1269 NE 99 St (10)OWNER'S NAME
- Z ■ ti► p. ra_ I> t.. o n>
PRESENT ADDRESS
(2 F!v q 1J . L 11 C1.
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
IZ e°t 1 , 3 .c. 1 - S
LOT
C.
BLOCK
1 (
SUBDIVISION
t A (2-LT 0o oz - S . _
GENERAL CONTRACTOR
t -1-. a,--)DI N G ---- X
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. ` "L1 3
DATE Z ` j � 1 7
PERMIT FEE $ 1 � po
BUILDER'S BOND
NO. DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE( G. V CU. FT.
—
EST. COST $ /JDO
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: Q-- t4 i4
, /1/ - 2i&. E L_
DATE.
r Zb - 9
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
I INTERIOR CONSTRUCTION
REPAIRS
DESCRIPTION ii
C1 ' � V ea- 7 Q A.2 r ''' c, a. 7 TJ 1. I t1 t N C.. Q J A 2 1 F-.e S —
ALTERATION'
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTO TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. i �Z + �1
I IU - 1 - 1 - '�l
ISSUED
,,�n� -.I�
BY
(i
TO J�.- G- L0�_Q____,� --..�-
'r
11- 1 -'d °S'
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
ROUGHING
DATE
ROOF
TEMPORARY SERVICE
1 S
BEAMS & LINTELS
SEPTIC TANK ' Mt.,
POOL
'I A
I 1r
FRAMING
eta`3.
AIR COND.
SEWER
SEWER
FINAL
RANGE CONN.
CLEAN UP
I S
FIXTURES
SLAB
SEPTIC TANK
S
SLAB
S
GAS
SOLAR HEATER
SPECIALS PERMITS
PERMIT NO.
I
DATE
I
FEE
TEMPORARY SERVICE
ROUGHING
DATE
1
TEMPORARY SERVICE
1 S
SEPTIC TANK ' Mt.,
�' 6�
'I A
I 1r
(�
eta`3.
C,
g Fr '
SEWER
SEWER
MOTORS
RANGE CONN.
I S
FIXTURES
SOLAR HEATER
SEPTIC TANK
S
I S
S
GAS
SOLAR HEATER
1
I S
FIXTURES
I
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
ROUGHING
S
TUB & TOP OUT
5
RANGE CONN.
SEWER
MOTORS
RANGE CONN.
5
FIXTURES
SEPTIC TANK
S
S
(
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR 7 -7 a- 6 c
PHONE
PERMIT NO. 9 ker," 1 DATE 5 —i Jmoo,, �
FEES 4
NEW BLDG. I ALTERATION XI ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
ROUGHING
S
H. W. HEATER CONN.
5
RANGE CONN.
S
MOTORS
RANGE CONN.
5
FIXTURES
S
S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
(
FIXTURES & FINAL
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR L I , 0 Ia i2-c= , e J ilea.. ) .� ti pp , C1,
PERMIT NO. • X 3 1 DATE C j- Z
NEW BLDG. 1 ALTERATION 1 ADDITION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
PHONE
FEE S /0
REPAIRS
BY
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DMSION
N° 1027
Miami Shores Village, Florida, 11 -27 - 59
Owner, Agent or Tenant of Building RT(;HARD TOW)
Lot 6 Block 1 Subdivision EARLTON SHOES
Street Address 1269 N.E. 99th St
Approved use by occupancy CONVERT CARPORT TO T.TVTNG (ITARTRRS
Remarks # 9
This Certificate of Occupancy is issued to the above named OWNER
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 •ertaining to
the erection, construction, alteration or remodeling of buildin•s or structures.
TAX VALUE 1508
PLAN CUBE 3016
BU iING DIVISION
BUILDING ZJ
ELECTRICAL ❑ PERMIT o
PLUMBING ❑ N . 9 213
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
El
MIAMI SHORES VILLAGE. FLORIDA
Bl.
Work to be performed under this Permit
Subdi-
vision
DATE.
Sq. Ft
Value of
Project $ 1 ,y 0
Contractor's
License No
Amt. of
Permit $
CONTRACTOR OR BUILDER BY T AUTHORITY
195
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been 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 condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements: or specifications and that be assumes responsibility for work
done by his agents, servants or employees.
Signed: BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authotities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Permit No 5) 3
2. — 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r?_w.WIT
No._I��_`�_
Date
Owner's Name and Address
Registered Architect and /or Engineer •..___.__•__
Employing Plumber's Name ° _ : _ �• 6 . e c°49� b� 0 -
(c �+Jo Street.___ -.---- ._.___.__._.•
Location and Legal Description Lot_--_-. _ ......... ______ ...... ___ ___ - Block — Subdivision
Street and Number where work is to be performed— No.. e?.. �' Leo_
State work to be performed and purpose of building (By Floors) — :!'t_'Z_ •_.___1!` — C —oil- 1' 4 2 {
New Building .- _---- _---- - -- - -- - -- -_._ Remodeling_.._ -- ____ Addition.------ _._.-- _-- _ -•_ -. Repairs No. of Stories
Street
Size Septic Tank
Feet of Drain Tile__ Nature of Water Supply: City —Well
Amount of Permit $ !
STATE OF FLORIDA, }
COUNTY OF DADE.
Type of Tank_
__Dist Feet of Tank or Drain Field from Well
_Size of Soakage Pit
(Signed) - -- =
(Signed).
Capacity Gals.
Plumbing Inspector;
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn • ent Supplement, and Iles com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ployed 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
S
LAVA-
TORIES
SIN3KB
• `SLOP
SINKS
LAUNDRY
Tinos
URINALS
U RINALS
CATCH
FLOOR
DRAIN
DRINKING DRINK
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
, •
CHECK
---
.-----
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE'
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
k
` —_—
CHECK
Permit No 5) 3
2. — 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r?_w.WIT
No._I��_`�_
Date
Owner's Name and Address
Registered Architect and /or Engineer •..___.__•__
Employing Plumber's Name ° _ : _ �• 6 . e c°49� b� 0 -
(c �+Jo Street.___ -.---- ._.___.__._.•
Location and Legal Description Lot_--_-. _ ......... ______ ...... ___ ___ - Block — Subdivision
Street and Number where work is to be performed— No.. e?.. �' Leo_
State work to be performed and purpose of building (By Floors) — :!'t_'Z_ •_.___1!` — C —oil- 1' 4 2 {
New Building .- _---- _---- - -- - -- - -- -_._ Remodeling_.._ -- ____ Addition.------ _._.-- _-- _ -•_ -. Repairs No. of Stories
Street
Size Septic Tank
Feet of Drain Tile__ Nature of Water Supply: City —Well
Amount of Permit $ !
STATE OF FLORIDA, }
COUNTY OF DADE.
Type of Tank_
__Dist Feet of Tank or Drain Field from Well
_Size of Soakage Pit
(Signed) - -- =
(Signed).
Capacity Gals.
Plumbing Inspector;
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn • ent Supplement, and Iles com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ployed 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Al 6e
Gd 6F MIAMI, .Flerefkle143A
DIVISION OF PLUMBING
N1JA U--- -3
• —
I Submit Herewith, Application a
EMPLOYING PLUMB
STORY / NEW
OLD
OWNER OR AGENT
LOT
Sewer Connections:
Rain Water To:
BLOCK
BATH TUB
BIDET
DENTAL CUSPIDOR
DISHWASHER
DRINKING FOUNTAIN
FLOOR DRAIN
GREASE TRAP
INDIRECT WASTE
LAVATORY
LAUNDRY TRAY
LAUNDRY WASHER
SHOWER
SINK, BAR
SINK, GLASS
SINK, POT
SINK, RESIDENCE
SINK, SLOP
SINK, 3- COMPARTMENT
TEMPORARY WATER CLOSET
URINAL
FIXTURES SET ON OLD ROUGH
INTERCEPTORS
WATER CLOSET
BLDG. FORM -23
-►� a�
' WELLING
DUPLEX
ROOMING HOUSE
APARTMENT
AT CENTER OF STREET AT CURB
EXISTING BUILDING SEWER /
TO SEPTIC TANK
STREET GUTTER PERVIOUS AREA STORM SEWER SOAKAGE PIT DRAINAGE WELL
1
Bldg. Permit No.
WOO
Water Piping To:
AIR-CONDITIONING UNIT
BOILER
BOOSTER FOR SOLAR
BOTTLED GAS WATER HEATER
ELECTRIC WATER HEATER
FIRE- SPRINKLER SYSTEM
F IRE - STANDPIPES
HOT & COLD FOR WASHING MACH.
IRRIGATION SYSTEMS
SIAMESE CONNECTION
SOLAR WATER HEATER
STANDPIPES
STORAGE TANK
SWIMMING POOL
WATER SERVICE
WATER SOFTENER
Draw Mechanical Plan On Back
INSPECTION
HOTEL LU CH AND JUICE STORE
OFFICE BUILDING RESTAURANT
GARAGE BEER AND LIQUOR BAR
STORE
ADDRESS OF JOB / as- we ? Li.
SUBDIVISION , & ' O \A ,® yL e s
AT PROPERTY LINE IN ALLEY
EXISTING BUILDING DRAIN
TO SOAKAGE PIT
Water Drainage:
AREA DRAIN
ROOF INLET
Repairs: Extending, Remodeling,
Adding to or Repairing the
Following:
BUILDING DRAIN
SEWER PIPE
SOIL PIPE
SIPHON- BREAKER
VENT PIPE
WASTE PIPE
WATER PIPE
BUILDING DEPARTMENT
Miscellaneous
Signature:
7 .
3 o
.0•
ta cro
ov?'
APPLICATION FOR BUILDING PERMIT
BUILDING INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
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.A.C'4 . i
Registered Architect and /or Engineer ��1e 4:
Name and address of licensed contractor
Location and lef al description of lot to be quilt on:
Lot tL� Block .l. Subdivision
Street and Number where work is to be done / .. ,.. ...r .:..
State work to be done and pu"sp of building (by floors)
Date ...
Notary Public, State of Florida
ss !! 19L
street _..d Z ..(
and for no other purpose.
New Building ?? Remodeling Addition V Repairs No. of Stories
To be constructed of.. _ S Kind of foundation rI-"-`c Roof Covering
Estimated Total cost of improvements $ ,e f 6 co < < Amount of Permit $ /
Zone cubage required .Plan Cubage - - V Z ' '— ' /4O "
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 pennit 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 a work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco actors n work be performed under this
permit, as are licensed by Miami Shores Village. / //
Remarks (Signed) Y. i• '�"' �' ' -- .
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.
Q
Permit No �/ Date �'� � Read, Sworn to and Subscribed before me.
Disapproved Dae'
(Signed) L ,_ ._;
Building Inspe or 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.
tts V g=k, e
C-J ,_55 21144
Z1 1 b tL 11. 1 -- 4
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