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1170 NE 100 St (2)9 MIi4 4I SHORES VILLAGE, FLA. C � — ADDRESS 1 La 0 - / JOB INSPECTION TIME READY /'� N9 5145 REMARKS: �L tL71Zr c .s 7 - iT !Zc' - INSPECTOR DATE / rh - . 'mob r MIAMPSHORES VILLAGE, FLA. JOB ^^p n r• D C' ADDRESS 1 /7e" A - j , ,$) _ A A L6 f N' !v INSPECTION TIME READY ,'w REMARKS: INSPECTOR N9 5321 DATE MIAMI SHORES VILLAGE, FLA. JOB o a e C, ADDRESS —___.! 1 ' 7 a o1K sJ • N9 5224 INSPECTION Q." eA-- 6 4 -a r1 ,J ".8 p TIME READY REMARKS: INSPECTOR DATE V .,T,fl SHORES VILLAGE, FLA. JOB �LA / /C ADDRESS / / 7 O INSPECTION / . c. j P- i C TIME READY REMARKS: / INSPECTOR N9 5214 DATE / 0 — 29' — � , r.,, .3 i c, c A Z r A-C. k .a, e.✓ I `s\ . Samo -R . ` 4 . - - � s*. e ms Loc_.t T j ..r 5 1 c!_/.1. Ci.-_-_, 90 u OWNER'S NAME JOB LOCATCOt (ST. OR AV :'); - 11 70 1\T .E, ]$nt.h St GENERAL CONTRACTOR Jack vgust BUILDING PERMIT NO. 4- ZONE NEW CONSTRUCTION REPAIRS ALTERATION ADDITION 7.:.TrT �•'ir -. - T,~ Tr T, i n SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL DATE 9;7 REQUIREMENTS CU. FT. APPROVED la:70 rT t;11 Atr pt• - 7 30 .1 REJECTED LOT BLOCK r . ST7111IMG POOL .. PRESE ADDRESS ADDRESS I� St Street PERMIT FEE $ A 6e00 PLAN CUBET Lalue 9 FT. T T : �T DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C .1sil.• = ?rlsrir'. TYPE STORIES i ROOF CONSTRUCTION INTERIOR CONSTRUCTION DESCRIPTION REFERRED TO COUNCIL 6—.'-- CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO DESCRIPTION REMARKS LICENSE NO. BUILDING PERMIT AND INSPECTION RECORD - MIAMI SHORES VILLAGE SUBDIVISION PHONE NO. LICENSE NO. BUILDER'S BOND REASONS PHONE NO. NO. Z Q0^ DATE - r)" . . EST. COST $ 1800 DATE BUILDING INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION Io LG. - el — Z 4.41 p s1 9" S ` $ SEPTIC TANK Mop M BEAMS & LINTELS �+ 7 1 /dytl $ < ® SEWER RANGE CONN. S FRAMING MOTORS $ GAS FIXTURES Ag Qae..9mJp Pent. - / ©- 3o -J?n c.✓,e4 INSPECTIONS DATE FINAL RE- INSPECT BY RE- INSPECT BY ROUGHING TEMP. SERVICE CLEAN-UP GAS ROUGHING CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE $ SEPTIC TANK Mop M /),•200G. S+�o �+ 7 1 /dytl $ < ® SEWER RANGE CONN. S SOLAR HEATER MOTORS $ GAS FIXTURES S $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING TEMP. SERVICE GAS ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK I .. - VC /O. /' • ir 2 ,s ¢ T SOLAR HEATER FIXTURES FIXTURES & FINAL CONTRACTOR o pG F,.2 CL c=C- T PHONE PERMIT NO. 4 S b'4- 1 DATE /1- 7- FEE $ 1 7 NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE S H. W. HEATER CONN. S RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY HUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA PERMIT N? Owner of Building Architect ..ontractor Dr Builder Legal Description Address of wilding Lot In consideration of the issuance to me pertaining thereto and in strict conformity with =epting this permit I assume responsibility for CONTRACTOR OR BUILDER f Bl. 1 1 Subdi- vision ( 0 Value of Project $ / r r' DAT 0 Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ,ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations -, ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work lone by his agents, servants or employees. Signed . s` BY INSPECTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by either, myself, my agent, servant or employee. BY AUTHORITY ems, 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. /t /f /i /4/7/?-r. f Date `�e� 7 027 ,19 �t Owner's Name and Address. Al 3..A //Y G No Street treet E..__J /'' Registered Architect and /or 1 6 c',1' H I/ •S/ — , d /eh" iw 5 Name and address of licensed contractor T14 , l'6V$ 7 r 7 30 u'. /g/ st M/d-M/ ^ /L4 Location and legal description of lot to be built on: Lot Block /If Subdivision -,� Street and Number where work is to be done /1) 0 /Y f /OO arr State work to be done and purpose of building (by floors) E'.PEC j 'i Q i y / and for no other purpose. New Building Y. Remodeling Addition Repairs No. of Stories avI`e d To be constructed of Kind of foundation/Tin 0414.4 Roof Covering o Estimated Total cost of improvements $ /700 — i Amount of Permit $ Zone cubage required .Plan Cubage i Distance to next nearest building. Size of Building Lot 75/ 1 v2._ 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 gil dK 4 (iGvsr ^ / /3f ST M //// i/, ft4 The undersigned applicant for this building 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) a -1--4 . - i7 STATE OF FLORIDA, f COUNTY OF DADE. ss \° MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT o.e Sw / Affil / 4/ (c' / p ' tt 0` 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 Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector 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. Permit No. 41-9- Owner's Name and Address. Registered Architect and /or En n e Employing Plumber's Name P4 Size Septic Tank r Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ i My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION. DEPARTMEi' APPLICATION FOR PLUMBING 7 4.,MIT 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. / r No _.- •------------ __ - -_. Street. No. Location and Legal Description Lot._________.._. _ ._._. r,� s�, 6'L Block �' Street and Number where work is to be performed —No. /l / 0 / � "ltreet- State work to be performed and purpose of building (By Floors) New Building Remodeling__._ _______- Addition Repairs ype of Tank of Tank or Dram Fiie1 from Well Size of Soakage Pit (signed)._ Lt) (Signed)._ Capacity Gals. Date Street._ .___ --.. Subdivision. Plum • ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi 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 com- plied 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 sub- contra o s, o wor to be per ormed n{i filer th petit, as are licensed by Miami Shores Village. �` . 4%�GC, STATE OF FLORIDA, 1 8s. 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 swom, 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 hin, stated are true. Notary Public, State of Florida is / No. of Stories 'Master Plumber. 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 TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS 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 SWIM'G POOL CONTR. LIST CHECK Permit No. 41-9- Owner's Name and Address. Registered Architect and /or En n e Employing Plumber's Name P4 Size Septic Tank r Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ i My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION. DEPARTMEi' APPLICATION FOR PLUMBING 7 4.,MIT 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. / r No _.- •------------ __ - -_. Street. No. Location and Legal Description Lot._________.._. _ ._._. r,� s�, 6'L Block �' Street and Number where work is to be performed —No. /l / 0 / � "ltreet- State work to be performed and purpose of building (By Floors) New Building Remodeling__._ _______- Addition Repairs ype of Tank of Tank or Dram Fiie1 from Well Size of Soakage Pit (signed)._ Lt) (Signed)._ Capacity Gals. Date Street._ .___ --.. Subdivision. Plum • ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi 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 com- plied 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 sub- contra o s, o wor to be per ormed n{i filer th petit, as are licensed by Miami Shores Village. �` . 4%�GC, STATE OF FLORIDA, 1 8s. 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 swom, 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 hin, stated are true. Notary Public, State of Florida is / No. of Stories 'Master Plumber. 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. Permit No 4 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, COUNTY OP DADE. I 58. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No .......... .�.1.2..D State work to be performed and purpose of building (By Floors) id"E Z!!/.l ie4 New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) P) lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations 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 subcontractors 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. (Signed) No 1/ 2e Street. " efi No.... Jr. c I✓ Street / 2 ." s Date ....I /° 7 - Street /a e • w L Main Fuses Amps 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, and 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. SWITCH OUTLETS LIGHT OUTLETS PLUS RECE•P•T•S FIXTURES NO. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0.1 HP 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST :' , / 'JL L CHECK 0 Permit No 4 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, COUNTY OP DADE. I 58. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No .......... .�.1.2..D State work to be performed and purpose of building (By Floors) id"E Z!!/.l ie4 New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) P) lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations 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 subcontractors 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. (Signed) No 1/ 2e Street. " efi No.... Jr. c I✓ Street / 2 ." s Date ....I /° 7 - Street /a e • w L Main Fuses Amps 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, and 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.