405 NE 99 St (14)OWNER'S NAME
Err-A' T 2 o2 ov‘ c• N
PRESENT ADDRESS
4 °S i4.r.. // -n' ST.
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
. c� S +,c.tt.
4 0 5 N . ` c
LOT
It * i3 ii &a%:
BLOCK
, 39
SUBDIVISION
1/7r 35/11.4. el Sre- r /.,,
GENERAL CONTRACTOR
G f..iger Vo•-7 L.- Li
ADDRESS
—
PHONE NO.
-
LICENSE NO.
—
BUILDING PERMIT NO. i Z ' D L
DATE- - 2
.�
PERMIT FEE $ 'CO .42i
BUILDER'S BOND •
✓ .. NO. DATE
1
ZONE REQUIREMENTS CU. FT.
PLAN CUBE " ��,� FT.
EST. COST $ 44 � 0 .00
DRAW NGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: L J . R.. `J / 'o .1 c cr- 4
DAT5
(0 -Zi, (../
NEW CONSTRUCTION
TYPE
C. g
STORIES
c.,c
ROOF CONSTRUCTION
7 /a
INTERIOR CONSTRUCTION
G�o., .krf e x� 1,.l
1'/ ft. r•a t
REPAIRS
IPTION
DESCRIPTION 1 c r
/q4. O. . % t �0OM . p4,..7.+ 1 n4 /r ,p Ac S 1 T, L(Q 4(c
ALTERATION
! DESCRIP .. N /
Ceti / � 3 pi q .v rr /e
� r/db•'.
/
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SURMITTFI) TO VILLAGE COUNCIL
REMARKS
•
CERTIFICATF OF OCCUPANCY NO.
ISSUED
BY
TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
I
ROOF
DATE
FEE
BEAMS & LINTELS I I
POOL
$
FRAMING I
SOLAR HEATER
AIR COND.
$
$
FINAL I
CLEAN UP
$
SLAB
4
$
SEPTIC TANK
SLAB
FIXTURES & FINAL
SPECIALS PERMITS PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
BY
RE- INSPECT
$
SEPTIC TANK
DATE
FEE
$
SEWER
$
$
SOLAR HEATER
$
$
GAS
SEWER
$
4
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
$
TUB & TOP OUT
H. W. HEATER CONN
$
RANGE CONN.
SEWER
MOTORS
4
FIXTURES
SEPTIC TANK
$
FIXTURES & FINAL
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
$
MOTORS
4
FIXTURES
$
FIXTURES & FINAL
INSPECTIONS
DATE
BY
RE- INSPECT' BY
RE- INSPECT' BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
PHONE
FEE $
REPAIRS
I DATE
I ALTERATION
APPROVAL TO POWER CO. FOR SERVICE DATE
I ADDITION
ELECTRICAL PERMITS & INSPECTIONS
BY
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING ❑ PERMIT N9 9286
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
CONTRA or BUILDER
t ?. a ' 1� Bi
Work to be performed under this Permit
Contractor's '+ .
License No.
t 4:
4
Subdix` ;
vision r,' k, 4i kt�P• ' l'Irtac v
Sq Ft ur .i.r,+ apt,›
Value of � ` r` 11 Amount of met "'
Project $ I I Permit $
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 applica-
tion 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 he assumes respon-
sibility for work done by his agents, sery nts or employees:
� N8 ECTOR) BY
In consideration of the issuance to me of this permit I agree to rform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, t ements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit asppme responsibility for a ll work done either, myself, my agent, servant or employee.
AUTHORITY
1
Permit No
Disapproved
(Signed)
Application is hereby made for the approyal 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 specifi or not. A copy of approved
ldns and specifications must be kept at building during progress of the work.
Owrigr's Name and Address _/- ... !' _ P ) w v, lie
Registered Architect and /or Engineer.
Name and address of licensed contractor
Location and legal descrip tion of lot to be built on:
Lot_. _/ 4 /3 #' WBlock 3 s ubdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dat
Member Member
Council Approved
Date Disapproved
Date / 1 `>
No. V4 Street
Y
VAS � 17-121,67.<-(
Notary Public, State of Florida
Building Inspect;: My Commission Expires
P /ANNING BOARD__ __ . DATE
Chairman Member
Member Member
7
7
and for no other purpose.
New Building Remodeling v Addition Repairs No of Stories
To be constructed of Kind of o d on__ Roof Covering
Estimated Total cost of improvements $ v" Amount of Permit $ ' , 42 CD — r
Zone cubage required plan Cubage_-_ _. /_ Z o
Distance to next nearest building.__.___ ... Size of Building Lot
Maximum live load to be borne by each floor___
I hereby submit a plans and specifications 01 said bu din A11- notices wi eference to the building and its construction may
be sent to___._ tf A h /Y I _
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 such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. �j�
Remarks -- -- - - ---• - (Signed) V )
__! v � " Lj
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 tru
`2" Date_._ /b'. _ C7 Read, Sworn to and Subscribed before me.
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. - 0
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.
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