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349 NE 99 StOWNER'S NAME Dr. R. Clay PRESENT ADDRESS LICENSE NO. PHONE NCI' i JOB LOCATION (ST. OR AVE.) 349 N.E. 99th St. LOT BLOCK SUBDIVISION GENERAL CONTRACTOR owner - builder ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 13661 DATE' -17 -52 PERMIT FEE $ 5. 00 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 930 CU. FT. EST. COST $ 825.00 DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION ALTERATION DESCRIPTION • adding breakfast nook in garage --tR_ V"-- X ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCI R ASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ' 14 ( ��yI I / . ISSUED LO . ,f i I BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION PERMIT NO. DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS SEPTIC TANK $ $ SEWER • FRAMING $ SOLAR HEATER $ $ GAS $ $ $ $ FINAL . 5.-- - k",, . -,^Zc= u BY RE- INSPECT _ BY CLEAN -UP ROUGHING CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK $ $ SEWER • $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT _ BY ROUGHING ROUGHING GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK 1' SOLAR HEATER FIXT:l{ ^ES & FINAL FIXTURES CONTRACTOR V O. e - -P, -� PHONE PERMIT NO. 7 7 I DATE ( i 7 ` ?Ln .. FEE $ ) ?'-.1::- NEW BLDG. ALTERATION I ADDITION R PAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING ^a `_� 7 H. W. HEATER CONN RANGE CONN. 1' FIXT:l{ ^ES & FINAL BUILDING INSPECTION PLUMBING PERMITS & INSPECTI ELECTRICALPERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE B Y N? 1741 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , ' < +� Owner, Agent or Tenant of Building Lot Block Subdivisio V Street Address la 45 "Y1 Approved use by occupancy 1 .4 /L#'• , 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 os the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alterati re of build'ngs or structures. I/ B O C..ti V . BUILDING DIVISION 4 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 114 • 1 1 1 \. Registered Architect and /or Engineer Name and address of licensed contractor STATE OF FLORIDA, COUNTY OF DADE. SS. Date 1- 14- S , 19 No Street 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) , D - - o 0 Q Notary Public, State of Florida and for no other purpose. New Building Remodeling Addition ✓ Repairs No. of Stories To be constructed of Kind of foundation Roof Covering G oD Estimated Total cost of improvements $ Q__ // ! Amount of Permit $ Zone cubage required �T ..—___ .__ _Plan Cubage Distance to next nearest building Size of Building Lot fi44 54._ 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra tors, o work to be erformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)... _ l 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 des ibed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him s : e• are true. S` Permit No 1 3 `Q / / eQ l Dat �►� /_ � __s�_L Read, Sworn to and Subscribed before me. Disapproved (Signed Buil. " g Inspecto My Commission Expires PLANN BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved Date NOT : A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plardl n Board. A r -in ection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty material s'n r workmanship. 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