1155 NE 100 St (12)OWNER'S NAME
)linton Hare
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
1165 E: 100th St.
LOT
BLOCK
SUBDIVISION -
1
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GENERAL CONTRACTOR
Y J/ j((
ADDRESS '
PHONE NO.
LICENSE NO.
grin. Pierce
1281
BUILDING PERMIT NO.
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DATE 2 -22 - 5 2
5
PERMIT FEE S 5.00
BUILDER'S BOND
NO. DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 1928 CU. FT.
EST. COST S 800.00
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
ALTERATION
DESCRIPTION
. jalousie porch
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REA ON
t
I RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
` D
CERTIFICATE TE OF OCCUPANCY NO. 1 S& I
P
ISSUED (- /� Jy
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BY 44•AJ
,.A
TO vW n ' /
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
I(/ SPECTIONSt
DATE
;a
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
FEE
/�'y;
TEMPORARY SERVICE
$
SEPTIC TANK
BEAMS & LINTELS
'I
),
SEWER
RANGE CONN.
$
FRAMING
( L '.'
d.'
$
GAS
FIXTURES
$
.;
$
INSPECTIONS
DATE
FINAL
I.
17n►.
. sir 1
-
RE- INSPECT
BY
ROUGHING
TEMP. SERVICE
CLEAN-UP
_/
PERMIT NO. DATE
FEE S
NEW BLDG. I ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
$
SEPTIC TANK
H. W. HEATER CONN.
$
SEWER
RANGE CONN.
$
SOLAR HEATER
MOTORS
$
GAS
FIXTURES
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
TEMP. SERVICE
;♦
GAS
ROUGHING
��'
,
SEWER
H. W. HEATER CONN
�•
SEPTIC TANK
RANGE CONN.
SOLAR HEATER
r
FIXTURES
FIXTURES & FINAL
)
7 I
CONTRACTOR
PHONE
PERMIT NO. DATE
FEE $
NEW BLDG. 1 ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
• DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
:.
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
;♦
ROUGHING
��'
,
H. W. HEATER CONN
�•
RANGE CONN.
r
FIXTURES & FINAL
)
7 I
7 - � WILDING INSPECTION
CONTRACTOR
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL T9 POWER CO. FOR SERVICE DATE
BY
N9 1581
Miami Shores Village, Fla
Owner, Agent or Tenant of Building
Lot
Street Address
Approved use by occupancy
Remarks.
CERTIFICATE OF OCCUPANCY
Block Subdivision
1 ( S '`(\ �o _
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
4 acs
69 To4 U
This Certificate of • ccupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known ss the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
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ING DIVISION
1