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285 NE 100 St (5)•' CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1566 Miami Shores Village, Florida, 3 -28 -65 Owner, Agent or Tenant of Building Dr. and Mrs. H. Hat t es en Lot E1/2 21,22•23 _ Block 3L, Subdivision Mi , Street Address 285 N. E. 100th 5t Approved use by occupancy 15X30 Swthmmi ng pool Remarks 5741 This Certificate of Occupancy is issued to the above namedo *.per 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. T.V. = 2 Est. Cost. 5000 = 2500 BUILDING DIVISION MIAMI SHORES VILLAGE, FLA. NO 6 310 , JOB ADDRESS � N� � ° i /6 J INSPECTION 1V0 TIME READY REMARKS : (4)s /7- V INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. rjo 6143 JOB ADDRESS 'a \A (00 -Cr INSPECTION TIME READY TO L- C�� REMARKS INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. NO 6142 JOB rl ADDRESS \A 5- \ CO S r INSPECTION ° ° i. ^ TIME READY t O— I S —Cfl c V REMARKS • INSPECTOR DATE MIAMI SHORES VILLAGE. FLA. JOB ADDRESS P N? 6281 i INSPECTION TIME READY ill ' ■ CI:, , c___,- o•-:), ( i REMARKS • INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. N•0 6356 JOB 1 . Q 4 — INSPECTOR C INSPECTION VLF Lt.CJ ("- TIME READY in 1 1.7 " (n / --_-_ REMARKS • DATE ) A- f 14- 7 4 6C, MIAMI SHORES VILLAGE, FLA. N? 6374 JOB 417t-itt; ADDRESS 35 ) / �' too 2 r INSPECTION TIME READY 1 ! " `t'' 04 REMARKS • INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. N? 6389 Jos ADDRESS S 1 & 16 0 INSPECTION (€ � orv. /04 -cae TIME READY REMARKS • (1-9 — c" f" -- co] N) INSPECTOR DATE fil "M. OWNER'S NAME DR. AND 4R S. H. HATTESEN PRESENT ADDRESS ` 285 N.E. 100th. St. LICENSE NO. PHONE NO. /JOB LOCATION (ST. OR AVE.) 285 N. E. 100th. St. LOT E; 21,22,23 BLOCK 34 SUBDIVISION . MIAMI SHORES GENERAL CONTRACTOR EDWIN M. GREEN ADDRESS 775 N. W. 21st. St. PHONE NO. LICENSE NO. 7501 BUILDING PERMIT NO. 5 DATE 9 -30-64 PERMIT FEE $ 20.00 BUILDER'S BOND G� NO. 2621 DATE 9 -30-64 ADDITION ZONE REQUIREMENTS CU. FT. Pool T.U. m 2 est. cost = PLAN CUBE CU. FT. 5.900: 2500) EST. COST $ �p DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: W. R. BRADFORD W DATE 9 -29-64 NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCRIPTION 12,796 GAL 15' X 30' Oval shape Ai ALTERATION DESCRIPTION DES � PTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFr) TO VILLAGE COUNCIL REMARKS // CERTIFICATE OF OCCUPANCY NO. / 3, 2.Y -c. t� I ISSUED C.Sn' BY /4 � . A / S/.. f e sew . TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY. INSPECTIONS DATE BY FOUNDATION $ SEPTIC TANK ROOF TEMPORARY SERVICE $ BEAMS & LINTELS $ TUB & TOP OUT POOL SOLAR HEATER $ FRAMING $ GAS AIR COND. MOTORS $ FINAL S FIXTURES CLEAN UP SEPTIC TANK $ SLAB S SOLAR HEATER SLAB SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER $ TUB & TOP OUT $ SOLAR HEATER $ RANGE CONN. $ GAS SEWER MOTORS $ RANGE CONN. S FIXTURES a INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE I ROUGHING $ TUB & TOP OUT I $ RANGE CONN. SEWER MOTORS RANGE CONN. S FIXTURES SEPTIC TANK $ S SOLAR HEATER FIXTURES GAS CONTRACTOR PHONE PERMIT NO. I DATE FEE S NEW BLDG. 1 ALTFRATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE I ROUGHING $ H. W. HEATER CONN. I $ RANGE CONN. S MOTORS RANGE CONN. S FIXTURES $ S INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT' BY TFMP SERVICE I I I ROUGHING I H. W. HFATER CONN RANGE CONN. 1 CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS DATE I ALTERATION I ADDITION PHONE FEE $ REPAIRS FIXTURES & FINAL I ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building `- Architect Contractor or Builder Legal Description l i CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Lot Bl. e DATE= ' ., 19 I r �k a Cg J ritrac$or's • * t- License No I` ' ''.'it , Work to be performed under this Permit Subdi- vision Address of - r Value of 11 Amount of Building e: ` f , Project $ 11 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, servants or employees. Signed. INSPECTOR 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 cc cepting this permit I assume responsibility for ell work done by either, myself, my ,agent, servant or employee. { BY AUTHORITY ABBOT 'O&°' BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA DATE 19 Owner of t t Building PERMIT Architect Contractor 1 } r� or Builder Legal Lot 11 Description Bl CONTRACTOR OR BUILDER N° 5749 Contractor's License No. 0.;. Work to be performed under this Permit Subdi- vision Address of Value of ( Amount of A Building ��� ; t Project $ 4,. "`°° I 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, servants or employees. Signed. 4 .i . ^' ;' 5 . - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in eompliance 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. BY AUTHORITY ABBOT BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Lot Description 0 Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Work to be performed under this Permit BL N9 5748 Subdi- vision Value of Project $ DATE *,,` ° _� 19. Contractor's License No. Amount of 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, servants or employees. Signed "`' '^ f ,� . ; — INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in coaipliance with all ordinances asd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee., BY � AUTHORITY ABBOT BUILDING ELECTRICAL PLUMBING ROOFING ❑ Owner of Building -�� ❑ MIAMI SHORES VILLAGE, FLORIDA , DATE t 19 V ❑ PERMIT N� 5846 Architect Contractor ., f or Builder 1_- -C l Legal Lot Description C" B1 Address of r� I -- 1 1 0 0 i ,-.. Building C` Work to be performed under this Permit l LA Signed Value of Project $ Contractor's License No. Subdi- vision 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, servants or employees. INSPECTOR regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my,-agent, servant or employee. 4'r flee'C . i,e!i' . ev CONTRACTOR OR BUILDER In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance all ordin Amount of S --6 Permit $ AUTHORITY *SOOT eA L c � �e� �Y�L 7S mo t, �s MIAMI SHORES VILLAGE , �`�IJ.....�.� Pe-r--- BUILDING INSPECTION DEPARTMENT �' o +-S {� e.r � 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 Villag3, Florida, and all provisions of the Law' of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village sh,a1 be complied with whether herein specifier' not. A cop of approved plans and specifications must be kept at building during progress of the work. //�� Date — SE'T'T_' `!' 19_G V Owner's Name and Address __.�� i l / P _ & . 7 7 : e e) _..__ ___ No. 2 ___ _ Street_ _/ 4761 _ S T _ _- _ Registered Architect and /or Engineer L r____ 4'/ S,S._ Name and address of licensed contractor 2EPe aJ �t!l, 'Pe ,. e 77 ./Yid , Zi s7; Location and legal description of lot to be built on: Lot_ app/ L a T S 2 P P 23 Block ._ -_ 2_ - `1---------- ---- -- - --- -- Subdivision iL, _ -$ _ --. 5'/C 2 Street and Number where work is to be done 2 ? `S Ac). S T State work to be done and purpose of building (by floors) _ �J../ v!_. !R_JLr___ ., w_. ' 4'V G (-- ----- -I? Z -` - -ir G a: (• I .._C.. s: o ` -i. 34r_ ov a 'sR` ' and for no other purpose. New Building___ Remodeling Addition__ .0 Repairs No. of Stories 7 To be constructed of ,C041 C-- Kind of foundation C Ct °L✓ Roof Covering "e--.%'4. -/--- Estimated Total cost of improvements $ .�Lz o — Amount of Permit $ r0-, Zone cubage required_ _Plan Cubage Distance to next nearest building 7__U__ Size of Building Lot /22 !_.,.}f_ // - 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._ _.___Z _ __4,1. 21 5 ' 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 co ' actors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for in cbon on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub. . actors, on ,work be perf d under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss 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 stated are true. Permit No A e , °f A D ate !/ ` 9 Read, Sworn to and Subscribed before me. Disapproved Date____" (Signed) ! Q 1 <. F Building I spector My Commission Expires Notary Public, State of Florida to me well known, 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. LIST CHECK Permit No..._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or cther 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 work. `1 l TM Owner's Name and Address °L -- Pr • .- � - - µr S. ___.- - - - - -� \'G SG n No ._— ._ �� 2 �------ - - - -._ Street_ T1.:. E : ... .100 _... Y • Registered Architect and /or Engineer Employing Plumber's Name E sk t-0 , 1 r M • 2 E �±�1 fin e- • No. ?TA_ Location and Legal Description Lot. -1-PL o _ -2-.1 .--1.1 , Z 3 — Block_ 3 4• Subdivision -.0 `1 —. ...... n eirt s S " i Street and Number where work is to be performed -No ? R S .0 • C • 10 0 S* Street. State work to be performed and purpose of building (By Floors) NLu.,m _7r, -.1:1j ___- . -r _--_ ...... rya 1 r q Vo a C No. of Stories_ ......... ........ New Building Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. Remodeling o-o MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition - -- (Signed)-- Repairs Size Septic Tank__ ____ _ Type of Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well . _____Size of Soakage Pit __.._ (Signed)- `t =h -_ - _ - ~ 1 • Date._. _' S - 4 . Capacity Gals... .......... Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli:.srons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma ' t Supplement, and bus com- plied 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 sub- contractors, on work to be performed under this permit. as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall;• appeared 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS T BATH L SHOWERS T LAVA- S SINKS S SLOP L LAUNDRY C URINALS B CATCH F FLOOR D DRINKING T TOTAL Comm - - CHECK SEPTIC S SEWER D DRAIN S SOAKAGE G GREASE S SOLAR D DEEP S SPRKLR. S SWIM'G CoNTR. — — -- Permit No..._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or cther 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 work. `1 l TM Owner's Name and Address °L -- Pr • .- � - - µr S. ___.- - - - - -� \'G SG n No ._— ._ �� 2 �------ - - - -._ Street_ T1.:. E : ... .100 _... Y • Registered Architect and /or Engineer Employing Plumber's Name E sk t-0 , 1 r M • 2 E �±�1 fin e- • No. ?TA_ Location and Legal Description Lot. -1-PL o _ -2-.1 .--1.1 , Z 3 — Block_ 3 4• Subdivision -.0 `1 —. ...... n eirt s S " i Street and Number where work is to be performed -No ? R S .0 • C • 10 0 S* Street. State work to be performed and purpose of building (By Floors) NLu.,m _7r, -.1:1j ___- . -r _--_ ...... rya 1 r q Vo a C No. of Stories_ ......... ........ New Building Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. Remodeling o-o MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition - -- (Signed)-- Repairs Size Septic Tank__ ____ _ Type of Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well . _____Size of Soakage Pit __.._ (Signed)- `t =h -_ - _ - ~ 1 • Date._. _' S - 4 . Capacity Gals... .......... Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli:.srons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma ' t Supplement, and bus com- plied 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 sub- contractors, on work to be performed under this permit. as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall;• appeared 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 Villag3, Florida, and all provisions of the Law of the State of Florida, all ordinances of Miami Shores Village 'nd all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specifierl c not. A cope of approved plans and specifications must be kept at building during progress of the work. (� - Date_ ._ 9.' _3 0 _ - _ _. ., 19_ `�� L 1 ,� 1, - - -- _ _ Owner's Name and Address._i✓1' • ___' ._ N1� ___ _ _I'l_'_____ ._- cse. r1 ____ ____ No._ 72,8 _ Street__ is _l,. : _ JO0__ __ct Registered Architect and /or Engineer Name and address of licensed contractor s.4., ; a- r " _ l e - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - L o c a t i o n Location and legal description of lot to be built on: Lot Block. Subdivision Street and Number where work is to be done Z SA .A.2 - - 14__ 0 y' State work t e done and purpose of building (by floors)_ _C __. n)t_L_f_e_.?_e.. ._.__.___ L .. ______ L-1 ____ __4. .4_24. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of founda 'on Roof govering Estimated Total cost of improvements $ — Amount of Permit $ (D 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 m 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 IL-- permit, as are licensed by Miami Shores Village. I Remarks (Signed )- E. _e_i --- - - - - - _ R_G - lJ STATE OF FLORIDA, 7 VL Q COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Disapproved ____. Date (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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____. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires to me well known, 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT qq APPLICATION FOR ELECTRICAL PERMIT Permit No ..... S ... _ .. Date / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliaac 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 work. Owner's Name and Address... ' .. 7720950 0 A? No 7 ' r`z A/4 L le Y Street..... �. ®....... Registered Architect and /or Engineer . ............ Employing Electrician's Name ... .c � S e Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ' // ' 100 S 4 Street State work to be performed and purpose of building (By Floors) 7 L. New Building Remodeling Addition.... ..... Repairs No. of Stories Service Overhead Size Feeders .. ..........Conduit... Main Sw Undergra and Type Installation— Conduit. . ...T. b Amount of Permit $. .......'..�.....Q STATE OF FLORILA, COUNTY OF DADE. SS. .B.X L Street.. . Poe- Amps Main ' ?uses Amps Metal Moulding. (Signed)...... &t_; ✓ .- . .: Eir r c:el Inspector. The undersigned 'pplicant: or this building permit doe,: hereby certify that he understands and Lccepts his obligations as an employer of labor under the rlorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplenent. and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 sub-contractors, on work to be performed under this permit, as a.ar licensed by Miam Shores Village. (Signed) a Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, a .d he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECC'P'T'S FIXTURES NO. LAMPS REFRIO. OVTLSY IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATCR W. HF_.LT. CONN. SPACE HEA. ER STRIP HEATED TOTAL CLIST LIST / 9 1 •„ f y sd CHI1CK ENT. SW. DI..n. CAB. 9Er.V'CE T:::. P. SERVICE P' RM. RSOYO:':, MOTORS 0-1 HP 1-5 HP NEON TRANC. RADIO TOTAL CO:V ..':. LIFT /...2. lit Ps /J� - 7 ' CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT qq APPLICATION FOR ELECTRICAL PERMIT Permit No ..... S ... _ .. Date / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliaac 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 work. Owner's Name and Address... ' .. 7720950 0 A? No 7 ' r`z A/4 L le Y Street..... �. ®....... Registered Architect and /or Engineer . ............ Employing Electrician's Name ... .c � S e Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ' // ' 100 S 4 Street State work to be performed and purpose of building (By Floors) 7 L. New Building Remodeling Addition.... ..... Repairs No. of Stories Service Overhead Size Feeders .. ..........Conduit... Main Sw Undergra and Type Installation— Conduit. . ...T. b Amount of Permit $. .......'..�.....Q STATE OF FLORILA, COUNTY OF DADE. SS. .B.X L Street.. . Poe- Amps Main ' ?uses Amps Metal Moulding. (Signed)...... &t_; ✓ .- . .: Eir r c:el Inspector. The undersigned 'pplicant: or this building permit doe,: hereby certify that he understands and Lccepts his obligations as an employer of labor under the rlorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplenent. and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 sub-contractors, on work to be performed under this permit, as a.ar licensed by Miam Shores Village. (Signed) a Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, a .d he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.