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277 NE 101 St (6)OWNER'S NAME PLUMBACH, R .L. PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) ,77 N.E.101st St. LOT BLOCK SUBDIVISION GENERAL CONTRACTOR ED. FITZGERALD &, SON ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 12004. p DATE -7-51 9 C i PERMIT FEE $ 5 ,00 BUILDER•S BOND NO. DATE ZONE 'EQUIREMENTS CU. FT. No 7■gX PLAN CUBE CU. FT. Vii9C!/t EST. COST $ 500.00 DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION ALTERATION DESCRIPTION add• tO garage GI9 G L x' ADDITION SUBMITTED TO PLANNING BOARD APPROVED APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION /\ TEMPORARY SERVICE TEMPORARY SERVICE S SEPTIC TANK BEAMS & LINTELS - i , $ SEWER RANGE CONN. $ FRAMING k , N \ $ GAS FIXTURES $ $ INSPECTIONS DATE FINAL RE- INSPECT ill RE- INSPECT BY ROUGHING TEMP. SERVICE CLEAN -UP GAS ROUGHING PERMIT NO. I DATE FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE S SEPTIC TANK H. W. HEATER CONN. $ SEWER RANGE CONN. $ SOLAR HEATER MOTORS $ GAS FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING TEMP. SERVICE GAS ROUGHING SEWER H. W. HEATER CONN. SEPTIC TANK RANGE CONN. SOLAR HEATER FIXTURES FIXTURES & FINAL CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL CONTRACTOR � BUILDING 1 PECTIONS - PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 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 Address R L Plwnbach Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building APPLICATION FOR BUILDING PERMIT Edw Fitzgerald & Son Subdivision TT IC1I at oors) _ ___ Add to_ Gar - , New Building Remodeling Addition To be constructed of C __.a___ $ Kind of foy ndation GO . Ro o ering_ Estimated Total cost of improvements $ 50 .0. 00 !+ Amount of Permit $ 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 Edw Fitzgerald & San Zone cubage required Disapproved (Signed) Date ‘A Buildin MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Sept $th ,19 51 No 177 Street 'GI and for no other purpose. X Repairs No. of Stories Notary Public, State of Florida 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) 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 are true. / o Permit No f Date Read, Sworn to and Subscribed before me. nspector 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. 7 p. NJ 0 Le �V 1 :J 0 0