2nd FLOOR ADDITIONBUILDING
ELECTRICAL
PLUMBING
Owner of 1
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
This permit is granted to the contractor or builder named above, to construct the building or to install the egIipment or device described in the application
herefor in strict compliance with all _ordinances pertaining therrrtFi and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted thl,and approved by the proper municipal authorities. This Permit m e revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A f rther condi u� a hick this permit is
granted is the understanding that the contractor or builder named above assum�G,pr the responsibility for a orough w1�dp��pf t i to s and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the s .to ent .r s.c if�tion n th Mhe a mef eg nsibility for work
done by his agents, servants or employees.
In consideratib of the issuance
pertaining thereto a • in strict conf
In accepting this • _ 't I as me r
•
ns
*^- 'CONTRACTOR 0 ' B
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 10264
Work to be performed under this Permit `~
Ritc141
BY
Contractor's
License No
Amt. of
Permit $
Signed •
me of this permit I agree to ,pe•rform , he b covered hereunder in compliance with all ordii nces and regulations
with the plans, drawings, statements or specifications submitted to the proper authorities' 'of /Miami Shores Village.
bility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
195('
OWNER'S NAME
PAUL EINNEY
PRESENT ADDRESS
100 N. E.. 101St
LICENSE NO.
PHONE NO.
• JOB LOCATION (ST. OR AVE.)
100 N'. E. 1018t Street
LOT
13 & 14
BLOCK
15
SUBDIVISION
Sect. 1
GENERAL CONTRACTOR
PAUL SIPNNEY
ADDRESS
108 N. R. 101 Street
PHONE NO.
LICENSE NO.
3974
BUILDING PERMIT NO 1011a
DATE 11 -15.50
�f
PERMIT FEE $ .00
-y Q
y� �U I LIE RIB BT i ,,,p
NO. 9100 DATE aAe •
ZONE REQUIREMENTS CU. FT.
jf Ti9 ✓/�4: 2,945
PLAN CUBE 5� 1 - CU. T. 1 EST. COST $ 3,000400
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
_
ALTERATION
DESCRIPTION
se0 and floor' atirlitinn ..pl> r a® nvr
A RRED
X
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
FrAwl
R E TO COUN IL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
/
.2
CERTIFICATE OF OCCUPANCY NO. / N
/� S'
ISSUED �� -
! /
BY (
TO r t _
r I n
j 1
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
•DATE
FEE
TEMPORARY SERVICE
S
S
BEAMS & LINTELS
//
$
$
SEWER
S
FRAMING
/Z-715
F6
S
S
GAS
$
$
•
$
INSPECTIONS
FINAL
, -2 - 6/
,111%. •
i
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
4. '27 - 4 L
( i:.
yd
ROUGHING
GAS
CONTRACTOR /
PHONE
PERMIT NO./ ,) /0 G 4 ATE J" ' 3••• - j--)
FEE S2...
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
•DATE
FEE
TEMPORARY SERVICE
S
S
SEPTIC TANK
$
$
SEWER
S
S
SOLAR HEATER
S
S
GAS
$
$
•
$
INSPECTIONS
BY
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
nn DATE
/L�
ROUGHING
GAS
/ u /
N.
H. W. HEATER CONN.
-
/ SEWER
RANGE CONN.
SEPTIC TANK
it - 2 - 97
SOLAR HEATER "
FIXTURES & FINAL
FIXTURES
6').
A4
CONTRACTOR 1'y' e
PHONE 7 ,!
FEES • 'K7
.�c.
/ f1
PERMIT NO. /() 1 -. 1 DATE /2 ' 2 7 .
..,---6)
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
S
H. W. HEATER CONN.
$
RANGE CONN.
S
MOTORS
S
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
"If.j O
/
�{�G
N.
H. W. HEATER CONN.
-
'
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
A
` _ APPLICATION FOR BUILDING PERMIT
App1i 'ation 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.
Owner's Name and Address
Registered Architect and /or 'Engineer
Name and address of licensed contractor •
Locati and 1 al de ption of lot to be 11uil n:
Lot___
__ Block
Street and Number where work is to be done
State work to don d purpose of bui di
Permit No
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date
trges4 IN
Subdivision � l
b y oors)
7 a7
New Building Remodeling Add' '•n
To be constructed of Kind of
•
e_
and for no r purpose.
Repairs No. of Stories_________
_ foundation _, . __� ____ _f ____ Roof (Covering tine.---....,, � "
Estimated Total cost of improvements $ �® Amoy t of Permit $
c
Zone cubage required Plan Cubage J _ _. � __ � ® _1 ��}X 14 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 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 fr, contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be poste • or i ' ection on the si - • the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only s sub s' tractor on w to be performed under this
permit, as are licensed by Miami Shores Village. �+
Remarks (Signe
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 firs ly sworn, upon oath /: eposes an says that he is the
of the above desc .: d c uction, that he has c. ' efully rea the foregoing application, and that he did sign the same, and .that all facts
therein by him st
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOA D DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
f 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.
r 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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•
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