ORIGINAL PERMIT APP.... OWNER•S NAME
A. Infantino
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
1287 N.:]. 100th Street
LOT BLOCK
E50'of&..w25•of17 1
SUBDIVISION
I Gorden HO aya^r e
GENERAL CONTRACTOR
owner
ADDRESS
PHOVE
LICENSE NO.
5
BUILDING PERMIT NO. 15286 286
DATE 10 - `x' 53
8
PERMIT FEE
(] BUILDER'S BOND
NO. 1 60 DATE
ZONE REQUIREMENTS CU. FT.
5228
PLAN CUBE 5220 CU. FT.
EST. COST $ 4,000
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION I INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
badroom and bath gdn.
ALTERATION
DESCRIPTION
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.] ,.V't0
q
ISSUED ,4 ' )
BY "
r
TO t., ':;
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
BEAMS & LINTELS
`" AA r,"e
I
,. .
' ,
$ ,r ,11
SEWER
FRAMING
.,
SOLAR HEATER
$
FIXTURES
$
GAS
$
$
$
INSPECTIONS
FINAL
DATE
BY
RE- INSPECT
BY
RE- INSPECT
CLEAN -UP
ROUGHING
((1 • , • '
,.
CONTRACTOR
PHONE
PERMIT NO. �.• - _
DATE
FEE $
NEW BLDG. ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
SEPTIC TANK H - _
,. .
' ,
$ ,r ,11
SEWER
$
MOTORS
SOLAR HEATER
$
FIXTURES
$
GAS
$
$
$
INSPECTIONS
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
((1 • , • '
,.
ROUGHING
1 ' �
GAS
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
CONTRACTOR \ + -i‘ ,
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. I ALTERATION 1 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
1 ' �
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
N9 1865
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Owner, Agent or Tenant of Building
Lot _ -Block 1 Subdivision
~
Street Address s '
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 as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
4
Miami Shores Village, Fla ,
BUILDING DIVISION
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
•
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
w
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE C '�
PERMIT :N° 15286
Work to be performed under this Permit
i �� 11
Lot „ .: " ,/ a ` I.
r
Subdi-
vision
Value of
Project $
i
Contractor's
License No
Amt. of
Permit
BY AUTHORITY
r v 1
$ . +r
Tir
195
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 • l rw _ . BY °.... �.
INSPI TOR
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 all work done by either, myself, my agent, servant or employee.
Application is hereby made for the approval of the det, iled statemen• of the plans and specifications herewith submitted for the build-
ing or o h. - •-`ructure her r described. This j-i•licatrc is made in compliance and con•o'm ty w.th the Building Ordinance of Mia ai
Shores Villave, i .or da, and all pro isions of the Laws tf the State of F1,rid. all o d nances .,f Mi au Shores Village and all rules and
regu'ations of the Building Div.. i of aam Shot illage I• '1 e 'o ipl -ed with, whether herein specified or not. A copy of approved
plans and specificati .n must be key at budding durin progress of tl_e wcrk.
Date
Owner' Name and Address_ No.__ _ 1 ___.. Street_
Registered Architect and/or Engineer. C 'tkIn..) A ==- - -
Name •nd address of licensed contractor.
Location and legal descrivion of lot to be on:
Street and Number where work is to be done. k
State work to be done and purpose of building (by floors)._
Chairman
Member
Member _
Council Approved
MIAMI SHORES VILLAGE
BUILDIN INSPECTION DEPARTMEN•
APPLICATION FOR BUILDING PERMIT
New Building_ _ Remodeling__ ____ _ Additio
To be constructed Of_! _ Kind of fo ndation - Roof Cov ering._
Estimated " - >tal cost of improvements $__ �''° � Amount of Permit $. -
Zone -'ubage required_ __. plan Cubage
Distance to next nearest building__
Maximum live load to be borne by each floor_
_Date
and for no other purpose.
Member
Member
Member
Disapproved
Q Size of Building Lot
PLANNING BOARD__________'.___ -_ __ _ DATE
No. of Stories- -1 . _ - __ .
Y
p t My Commission Expires_
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 unde signed appli ant for ths building permit does hereby certify teat he understands and accepts his ,obligations as an employer
of 1: bor under he Florida Workmen's Compensation Act bung S rtion 5968 Col p led Gen al Laws of Florida P r anon. Supple Went.
and h s compl ed w;th he prov•aons thereof, and will require similar compiance from all contractors or sub - contractors emplo •ed by him
in the wo.k to be pi rf—med under this permit: and • :ill post or cause to be posted for inspection on the site of the work su :h public not] •e
or •otices as are require d by the Act. The u. d: r• rgn. -d agrees to employ only such • ubcontr• ctors, on work to be perform. public
. der this
permit as are licensed by M :ami Shores ge.
Remarks_. _ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths ..nd take acknowledgments, personally ivp-
peared
.to me well known,
and who, being by me firs sworn, upon oath depores and says that he is the of th abov de scr ibed •istruc ion t: 1 h: carefully reed the foregoing application, and that he did sign the same, and that all facts
therein by him stated ar tr te. //
Permit No I _ ' . .__ Dat G 3 Read, Sworn to and Subscribed before me.
Disapproved
Notary Public State of Florida
(Signed) - G� ?;� ry
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application tft'r approval his been obtained from
the Planr ng Board
A re- Inspection fee of $1.00 will be charged when such re- inspection is male necessary by improper notice for inspe :•t'op or fa. Ity
materials and /or workmanship.
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