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1190 NE 100 St (2)OWNER'S NAME S. V. IL E E LE DIR J PRESENT ADDRESS ► o t o �J . E too S -1- LICENSE NO. PHONE NO, JOB LOCATION (ST. OR AVE.) T tigc t4 L . 100 ST. LOT Z BLOCK 111. SUBDIVISION 3 M. II .v....,..\ S14 0ICtaS Si' c GENERAL CONTRACTOR P44, a1. kI..I ..) a ADDRESS 7 4- 5 t4.i . 5, ►t'l ST GLZel - PHONE NO. LICENSE NO. 31 v BUILDING PERMIT NO. a s 4 '1 q DATE Z- 7 ' S ', l PERMIT FEE $ 4'4. O o BUILDER'S BOND NO. 7 - 3 4'1.. DATE Z - Z'1 - Prot T.0- Z 1.. IN oo lr.o a - ZONE REQUIREMENTS CU. FT. PLAN CUBE 7 VS- CU. FT. EST. COST $ 1 S'OO T4K V ....... 3633 .- DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:. t-1. ph A vQ % - C. I DATE Z' 2 .7 -5' e ( NEW CONSTRUCTION TYPE G STORIES oaE, ROOF CONSTRUCTION "j.3I, `,Z- J ? INTERIOR CONSTRUCTION (r ,ea T � ...... ...� _ i' gro-, w REPAIRS P DESCRIPTION 4 G0 , . Z,.." .,...v, .. .J 4i Pe ab L DESCRIPTION ALTERATION `/�= ADDITION SLAP ,J C. LOS ✓/z E" e( t obt /9 72,_74 . s, -,. ra - s-1 SUBMITTED TO PLANNING BOARD APPROVED 77 �/ / REJECTED V (i REFERR TO OUNCIL i i ' REASONS • a .0 7a� `— RE- SUBMITTED TO PLANNING BOARD / / SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 4 ISSUED en BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDO.TION Z,23.3S /. ROOF +� �,.s I BEAMS & LINTELS Alas l) Y63-/J,C POOL Tig -.J /,_ / fin • '�7 7? FRAMING AIR COND. / $ FINAL' SEWER CLEAN UP $ SLABP�. .SC./�s / `Z t.4 3-T 4.L. ..■ b7.-apc.- T5 ..r/of-7< SLAB OTC. .3.--5"--.5 SPECIALS PERMITS DATE PERMIT NO. I DATE FEE TEMPORARY SERVICE R BY ROUGH ING ce�.d/J +� �,.s I SEPTIC TANK M. l) Y63-/J,C L .c.�', L Tig -.J /,_ / fin • '�7 7? SEWER 1 / $ SOLAR HEATER SEWER I $ GAS FIXTURES 1 SEPTIC TANK $ 1 S INSPECTIONNS DATE BY RE- INSPECT BY RE- RE- INSPECT BY ROUGH ING ce�.d/J +� �,.s I Ejk 3 -2_.)7 c.4�,/' $ TUB & TOP OUT H. W. HEATER CONN $ / I RANGE CONN. SEWER MOTORS $ FIXTURES ' SEPTIC TANK $ FIXTURES &,FINAL S SOLAR HEATER FIXTURES GAS CONTRACTOR '� 4-1 E C �2. fl GTj t e/ C._. PHONE � ifriEG a PERMIT NO. T Z d 1 DATE 4 "1f d7 FEE $ 2 3 4 NEW BLDG. I ALTERATION _K . I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. I RANGE CONN. $ MOTORS $ FIXTURES $ FIXTURES &,FINAL S INSPECTIONS DATE BY RE - INSPECT BY RE - INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN I RANGE CONN. FIXTURES &,FINAL (O� 14 A" ""e' f daa /�� BtJILDING INSPECTIONSS �� PLUMBING PERMITS & INSPECT] NS CONTRACTOR c �� L� �� =� ,S lr1LcJ..y, 4. AI C CRAG PERMIT NO. DATE �- 2 J - .S r 7 NEW BLDG. I ALTERATION 1 ADDITION PHONE FEES IC:a • OU REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N9 949 Miami Shores Village, Florida, 720 -59 Owner, Agent or Tenant of Building Dr Jack Keeley Lot 2 Street Address Block 17g 1190 N.E. 100th St.. Subdivision Approved use by occupancy Guest Room, Bath, Pool and Enol. Remarks • 8347 and 8585 This Certificate of Occupancy is issued to the above named Owner 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 as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings .r structur Plan Cube 7265 Tax Value 3633 Pool T. V. 2300 Enol T. V. 750 BUILDING DIVISION 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 legal description of lot to be buil on: V Lot_ Block.__ Street and Number where work is to be done.__ State work to be done apd purpose of building ( b MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Subdivision Disapproved (Signed) pe Buil mg Inspector Date L/ Date .... ° Street_ r. ' .r , floors) and for no other purpose. New Building Remodeling Addition To be constructed of Kind of fou dation_ Estimated Total cost of improvements $._. (- 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 Repairs No. of Stories Roof Covering � C.) ' <C, be sent to - 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, Pennane.t Sup element, and has complied with the provisions thereof, and will require similar compliance from all contra 'tors or sub -co tractors oyed by him in the work to be performed under this permit; and will post or cause to be posted f o or notices as are required by the Act. The undersigned agrees to employ only suc h work be per under this permit, as are licensed by Miami Shores Village. Remarks (Sign tary Public, State of Florida My Commission Expir NNING BOARD DATE 19 A? site . r e work . p ublic notice 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 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 �1� S Date ° / ' Read Sworn to and Subscribed before me. Chairman f� 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. / 1 � l ( oL � / Z c 3 7c 7 1. 7 MIAMI SHORES VILLAGE. FLORIDA BUILDING M ELECTRICAL ❑ 1 •, , ,-- -,› it t o - 7 r- - PLUM N? PLUMBING ❑ PERMIT N $ 5', . ; ; Contractor Incense No ' ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Lot 4 Bl. Address of Building 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 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, 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 assumes responsibility for work done by his agents, servants or employees. Signed. '4. _ . a " BYa INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for done by either, myself, my agen serva or; employee. : C.- ....4,9*Cit.. t ...- l e.4 1 4 1 / ' ...ge_ t-tik CONTRACTOR OR BUILDER :> BY Subdi- vision Sq. Ft Value of Project Amt. of Permit $ AUTHORITY 195 Work to be performed under this Permit MIAMI SHORES VILLAGE, FLORIDA": BUILDING I;I ELECTRICAL ❑ PERMIT o PLUMBING ❑ N - ROOFING Owner of Building Architect Contracto or Builder Legal Descriptic Address Building TE - 2.1 195 act r g_i.t S:i ce ripe N Work to be performed under this Permit 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 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, 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 assumes responsibility for work done by his agents, servants or employees. r < , 4 ,, BY Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and intstrict conformity,. with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this, permit I- assume resp * Ability' for' all work done by either, myself, my agent, servant or employee. C ONTRACTOR OR BUILDER AUTHORITY '7 t �. ��r p� k :� `«w`i'a:..k. � s'y�� •,,e�. �, � i -r P6 r L. r � r e43,.., s. n Lot p Bl. ! q � ' Subdi- vision • I .- 7 (I ai'M i n , , " r' ` sq. Ft Amt. of Permit $ P ° r , C 0 4 . Value of Project $ 4 4, ,, X ° -,, t° , - MIAMI SHORES VILLAGE, FLORIDA": BUILDING I;I ELECTRICAL ❑ PERMIT o PLUMBING ❑ N - ROOFING Owner of Building Architect Contracto or Builder Legal Descriptic Address Building TE - 2.1 195 act r g_i.t S:i ce ripe N Work to be performed under this Permit 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 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, 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 assumes responsibility for work done by his agents, servants or employees. r < , 4 ,, BY Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and intstrict conformity,. with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this, permit I- assume resp * Ability' for' all work done by either, myself, my agent, servant or employee. C ONTRACTOR OR BUILDER AUTHORITY '7 r3i2 - u =. ° �• sic, 3 MIAMI SHORES VILLAGE 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 Mianii 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 Mianii 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. - BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Location and legal description of lot to be built on: Lot Y Block / 7 v Street and Number where work is to be done NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. p Subdivision / / Chairman Member Member Council Approved Date PLANNING BOARD DATE Owner's Name and Address Registered Architect and /or Engineer c 9 Name and address of licensed contractor ��� _ — °1 `t`r �c— d Street Notary Public, State of Florida v/ State work to be done and purpose of building (by floors and for no other purpose. New Building R deling dition Reair — s — No o Stories / To be constructed of _._.Kind of fou Iation �"�`� � �� Roof Covering e , -7�f .fi x _ ! Estimated Total cost of proven nt $./ $ •49 Amount of Permit $ /_� Zone cubage required °° C_ 7 ft o a 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, Permanent Supplement, and has complied with the p rovisions thereof, and will require similar compliance from al - a .rs or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted fo spectior on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ubcontra� s, on work to be r rfo ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. 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 Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) to me well known, Building Inspector My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty T/ 7 �( — / ?— 4 ie m o o p I g (,)( n -26L O" f - /6 , P / ( ,7S6 • 76 C 177 ,R7co &- Ja t - 0_ . t7. = 3�s 3 7 r# u T4x "t's Coll� d �_2300 d pc 3 �L p4 IC/ l" c.2ac