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270 NE 100 St (14)MIAMI 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. O er's Name and Address ' eetL�.� Registered Architect and n gincer •.______._ ,__= R =•-- =,_____. -__ Name and address of licensed contractor DAV Location and legal description of lot to be built on: 1.1 • To be constructed of STATE OF FLORIDA, COUNTY OF DADE. j ss. Disapproved . , l Date._ ( Signed) Lot - f Block 3-3 Subdivision. .._.17r.:4 -S.- Street and Number where work is to be done qQ._ C j l. 9 x State work to be done and purpose of building (by floors) 2 TO and for no other purpose. New Building Remodeling Addition Repairs No. of Stories Kind of foundation Cov ng Estimated Total cost of improvements $ ° Z � /.� Amount of Permit $. t ' 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 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 arc required by the Act. The undersigned agrees to employ only such su • • . tractors . on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed)....—.. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 state are true. Permit No._w._? -_...__ l M_.._ Date O T / �' � � _ 7_. �� ead, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, Building hr3pector / My Commission Expires PLAN ' C BOARD DATE Chairman / Member Member Member Member ...... Member r .._..... 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 fce of 31.00 will be charged when such re inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 31 Approved use by occupancy • Miami Shores Village, Florida, 1/ Owner, Agent or Tenant of Building t Lot Block___ 7 )) Subdivisio Street Address_221 D , Remarks: _A Yv 5 � �, '• This Certificate of Occu i� c is issued to the abo're 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. ��� �� BUILDING DIVISION CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N'? 31 Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot ' Block_' '.• Subdivision Street Address 1 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. BUILDING DIVISION BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE. FLORIDA fir PERMIT N° 6 Y �is` c a Architect Contractor �. .. •' or Builder � • �, Y � Legal Lot Description Bl Address of Building s Work to be performed under this 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 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. "" "' Signed. �� w..+.. .. BY t i ' % 1 ! t .. INSPfCTOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Subdi- vision Value of Project $ r Amount of Permit $ . CONTRACTOR OR BUILDER BY AUTHORITY OWNER•S NAME Hunter and Helen Tushingham PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 270 N.E. 100th Street LOT 3. BLOCK 33 SUBDIVISION Sec. 1 GENERAL CONTRACTOR A.J. Troy ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 6 34 DATE 9 •16 -5 PERMIT FEE S 7.00 BUILDER•S BOND NO. 1710 DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 3,895 CU. FT. EST. COST S 3,000 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION rear jalousie porch ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RESUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. - ISSUED BY � �- _z.�. TO _� BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS $ SEWER FRAMING SOLAR HEATER $ GAS $ S INSPECTIONS FINAL - RE- INSPECT BY RE- INSPECT BY ROUGHING CLEAN -UP ;1 ' -` GAS CONTRACTOR PHONE PERMIT NO. 1 DATE FEE S NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER SEPTIC TANK SOLAR HEATER. 1 FIXTURES & FINAL 1 FIXTURES CONTRACTOR - PHONE PERMIT NO. .� j DATE - FEES ,. NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ s INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. 1 FIXTURES & FINAL 1 :a i . BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS 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. Date 9- e ,19 Owner's Name and Address ._ \44--1:4 a 1�r a No Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to l built on: Lot 4 tr Block STATE OF FLORIDA, COUNTY OF DADE. ss MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT BUILDING INSPECTION DEPARTMENT .A Subdivision Street and Number where work is to be done _:_ 1 �� �� State work to be done and purpose of building (by floors) -h and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind o oundation Ro96Covering Estimated Total cost of improvements $ _ Amount of Permit $ - Zone cubage required _Plan Cubage ___. s � Distance to next nearest building Size of Building Lot / � 774 �� 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 (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared n and who, being by me first duly sworn, upon oat r d : J �, of the above described construction, that he has . ; f P , therein by him s ted are e. ` 1 / Permit No._- _____- _ Da __ =Y��_a l 6 Read, Sworn to and Subscribed before me. Disapproved __ __ Pate_ / (Signed) to me well known, es and says that he is the_ y read the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida My Commission Expires PLANNING 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. 0 ) 0/ ( /7 -.--•,', o'- ----.% , Ci ".' at— , 4 vol til c f) / kt 1 f 310