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967 NE 99 StOWNER'S NAME kA G2E t -" PRESENT ADDRESS 't' 4 i o N. 1 . N ,.., LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) C0 4 - ` `t S LOT £ lz z ( z z- BLOCK 17 SUBDIVISION M « .ti.-� E H„ F 3 Scc. 8 GENERAL CONTRACTOR C 7 J , I /1 .. D Cf > .vS � � . � L � ADDRESS �^ / 1 ` - 0 hJ - i . 1ZS 1t PHONE NO. LICENSE NO. g1 c> 1 BUILDING PERMIT NO. 7 �/ 0 ( q / q /' DATE �� -2- - 1°C. _/ PERMIT FEE $ �I' o� BUILDER'S BOND "2.- L' (^ 3 5%Z9 , NO. DATE ZONE „ REQUIREMENTS '"2,'-Di dO 0 CU. FT. PLAN CU'BE 24 / 7 ° c. "" CU. FT. EST. COST $ / 4°, oJJ DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHOR VILLAGE DATE 5,- NEW CONSTRUCTION TYPE c_3S STORIES o., ROOF CONSTRUCTION 7o E A I NTERIOR CONSTRUCTION d2, - z 6 4-7 ,/ 2 -- REPAIRS DESCRIPTION (� ' 1 7 = - 4..C1- ✓ti 7-o f� °•mot` --S p / 74 5 - 7 - 1.. c D Ct5/TGL -S *- e_ - .- if $ - ALTERATION DESCRIPTION / J ----..-A., �l �� IJCO - 5 d T �� T � �� Jf / �S - ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL L..a �P REMARKS Ai- a2EE CERTIFICATE OF OCCUPANCY NO./4.7 I 0---2.7.--4. ( r. ISSUED rS BY k C-- 4....e0-- TO DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHOR VILLAGE DATE 5,- INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION � ''"PYIC� Ts- cc. '�r`I -F. "frlo 11- 3^°(1 $ r....7 ROOF I $ BEAMS & LINTELS I POOL GAS MOTORS FRAMING I H. W. HEATER CONN AIR COND. Q SEWER FINAL 1 $ CLEAN UP SLAB SEPTIC TANK SLAB SOLAR HEATER FIXTURES & FINAL SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE BY $ SEPTIC TANK 14 • (7AAIJt" � ''"PYIC� Ts- cc. '�r`I -F. "frlo 11- 3^°(1 $ r....7 SEWER I $ SOLAR HEATER $ GAS MOTORS S H. W. HEATER CONN $ Q INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING H. W. HEATER CONN. $ RANGE CONN. TUB & TOP OUT $ MOTORS H. W. HEATER CONN $ FIXTURES SEWER $ RANGE CONN. it SEPTIC TANK SOLAR HEATER FIXTURES & FINAL FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ?CV7�. � �7/u G + O H. W. HEATER CONN. $ RANGE CONN. $ MOTORS H. W. HEATER CONN $ FIXTURES $ RANGE CONN. it INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TFMP SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL N t1) BUILDING INSPECTIONS • CONTRACTOR 4.0 / D. C o 4 Pf -. 6+ //t1@BONE PERMIT NO. ° 79 l 7 1 DATE / -- 4. C- FEE $ 3?' NEW BLDG. CONTRACTOR G PERMIT NO. p NEW BLDG. PLUMBING PERMITS & INSPECTIONS ALTERATION 1 ADDITION ELECTRICAL PERMITS & INSPECTIONS I ALTERATION DATE APPROVAL TO POWER CO. FOR SERVICE DATE Eo - - C� CP ADDITION REPAIRS PHONE FEE $ L� REPAIRS BY 0 yam Permit No. Disapproved ( Signed) ` MIAMI SHORES VILLAGE frvv 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. Date_ 1 41 7a 1 1 1 , 1,9 Owner's Name and Address 1� 4V cg eve L o No Street Registered Architect and/or Engineer F' l/ e 'Z -1' Al NO ie b_7(.1 Name and address of licensed contractor__ C O2) 5 I c__�' __Q -7 . /p _ Q o 11 / 7 ST A/ Location and legal description of lot to be built on: Block / 7 D Subdivision Street and Number where work is to be done I' State work to be done and purpose of building (by floors)___12A/ ' s � A y_ and for no other purpose. New Building_ l' Remodeling Addition Repairs No. of Stories i To be constructed of C55 Kind of foundation Roof vering 7 L e- Estimated Total cost of improvements $___/� Q!'1 00 Amount of Permit $ er Zone cubage required_ pi 0 `^' 0 ? ©f' g q o _ , fa Cubage______ Distance to next nearest building /8 — ' Size of Building Lot__._ s ,)( 1 Maximum live load to be borne by each floor_._, 1 PLANNING BOARD DATE iote;.7 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_ C - °a Co 2 1 J4 • - - 114m far /1-1 S I 4 - - - ' -- - e . ° C ' / F / ._ 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. �� a_ Remarks__________ —_ (Signed) _6 STATE OF FLORIDA, COUNTY OF DADE. j 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 true. _ 9 _ Date b ' �' Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Ins -ctor 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. t. S4 : t v t,..)e -Q +t a A 2sr- i te e" a (e,', I 1 '- ti ✓ j