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321 NE 100 St (3)OWNER'S NAME �� ,��ats 145 C t f�� /s, PRESENT ADDRESS ,? /43e-�.� LICENSE NO. PHONE P E NO. 7 77 JOB LdCATION (ST. OR AVE.) &/ roo LOT ,� /g �1 o ADDRESS 1 .0 az BLOCK I BLOC - � #J- SUBDIVISION , HOME NQ, y 3 7 � .7.,( .7.,( 7f_,' ' ry LICENSE NO. /� 3/ CONTRACTOR GENERAL CO ',�e a/,e45779» - S EW a�✓�G BUILDING PERMIT NO. Q v // DATE 44 L/ PERMIT FEE S /O `" BUILDER'S BOND �C / NO. e7? DATE ®! � � ZONE ,C" (p REQUIREMENTS /L 90 Cu. F T. PLAN CUBE . ,y�© C U. FT. � EST. COST S / zoo �/� DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY E/Y' , �j . 2' DAT e EE 1 '7 7 / ` NEW CONSTRUCTION TYPE ' STORIES / ROOF CONSTRUCTION / ALE INTERIOR pp C 10 .rt��f/�� ,�,11 4 /3'K, ..ic arcifccoe zwAct. REPAIRS W •, DESCRIPTION $ ec# r. O • S- 'r/yj - ✓ ; ;eF,, :4 i ALTERATION /' /� n L, DESCRIPTION Mi 6 JJ d77,e#FP ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED _� REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS Bond #577 to Cashier for Paym n I ,/ 8 CERTIFICATE OF OCCUPANCY NO. 500 ISSUED 4/7/48 BY JDH TO Christian Poulsen BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS � DATE ' �(, !t �L�g 1 t! RE- INSPECT 4 . 5 4'7 BY EWs RE- INSPECT BY OUNDATION_ E3EAMS & LINTELS I '/ :, > 40,f FRAMING --- _. !! �`JJ a. tea¢ /0 SEWER CLEAN UP ! I 'q SOLAR HEATER MOTORS - - - -- 4/6/48 - - - For Bond return - - -- CONTRACTOR 1,771 4C 63 PHONE PERMIT NO. � V/ DATE ' ,/,?/ 1 /1 FEE $ Q.d REPAIRS NEW BLDG. )( J ALTERATION I ADDITION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE* `—,,. % V(� SEPTIC TANK .ovowd, �`JJ a. tea¢ /0 SEWER RANGE CONN. S SOLAR HEATER MOTORS S GAS FIXTURES S S S INSPECTIONS DATE BY RE-INSPECT BY RE- INSPECT BY ' ROUGHING * 4 ' r9/4/ 7 /f �� / 7 . f 4 4/4/ 4"4,) GAS ROUGHING H. W. HEATER CONN SEWER 1 SEPTIC TANK J.©BB u SOLAR HEATER FIXTURES 11 8 Jw NUL DH FIXTURES & FINAL /1 4k CONTRACTOR 1 E'' LEC. Co. PHONE '� fp � IT NO. J / O$ DATE ! . . 2.0 V1 FEE $ _PERM_ NEW BLDG. - - J ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE* `—,,. % V(� �ig. $ig H. W. HEATER CONN. S RANGE CONN. $ MOTORS $ FIXTURES S $ INSPECTIONS DATE INSPECT BY RE- INSPECT BY TEMP. SERVICE 7 /f �� / 7 . f p E,r<J.5 £41S p RE- ! ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL /1 4k BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE /0't'�J BY 4-iV.S UILDING LECTRICAL LUMBING : ontractor Builder y PERMIT N? 5391 Work to be performed under this Permit -4 Iwner of f wilding ti (1111.4• 1 ttik.,• W r MIAMI SHORES VILLAGE, FLORIDA DATE rchitect Contractor's License No f C 4' 194_7 63/ egal Lot Bl. Subdi- .escription / �' /G v ! vision '0 -a-e, ddress of t . a Value of �� Amt. of G l'' wilding i j• Project /11,060 Permit test This permit is granted to the connector or builder named above to construct the building or to install the equipment or device described in the appli- 'tion herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and appro d by the proper nicipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the pl. i . e chap. • - - itho uth tion. A further condition upon which this rmit is granted is the understanding that the contractor or builder named above mes th : �. • s ' • '. �o ough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plan • � � y � r�'•r specifications and that he assumes respon- bility for work done by his agents, servants or employees. Signed/ By OR In consideration of the issuance to me of this permit I agree to perform tlib, whrk overed ereunder in compliance with all ordinances and regulations -rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume respgmsibility for all work done by either myself, my agent, servant or employee. J """P •.. 4 ' :4 ', E-J f Y s a i��r F r_ - r s f C.0 Y • CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Contractors or Builder 1 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5391 Work to be performed under this Permit_ ►' s2,X4C1 Owner of ) , • 2 1 ! Q. -1.� r�l�.r Building • ,, v Architect BY DATE y 194. /63/ • Contractor's License No Legal Lot Bl. 3 Subdi- . e Description l S' - /6 V f vision �dC?{ / Address of 2 � l e� Value of E v Building `J .Z � ) ) ' t D • / f 6 — 1, (O(/ ` Amt. of Permit l This permit is granted to the co ctor or builder named above to construct the building or to install the equipment or device described in the appli- ._ . cation herefor in strict compliance witfi 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 appre ed by the roper unicipal authorities. This Permit may be revoked " at any time if the work is nordone in compliance with such ordinances or if the pl. • . re chan • • . itho } u �• ation. A further condition upon which this ,T permit is granted is the understanding that the contractor or builder named above A umes t . 'sons I� orough knowledge of the ordinances and b regulations pertaining to the work covered hereby whether shown on the plan sibility for work done by his agents, servants or employees. t stcifications and that he assumes respon- By In consideration of the issuance to me of this permit I agree to perform the Oork covere ereunder in compliance with all.ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificatiots submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume resyopsibility for a work done by either myself, my agent, servant or employee. j� :) -wit ate. AUTHORITY ADDRESS 321 N.E. 100th St. LEGAL Lots 15, 16 Blk 39 MSS #1 RECORD GARBAGE TAX PAID BY /3L ZlC> . 7 �+iT �� G YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Christian Poulsen 1948 n UAL /o�C , o-v ; !' Goo / /p //5 Of . 0/ / e e .. /9 o ,. / 3' 5o tyro 7 f, -, - -/ .3 /0 /- /5/zas" -,-, ..• -_,.....: t , e ' .A. IMO &-' de,' e ■ -- ADDRESS 321 N.E. 100th St. LEGAL Lots 15, 16 Blk 39 MSS #1 RECORD GARBAGE TAX Issued 1 1 1 19 a/J [ia c 12ores9'llage s n o • ID w Amount 5 7 7 BUILDER'S BOND r • Address •.1f. 1f,_1 lf.-1� 1f. 1f. 1!. tf. lf.��b 11.••.,b. af••. 8 .. , , �f,.• ��y•• lf.•-•. a ...: 1/••...., �f, �..a..�,lf, 1f.••... f I , ,..... / ,.•...,, lf ,�,.�. y .., jf , lf.• ••..., tf ,....,, l i, �5ic01��iictH4�iic�4�iiCOiO�;i ii�T4hic A�iicvi�ir�W�tic�T4�tiCQiO� ;tCp.�itCpi?�ifC��14�1icpTV�°ii 4�i4gf ialul c 4.,1i islWicpi�+';icO��;iCC�m'�rc �': No. Houses KNOW ALL MEN BY THESE PRESENTS, that I, Amount of Bond * in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or buildings ar,the llowing addresses v tv , °oa �a,`.�!... a416:"i140 )41 .�/S'r6,,' F5 ��•s Cost of clearing and repairs done by Village . $ Balance due Builder $ Cancelled OK, G • do hereby deposit with Miami Shores Village, Florida, the sum of :li�. � " , and I agree with said Village that, when such construction shall F. have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do so clear and repair such premises immediately upon the �:= completion of such conscrucn wilin the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and 4.Z. repairs out 2f the aforesaid 410 , and return the remainder to me; and that, if I shall clear and repa,ir said property immediately, as aforesaid, then said *S? ."+`E' . " shall be returned to me. s. WITNESS MY HAND and Seal at Miami Shores Village, Florida, this T day of \ Ifs -+ 1 ' e l ' 7 ~ (Seal) -;`; INSTRUCTIONS TO BUILDER--When above mentioned construction is completed and the premises are cleared and repaired take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPRO L , ; ; repaired in as good condition as they , ere /fore commencing said con t ction. , A. 1 I hereby certify that the construction contemplated under this Bond, has been c • mpl - id and thai the builder thereof has caused the surrounding premises to be cleared and . •. WHEN CLEARED AND REPAIRED BY THE VILLAGE �� = . • - w,� lage Building nspector, Miam' v1 M :. ' ' fir•°e°•'•ir°. °.•'•ir °.•'•fr�»�.°. i °.•'• °••'•nib'•ii ge4K •Ir fr`•°.4*°.•'•ir° •'• • '°..• -' `•°, °' ,..°;' `.°, i tir CLIA lage. MIS 5 0.0 O 19 By_ 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. `l .� y . Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: f Lot____;y?___ Block_ _ Subdivision - ay Street and Number where work is to be done re� State work to be done and purpose of building (by floors) _and for no other purpose. New Building__________! �_ Remodeling________________ Addition__________________ Re No of §tories___� - To be constructed of..... _ _ _:___ Kind of foundation , _�3!'?ttC.e Roof Covering____�?__�_______—� —_ _ �� o Estimated Total cost of improvements $_ ,4 7 r 7 4 ________ Zone cubage required _L //,) ' Distance to next nearest building�_�__ Maximum live load to be borne by each floor STATE OF FLORIDA, f COUNTY OF DADE. ss. (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building Inspector /'r:< a „ No —� StreeL 2 ____ _Amount of Permit $ Before me, the undersigned authority, a notary public, duly authorized appeared Plan Cubage Size of Building Lot l 19 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 be 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) __ � � � tit to administer oaths and take acknowledgments, personally 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. ., %i t I Permit No. __ ___ Date p / Read, Sworn to and Subscribed before me. Disapproved ____________________ Date Notary Public, State of Florida 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. 4