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1270 NE 100 St (9)OWNER'S NAME I2'0 JOB LOCATION (ST. OR AVE.) NE 100 giaE7 GENERAL C NTRACTOR q, )i \ CLEM e. ooa.) BUILDING PERMIT NO. ZONE REQUIREMENTS N CONSTRUCTION TYPE Opt. PJ1TE REPAIRS ALTERATION ADDITION SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTFr) TO VILLAGE COUNCIL DATE APPROVED CERTIFICATE OF OCCUPANCY NO. ISSUED PRESENT ADDRESS 12 1\56 (0o4.. Sher LOT BLOCK 3 ADDRESS I6 NL Sieca PLAN CUBE PERMIT FEE $ STORIES ROOF CONSTRUCTION 20 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: I "' •e `j' enr) / <:32 - D DESCRIPTION DESCRIPTION REJECTED REFERRED TO COUNCIL BY TO CU. FT. REMARKS BUILDING PERMIT AND INSPECTION RECORD - MIAMI SHORES VILLAGE LICENSE NO. I _ PHONE NO. SUBDIVISION ecuz,LUN6- 3-0e. PHONE NO, BUILDER'S BOND NO. °2 PTO DATE (8 _ 4( ~1/ EST. COST $ 00 INTERIOR CONSTRUCTION REASONS LICENSE NO. S'Slo DATG Y ^4 INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION ROUGHING $ ROOF SEPTIC TANK BEAMS & LINTELS $ TUB & TOP OUT POOL $ FRAMING SOLAR HEATER AIR COND. MOTORS $ FINAL $ FIXTURES CLEAN UP SEPTIC TANK S SLAB 1 Z53 n 9-1i-1 1 .. <% SOLAR HEATER SLAB . SPECIALS PERMITS PERMIT NO. DATE RE- INSPECT FEE TEMPORARY SERVICE BY ROUGHING $ FEE SEPTIC TANK $ TUB & TOP OUT SEWER $ $ SOLAR HEATER SEWER MOTORS $ $ FIXTURES SEPTIC TANK S it Riot nSc 1 Z53 n 9-1i-1 1 .. <% INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT H. W. HEATER CONN $ RANGE CONN. I SEWER MOTORS $ FIXTURES SEPTIC TANK S S SOLAR HEATER . FIXTURES GAS CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. I S MOTORS $ FIXTURES S S INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT BY TFMP SERVICE I I ROUGHING H. W. HEATER CONN I RANGE CONN. I FIXTURES & FINAL I BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS CONTRACTOR A ,Uf C f oLS PERMIT NO. I �7 3 L I DATE Zs t j NEW BLDG. I ALTERATION I ADDITION ELECTRICAL PERMITS & INSPECTIONS PHONE FEE $ S� REPAIRS APPROVAL TO POWER CO. FOR SERVICE DATE BY N? 1403 Lot Block CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , Owner, Agent or Tenant of Building -- Subdivision Street Address Approved use by occupancy Remarks. This Certificate of Occupancy is issued to the above named 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 I's the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION MIAMI SHORES VILLAGE, FLORIDA BUILDING Pre DATE " 2+3•4/ 195 ELECTRICAL I PERMIT 'N° 12402 Contractor's PLUMBING ( License No At ROOFING Architect Contractor or Builder Legal Description Address of Building Lot ❑ Work to be performed under this Permit �' 4_ Building Owner of . jTi'A+MI i 3 CONTRACTOR OR BUILDER BI. This permit is granted to the contractor or builder named above to construct the building o ; ip t t+i equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding th ... will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper iopal 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 aut. zation. 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 specification4 and tha he assumes responsibility for work done by his agents, servants or employees. Signed- Subdi- vision Value of Project $ BY BY r I Amt. of Permit $ Q� 65 SPE In consideration of the issuance to me of this permit I agree to perlb,I 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 all work done by either, myself, my agent, servant or employee. AUTHORITY ADDRESS 1270 N.E. 1 LEGAL 1ot 3 b1.1 Fenton Shores RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Mike Gendusa 11-23-51 ADDRESS 1270 N.E. 1 LEGAL 1ot 3 b1.1 Fenton Shores RECORD GARBAGE TAX OWNER'S NAME uSQ PRESENT ADDRESS 106 Zamora CG. LICENSE NO. 6220 PHONE NO. _ake_G�dn JOB LOCATION (ST. OR AVE.) 1270 N.E. 100th St. LOT 3 BLOCK ' 1 SUBDIVISION Eariton Shores GENERAL CONTRACTOR owner ',builder ADDRESS 106 Zainoext Coral Gables PHONE NO. LICENSE NO. BUILDING PERMIT NO. 1211.O2 DATE 11-22-31 PERMIT FEE S 21.00 7-b-: »- . BUILDER'S BOND ..9.-/3 /� / NO. J3 i• DATE ZONE PEOUIREMENTJ0 000 CU. FT. PLAN CUBE25,066 CU. FT. EST. COST S 17 000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE X NEW CONSTRUCTION TYPE n� C$9 STORIES ROOF CONSTRUCTION tile le oak ,,tom INTERIOR CONSTRUCTION floors, plaster walls an REPAIRS DESCRIPTION @eilings G ALTERATION DESCRIPTION 3 bdrm. -2 bath - living roan- jalousie porch- kitchen -2 car gaaage ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS 1 CERTIFICATE OF OCCUPANCY NO.. �/ ` ISSUED - ' � BY i - TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION _ PERMIT NO. DATE FEE TEMPORARY SERVICE BEAMS & LINTELS 5 H. W. HEATER CONN. 5 RANGE CONN. FRAMING 5 MOTORS S FIXTURES 5 FINAL 3 - DATE BY RE- INSPECT BY RE- INSPECT CLEAN -UP TEMP. SERVICE PLUMBING PERMITS & INSPECTIONS CONTRACTOR _ PHONE PERMIT NO. -'‘, ∎Z's. L', DATE i 6 FEES .f ` NEW BLDG. ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ' '<: ` ____. ° ''(' i-- $ i, ', , 6 ?% ,L' SEPTIC TANK ttt S SEWER S SOLAR HEATER S GAS S S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 2- /-")• _ ! a GAS SEWER SEPTIC TANK SOLAR HEATER. FIXTURES CONTRACTOR ' :" � - PHONE PERMIT NO. I ;7-- ad` DATE i.,,),' :. ,., FEES „7 - 1 NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 5 H. W. HEATER CONN. 5 RANGE CONN. 5 MOTORS S FIXTURES 5 $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL LING INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE By Owner's Name and Address_ Ait -;/ Disapproved w (Signed) Buildin Inspec sr 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. MIA-MI-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. State work to be done and purpose of building (by floors)_____ Chairman Member Member Council Approved Date (Signed)_ • /,/ Date_2 __ /___tom , 19 No. Street__y ____, Registered Architect and /or Engineer ` ' / ,7 ) / / Name and address of licensed contractor Location And legal description of lot to be built on: Lot_ Block___, / Subdivision Street and Number where work is to be done i0 ____ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof C Estimated Total cost of improvements $ ` Amount of Permit $__ ________ Zone cubage required � Q _ cn 0 Plan Cubage eE 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 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 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 ha carefully read the fpregoing application, and that he did sign the same, and that all facts therein by him stated . e tr Permit No 4._ _ ___� Date_\ ! _ Read, Sworn to and Subscribed before me. Notary Public, State of Florida y Commission Expires PLANNING BOARD DATE 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 dt-