No..c � 3 Date 7 � Q .. .._....._._ Read. Sworn to and Subscribed before me.
Notary Public, State of Florida
7s - Oa
to me well known,
My Commiuion Expires
PLANNING BOARD DATE
C'reair:nan 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
t Planning Ilu.ud.
A re-inspection fce of 31.00 will be charged when such re- Inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
Disapproved
(Signed)
Chairman
N1cu ber
Member .. ..
Council Approved Date
NOTE: A charge of $1,00 will be made for
the Planning Board.
A re- m'pection fee of $1.00 will be charged
materials and/or workmanship.
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby upnde for the approval of the detailed statement sit 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 htisrni
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 . . . .. � 1YN ... 45x.6 ' "rn/ .0. 1012.
Name and address of licensed contractor c�Qt
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Date.
Date.k
r
e./.nI...! Z.!Q.!J
_.._. V and for no other purpose.
Ncw Building Remodeling Addition Repairs No. of Stories
To be constructed of hind of foundation ty Roof Covering
Estimated Total cost of improvements $ mod' ad Amount of Permit . 1 s 00
Zone cubage required plan Cubage
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, Perrnane•nt Supplement,
and has complied .side 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 su • 1,, actors, �s wor ; to performed/yoder this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 true. ` �`j
Permit No Z/Z�ti,_./1S3 Date (DJ' l
Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
r
NoIl �Q/VE
......... Street
f•
0
to me well known,
Notary Public, State of Florida
My Commission Expires
Member
Member
Member _..__...
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by Improper notice for inspection or faulty
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.
Owner's Name and Address__
Registered Architect and /or Engineer
Name and address of licensed contractor O111i-P-- _B'?'1
Location and legs description of lot to be built on:
Lot O Block 3
Date
uilding Inspector
No.
1.71
Date /
V Street
Subdi vision
Street and Number where work is to be done____4_ _____ nn
•
and for no other purpose.
New Building V Remodeling Addition Repairs No. of Stories 1
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $____J Amount of Permit $
Zone cubage required plan Cubage
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
State work to be done and purpose of uilding (by floors) __- _
n
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 subs ntr tors, o work to be per m =. under
permit, as are licensed by Miami Shores Village.
Remarks ( Signed)
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 true.
Permit No J _L_2 Date Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Notary Public, State of Florida
My Commission Expires
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.
ei
, 'Blolc ' div,ision Street
LS; , .. ( 7,, /' /' / *, 4 /6 i',/e`A?57Z ; ' ' ' i I ig%
Owner's „Name Lic.No. Ad. or Phone
s ` t' . ,, /
General Contractor Lic.No. Add. or Phone
Zone Req.Cu.Ft. Cu.Cont., :/' ;' By
Plat Restriction Checked by r . /, '' i
To Planning Board i' 7 ;
/ Approved . Rejected
Re-Submitted to P.B. Approved Rejected
Plans & Spec. Checked by
To Council Approved Rejected
/
Cost
Fee
Type Stories
Bldg. Permit No.
New Construction
f ,7 /119 Construction
oPlumbing Permit No.
` -Pei Tank
Sewer
Miscfl
Fixtures
Sower
Septic Tank
Solar Heater
Final Certificate
Electrical Inspection
Roughing
Fixtures
Final
Temp. O.K.
He
Motors
Miscll
New Construction
Building Inspection
Foundation
Beams & Lintels
Final
Final Clean-Up
Service O.K. to Power Co.
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Date
Date
Alterations
Alteration
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Plumbing Inspection Date , By
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Electrical Permit No. .4g574 DateL44=ILY__Fee /Mr
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Fixtures /11,7e"Y It ff
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Insp By
Re-insp By Re-Insp By
By Re-Insp By
Cert.Occup.Issued
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Village of Miami Shores
JOB 4 s7 e C
ADDRESS / ° V �" �" ' 9 e
INSPECTION �I .J xa L. C ✓ C-�' 7
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TIME READY /J°
REMARKS
INSPECTOR
N° 4555
DATE 7 // - Se,
Village of Miami Shores
JOB
ADDRESS
' INSPECTION
N? 4437
TIME READY
REMARKS
INSPECTOR DATE
Phone: 8
vi-4ee-ta "° ,Zitl e -- e4 - 474
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General Building Contractors
12651 Biscayne Boulevard
Miami, Florida
J
Owner's Name and Address_
Registered Architect and /or Engineer .
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss
MIAMI SHORES VILLAGE
Disapproved _ Date
(Signed)
„„4„,
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 Miarni 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.
Name and address of licensed contractor
Location and legal description of lot to be built on
Lot ` Block 3_ Subdivision
Street and Number where work is to be done______
State work to be done and purpose of (by floors )_ 0
- -- -
Remarks ( Signed) J
uilding Inspector
Date /
No.
Z ®S treet
A) a'1 r•
and for no other purpose.
New Building V Remodeling Addition Repairs No. of Stories ,
To be constructed of Kind / of foundation Roof Covering
Estimated Total cost of improvements $____ fi Amount of Permit $
Zone cubage required plan Cubage
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 11-ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subc ntr tor` o work to be per (grmgd under
i74 /
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 true.
Permit No L4._2 Date ` Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
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.
Owner's ,N,amo Lic.No. A... or Phone
General
Zone Req.Cu.Ft.
Plat Restriction Checked by
To Planning Board ( // , %��� Approved
Re- Submitted to P.B. Approved
Plans & Spec. Checked by
To Council Approved Rejected
Cost
Bldg. Permit No.
Contractor Lic.No.
-Date
r�.
Cu.Cont.
Type Stories
New Construction
:)/�
-. eoPlumbing Permit No. r Date
rY- i'Septic Tank 11
Sewer F 1
Mis c t l
It
Fee
Alterations Repairs
New Const. Alteration Repairs
- Electrical Permit No. Dato �l -� Fee A0.4- Fixtures /1'/
�r
Heater tI ►�
n
Motors
rise].
New Construction
Building Inspection
Foundation
Beams & Lintels
Final
Final Clean -Up
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pae.
Alteration
a
By Re-insp
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Fee
n
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It
If
Repairs
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Add. or Phone
By ( .l
Rejected
Rejected
Roof
Plumbing Inspection Date By Re -insp By Re -Insp By
Roughing d
Fixtures
Sower
Septic Tank / ;2
Solar Heater
Final Certificate
Electrical Inspection Date By Re -insp By Re -Insp By
Roughing
Fixtures
Final
Temp. O.K.
_Service O.K. to Power Co. Cert.Occup.Issued
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