30 NE 100 St (2)OWNER'S NAME
1 � • 0 �(ZS • EV 0 "1 - a% ,
PRESENT ADDRESS
!J . ` . i ea:j s
LICENSE NO.
PHONE NO.
<. JOB LOCATION (ST. OR AVE.)
LOT
BLOCK
SUBDIVISION
GENERAL CONTRACTOR
c et-s (.1 SJ -,-7"1--
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. (1
9 f /
DATE • 30' '`')
J
PERMIT FEE $
BUILDER'S BOND
NO. DATE C.i
4_ ‘42_, .
ZONE REQUIREMENTS CU. FT.
t d - 7P7. .r9
PLAN CUBES ?S 7 CU. FT.
00
EST. COST $ O
�n
e--• K L
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: • - &C-
DATZ
O / 6--6 3
NEW CONSTRUCTION
TYPE
cgs
STORIES
o-aa
ROOF CONSTRUCTION
Tile
INTERIOR CONSTRUCTION
@o--I Leif es. , .Cced.Q.
REPAIRS
DESCRIPTION
pOtG /n 1p2 / Q. - ��'��
ALTERATION DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFr) TO VILLAGE COUNCIL
REMARKS
,/7 G
CERTIFICATE OF OCCUPANCY NO. 1^� !,} I ISSU /� />'(p,�
Al
BY /U/Qq
TO .e -,ryi- ,;restQh/
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
BY
ROOF
$
SEWER
BEAMS & LINTELS I
POOL
$
SOLAR HEATER
FRAMING
FIXTURES
AIR COND.
GAS
FINAL
$
SEWER
CLEAN UP
SLAB
SEPTIC TANK
SLAB
FIXTIIRFS At FINAL
SOLAR HEATER
SPECIALS PERMITS PERMIT NO. I DATE
FEE
TEMPORARY SERVICE
I
$
SEPTIC TANK
BY
ROUGHING
$
SEWER
ROUGHING
I $
$
SOLAR HEATER
TUB & TOP OUT
FIXTURES
$
GAS
$
SEWER
INSPECTIONS
DATE
BY
RE - INSPECT
BY
RE- INSPECT
BY
ROUGHING
$
RANGE CONN.
ROUGHING
I $
MOTORS
TUB & TOP OUT
FIXTURES
I S
I
SEWER
SEPTIC TANK
FIXTIIRFS At FINAL
SOLAR HEATER
FIXTURES
GAS
SPECIAL PERMITS
PERMIT NO.
DATE FEE
TEMPORARY SERVICE
RE- INSPECT BY
I $
H. W. HEATER CONN.
$
RANGE CONN.
ROUGHING
I $
MOTORS
$
FIXTURES
I S
I
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TFMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN
FIXTIIRFS At FINAL
CONTRACTOR LCo ' S PAS.,, Lg.7
PERMIT NO. 4(.S r 1 DATE J /0- /r-GS
NEW BLDG. 1 ALTERATION 1 ADDITION
/ ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR Jo ‘.a ;._,.,
4ce
PERMIT NO.
NEW BLDG.
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
e (e- t N.
I ALTFRATION
1 DATE 10— I4.. -(`'
ADDITION
APPROVAL. TO POWER CO. FOR SERVICE DATE
PHONE
FEE $
REPAIRS
PHONE
o.�
FEE $ --
REPAIRS
BY
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1478
Owner, Agent or Tenant of Building
Miami Shores Village, Florida, 11 -15-63
Mr. Evans
Lot 9 & 4z 8 Block 9 Subdivision
Street Address 30 N. E.. 100th St.
Approved use by occupancy convert existing screen porch to Florida Room
Miami Shores Sectp.# 1
Remarks. 4717
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 pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
Plan Cube 1595.19
Tax Value 757.59
BUILDING DIVISION
Owner's Name and Address .. r'°` a
Disapproved . (bat-
(Signed)
Building In ector
MIAMI SHORES VILLA
BUILDING INSPECTION DEPARTMEN
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.
, Registered Architect and /or Engineer._._._ __
Name and address of licensed contractor '"?`%
Location and legal description of lot to be built on:
Lot 9 4 w (/)- e
Block 5 Subdivision kA µ^- L
Street and Number where work is to be done �� - Cs c=4
State work to be doe and purpose (by floors) �,;, V Z $.1.-.. i , g .�, 1•4 P.� `.�
pur ose of buildifloors
Date
New Building Remodeling
To be constructed of Kind of foundation
Rho
Estimated Total cost of improvements $ 5.stc> —
Zone cubage required
Distance to next nearest building.
3
Date /0— a9
, 19..��
No Street - ,_._ 4 0 J T
and for no other purpose.
Addition Repairs No. of Stories
Roof Covering
Amount of Permit $
.Plan Cubage fj
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
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 rovisions 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 subcontfactors, on work to ; • performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Read, Sworn to and Subscribed before me.
itt
�-f
building and its construction may
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
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 `I
Notary Public, State of Florida
My Commission Expires
LANNING BOARD DATE
Chainnan Member
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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
cie. () 6,
7 , ° 1 ,24- SI ,—e N. e) i, k ,C.5 4. 2, .o3 ‘ii
0 3 .' 'o i r o
71. y
1, �
?mow J4�
BUILDING
ELECTRICAL PERMIT N9 3749 Contractor's ,
PLUMBING License No
Work to be performed under this Permit
Owner of
Building
# C/ 1
Architect
MIAMI SHORES VILLAGE, FLORIDA
Contractor ,
or Builder t r� �, .p ;
Legal L Bl.
Description
Address of P `� T ; Value of
Project t, e J Amt. of
Building v ( ( - 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, stl<tements 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.
1 Signed • L . I - 1 B
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 ugula -.
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autPiiies of Miami Shoris°
Village. In accepting this permit I assujne responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
Subdi-
vision
BY
DATE
AUTHORITY
194—
APPLICATION FOR BUILDING PERMIT
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 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 regula-
tions 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
Registered Architect and /or(ngineer
Name and address of licensed contractor
Location and legal description of lot to be built
Lot______ Block___ Subdivision
Street and Number where work is to be done
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
State work to be done and purpose of buililing (by floors)
New Building Remodeling _ Addition r
To be constructed of Kind of oundation
Estimated Total cost of improvements $ _______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 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 p work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) ,
STATE OF FLORIDA,
COUNTY OF DADE.
/ - ® 19
_ Street • • /B 1/r
_and for no other purpose.
Repairs No. of Ssgries
Roof ___ •Q
Before m the un rsigned a ority.,_a. , . tary 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 be 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 Date Re. • worn an Subsct d be ore-me.
Disapproved
(Signed) �1
Building Iuspglior
Date
Notary Pub ic,LState of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman - Member
Member Member
Member Member
Council Approved Date Disapproved
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.
Date