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150 NE 100 St (14)OWNER'S NAME MIL $ m& . '2.t\ v5 PRESENT ADDRESS /" ✓. o .E. /04.- .,1 LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) /- LOT }� G i c 11 0 A/. C.' o S Q T I BLOCK " SUBDIVISION Al. 4 . J �iCL`S S ¢' C C GENERAL CONTRACTOR //�� mfr I ' ADDRESS /j//i�e ■ /l� ' C0. r/ e/ `e�t1f G /bQ / b $o N. :• . /3 f PHONE NO. LICENSE NO. BUILDING PERMIT NO. /LL� DATE / _17 c. PERMIT FEE $ / BUILDER'S BOND NO. '� DATE ` ZONE REQUIREMENTS A°41 �I C../ CU. FT. PLAN CUBE 70/' 24— CU. FT. EST. COST $ % Z. O 1n DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: � P. /` . �' 6 1 DATr. Va. NEW CONSTRUCTION + TYPE C l STORIES OIL ROOF CONSTRUCTION 1 1 I I (6 ^ ` INTERIOR CONSTRUCTION ' I X7 _.4-& Y p* REPAIRS e s ` DESCRIPTION ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SU TO VILLAGE COUNCIL REMARKS CERTIFICATF OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE• BY INSPECTIONS DATE BY FOUNDATION SEWER ROOF $ SOLAR HEATER BEAMS & LINTELS $ POOL $ FRAMING A AIR COND. FINAL MOTORS CLEAN UP $ FIXTURES SLAB SEPTIC TANK $ SLAB SOLAR HEATER FIXTURES & FINAL TEMPORARY SERVICE I $ SEPTIC TANK I $ SEWER I $ SOLAR HEATER TEMPORARY SERVICE $ GAS $ A INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE ROUGHING $ TUB & TOP OUT $ RANGE CONN. SEWER MOTORS RANGE CONN. $ FIXTURES SEPTIC TANK $ SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR PHONE PERMIT NO. 1 DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS RANGE CONN. $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS DATE 1 ALTERATION I ADDITION SPECIALS PERMITS PERMIT NO. DATE ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE $ REPAIRS BY FEE MIAMI SHORES VILLAGE, FLORIDA / BUILDING gi Date jo. i 19 Gs, ELECTRICAL 0 PLUMBING 0 PERMIT N? 9267 Contractor's 14" ROOFING 0 License No. Owner of Building 1 ‘ 21 ‘ LI Work to be performed under this Permit Architect C.it, if z. L 1. c' /- Contractor or Builder id =t- ', A ' C r t ,( Legal Lot ?* ? I 1 Description II BI 44 Address of Ai Ai• c ' r Building loo Subdi- vision 7 " Sq Ft. 0. Value of ■02, 11 Amount of 0 Project $ 4 "' II 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 applica- tion 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 respon- sibility for work done by his agents, serjans or aployees. Signed SP CTOR) BY In consideration of the issuance to me of this permit I agree, perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, atements or specifications submitted to the proper authorities of Miami Shores Village. In this pe it I assume respunsib ay for all work dope„ y either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA ELECTRICAL ❑ Date — PLUMBING ❑ PERMIT N? 9349 ROOFING ❑ Owner of Building 1+4•4 Architect Contractor or Builder j= '`d i. ,� • ° _ f Legal Lot Description Bl Address of Building a•<t f , 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 applica- tion 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 abov ssumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plus o drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants orlemployges Signed • �'`'' ' �~ #` # • ` N BY In consideration of the issuance to me of this permit I agre ' tJ perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawin ,,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work clop , by either, myself, , agent, servant or employee. 'CONTRACTOR orUILDER BY t AUTHORITY Work to be performed under this Permit Contractor's License No4 - ` 4 "° 4 = LI Subdi- vision Sq Ft Value of 11 Amount of Project $ 11 Permit $ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- L ) 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 I 10 //4_... , 19..4 7 Owri�er's Name and Address___ r 4 IN 1'�i__ . - [ -__ SL . Fe l T No CO _ _._ Street_ Ai ►It 100 Registered Architect and /or Engineer__ ' d • Ar1 g1-71-' Name and address of licensed contractor. m . i.11.04.- . fl a -C4 and Co 1 I K e Locationd legal description of lot to be built on: Lot__ & . ( Block t.6 . _ Subdivision ' `t v 4 N s g e c 1 - z Street and Number where work is to be done I . � _ Q 11) C 1 00 1 State work to be done and purpose of building (by floors)_ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 1 To be constructed of C • 13-sl Kind of foundation Estimated Total cost of improvements $_._ IwQ Amount of Permit $ Zone cubage required _Plan Cubage.-_-_. _ (" 2) Distance to next nearest building . _ Size of Building Lot Maximum live load to be borne by each floor-__ I hereby s mit all the plans ands ecifioa ' ns foi said building. All notices with ref - be sent to - --- o_ b e -- -1_` S_ ,- rye , \ e - 1030 W peared MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building In jector PLANNING BOARD. Chairman Member Member Council Approved . ___ Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. Roof Covering__ / b, ®0 The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec :ion 5966, Compiled General Laws of Florida, Pennanent 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 t site of the work sucl ublic notice or notices as are required by the Act. The undersigned agrees to employ only such .contr tors, o./ work to be per ms'. under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) 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- 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 _ c°7 Date_ __ 1 ? Read, Sworn to and Subscribed before me. Disapproveld n (Signed) `/ . (- Notary Public, State of Florida My Commission Expires. DATE Member _________ _ Member Member . _._..._ Disapproved c/ to the building and its construction may 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 71 -C.