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1225 NE 101 St (2)OWNER'S NAME )ale Miller PRESENT ADDRESS 54 N.E. 103rd St. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1225 N.E. 101st Street LOT 7- E45' of 8 • BLOCK 185 SUBDIVISION Bay Breeze GENERAL CONTRACTOR ( A.J. Troy .. ADDRESS 10680 N.E. 6th Ave. PHONE NO. LICENSE NO. 5 13075 BUILDING PERMIT NO. 1� ;7 ; ` n l rf DATE #II I PERMIT FEE $ 39.00 BUILDER'S BOND NO. DATE 25,000 ZONE REQUIREMENTS CU. FT. PLAN CUBE 34,53 CU. FT. 35,000 EST. COST $ DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE x NEW CONSTRUCTION TYPE CBS STORIES i ROOF CONSTRUCTION tile INTERIOR CONSTRUCTION sanded pine and asphalt tile f: REPAIRS DESCRIPTION plaster Walls atd ceilings 4 bdrm. -4 baths - living room,Fla. room - dining area, kitchen-garage ALTERATION DESCRIPTION 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. . -,, '-� ISSUED ' � !9 yam (� B Y / A TO f 'ey./A.A BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE 00 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT L3Y FOUNDATION 4 -5; D4& TEMPORARY SERVICE /VI SZ $ SEPTIC TANK $_ BEAMS & LINTELS FRAMING t � . _ . . $ SOLAR HEATER S GAS S FIXTURES -- - - F -INAL (r DATE BY RE- INSPECT BY CLEAN -UP BY ROUGHING BY RE- INSPECT BY PERMIT NO. /re/ 7 5 I DATE Mme- Y 5-} FEE $ 4.6 4 q:::tf , F NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE /VI SZ $ SEPTIC TANK $_ / 3/4 J S 1 5� S SEWER J $ SOLAR HEATER S GAS S FIXTURES $ kNSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING BY RE- INSPECT BY TEMP. SERVICE GAS ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK RANGE CONN. SOLAR HEATER ' FIXTURES lc FIXTURES & FINAL • CONTRACTOR PHONE PERMIT NO. I DATE FEES c - NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL • BUILISING INSPECTIONS PLUMBING PERMITS & INSPECTIONS CONTRACTOR ELECTRICAL PERMITS & INSPECT APPROVAL TO POWER CO. FOR SERVICE DATE � } // l d - l'1L BUILDING ELECTRICAL PLUMBING ROOF]NG Owner of ' , l Building `k1‘). n MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 13075 Ell Work to be performed under this Permit baagaraI Architect t .�- :ontractor or Builder `. .�- - Legal Lot;. • ' II BI Description, / +yl_� Address of Building / ,) ,, ; e I 64 r. Signed: Subdi- vision INSPECTOR DATF . / : 95 Contractor's f License No. 'l T , Value of Amt. of 1. Project i , I 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. 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 d ' trict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this onsibility for all work done by either, myself, my agent, servant or employee. ing or otne, ,fipT Shores Village, Florida, a.,, df Flor. regulations of the Building Division or ,...,._ ,e comp _ _ plans and specifications must be kept at buil ann.,_,, if the work. Owner's Name and Address` Registered Architect and /or Engineer' "' Name and address of licensed contractor Location'and description of lot to be bui Lot " I `- -.. #.` Block / J 0J_ � t S ib ion_ Street and Number where work is to be done____ /__L _ _ State work to be done and purpose of building (by floors )_____4. 4 New Building Remodeling To be constructed of___ `_ ______� Kind of foundation_ Estimated Total cost of improvements $__%5 o Date __ i / " r- N - 1 __fi ' r lP *...47, _ • F t on: Addition Repairs No. of St es Zone cubage required '> 4-""oo l Distance to next nearest building V - - ee � oering Amount of Permit $__ Plan Cubage____ I '7) Size of Building Lot e' 9, Streets �� m and for no other purpose. 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 }Ie 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 ottilily such subcontr cto on , work to be performed 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 tru 1 <° Permit No \ Date ` ` Read, Sworn to and Subscribed before me. Disapproved ( Signed) lding Inspector 1 Chairman Member Member .Council Approved NOTE: A charge of $1.00 will be made for making the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. to me well known, Notary Public, State of Florida PLANNING BOARD DATE Member Member Member Date Disapproved My Commission Expires corrections or changes to this application after approval Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty