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1490 NE 101 St (15)OWNER'S NAME Guernsey Const. Co., Inc. PRESENT ADDRESS LICENSE NO. PHONE NO. '' JOB LOCATION (ST. OR AVE.) 1490 N.E. 101st Street LOT 12 less W50' &W78'of13, BLOCK B SUBDIVISION 1, MSBP Est. GENERAL CONTRACTOR R.V. Guernsey ADDRESS PHONE NO. LICENSE NO. 2014 BUILDING PERMIT NO. 6 -28 -55 • DATE 20.00 PERMIT FEE $ BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 30,476 CU. FT. EST. COST $ 16 DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE CBS STORIES 12 ROOF CONSTRUCTION ti INTERIOR CONSTRUCTION tile and oak floors,plaster wa. REPAIRS DESCR IPTION an ceilings 3 bdrm. -2 baths - living room - dining room- kitchen - maid's room - garage 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. An ! l� / ISSUED �(�BY e TO (V& h"�1 BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHOES VILLA is INSPECTIONS PHONE BY RE- INSPECT BY RE- INSPECT 56 2: FOUNDATION / DATE y� 6 - a-s 4 A/ T FEE TEMPORARY SERVICE TEMPORARY SERVICE 9--" • BEAMS & LINTELS /•••.//--<5 qq r� J�tia Sn1= �'�- -L �i p `2 SEWER RANGE CONN. FRAMING - �' /'- Ss SOLAR HEATER ' $ GAS FIXTURES $ $ $ FINAL - q BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP ' I Ii CONTRACTOR V/ (A H ' . PHONE PERMIT NO. cL � DATE '/ ^ r ":'1� R te . S, FEE $ ii 1 NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE 9--" • $ SEPTIC TANK qq r� J�tia Sn1= �'�- -L �i p `2 SEWER RANGE CONN. $ SOLAR HEATER MOTORS $ GAS FIXTURES $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING TEMP. SERVICE GAS ROUGHING r(( 9 41 SEWER H. W. HEATER CONN SEPTIC TANK (� Z' -5 5) /J /�,--,i i---- -;Z SOLAR HEATER RANGE / FIXTURES pP� -, ,,I - Si - // o i. CONTRACTOR ')� -9. � ��II , PHONE PERMIT NO. � � , DATE " {-9 -.5'5 �� ,/' FEE $ 26- W NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. FEE TEMPORARY SERVICE 9--" • (DATE 7-00 ( \ 1� . c.o.... .• H. W. HEATER CONN. ..i $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE INSPECT BY RE INSPECT BY TEMP. SERVICE ROUGHING r(( 9 41 H. W. HEATER CONN CONN. RANGE r IXTURES & FINAL g" AM; .DING INSPECTIONS 2- 6& PLUMBIrip PERMITS & INSPECTIONS ELECTRICAL PE,t2MITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 9 — V )/134`"" N w` L-+.., CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Florida, Owner, Agent or Tenant of building Lot 1 W 5 Slo I Subdivisio Street Address 1 D 1r1 Approved use by occupancy Remarks • 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 -modeling of buildings or structures. .3 te e* • # 1 3 V� �. , This Certificate of Occupancy is issued to the above named BUILDING DIVISION OWNER'S NAME Me. * Met. Fire► e .-.Ca+�irte& 6 PRESENT ADDRESS pi tea 'ti. E. /e►� r LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) /P,! N e. / e/ d- S LOT /3 BLOCK -/ SUBDIVISION a. ., P..o.e. .6 ' GENERAL CONTRACTOR ADDRESS PHONE NO. ...i ' LICENSE NO. BUILDING PERMIT NO. /23(3 DATE 7 2' 7 M PERMIT FEE $ I( 7r BUILDER'S BOND NO. DATE a ZONE REQUIREMENTS CU. FT. PLAN CUBE Yts•. P • CU. FT. EST. COST $ 45 ° . 1 n R DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: i_ +• 11 rdaPe • DATE 7- 2- To NEW CONSTRUCTION TYPE CB STORIES owe ROOF CONSTRUCTION I - IL H coe INTERIOR CONSTRUCTION I "gad roc..,, + B..+t. A 4 o/T.. REPAIRS DESCRIPTION �f `AQA 6...a..... p/ s...� 4.rr. ,./... fee e el c.,,_((: 416.4., NC DESCRIPTION ALTERATION CC! /10#7 • 'I. • ..f I� lai. se 4d W TWO �S - /f .. ADDITION S i SUBMITTED TO PLANNING BOARD APPROVED REJECTED NC REFERRED TO COUNCIL REASONS RESUBMITTED TO PLANNING BOARD • SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE 1 _ J to _ L7 - 7a - Qk , GA 0( INSPECTIONS I DATE I BY INSPECTIONS DATE BY FOUNDATION 1-L-70 CAPLA ROOF 7-L'.- t.*(-'S BEAMS & LINTELS 1 7-JO -70 14'1" POOL SEPTIC TANK 1 ti 7o FRAMING I ? -17" Ic. $ AIR GOND: SEWER o- FINAL 110 -2-1-.7c. IS CLEAN .UP SOLAR HEATER - T`l4' 7■ SLAB $ a ss,hr[%: . 14--....0-,.c. -f-,1-4.-7.- J- SLAB SEPTIC TANK $ SPECIALS PERMITS PERMIT NO. DATE BY FEE TEMPORARY SERVICE ROUGHING t 5. ic -1 S FEE SEPTIC TANK 1 ti 7o $ Z- rI- 7 SEWER o- 5 IS SOLAR HEATER - T`l4' 7■ � $ GAS FIXTURES - SEPTIC TANK $ S OWA 10 -21 - Te ! Qb lal- Je4 pl.... L.L. / 4. INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING t 5. ic -1 L..2)4.6 FEE TEMPORARY SERVICE 1 ti 7o TUB & TOP OUT Z- rI- 7 uL'S o- 5 RANGE CONN. SEWER eaft. - T`l4' 7■ � $ FIXTURES - SEPTIC TANK S S SOLAR HEATER 4;0114 FIXTURES GAS CONTRACTOR Raw PAP /t / az. "EG . Inc. . PHONE PERMIT NO 12377 I DATE 7_14- 70 . FEE S 1 NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 1 ti 7o $ H. W. HEATER CONN. H. W. HEATER CONN o- 5 RANGE CONN. $ MOTORS $ FIXTURES - S S INSPECTIONS DATE BY RE - INSPECT BY RE- INSPECT BY TFMP. SERVICE 7 -1 / -7b + 6 ROUGHING 1 ti 7o H. W. HEATER CONN o- RANGE CONN. .. I FIXTURFS & FINAL 1 a 7p' 4;0114 PLUMBING PERMITS & INSPECTIONS CONTRACTOR • PERMIT NO. X 2.3 $C. I DATE 7-13- 70 I ALTERATION I ADDITION NEW BLDG. BUILDING INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE $ 12.10 REPAI RS ELECTRICAL PERMITS & INSPECTIONS 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. Owner's Name and Addres Registered Architect and /or Engineer MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ?L4& 10 Date Name and address of licensed contractor- a 1 , 19 �� � / /_ Street ,v,° /2 1,r - -` Block' Location and legal d 9 lot lot t , be built on: Lot/i de-vv (9 (9 ' / Subdivision. �I "� k , P �li 6 ° i n t r S ' ga Pooh escription Street and Number where work is to be done / 'C ,j Af / ®1 �! State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fjundation Roof Covering Estimated Total cost of improvements $ ` (U _ . . r.0 0.1 of 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 .ntractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for i p: tion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s co ractor o/ work to be performed 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 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 D . 0_1 Date it. - D--13•6 0 Read, Sworn to and Subscribed before me. Disapproved Date 01 (Signed) ui , g spector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairnan .. 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.