921 NE 99 St (4)OWNER'S NAME
an McGahey
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
21 N.E. 99th Street
LOT
BLOCK
SUBDIVISION
GENERAL CONTRACTOR
parks Const. Co.
ADDRESS
PHONE NO.
LICENSE NO.
2638
BUILDING PERMIT NQ.
10 -27 -55
DATE
9.00
PERMIT FEE $
BUILDER•S BOND
1.876
NO. DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 4,309 CU. FT.
EST. COST $ 5,000
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
7,,
addn. 2 bdrm. -U7,, a , � . h -porch
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. i
I ISSUED
BY
TO MD,. hICAI A ti eq S.:C ° i>
B
9
S
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
PERMIT NO. 1 DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
$
SEPTIC TANK
H. W. HEATER CONN.
BEAMS & LINTELS
/ / -
-,-
1
$
SOLAR HEATER
MOTORS
FRAMING
/ /—/
,j„
C; A"'
$
$
�•.--- ,
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
FINAL
Z
2 ^
-
CLEAN -UP
ROUGHING
`�''
I e
SEWER
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE S
NEW BLDG. 1 ALTERATION I ADDITION '
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
$
SEPTIC TANK
H. W. HEATER CONN.
$
SEWER
RANGE CONN.
$
SOLAR HEATER
MOTORS
$
GAS -
FIXTURES
$
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
.// :/' ,1
-
GAS
ROUGHING
`�''
I e
SEWER
H. W. HEATER CONN
SEPTIC TANK
RANGE CONN.
SOLAR HEATER
FIXTURES
FIXTURES & FINAL
CONTRACTOR ii / - ,' - <
PHONE
PERMIT NO. '' DATE i. i'�
FEE $ -%
NEW BLDG. 1 ALTERATION 1
ADDITION
REPAIRS
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
`�''
I e
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal Lot
Description _
Address of
Building
Lew MIAMI SHORES VILLAGE, FLORIDA
195
0
PERMIT N° 2
Owner of
Building
Work to be performed under this Permit
B1
Subdi-
vision
Value of
Project $
taf
Amount of
Permit $
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
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 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 authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my ggent, servant or employee.
CONTRACTOR OR BUILDER AUTHORITY ems.,
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Registered Architect and /or Engineer
Name and address of licensed contractor
New Building Remodeling
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.
r3p,) C, GAIri
T. 9.e_ A ri
cow 1
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 9
State work to e done, and purpose of b g ( floors) �""- i......
Date �- k 1 , l9's
No
and for no other purpose.
Addition A Repairs No. of Stories.,.
To be constructed of ( - 64 Kindpf foundation `^ Roof Covering G- ' -�,
cvy
Estimated Total cost of improvements $ } ®OO / Amount of Permit $ 00
Zone cubage required plan Cubage 4
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 w h reference the building d its gonstruct n ma
be sent to 5 r r 6.0 Ai s 7.e. Co ,ILs - Pk J e,.. t_ � �` Ge)
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, Pennanent 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.
Remarks (Signed)
PLANNING BOARD DATE
Street
E4,1
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 '-'-- - -•-
2
are
Permit No _ ____` __ Date' Read, Sworn to and Subscribed before me.
Disapproved ' Date
(Signed) ,41I' : f
M' ui c ng Inspector
I '
Notary Public, State of Florida
My Commission Expires
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 51.00 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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