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1170 NE 100 St (10)OWNER'S NAME /'/9UL /(. NNEY PRESENT ADDRESS W.3 NE. W '.fr ir L5.6.4:10. PHONE NO. 7f-4W7 JOB LOCATION (ST. OR AVE.) #764 &E. /OD-" LOT 4 BLOCK X7/ SUBDIVISION 4,0y#�oe45 c &7► / GENERAL CONTRACTOR I J / i''//'N ADDRESS 7/ A/0/ /o�. v.E PHONE NO. 7-4-r/ LICE NSE jV /3 .), ' ' *7 BUILDING PERMIT NO. � ' ( Q ` DATE // " / 7 V PERMIT FEE S /7 BUILDER•S BOND NO. DATE n o ZONE leCr REQUIREMENTS O, 471 CU. FT. PLAN CUBE A45; "JO CU. FT. EST. COST S gs:0,0 ° DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C.` / '4-' DATE )< NEW CONSTRUCTION TYPE ��.5 STORIES / ROOF CONSTRUCTION !//e9AV INTERIOR � TERIIOR CONSTRUCTION T - „ LET4DAC1 ON `eyc %iflJ REPAIRS DESCRIPTION ,!'•,41.-);/).,(/ .-, 6 ii. ..ko!/f /ID/ 3JF04YS- 2 &,Ni- y9e44,#7rip zo ALTERATION DESCR,PTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED W Q REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 4 /v A ISSUED 7 7 7 /' . BY Ef(N � //'� { J TO .It /�,�ij/ /TG/ , / BUILDING PERMIT AND INSPtCTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION /0/3/ 4 CMG TEMPORARY SERVICE FEE TEMPORARY SERVICE S BEAMS & LINTELS /314 et sit!' SEWER S RANGE CONN. FRAMING / / E!!/S ' MOTORS $ GAS S FIXTURES $ $ $ INSPECTIONS FINAL 094/7 k/S BY RE- INSPECT BY ROUGHING CLEAN -UP TEMP. SERVICE GAS CONTRACTOR 1/4 /L4 -Co PHONE AA PERMIT NO. L 1 9 1 DATE /Z / 4 , 4 FEE $ 9 +O NEW BLDG. X 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE FEE TEMPORARY SERVICE S SEPTIC TANK ) Eh'O,C 4ra/4 094,7 sit!' SEWER S RANGE CONN. S SOLAR HEATER $ ' MOTORS $ GAS S FIXTURES $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING BY TEMP. SERVICE GAS ROUGHING 0� /4/ y Cam/ 4 J5 SEWER H. W. HEATER CONN SEPTIC TANK / /it6/ +i7 Elir1 SOLAR HEATER FIXTURES ,L jjj��, 7/7�/�, GG ,, ,VS ,q e�T 015- CONTRACTOR 1 ,14// C 40 /'bR PHONE 7:"S:24;"‘ PERMIT NO. # '/ DATE / '1 4 FEE S /a 7 r NEW BLDG. y ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. S RANGE CONN. $ ' MOTORS S FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE's- INSPECT BY TEMP. SERVICE ROUGHING 0� /4/ y Cam/ 4 J5 H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL ,q e�T 015- BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 4_24/_ '/ BY f0.5 .- $UILDING N DATE 194 & ELECTRICAL PERMIT N? 4759 Contra tor � v 9 7 _ PLUMRNG - Work to be performed under this Permit Y P IA/ Pev re /7 c 4 Owner of 4 v , / p.� Building / /\ ' � ` Architect ce r 6' !- d P' Contractor �"�j/ d or Builder �' / r 1 Q i' v 6 r> Legal Lot 1 , Bl. j 7 7 Subdi Descriptio �'T vision • :;::— ddef 1 rr �� R j Value of . e . C � Amt. of l 0 ' /1 o' f V �} Project �� Pe rmit 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 appli- cation herefor in strict compliance with all ordinances pertaining -thejeto and w th the understanding that the work wil 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 he ass mes respon- sibility for work done by his agents, servants or e .loyees. • , (" kr � Signed. C t 4 . ., / { e By y' ' ?• III INSPECTOR t In onsideration of the issuance to me o' this p it I agree to perform the work covered here in compliance with nances avid' 1 tens pert Tither to nd in strict ' o . e r mity with the t ns, drawings, statements or specifications submitted to the proper authon f Miami Shorlage. ncce s'permi I . = esponsibility for a ork done by either myself, i y agent, servant or employee. . t, CONTRAC'lQR"OR BUIL MIAMI SHORES VILLAGE, FLORIDA BY AUTHORITY WILDING LECTRICAL PLUMBING Jwner of 3uilding o CONTRACTOR''CR BUIL MIAMI SHORES VILLAGE, FLORIDA 47/ DATE ' 194 PERMIT N? 4759 Contractor's License No u Work to be performed under this Permit M 1 A/ /' eJ /C fb /'a c' -' PO V / A / hi e 7 Architect 9 er r 6 - S /, : ontractor C` �., „. m. Builder " ' k .ega1 Lot BI. Subdi- )escription vision Address of J4 / +r Value of iq 3uilding li / Cr `' /1 6 Project 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 appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil be performed in compliance with any :fans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked it 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 iermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and ° egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assujnes respon- sibility for work done by his agents, servants or employees. < , ( Signed. INSPECTOR By In considera on of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances an regulations iertaining there d in strict s •rmity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n acce ass esponsibility for all work done by either myself, my agent, servant or employee. Aint. of Permit 1 • f BY AUTHORITY L% e 0 yock lei) e Owner� e dd 0/ General �� 9ontractor Lic.No• Add. or Phone Zone Req.Cu.Ft Cu. Cont ^ fs y d By GI K„ ,, ( . �A Q � � (� . �!�, �, Plat Restriction Checked by C // To Planning Board 6Y/4 Approved V Rejected Re- Submitted to P.B. Approved Rejected Plans & Spec. Checked by To Council Subdivision c,4,e Approved Bldg. Permit No. Date %� ee Type • C. 0 i Stories New Construction Plumbing Permit No. Septic Tank Sewer Misc rl New Cons t . Electrical Permit No. Fixtures Heater Motors Miser]. New Construction Building Inspection Foundation Beams & Lintels Final Final Clean -Up Dato 0 Lic.No. Add. or Phone Roof Alterations Repairs rr Alteration rr rr rr Repairs No. Street //7d Mk /do f7' Rejected Cost / ' Date Fee rr n n ►r It 11 Alteration Repairs Date It / Fe e D ("" rr By Re -insp By Re -Insp By Plumbing Inspection Date By Re -insp By Re-Insp By Roughing Fixtures Sewer Septic Tank / 1/7 Solar Heater Final Certificate Electrical Inspection Date By Re -insp By Re -Insp By Roughing 0 2 Viz,,,) Fixtures Final Temp. O.K. Service O.K. to Power Co. Cert.Occup.Issued e-r A c. F G P• �/� c� ^� � PAID BY Y EAR N. ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER • g • 0 .�� a 9 Y ? O. o 0 a 4 is s, 5 . 0 o . - - / A - - 9 ? /o/ 7/ if H /9s e ., f.. 3/ -50 /a -,,- Si �� I / - 7 :'d /-4 -' i /*'. I G V70 Aid . 4 - � ' � t � a 1 �� -- .. /./. _,. ' .. . . ; = ue - -� ■7 , f f. /0 — /�a3 / )- - / A ‘j-g- / e t - r ADDRESS /0 7 0 LEGAL M. 69-A1 ,S' Res S''eC• �L D�� RECORD GARBAGE TA 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. / Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legs description of lot to be built on: Lot Block t/ Street and Number where work is to be done State work to be done and purpose of building (by floors) ,x _� — and for no other purpose. New Building Remodeling Addition Repairs No. of Stories,_ To be constructed of t ��i Kind of foundation 4 ,�'i ( 1 '�' ,P R oof Covering r � / improvements �� v Estimated Total cost of im p $___,� �,_�2___C G Amount of Permit $ / c Zone cubage required L ^-* C � ' r �� _Plan Cubage � c.,1� •' 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 ublic 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. j Remarks (Signed) eil r STATE OF FLORIDA, 1 COUNTY OF DADE. i 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 carefu ly read the foregoing application, and that he did sign the same, and that all facts therein by him state are true. Permit No °" Date % c � Read, Sworn to and Subscribed before me. Disapproved Date (Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Building Inspector PLANNING BOAR BUILDING INSPECTION DEPARTMENT Date No Street AT 1 J " ,19 Notary Public, State of Florida My Commission Expires ChairmaC2e1' 1.4" - / Member Member?? , — __ �__ _ pcQol 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 suclj re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.