803 NE 99 St (11)OWNER'S NAME
Frsi„ k. L.. .316,
PRESENT ADDRESS
go 3 N. E. 9'7 $te«
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
. 803 N. E. 777-`' 46 -4 a f.
LOT
/2 4 s..3 %_ -t5
BLOCK
/eh?
SUBDIVISION
l la ..,l SA -e s S;41- 8
, GENERAL CONTRACTOR
ADDRESS
PHONE NO.
LICENSE NO.
•^ :
I
BUILDING PERMIT NO. O �Z
to DATE � , -
OQ
PERMIT FEE $ 1
BUILDER'S BOND
NO. DATE
Ao0 !TtoN
ZONE REQUIREMENTS CU. FT.
a
PLAN CUBE 1 d 4 : , CU. FT.
■
EST. COST $ 7 0 0
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:�• • �!'d� Cor -
I DATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
RE CRIPTION
r 4 4 a.1 ie -
ebp n Co.r 'po I
ce
ALTERATION DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
S U RMITTF II TO VILLAGE COUNCIL
$` O
/ REMARKS
�' 9 2 in rGSt/. ✓o -4-3 ' nay /5
CERTIFICATE. OF OCCUPANCY NO.
•
ISSUED
BY
TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
BY
ROOF
SEWER
BEAMS & LINTELS
$
SOLAR HEATER
POOL
TUB & TOP OUT
$
FRAMING
AIR COND.
FIXTURES
SEWER
FINAL
$
CLEAN UP
SLAB
FIXTURES & FINAL
SLAB
SOLAR HEATER
TEMPORARY SERVICE
DATE
BY
$
SEPTIC TANK
RE- INSPECT
BY
$
SEWER
ROUGHING
$
SOLAR HEATER
TUB & TOP OUT
$
GAS
$
FIXTURES
SEWER
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
H. W. HEATER CONN.
ROUGHING
$
RANGE CONN.
TUB & TOP OUT
H. W. HEATER CONN
MOTORS
$
FIXTURES
SEWER
$
SEPTIC TANK
FIXTURES & FINAL
SOLAR HEATER
FIXTURES
GAS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TEMP. SERVICE
$
H. W. HEATER CONN.
ROUGHING
$
RANGE CONN.
H. W. HEATER CONN
MOTORS
$
FIXTURES
RANGE CONN.
$
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
CONTRACTOR
PERMIT NO. I DATE
NEW BLDG. I ALTERATION 1 ADDITION
SPECIALS PERMITS PERMIT NO.
CONTRACTOR
PERMIT NO.
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
I DATE
DATE
PHONE
FEE $
REPAIRS
PHONE
FEE $
FEE
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
Name and address of licensed contractor
Location and legal des ptio f lot to be bui t on:
Lot 1 7- t /Z lock l ? Subd
0 3
Street and Number where work is to be done
State work to be done and purpose of building (by floors)..
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Before me, the undersigned authority,
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. ss y �(
p ie ot /� 1 Date..._. �"Q` n _.._.... A� q� .19
Owner's Name and Address T i t` %6 ` ' L�S MO Y - No ._ n S . Str�LY'� 1.1... 5 T
Registered Architect and /or hngincer -
oc..c,.> 1
ivis ion
........
and for no other purpose.
New Building Remodeling Addition X No. of Stories
To be constructed of.. Kind of fo ndatio ..LV`� I' 4 -L�!!T Y r Roof Covering. . eR/tot'L . ! - ....
Estimated Total cost of improvements $ � ..1... Amount of Permit &.
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot.
l
Maximum live load to be borne by each floor
I hereby submit all the plans ands ecifications for said building. All notices with reference to the building and its construction may
be sent to �Q a - �. !- 1 * '33159
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 ' of t• work such ublic notice
or notices as are required by the Act. The undersigned agrees to employ only sue bcontractors, ti�r w L to r rformec under this
• pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
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.._..._ / 7 i Date
Disapproved
(Signed)
Building
Date
PLANNIN BOARD
ead, Sworn to and Subscribed before me.
Notary Public, State of Florida
My�C olnmission Expires
..... .DATE
Member
Member
Member
Disapproved
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
or changes to this application after approval
Date
has been obtained from
for inspection or faulty