400 NE 100 St (10)• OWNER'S NAME
dam'"- E . C$ictpE
NEW CONSTRUCTION
TYPE •
5
PRESENT
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LOT
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ADDRESS
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ADDRESS
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BLOCK
2,1
M iiPTIRA
LICENSE NO.
SUBDIVISION
1 S et.,c-s
PHONE NO.
PHONE NO.
See- '
LICENSE NO.
JOB LOC TION (ST. OR AVE.)
4••s 0 -dam 10e,,t- )'t
GENERAL CONTRACTOR
BUILDING PERMIT NO. 1 Wi
DATE
S r k- I
•
PERMIT FEE $ 10
Il%
BUILDER'S BOND
NO. DATE
4:0017 b
ZONE REQUIREMENTS
CU. FT.
(AIL 0 r / s-s®
PLAN CUBE /Oa/ *
CU. FT.
alb
EST. COST $ Aro
DRAW NGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C• t�• ,� , 6,
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
-. t
DAT-r,.
I� V
NEW CONSTRUCTION
TYPE •
5
STORIES
2
ROOF CONSTRUCTION A
Tic
INTERIOR CONSTRUCTION
ts' crxr jr/ a 6 �eloa
REPAIRS
/ p / DESCRIPTION
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ALTERATION 1/ DESCRIPTI ON TAr (.144...u5• . 9 • r b
; l- 17,04
SerBS„ l�
ADDITION 9cC• ^ earl &lain, erej, /ro ftor, Izoo,,, • pl �Jst. e 42 -,� —
SUBMITTED TO PLANNING BOARD
APPROVE
REJECT
REFERRED TO COUNCIL
REASONS / 7.0o 4..'
RESUBMITTED TO F'LANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. it 4 T 1
p /
ISSUED ` - Y
E (/�
BY I TO L ` • ` A-/. Peru 7L .
DRAW NGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C• t�• ,� , 6,
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
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DAT-r,.
I� V
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
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FOUNDATION
ROOF
SEWER
BEAMS & LINTELS a'
l
L& t/S IS:--
POOL
$
GAS
F,dAMING
$
TEMPORARY SERVICE
AIR COND.
A
SEWER
FINAL
4
H. W. HEATER CONN.
CLEAN UP
$
I.,
SLAB Dfr. (^
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RANGE CONN.
FIXTURES & FINAL
$
SLAB r id 0-00- J - C
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MOTORS
SPECIALS PERMITS
PERMIT NO. DATE
FEE
TEMPORARY SERVICE
I
$
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
PERMIT NO.
$
GAS
$
TEMPORARY SERVICE
A
INSPECTIONS
DATE
BY
RE - INSPECT
BY
RE- INSPECT
BY
ROUGHING
NEW BLDG. 1 ALTFRATION I- I ADDITION
REPAIRS
`
SPECIAL PERMITS
PERMIT NO.
TUB & TOP OUT
FEE
1
y
TEMPORARY SERVICE
RANGE CONN.
SEWER
4
H. W. HEATER CONN.
$
SEPTIC TANK
RANGE CONN.
FIXTURES & FINAL
$
SOLAR HEATER
MOTORS
$
N
a
FIXTURES
$
a
GAS
5
t
CONTRACTOR 7 QLI .71Z 0 „,
PHONE
RE- INSPECT' BY
RE- INSPECTI BY
PERMIT NO. /{C - a-G I DATE S 17- 6./
FEE $
NEW BLDG. 1 ALTFRATION I- I ADDITION
REPAIRS
`
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
1
y
TEMPORARY SERVICE
RANGE CONN.
$
4
H. W. HEATER CONN.
$
RANGE CONN.
FIXTURES & FINAL
$
MOTORS
$
FIXTURES
$
5
INSPECTIONS DATE
BY
RE- INSPECT' BY
RE- INSPECTI BY
TFMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
j
Ex9 C -"-' C. 'wcBUILDING INSPECTIONS 7 Z
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
DATE
1 ALTERATION 1 ADDITION
PHONE
FEE $
REPAI RS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
' ' CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1264
Owner, Agent or Tenant of Building
Street Address
400 N.E. 100th St.
Miami Shores Village, Florida, 9 -19-61
WM. E. CARPENTER
Lot 9,10,11 Block 89 Subdivision MIAMI al ORES SECT #4
Approved use by occupancy ENLARGE EXISTING BEDROOM AND REBUILD PORCH
Remarks :L5'78 4 4 1 7 0 C.
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 1031
Tax Value 515.50 -
19 J7 • o0 0•o • iv.
).41-...) qs� .r9
BUILDING DIVISION
Owner's Name and Address
Name and address of licensed contractor o
Disapproved Date
(Signed) A
Building Inspector
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.
Date
5 rL
•
, 19 '
No 'a a Street N E° l60 f f
Registered Architect and /or Engineer Z L
r V da - f3ufL
Location and legal description of lot to be built on:
Lot_._ .. /-1 V — / ( Block Subdivision iii / 1 i (to R. E 5
Street and Number where work is to be done r.[ C 0 6-i' C . J L'C' -124 S'
State work to be done and purpose of building (by floors).__''' P � o C o �) Fz'R 1 tit o J 2 Te 0 o F F in o R i VA-
d- i Z , v t o D t. S, b J = nJ Pc-5 e F - . Q .a1- / nl c )„,,,,-.-__40 ,,-- _ /
uo
__ __ ?*f =fit: l a5_ to t _.F and for no other purpose.
New Building Remodeling ✓ Addition Repairs No of Stories
To be constructed of Kind of foundation Roof Covering
o c
Estimated Total cost of improvements $ Amount of Permit $_/b
Zone cubage required Plan Cubage Al/ t_ ° ��Z Q
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 work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) C '
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
Permit No /70 Date .e fGa Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chainnan 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.
(7:
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.
/ Date y , 19. _
Owner's Name and Address ...._ ... e 0 Al 7`E No 400 Street N• E • 1 O p � SX
Registered Architect and /or Engineer 4) A/i'L. • AA r_r A.4 AC ti"" 4—.5 ? 0 C •
Name and address of licensed contractor (1)4 e ic
Location and legal description of lot to be built on:
Lot __. - -1 / / Block
Street and Number where work is to be done
State work to be done and purpose of building (by floors) E' £_.ICf.JT r N C ar _D f b 0 Al *
- . 1M . - (V s 4.. b F*o.a/ T'
and for no other purpose.
New Building Remodeling ✓ Addition Repairs No. of Stories / To be constructed of Kind of foundation Roof Cov ing
w �; Uv
Estimated Total cost of improvements $_../ ei 0 Amount of Permit $..._ /G! <_. .�"""
Zone cubage required Plan Cubage_-.! 0.31 - --Wawa ea. t ' Cl 67 S%) v�
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, Pennanent Supldement,
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. `�j'
•
Remarks (Signed) �v `
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 t I _
Permit No /FZ
Disapproved „ _ __ Da
(Signed)
(;e`,/)
Bu g InsjSector
MIAMI SH{ RES VILLAGE
3
BUILDING INSPECTION DEPARTMENT
Subdivision
Date.
F - 1
to me well known,
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
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.
g.
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