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OCCUPANCYAPPLICATION 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 . hores Village shall be complied with, whether lyari specified or not. A copy of approve' plans and specifications must be k9pt at buil .' g during progrg of the work. Owner's Name and Address__ Registered Architect and /or Engineer Name and address of licensed contractor Locationcl legal descri tion of lot to b uilt o Lot 4 4.0_ Block _ Subddivis n Street and Number where work is to be done State work to be done and purpose of building (by floors )______ g q STATE OF FLORIDA, COUNTY OF DADE. SS. and who, being of the above des therein by him s Permit No Disapproved ( Signed) MIAMI SHORES VILLAGE New Building - Jtemodeling To be constructed of _L____�S 1_,.__ Kind of ndation__ Estimated Total cost of ' oaements $ cubs a re uired1'4/ Distance to next nearest building Maximum live load to be borne by each floor__ Chairman Member Member BUILDING INSPECTION DEPARTMENT and for no o7 purpose. tion p No. of Stones_ Date k � - , 19 N ii&Sk ad, Sworn to and Subscribed before me. Notary Public, State of Florida e airs Roo revering unt of Permit $___ '!� plan Cubage 21�r!_ FQ _Size of Building Lot it� 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 i . . pection o . . work such public notice or notices as are required by the Act.,The undersigned agrees to employ only such - .... ntr 4ors, e under this permit, as are licensed by Miami Shores Village. Remarks (Signed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, me first duly sworn, upon oath deposes and says that he is the _ construction, that he ha carefully read the foregoing application, and that he did sign the same, and that all facts e true. Building Inspector My Commission Expires PLANNING BOARD DATE 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. gkstiati— STATE OF FLORIDA) SS COUNTY OF DADE ) A F F I D A V I T 9. Not set himself up as a n contractor" . And Further this Doponent says not :" y SUBSCRIBED AND SWORN TO BEFORE ME this 19 d ay of __.. r NOTARY PDBLIC B. A. Stratton of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, loth depose and say, that under the provisions of. Ordinance No. 185, dated June 15, 1918, mend- ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Buillirg Code of Miami Shores Village, he desires to build a ai a fami r_eeidenae_ on Lot 6 L block Z8 of M S. that he is the owner of said property, and will be the owner of ads'. residence that he will do the work personally, and that he gill, at such times as are required by the Zoning and Tiilciing Director: - 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the fob progresses certi- ficates showing the pay sent required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work petitena1 y eat observe all of the requiraenents of the Build#,, fleetrieel, Plumbing and Zoning Codes of Miami Shores Mingo. Such affidavit to be properly notarised upon blanks to be supplied by the Baldias Bald Inspector. 11. In order to prevent abuses and subterfuge the right of sueb owner - builder as herein provided, is limited to but one owner - builder permit each 2 years, and whore an omsr4ai der has.once eked the privilege herein conferred no s cad application for owner- builder permit shall be granted is Ieu than 2 years, unless the applicant is gpalified as a lid General Contractor under the applicable Ordiaences of said Village. A. D., COMPENSATION AND /OR PUBLIC LIABILITY 4071B (Street and Number) are in force and expire as i ndicated here This is to certify that the following described policies issued in the name of Workmen's Compensation No. of Policy C 3 14 539 Expiration Date Jude 2 1.99 CERTIFICATE OF INSURANCE 9QQ Employers' Liability No. of Policy Limits of Liability One Person $ One Accident $ Expiration Date at Comments or Additional Coverages (Street and Number) at whose request this certificate is i ssued. F. 4071B -15M Sets -I0 -47 .. H. A STRATTON (Name of Assured) Miami Shores Vi4.1agp 22.Qx;i1 . (City or Town) Public Liability No. of Policy LCA 29826 Limits of Liability One Person $...1.Q. One Accident $.2Q4QQ.w9Q Expiration Date June..2,....19.5.0 (State) Contingent Liability No. of Policy Limits of Liability One Person $ One Accident $ Expiration Date Property Damage Liability No. of Policy.... A...29.SZfi Limits of Liability One Accident $....1 Aggregate Liability for Loss $ 10, 000.00 Expiration Date chIl a..2o.....10..0 and cover the following operations or work C OpS tvtagtign QIx;iya,p ,,,,pj,�mo,�� in the State or States of 1.1ia'.]..dA , as described in said policies. In the event of cancelation of the said policies the Company will mail notice thereof to Mi4mi 4120 V e s 10050 N.E. Second Avenue MiAMi Q Xasxida (City or Town) tState) Dated at A',alu a•••ka.Qx.�.s�a this 2nd day of Dec. 1949 # Aintrirnn 3 nbvttatitg umpang ME OFFICE. NEW YORK. N. Y. C orpa Authorized Agent. OWN," l'S NAME STRATTON, H. A. PRESENT ADDRESS 7 N. E. 47th Street • LICENSE NO. ■ PHONE NO. JOB LOCATION (ST. OR AVE.) 906 N. E. 98th Street LOT 6 & 7 BLOCK 78 SUBDIVISION Miami Shores Sect. #3 GENERAL CONTRACTOR Owner ADDRESS 7 N. E. 47th Street PHONE NO. LICENSE NO. 3596 0 -B f� BUILDING PERMIT NO. 8 '� / Q 11 DATE 3 PERMIT FEE $ 20.00 BUILDER'S BOND NO. 9 DATE 11 /3 0 /49 ZONE REQUIREMENTS 20,000 CU. FT. PLAN CUBE 22,865 CU. FT. EST. COST $ 169000.00 T DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: JIYi DATE 11/30/49 Z NEW CONSTRUCTION TYPE CBS STORIES 1. ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION Red Oak Floors - Plaster Was DESCRIPTION REPAIRS LiV Rm - Din Rm - Kit - Enc. Porch - 2 Bed Rma - 2 Baths - 1 oar att. so ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS pp 8i CERTIFICATE OF OCCUPANCY NO. 6 ISSUED 2/20/50 BY Jai H.g_ Stratton, 906 NE 98th R+ BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 12/7/49 12 30 49 JDH J DH FEE $ SEPTIC TANK Pennell 8' 0 BEAMS & LINTELS FRAMING 20/50 JDFI $ $ SOLAR HEATER $ $ GAS $ $ FINAL 2/20/50 J H INSPECTIONS DATE BY RE- INSPECT CLEAN -UP J BY ROUGHING GAS SEWER SEPTIC TANK , ! 1 -_- -_- 2 10 50 ` J H QrEMP. SERVICE PERMIT NO 8602 DATE 12 • FEE $ 11• NEW BLDG. X ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE DATE FEE $ SEPTIC TANK Pennell 8' 0 2 9/ 0 $ 2.00 SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER SEPTIC TANK , ! 1 -_- -_- 2 10 50 ` J H QrEMP. SERVICE 12/$149 Di ROUGHING 1/20/50 JIB SOLAR HEATER - FIXTURES 16 0 JDH CONTRACTOR J enninee Electric Go PHONE PERMIT NO. .7 DATE 1 / 18 /5 0 FEE $ 11.60 NEW BLDG. X I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 8810 1/25/50 $ 1.00 H. W. HEATER CONN. $ RANGE CONN. $ MOORS $ FIXTURES $ INSPECTIONS DATE BYY RE- INSPECT BY RE- INSPECT BY QrEMP. SERVICE 12/$149 Di ROUGHING 1/20/50 JIB H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL 2/10/50 JIA.H BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS CONTRACTOR Keeton Plumbing Co. ELECTRICAL. PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY j41.. BUILDING 0 ELECTRICAL 0 PLUMBING 0 PERMIT N? 9452 ROWING 0 Owner of Building Architect Contractor or Builder Legal Description Address of Building rfi 11;:lob `7, Lot ca. done by ' s agents, sertnaus or emp CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA 7 A * 4- %O. -^r t C 4 50 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device desesihad herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in dmwings, statements or specifications that may have been submitted to and approved by the proper municipal eightirhies. This :Perak time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further coyi:i granted is the understanding that the contractor or bsulder named above assumes the responsllsility for a thorough pertainini the work covered heret ether shown on the plans or drawings or in the st or speclf SSIUMR1 Signed: In consideration of the issuance to me of this permit I agree to perform the work covered pertaining thereto and in strict conformity with the plans, drawinp, statements or specifications In accepting this permit I assume responsibility for all work done by either, myself, my agent, s Work to be performed under this Permit Subdi- vision Ma. Ft Value of Project $ / INSPECTOR BY DATP Contractor's Liam. No. +.1.- Amt. of Permit $ der in compliance with all to the proper authorities of o.traPloYer. AUTHORITY ADDREss 906 N. 7, 98th St. LEGALLots 6-7, ak.78,:',ss h-'3 RECORD GARBAGE TAX ctf.occ. ?.--'20-0 PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER H. A. Stratton (o) /9 So /P. o a 4'. Bi- -i /4 .46 3- 7- /5 11 , /95/ / 7.: , II / ___ - MI . erb -/6- , ,,, - • , . 1 :: .40 1: , / ..) • , V _ OF OCCUPANCY 111011DA DIVISION •