229 NE 100 St (7)OWNER'S NAME
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PRESENT ADDRESS
7z1 N.c.. 1e2
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
ow r4Ea .
LOT
IS 4 E 6 I-z_ 1`
BLOCK
3 4
SUBDIVISION
MI4 AM, . S660 el. e% l` 1
GENERAL CONTRACTOR
OWla E2
ADDRESS
PHONE NO.
LICENSE NO.
1
BUILDING PERMIT NO. 210 1
DATE 1 - 3 -4 '1
co
PERMIT FEE $ Id —
BUILDER'S BOND
NO. DATE
640tTte►I
ZONE REQUIREMENTS CU. FT.
74• ✓A�.�B: /GS7..ro
_
PLAN CUBE 37I CU. FT.
,/ ti."
EST. COST S loon
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:C .14 . 4 A Itg. e L
DATE.
/O I `(
NEW CONSTRUCTION TYPE
C ES
1 STORIES
ONE.
1 ROOF CONSTRUCTION
T3 a t 4,...`r TA
O to tt 4 GRgl�ec_
I INTERIOR CONSTRUCTION
RLp2 1200A1 14,4P
REPAIRS
DESCRIPTION
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C44 jbZT Aov/71C/J' Cs NV 1/L7 C. A;2l -Gt. /N To (3 CO (Zoo M
ALTERATION
`` / DESCRIPTION
Vi. y / 41 /( 4io. . P4i.S ‘Qr•O I (...›..14 (...›..14 41-,46 -.s6 CN /t r - €..).•1 hii a eh./ fr... -
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
L
04 / ,„,
1
% a: r 0
Oao. '21 3
SUBMITTFD TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. 1 Zd L. I ISSUED
BY (1 .111.
TO co ).%, d 1 h • V 4 0-0 I...) l(
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAI3E
.... e 4.1 0 .4 1.1- I a. /
INSPECTIONS I DATE
1 BY II
INSPECTIONS DATE
BY
FOUNDATION 1
I
I ROOF
ROUGH ING
BEAMS & LINTELS
I
POOL
SEPTIC TANK
SPECIAL PERMITS
FRAMING
TUB & TOP OUT
$
AIR COND.
SEWER
TEMPORARY SERVICE
FINAL
$
CLEAN UP
SOLAR HEATER
H. W. HEATER CONN.
SLAB
I
SEPTIC TANK
RANGE CONN.
SLAB
I
I
2 A S r (L 2: p, —
SPECIALS PERMITS
PERMIT NO.
DATE
RE- INSPECT
FEE
TEMPORARY SERVICE
BY
ROUGH ING
a®
$
REPAIRS
SEPTIC TANK
SPECIAL PERMITS
PERMIT NO.
TUB & TOP OUT
$
I I
SEWER
TEMPORARY SERVICE
$
$
SOLAR HEATER
H. W. HEATER CONN.
$
SEPTIC TANK
RANGE CONN.
I
$
2 A S r (L 2: p, —
/�
's-s .-:
- _,,,ct _ " C.,...
.
44 `/ d ,
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGH ING
a®
NEW BLDG. 1 ALTERATION 1 ADDITION k
REPAIRS
SPECIAL PERMITS
PERMIT NO.
TUB & TOP OUT
DATE
I I
FEE
TEMPORARY SERVICE
SEWER
$
H. W. HEATER CONN.
SEPTIC TANK
RANGE CONN.
I
$
SOLAR HEATER
I
3
FIXTURES
FIXTURES
$
c
GAS
CONTRACTOR , 4.: 2. (t ;, , f -
W
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RE- INSPECTI BY RE- INSPECT BY
PHONE
PERMIT NO. 7 1 DATE I-9
0
FEF. $ 11
a®
NEW BLDG. 1 ALTERATION 1 ADDITION k
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
I I
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
I
$
MOTORS
I
3
FIXTURES
$
c
INSPECTIONS DATE
BY
RE- INSPECTI BY RE- INSPECT BY
TEMP SERVICE
ROUGHING
H. W. HEATER CONN
I
I
RANGE CONN.
I I
FIXTURES & FINAL
CONTRACTOR
PERMIT NO.
NEW BLDG.
BUILDING INSPECTIONS C. fie - � � I T 9
PLUMBING PERMITS & INSPECTIONS
PHONE
FEE $
REPAIRS
1 DATE
I ALTERATION
I ADDITION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
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.
New Building
To be constructed of
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Owner's Name and Address ._ .. slee.....�._
Registered Architect and /or Engineer -e
Name and address of licensed contractor _ -_ _ _
Location and legal description of lot to be built on:
Lot.. /.S — / = Block 3" 4 {
Street and Number where work is to be done
State work to be done and purpose of building (by
Date /a-J
BUILDING INSPECTION DEPARTMENT
Date c "fE- --c ,
PVT L -ice
No. Street l d'Q
Subdivision !/vt.- C'.CB.44-1. ,(.
a (' , _ x (o-d
and for no other purpose.
Remodeling -__!/ Addition ..._[/ Repairs No. of Stories
Kind of foundation. Roof 5>vering
Estimated Total cost of improvements $.._4_,_sa.nn_ Amount of Permit $ -. -/1.1. --
Zone cubage required Plan Cubage__.___ __ > 4 .Y $ 07,50
Distance to next nearest building _.. Size of Building Lot i$ X ..1 _
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 he posted for inspe o the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcon ssl on work to be perfor ;d under
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
D
B ilding Inspector
PLANNING BOARD DATE
Chairman Member
Member Member
Member ..._ .. Member
Council Approved Date Disapproved
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 .L /
Disapproved
(Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
Date
has been obtained from
for inspection or faulty
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