OCCUPANCYOWNER'S NAME P
PRESENT ADDRESS L
LICENSE NO. P
PHONE NO.
JOB LOCATION (ST. OR AVE.) L
LOT B
BLOCK S
SUBDIVISION
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
.g OUNDATION
i'(^4ei',`
Ate.
TEMPORARY SERVICE
$
SEAMS & LINTELS
/0- 3'..:. , __'
r
$
RANGE CONN.
FRAMING
, :
L,_i
S
FIXTURES
S
-,N / 6 ""ar-/.r)<•
$
INSPECTIONS
DATE
FINAL
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
CLEAN -UP
ROUGHING
11 le-
PLUMBING r ERMITS & INSPECTIONS
r ,
CONTRACTOR ) ti.. -- s- `
PHONE
ol■7
PERMIT NO. i,...; -i DATE r — - •- '
FEE $ . f . i*
NEW BLDG. ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
RANGE CONN.
$
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
5
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
I% f -4 y
CJ H.
GAS
SEWER
SEPTIC TANK
SOLAR HEATER.
FIXTURES
CONTRACTOR \!‘z-: \-` ^ / � ..
II
PHONE
PERMIT NO. � �® DATE 0 . i
FEE $ /
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
S
FIXTURES
S
-,N / 6 ""ar-/.r)<•
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
11 le-
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
ELECTRICAL PERMITS INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 287
, ,,ms i -t - S(.
Miami Shores Village, Florida, 1—
Owner, Agent or Tenant of Building 6.,1 • rIa rr I
Lot Block Subdivision
Street Address i Q N . ' • 9 T.
Approved use by occupancy
Remarks •
This Certificate of Occupancy is issued to the above named
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.
Try
11( 1201 . BUILDING DIVISION
OWNER'S NAME -
live Prochaska
PRESENT ADDRESS
LICENSE NO.
4 FH.ObIE NO.
JOB LOCATION (ST. OR AVE.)
218 N.E. 98th St.
LOT
BLOCK
SUBDIVISION I
n
GENERAL CONTRACTOR
Im. Pierce
ADDRESS
PHONE NO.
LICENSE NO.
'n�j
BUILDING PERMIT NO. 125 1 7
DATE 12 -17 - 5 1
PERMIT FEE b•°Q
BUILDER•S BOND
AT
ZONE REQUIREMENTS CU. FT.
C i6 0 z muse
PLAN CUBE CU. FT.
5&024aut.
EST. COST S 4r
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
VJ
•ATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
(` (� ^ DESCR IPTION
Q (
ALTERATION
DESCRIPTIO
Screened Porch
x
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. i �:
ISSUED 1 ® J ( ,, h LY I)
F`
TO CYA1 -`
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
Oft.
-
�ar:
—
FEE
TEMPORARY SERVICE
$
BEAMS & LINTELS
$
H. W. HEATER CONN.
$
SEWER
$
FRAMING
$
SOLAR HEATER
MOTORS
$
GAS
S
FIXTURES
$
$
FINAL
f
,
INSPECTIONS
DATE
BY
RE- INSPECT
CLEAN -UP
RE- INSPECT
BY
ROUGHING
BY
PERMIT NO. !DATE
FEE $
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
H. W. HEATER CONN.
$
SEWER
$
RANGE CONN.
$
SOLAR HEATER
MOTORS
$
GAS
S
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
BY
TEMP. SERVICE
GAS
ROUGHING
SEWER
I4. W. HEATER CONN.
SEPTIC TANK
'RANGE CONN.
SOLAR HEATER
FIXTURES
F%XTURES'& FINAL
CONTRACTOR
PHONE
PERMIT NO. I DATE
FEE S
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
S
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
I4. W. HEATER CONN.
'RANGE CONN.
F%XTURES'& FINAL
CONTRACTOR
BUILDING INSPECTIONS
PLUMBJDIT; PERMITS & INSPECTIONS
H
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
N° 1573
Owner, Agent or Tenant of Building
Lot Block Subdivision
Street Address ‘ , 1,A c, '
Approved use by occupancy -6„4 ; t C7-.) ,
F r.:
This Certificate of Occupancy is issued to the above named (i),: Y 9 %-1
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 odeling of buildin or structures.
a e a� /� t - - .¢ .sue—
A ! ., 0° / 1YV B UILDING DIVISION
Remarks.
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, F1, '—
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.
Date 19 - .
Owner's Name and Address _� �_ w_____ � '_' ' ' No._ L Street___/_c_ _
Registered Architect and/or neer ,i-
Name and address of licensed contractor --,
Location and legal description of lot to be built on: ./
Lot Block Subdivision
Street and Number where work is to be done i 1 ..____.! , 1
State work to be done and purpose of building (by floors),
and for no other purpose.
New Building Remodeling Addition_______ Repairs No. of Stories
■
To be constructed of __> . _ Kind of foundation Roof Covering
f ' 6 Estimated Total cost of improvements $___ A 7 ' (' n _ _Amount of Permit $ 2 o
Zone cubage required _Plan Cubage
Distance to next nearest building; 1,--------- Size of Building Lot 7 r g
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_
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 " subcontractors, on work -to be performed under this
permit, as are licensed by Miami Shores Village. 7 l/ /.
Remarks (Signe
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 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 1 / 7 S Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
( Signed)
Building Inspector 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.
7
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