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180 NE 99 St (17)OWNER'S NAME PRESENT ADDRESS T►4£ tA►anti. µe.4-rEiSo4.l Inst. I L. n o N. t • 11 - S LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION GENERAL CONTRACTOR Ow.>n D e . v L 4 \se ADDRESS PHONE NO. LICENSE NO. � ✓ ? Z.3 BUILDING PERMIT NO. - 1 � �y DATE f I' `` PERMIT FEE $ • BUILDER'S BOND NO. '� DATE .' .1 REQUIREMENTS CU. FT. ZONE PLAN CUBE no c1% 4 nre _CU. FT. EST. COST $ DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: •••• • Z. -a ' • . `0 4 DAT_ r NEW CONSTRUCTION TYPE STORIES I ROOF CONSTRUCTION I INTERIOR CONSTRUCTION REPAIRS DESCRIPTION / ioraf A Ater` 4 i eA 1 f Ts ex i s 4. n7 O e -fa b... `1. - 4 ALTERATION DESCRIPTION , afL! p .. Vtl len t L. I. L., ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTEID TO VILLAGE_ COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE I BY INSPECTIONS DATE BY FOUNDATION 1 ROOF T EMPORARY SEPTIC TANK BEAMS & LINTELS 1 POOL TUB & TOP OUT FRAMING 1 AIR COND. $ FINAL $ CLEAN UP Is SLAB SEPTIC TANK SLAB I SOLAR HEATER _SPECIALS PERMITS PERMIT NO. DATE FEE SERVICE BY ROUGHING $ T EMPORARY SEPTIC TANK (I $ SEWER TUB & TOP OUT $ SOLAR HEATER $ GAS $ $ Is c INSPECTIONS 1 DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING $ H. W. HEATER CONN. (I $ RANGE CONN. TUB & TOP OUT $ MOTORS $ SEWER $ Is SEPTIC TANK SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT) BY TFMP SERVICE $ H. W. HEATER CONN. (I $ RANGE CONN. $ MOTORS $ FIXTURES $ Is INSPECTIONS DATE BY RE- INSPECT' BY I RE- INSPECT) BY TFMP SERVICE (I ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL CONTRACTOR PERMIT NO. NEW BLDG. CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS PHONE FEE $ REPAIRS DATE I ALTERATION 1 DATE ALTERATION APPROVAL TO POWER CO. FOR SERVICE DATE I ADDITION ELECTRICAL PERMITS & INSPECTIONS I ADDITION PHONE FEE $ REPAIRS BY Remarks Disapproved Date.— (Signed) Budi Inspector 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..................._..---1..a.... , 197. Owner's Name and Address .004.411.k.e,... Magg l e "(..eto 4 — — No /7 Street— '-''' Regis-tered Architect and/or Engineer A-42/11a- 1.1•,,IT!!”-rITT At "MI." Name and address of licensed contractor C2.fAMiiqL1.- 0 dA i bR:e._ Location and legal description of lot to be built on: i Lot Block 1 Subdivision Street and Number where work is to be done (go ,.tg gq 57 State work to be done and purpose of building (by floors) TiiL //IVA- ri4g/itc'e4- efrff Fecri02., and for no other purpose. New Building Remodeling ,)( Addition Repairs No. of Stories To be constructed of SPAP 5 Kind of foundation (--- I 09- Roof Covering / Estimated Total cost of improvements $ S i it 0 0 0 Amount of Permit $. Zone cubage required ./%•-i A- . ........... ____Plan Cubage Distance to next nearest building P I 14 Size of Building Lot ....t /9-- Maximum live load to be borne by each floor iCe i /3,-- 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 e - , : ",".i) - 7- 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 su o work to performed under this pennit, as are licensed by Miami Shores Village. / • • 9 / z,J STATE OF FLORIDA, COUNTY OF DADE. Ss ' Before me, the undersigned authority, a notary blic, 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. Obi.r1-4.1L — of the above described construction, that he has carefully read the foregoing application, and that heidid ;g7thTs that all facts therein by him stated are true. Permit No.. .J 1 / ( 60 Date I (4--7 Read, Sworljo and Subscribed before me. ( Sign Notary Pu c, StatiaceirFlaridig, Sta:0 o r.tariclu ot Largo My Commission Expires. My ro Juno 1, 1979 y A arr PL4NINC 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 fee of $1.00 will be charged when such re-inspection is made neceuary by improper notice for inspection or faulty materials and/or workmanship. • • 6 otrr 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 hui • ing during progress of the work. f o�(p , Owner's Name and Address. 9 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer 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 State work to be done and purpose of building (by floors) 4 T .IkR.,g T.t.A.er?_S e $14.E .C—.0 . 5 Frt.. !iJ - a. .s.al and for no other purpose. New Building Remodeling V Addition Repairs No. of Stones To be constructed of -iret Kind oo dat Roof Covering Estimated Total cost of improvements $ i 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 SS. Date No. D yj, Street ,19 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 5968, 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 i-spec "•9 on the sit:;bf the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su. •nth . ors, o . .. to performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. 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 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. HUILDING ELECTRICAL PLUMBING K0 WING Owner of wilding • r' MIAMI SHORES VILLAGE, FLORIDA 4 fX r L -- eONTRACTOR OR BUILDER PERMIT 1114 4381 DATF ; „'n 19 — Contractor's License No. Work to be performed under this Permit A t. fa BY architect L'ontractor ?r Builder + -'t •� t egal Lot I Subdi- ]escription Bl vision address of / Value of Amount of luiiding Project $ 11 Permit $ i This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application ;erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 :ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ?ertaining to the work covered hereby whether shown on the plans or draw ingp— r in the statements or specificaJlans jd that he assumes responsibility for work lone by his agents, servants or employees. ,r -^, L'f 1 f. Signed . � .:,! r / �► ( BY fNS'E O 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 :ertaining thereto an in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- - opting thi Rermp assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY ,,•