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1420 NE 101 St (11)OWNER'S NAME Cunard Rubin PZESENT ADDRESS 1420 N. E. 101st St. LICENSE NO.. PHONE NO. • JOB LOCATION (ST. OR AVE.) 1420 N. E. 101st St. LOT BLOCK SUBDIVISION < GENERAL CONTRACTOR r. S. Carroll ADDRESS PHONE NO. LICENSE NO. 0 -947 BUILDING PERMIT NO. _1-25-57 DATE 5.00 PERMIT FEE $ BUILDER'S BOND NO. DATE ZONE PEQUIREMENTS CU. FT. PLAN CUBE1 ,275 CU. FT. EST. COST $ DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C. H. iiarkel DATE 1 -24 -57 NEW CONSTRUCTION TYPE CBS STORIES One ROOF CONSTRUCTION Gravel INTERIOR CONSTRUCTION REPAIRS DESCRIPTION ' Holds Room Addition • 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. I ISSUED BY I TO 4 On IT BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS PHONE DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 1 - 2 Y - S ? u)'C /s $ SEPTIC TANK BEAMS & LINTELS 2-(- r? �..0, 417 .4Z �,g, ,b" / $ SOLAR HEATER FRAMING $ - 7 - , /j `i a2,7 J $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT FINAL ROUGHING i�S7 (-4.1 �7 i. 4.1c;i4 CLEAN -UP SEWER CONTRACTOR PHONE PERMIT NO. 1 DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING i�S7 (-4.1 �7 i. 4.1c;i4 GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES CONTRACTOR 'C' "6._ C' PHONE PERMIT NO. 5 Z DATE a - 1 1 - FEE $ / - NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS $ •FIXTURES $ S INSPECTIONS DATE BY RE-INSPECT BY RE- INSPECT BY TEMP. SERVICE 2� i�S7 (-4.1 �7 i. 4.1c;i4 ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL GAIJ� � oo p-i�✓ Ti c E Go /' L S cz gig Wi g ; . BUILDING INSPECTIONS 62 /D PLUMBING PERMITS & INSPECTION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY ;UILDING :LECTRICAL 'LUMBING ;OOFING )wner of wilding '.rchitect ontractor ,r Builder .ega1 Lot 0 1 MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N° 4 ?:�_ A ❑ Sri ❑ Work to be performed under this Permit )escription .ddress of ; uilding 1 1 •' CONTRACTOR OR BUILDER Bl f ' - 3 Value of Project $ j ' DATE Subdi- vision Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations •ertaining 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 one by his agents, servants or employees. e l 1 ' 1 Signed. L _.. ,a. .3j INSP$CTOR 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 'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- epting this permit I assumgoOponsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 195 7 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. •Da r� �s / � ° Owner's Name and Address. r /VAl _t. e � _L� ..L �J No Street Registered Architect and /or Engineer 4F � 7' 7 Name and address of licensed contractor <J a1• C flee 64.4 Location and legal description of lot to be . t on: Lot Block Subdivision Street and Number where work is to be ne l C ✓ ".,& / 0 ✓ " State work to be done and purpose of building (by floors) / ._L' 0 e STATE OF FLORIDA, COUNTY OF DADE. j ss • permit, as are licensed by Miami Shores Village. _ Remarks (Sign and for no other purpose. New Building .. Remodeling Addition Repairs No. of Stories V is/ e- To be constructed of Kind of foundation Roof Covering._2.. Estimated Total cost of improvements $ J © Amount of Permit $ Zone cubage required -Plan Cubage 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 a ontractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for insp cggbn o the site of b work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco • (ctors,n worJE:f�6 performed under this 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 Date..__ ' a /5d , Rykd, Sworn to and Subscribed before me. Disapproved Date. _ __ Notary Public, State of Florida ( Signed) v Building Inspec or My Commission Expires PLA INC BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.