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1110 NE 100 St (12)OWNER'S NAME MRS. L. R. BELMONT PRESENT ADDRESS 1110 N. E. 100th St. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1110 N. E. 100th St. LOT 10 BLOCK I 178 SUBDIVISION Miami Shores Sec. 8 GENERAL CONTRACTOR DE. CARLO',.BIDHS. ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 5292 L, DATE 5 - 20-6 4 PERMIT FEE $ 5. 00 M BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. TAX VALUE — 1347.31 PLAN CUBE 26 94. 62 CU. FT. M EST. COST $ 700.00 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: RB DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION I �0wrc ];$�,1 REPAIRS DESCRIPTION ALTERATIO DESCRIPTION ADDITION GARAGE ALTERATIONS SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS ` CERTIFICATE OF OCCUPANCY NO. / O� c:,.. I /'/ ISSUED / 1D�9 /((/y _, /p BY G�/ /1�- TO Allt/(Jyt,!/(/ BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION BY ROOF SEPTIC TANK BEAMS & LINTELS $ SEWER POOL ` $ FRAMING AIR COND. GAS RANGE CONN. FINAL $ CLEAN UP S SLAB SEPTIC TANK FIXTURES & FINAL SLAB SPECIALS PERMITS PERMIT NO. • DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK ROUGHING $ SEWER $ SOLAR HEATER $ GAS RANGE CONN. $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING TUB & TOP OUT RANGE CONN. SEWER SEPTIC TANK FIXTURES & FINAL SOLAR HEATER FIXTURES GAS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. 1 DATE FEE S NEW BLDG. I ALTFRATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT1 BY RE- INSPECT BY TFMP.SERVICE ROUGHING H. W. HF.ATER CONN RANGE CONN. FIXTURES & FINAL CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS DATE 1 ALTERATION I ADDITION APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE $ REPAI RS MIAMI SHORES VILLAGE, FLA. ` r~ JOB l�e'c ems' r . ADDRESS N® � ' r:57. Nil r:57. if i .4 TIME READY ! o � °" B 2. . 6, REMARKS: o-. / , /2- INSPECTOR N? 6021 DATE MIAMI SHORES VILLAGE, FLA. No 5930 ; JOB 6 � L. 0 ADDRESS g Q 0 E • (1 ®® INSPECTION -„ Cr k " c TIME READY INSPECTOR Q ®$Q g -4 4 REMARK : /�S ��'� `c 1 "pit% 2 c - �a r- 4 4‘4, D e6 c e. cd f o p - / DATE BUILDING ELECTRICAL PLUMBING ROOFING Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor or Builder t Legal Lot Description a B1. / 7 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 ' — umes respon- sibility for work done by his agents, servants or employees. Signed. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordin pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or'employee. - CONTRACTOR OR BUILDER BY Value of Project $ ..,.Contractor's License No. Work to be performed under this Permit '_ : y Subdi- vision DATE 19 AUTHOq Amount of 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_ 'g _ 1 O ,J , 19 y Owner's Name and Address__��/ A L /' J3.,..4 2 !!I 2 No. /tie /l D Street / ® ,g7 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to e uilt n: Lot 1.0 Block__ ___ ___ Subdivision_ Street Street and Number where work is to be done .11__rL_______/_!/__ tp a I eJ__O 15' 1 New Building Remodeling (Signed) MIAMI SHORES VILLAGE "�� BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDIN.G PERMIT Ga4161- 27,44,4 . State work to be done and purpose of building (by floors)._ To be constructed of Kind of foundation Estimated Total cost of improvements $ 72' 401 .e 141 Addition Repairs No. of Stories and for no other purpose. Roof Covering ea Amount of Permit $ Zone cubage required ____.Plan Cubagez(.g 'C. V. = 1341. 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 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 erformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed). — STATE OF FLORIDA, COUNTY OF DADE. 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 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 - Date____ 6 f Read, Sworn to and Subscribed before me. Disapproved ^ � Date.! Building Inspector PLANNING BOARD DATE 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. Notary Public, State of Florida My Commission Expires