456 NE 100 St (4)JILDING
.LECTRICAL
PLUMBING
Owner of
Building
Architect
NTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 3/2 ° 194_
PERMIT N° 4358
LicenseetNo s ! !
� J
Permit Nil SA/ My
Work to be performed under this
9 *V Hi 4400 m At
)4'
or Builder l _ AI _ ° , 1,443 Contractor
'
Adildin
Description "Loth fi'�it.` Bl. f� (�
vision H.
dress g of ,y t] _rl Value of 4 4 Project // 4 d 0 . r i „� �!ib
Permit Amt. of
~
Bu �' �]��.` 47 .1 0 M ,
This perm is a/ '� granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation 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, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any tune 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 drawin s or' the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees..
Signed.
INSPECT
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and, regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miani�.StirrslVillage.
In ac pting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
B -79-/
BY AUTHORITY
1 /a fKA, /0 T O
Lo • i Block Subdivision No. Street
Owner's , Name Lic.No. Add. or
6 t�f /)f / J /6
j 9/�.
Lic.No.
General Contractor
Zone Req.Cu.Ft. '2 / 0 6 d Cu.Cont. 2 90,E By/ 7.
Plat Restriction Checked by / Ky,
To Planning Board 3// ,/4 Approved ✓ Rejected
Re- Submitted to P.B. Approved Rejected
Plans & Spec. Checked by __ , 4 (". -
To Council
Bldg. Permit No.
�r Date ' �✓ j Fee
Type C, �/ \ Stories _ / Roof 7 77,
New Construction Alterations
Plumb ng Permit No.
Septic Tank
Sewer
Misctl
New Cons t .
Alt ration
Date
Electrical Permit No.
Fixtures
Heater
Motors
Mischl
New Construction
Alteration'
Building Inspection D to / By Re -insp By Re-Insp By
Foundation
Beams & Lintels 7 �',. //<
Final
Final Clean -Up
Plumbing Inspection Da e
Roughing 6
Fixtures
Sower
Septic Tank
Solar Heater
16/1
11
M
Final Certificate
ELec cricai lnspeaion Dam By cR.e-nsp By Re -Insp By
Roughing _ r)l r W' ,49'/C '7 .I.
Fixtures v
Final c / / • e e: ,k�� n
m �
Te, O.K, ( '
Service O.K. to Power Co. 7
Phone
Add. or Phone
Approved Rejected
/ t� ° Cost / l d ,O ,d
e •airs
Fee
n
1r
0
Repairs
CertoOccup.Issued
e
Re -insp By Re -Insp By
0
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_t y�''� +�°� >
Registered Architect and /or Engineer _L__T T
STATE OF FLORIDA,
;COUNTY OF DADE. ss.
Rut) I 10/6
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Name and address of licensed contractor__
Location ansl legal 4escription,of lot to be built on:
Lot EJ2
S
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
speared
f - =—
bc}ivision
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Y
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stoaa l
To be constructed of C i2 J Kind of foundatin_ Roof Covering / / ,/�
/ I ® v / /
Estimated Total cost of improvements $_________(____ __ _ — Amount of Permit $ 6 / * 2
Zone cubage required , "0 e o 0 Ylan Cubage ,� > E �1 0
Distance to next nearest building_ VP CL_ %L _ VIP— ____ _Size of Building Lot ! 2 / A / / J
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
� T �
be sent to m �` ++1 F' s 1 L/ L - —. �, _,e1 — — — — -- -- —
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
•
Before me, the undersigned authority, a notary publi duly 'authorized to administer oaths and take acknowledgments, personally ap-
Disapproved Date
(Signed) / ( J ( ,
Building Inspect6r My Com
and who,, bein by rr a 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 3 �� Date 3 ( / Y 1 /
1
PLANNING BOARD
to me well known,
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 obt 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 / 5 j _ , 19_44(
1.41C No._f',J 7 Street- A
7/ 0 6
. 1.
Not
DATE
o and Subscribed before m
Public, St.tt lfl tiki a o i . d - a 13 " — tErge.
My commis • c::;) J, Auary 15, 1930
ion Expires__13opd3c u' mork..n Surc:y Co. of N. Y.