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1160 NE 100 St (8)OWNER'S NAME T ► .c7N`( L+� � ao AN a ttN PRESENT ADDRESS ► t � o uv . . v � SZ _ LICENSE NO. ow1v4Tr�_ PHONE NO. JOB LOCATION (ST. OR AVE.) Ow s (7_,.. (' o N 1 t . , ! oo S N I LOT BLOCK I { i F I SUBDIVISION p NA . S SecsT P_ VP - - T A GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. ? ` BUILDING PERMITNO. i ��F T C i� _ � DATE ( � .c� PERMIT FEE $ 2 3 BUILDER'S BOND 1./.-- NO. DATE v 4 c,v ..--„ — ....... 1V Ca p a7 • — ZONE REQUIREMENTS CU. FT. PLAN CUBE C)J. FT. — /BEST. COST $ 3 ��� DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE DATE (o -'( 7( NEW CONSTRUCTION TYPE 5 I STORIES I ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCRIPTION U �10 ( .e (Q '� C L.» r+^ . . `. ,a!"-- ( i`-4W 7/C N ALTERATION _ DES RIPTION 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. I ISSUED I BY TO DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE DATE (o -'( 7( INSPECTIONS DATE I BY INSPECTIONS DATE BY FOUNDATION. I ROOF $ SEWER BEAMS & LINTELS I POOL $ FRAMING I $ AIR COND. $ FINAL SEWER C PP SLAB aMM ��--yy 7o! — rz-I'++pp 0I � EAAN � U �V `�6K.K i q /6-1/ I SLAB FIXTURES & FINAL SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE BY $ SEPTIC TANK $ SEWER I $ SOLAR HEATER $ GAS I $ H. W. HF.ATER CONN $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING I ROUGHING TUB & TOP OUT H. W. HF.ATER CONN SEWER RANGE CONN. SEPTIC TANK FIXTURES & FINAL SOLAR HEATER FIXTURES GAS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. I ALTFRATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ 4 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TFMP. SERVICE I ROUGHING H. W. HF.ATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS DATE 1 ALTERATION I ADDITION APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE $ REPAI RS BY Owner's Name and Address 7s1- 7 -7S -' MIAMI SHORES VILLAGE 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. ti Dace -... 2 9 — ,19 ' . 1 No 1 l G o Street..N E j O O 5 T Registered Architect and /or Engineer Name and address of licensed contractor fl V 12 t t c f tJ E P ‘A)1•1 1 N C — l a 0 1 E. 2.4 "T ►-1 (11 L r A Location and legal description of lot to be built on: ` v Lot Block t ry� S Subdivision. l ►! r p. )1 4 - - -5 i n E S e C T O" - TR A c T A_ _ Street and Number where work is to be done 1 _ O N C. 1 b °j T State work to be done and purpose of building (by floors) 1 1 F T — 1 1 c' c E --- C P-1- p t •l — L. i rd K F e: N c e 4 f= - H t G t v t -- n- -a G T � � S t l#q v � ,.t lnl c *n o o L� - -_- u -f o w) k1 -t t G L 19 -� c t� t= - _ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering \ Estimated Total cost of improvements $ S 0 — 0 Amount of Permit $ Zone cubage required _Plan Cubage 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, Pennanent 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. Remarks (Signed) STATE OF FLORIDA, C. AV-e, - COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Date -_ Building Inspector Date 30%'_ ` / Chainnan Member Member Member Member Member Read, Sworn to and Subscribed before me. PL ING BOARD DATE 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 pe. Permit No 1_. 7 Disapproved (.. et _ (Signed) Notary Public, State of Florida My Commission Expires 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. 3 - 3' 4/ r 0 I L P L L 0 i'N E riO I K-1 ill 4 (Vo-r PL MNJ 5 F LTC 1-1 0-NT 0 o ° 5 1- chi 6 iz E 5 y u '5 a il- 44- 'TS •:1 V 4 T R c'y g L 4.4-01 - rz, 4. t r. 7 ea. 4 c e_- STATE OF FLORIDA, I COUNTY OF DADE. ss. Building Inspector ate • PLANNIN j'OARD DATE MIAMI SHORES VILLAGE 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 Date_.. - ./9C-6) / C= ` ( r 19... f Owner's Name and Address mil- 4. -, \( //� D� 1A,i '!17 �d (7i ,t— No./2 Registered Architect and /or Engineer � Z 4 C. •.. (' 16.44 Name and address of licensed contractor 4 .I l.- _- �__�._ v e I / � /- Location and legal description of lot to be built ( �( Lot Block ._.__/ 7 0 Subdivision _ 71r'__ _CI .A__� ___Jn c.L Street and Number where work is to be done .... ._.6 Q._._t'r . .g. -_iQ Q. __ 1i _L e44 -3-4 ..._ 0 v -- State work to be done and purpose of building (by floors) / 3 x3__. G _L4 —e .\ Notary Public, State of Florida mmission Expires other purpose. — — - ` .and for no New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering eau \ Estimated Total cost of improvements $ Oa — Amount of Permit $ Z 3 • ° p Zone cubage required .Plan Cubage 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, Pennanent 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 s ntractors, on work tq, be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 r _ ?_ __________ Date / / d - ( J r 7 / _ Read, Sworn to and Subscribed before me. Disapproved (Signed) Chairman Member Member Member Member ._. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No. 1 3C Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /� / Owner's Name and Address d 152.9_1:1___P___$____/..P.,/ _ No._—�1__!G- P___—_. .... ______ Street_..k-F ../.._v 0._ _._ -J Registered Architect and /or Engineer____—___-- ___�___ __ Employing Plumber's Name __ E0 12 O s5 L. L __ ' ...144- --2�2__ 3 1 � Street_C �! 71 57 Location and Legal Description Lot -tc Blork !71 Subdivision_ 1C_ 7 $ Street and Number where work is to be performed —No _Il G 0 Street /,6_ /0 ,fir State work to be performed and purpose of building (By Floors) _ -_ Gtr L_ 2c " o I p co w( 6 f IV 6-- New Building _ Remodeling----- -- - - - --- - - - - -_ Addition- --- Repairs No. of Stories Size Septic Tank_____________----- - - - - -- ---- - - - - -- -Type of Tank Feet of Drain Tile_ __—Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._____— ____________________ ____Size of Soakage Pit Amount of Permit $ M'IlMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S . ement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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 sub- contractors, on work to be perf under this permit, as are licensed by Miami Shores Village. (Sign Date___ (9C l 7/ Capacity Gals Master P STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made ' necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIFT - -.- CHECK Permit No. 1 3C Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /� / Owner's Name and Address d 152.9_1:1___P___$____/..P.,/ _ No._—�1__!G- P___—_. .... ______ Street_..k-F ../.._v 0._ _._ -J Registered Architect and /or Engineer____—___-- ___�___ __ Employing Plumber's Name __ E0 12 O s5 L. L __ ' ...144- --2�2__ 3 1 � Street_C �! 71 57 Location and Legal Description Lot -tc Blork !71 Subdivision_ 1C_ 7 $ Street and Number where work is to be performed —No _Il G 0 Street /,6_ /0 ,fir State work to be performed and purpose of building (By Floors) _ -_ Gtr L_ 2c " o I p co w( 6 f IV 6-- New Building _ Remodeling----- -- - - - --- - - - - -_ Addition- --- Repairs No. of Stories Size Septic Tank_____________----- - - - - -- ---- - - - - -- -Type of Tank Feet of Drain Tile_ __—Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._____— ____________________ ____Size of Soakage Pit Amount of Permit $ M'IlMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S . ement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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 sub- contractors, on work to be perf under this permit, as are licensed by Miami Shores Village. (Sign Date___ (9C l 7/ Capacity Gals Master P STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made ' necessary by improper notice for inspection, or faulty materials and /or workmanship.