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1145 NE 100 St" '."" "' OWNER'S NAME EDGAR Z. WELLS PRESENT ADDRESS 9767 N.E. 13th Ave LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1145 N.E. 100th Street. LOT 10 f B OCK 77 '- 1 SUBDIVISION Miami Shores Sec# 8 GENERAL CONTRACTOR OWNER BUILDER ADDRESS PHONE NO. LICENSE NO. 2518 BUILDING PERMIT NO. 6706 DATE 2 -11 -58 PERMIT FEE $ 26.00 BUILDER'S BOND NO. 2245 DATE '2 - 11 -58 ZONE R - 5 REQUIREMENTS 20,000 CU. FT. PLAN CUBE 25,121 CU. FT. EST. COST $ 21 35 2 /� DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C. H. Markel DATE , 2 -10 -58 NEW CONSTRUCTION / TYPE (CBS STORIES ONE ROOF CONSTRUCTION TIL F T . INTERIOR CONSTRUCTION 3 /BR, 2 Bath REPAIRS DESCR IPTION TERRAZZO FLOORS, PLASTERED WALLS AND CEILINGS, WOOD BASE AND TRIM, ALTERATION DESCRIPTION TILE BATHS AND SILLS AWNING TYPE WINDOWS 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. ?Se 4- ISSUED / BY fDli-,¢ z £?EG GS, TO • BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE �- '6-- INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION ON. ...Al" - - /4. ti ' 729 S SEPTIC TANK /lerc TN Dp. Ot ge.071 c BEAMS & LINTELS S 4, -/ SEWER RANGE CONN. $ SOLAR HEATER FFfAMING S GAS FIXTURES $ 6- St-A -4 • O ,.,..043 6- 7 // x $ INSPECTIONS DATE BY FINAL - RE- INSPECT BY ROUGHING -j2, - ose_ uJVL1 77 / CLEAN-UP GAS ROUGHING I PERMIT NO. (7%4/ 1 DATE 2- /S- 3 - 1 --- - FEES 1r 7S' NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE S SEPTIC TANK /lerc TN Dp. Ot ge.071 c 7 ) . eo S 4, -/ SEWER RANGE CONN. $ SOLAR HEATER MOTORS S GAS FIXTURES $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING -j2, - ose_ uJVL1 77 / 2- {9 -3:1 GAS ROUGHING SEWER H. W. HEATER CONN 014 • "' -4 5-.7.- z'� SEPTIC TANK qjc RANGE CONN. L. await A 7- vs/ - SY SOLAR HEATER FIXTURES —_ "4% L S 2.: -4-Y CONTRACTOR 4 L /j .2. e_. PHONE FEE $ ZI( Ad s PERMIT NO. 700 DATE 1— 3.-- kr NEW BLDG. St. 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 H. W. HEATER CONN 014 • "' -4 5-.7.- z'� RANGE CONN. L. await A 20 - SY FIXTURES & FINAL "4% L S 2.: -4-Y itz c1 V 3 BUILDING INSPECTION _ PLUMBING PERMITS & INSPECTIONS CONTRACTOR 1.0 tit 1 J ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE S - zI BY 6 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. /1 7i , 9`� �> /� �� � - a Owner's Name and Address (a Y ` Y1' � �� j Date , l! No. -- 742.7 Street... A E /e3 ,4i' Registered Architect and /or Engineer ...... ... 1�...�. - .�, Y Name and address of licensed contractor.... Location and legal description of lot to be built on e Lot /4 Block 1/ 7 Subdivision. -._.- � / � Ic ) e ✓ t r I /4-C 1,�• Street and Number where work is to be done be sent to Disapproved D ( Signed) � : , "�_ :: - 1 ilding Inspector 440 ,2 4"-,4( #2,4r MIAMI SHORES VILLAGE E< io ► 514- State work to be done and purpose of building (by floors) Gl./� � e ?' C ` Q s A ° / c E' /1C e. ... Q and for no other purpose. New Building .. Remodeling Addition Repairs No. of Stories 4 4 e To be constru ted of C / r ai . Kind of foundation COA/ 'kJ-Y e- Z Roof Covering 7 7 d. Estimated Total cost of improvements $ 7.1. 35 Amount of Permit $ " °- Zone cubage required Cubage Distance to next nearest building > ` — D Size of Building Lot../3S" f Fremo" A / /7 17 1p Maximum live load to be borne by each floor I hereby submi th plans and specifications o said uilding. All notices with reference to the building and its construction may The undersigned plicant for t pennit 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 subc tractors, on work to be perfornpd under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 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 6 '70 Date... 4 — W Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires 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.