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285 NE 100 St (6),( OWNER'S NAME "712. 151.. .,4,2.0 E_ //'5 &:s& - Al - PRESENT ADDRESS (' `Z$- A . C. lb o d 7 t LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) Z g 1 AI - c i 6.c3 c.T LOT e rZ 21 - 23 BLOCK 3_4 SUBDIVISION 'V11 q,_„, ' �z-�� - 41 ( ± GENERAL CONTRACTOR O L.) 1-4 ADDRESS PHONE NO. LICENSE NO. 9147 BUILDING PERMIT NO. DATE "C ........ � ,- PERMIT FEE $ / BUILDER'S BOND NO. DATE 1410,0 I `C 1 o tJ — ZONE REQUIREMENTS CU. FT. "T7i 4.1A -L,,, e= III PLAN CUBE 41-� 3 CU. FT. ._ EST. COST $ °d b DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: 44- K' �� `— �j DATE a '�� NEW CONSTRUCTION TYPE Q la-S — STORIES 0 0.7 c ROOF CONSTRUCTION '7 L INTERIOR CONSTRUCTION REPAIRS DESCRIPTION P- °Z- � P Y4 - .9 -f7� /I 7 7 0 N Pc `- s l ? •J e L` ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFn TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 1 • 5' .s. ISSUED BY ' TO Da 40 --- 7A,.2- 0 F. 477 &5 L BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE lft 0 =+ INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION SEPTIC TANK DATE ROOF $ SEWER BEAMS & LINTELS $ $ POOL 1 $ FRAMING GAS AIR COND. $ FINAL S t CLEAN UP SEPTIC TANK $ SLAB S SOLAR HEATER SLAB SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE BY RE- INSPECT $ SEPTIC TANK DATE FEE $ SEWER $ $ SOLAR HEATER 1 $ $ GAS SEWER $ S t INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT 1 $ RANGE CONN. I SEWER MOTORS S FIXTURES SEPTIC TANK $ S SOLAR HEATER FIXTURES GAS CONTRACTOR /do.e.. , t.1 � 1 scht ; 6C F/L,( C_ _. ... ;7 PHON E PERMIT NO. ! 3 7 — 1 DATE iO'Y 4-7 FEE $ G- " NEW BLDG. 1 ALTERATION 1 ADDITION )° REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. 1 $ RANGE CONN. I S MOTORS S FIXTURES $ S INSPECTIONS DATE BY RE - INSPECTI BY RE- INSPECTI BY TEMP. SERVICE ROUGHING H. W. HEATER CONN 1 RANGE CONN. I I CONTRACTOR PERMIT NO. NEW BLDG. FIXTURES & FINAL A-NWr-42 �BUILDING INSPECTIONS 6-i3/77 PLUMBING PERMITS & INSPECTIONS DATE 1 ALTERATION 1 ADDITION PHONE FEE $ REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1050 Street Address PLAN CUBE 4223 TAX VALUE 2111 285 N.E. 100th St. Miami Shores Village, Florida, 12 -2 9 - 59 Owner, Agent or Tenant of Building DR. HOWARD E. HATTESEN Lot Ej 21,22,23 Block 34 Subdivision 1 _sHORES Approved use by occupancy SHOP ADTUTION Remarks # 9147 This Certificate of Occupancy is issued to the above named OWNER 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 perta' 'rig to the erection, construction, alteration or remodeling of buildings 9r structu BUILDING DIVISION MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL PLUMBING ❑ PERMIT N9 9372 ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot Bl. Signed Subdi- vision Sq. Ft Value of Project $ DATE 195 Contractor's ,,• , License No Amt. 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 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 or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. t .f ' {� CONTRACTOR OR BUILDER BY AUTHORITY 7 MIAMI SHORES VILLAGE. FLORI BUILDING ELECTRICAL ❑ 195 PLUMBING ❑ PERMIT N o� _ • ractor s License No ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building El Lot t �L t r , CONTRACTOR OR BUILDER 7z. 13 Bl. 34, Work to be performed under this Permit ( ' 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 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 or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. BY /11/44n; Sq. Ft Value of Project $ 2.843. Amt. of Permit $ Signed • ? ` 1 1 (' ( BY 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY `I 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. Owner's Name and Address.. .-� �$tate work to be done and purpose of buildi Da Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: I t ' z/ -ZZ -z3 Block 4- ------- Street and Number where work is to be done To he constructed of Kind of foundation Estimated Total cost of improvements $ 6 - Subdivision Date } '. �7 ,19 No LYS Street ,J- G _ /to $' .. .0.6 " : and for no other purpose. New Building Remodeling. Addition ✓ Repairs No. of Stories Roof Covering Amount of Permit $ , /a Zone cubage required _Plan Cubage V .. _ 2 .12 / / / v Date.___ — ✓� ' .b f Read, Sworn to and Subscribed before me. Notary Public, State of Florida Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor – I hereby su)mit 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 pennit 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) 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 e e true Permit No r Disapproved (Signed) � 7 Building Inspector 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. Name and address of licensed contractor Permit No Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the appro }'al 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. Owner's Name and Address. Dr, H E, Hatteson Registered Architect and /or Engineer Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 285 Np L. 100th Street State work to be done and purpose of building (by floors) gia.F.___30 _... L Pl.t.a AA0 __Q? a0rr $la .e with hot asVhalt Lay white shingle tile in white *do Copper flashing & New Building Remodeling. To be constructed of Kind of foundation Bui ing Inspector Chainnan Member Member Council Approved Date Disapproved Date October 8, , 19 59 No 285 JOHN C. ANDREWS ROOFING & TILE CO. 4300 E. llth Avenue, Hialeah, Fla. S N Ep IMO St. e Drip. and for no other purpose. Addition X Repairs No. of Stories Is PLANNING BOARD DATE Roof Covering Shifle Tile Estimated Total cost of improvements $._32a_QO Amount of Permit $5.0..00 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 are required by the Act. The undersigned agrees to employ only suc bcontractors, work to be performed 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- peared Date 10.-5 — Read, Sworn to and Subscribed before me. Date 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. 93 7 7 Notary Public, State of Florida My Commission Expires Member Member Member 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