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301 NE 101 St (2)-� > OWNER'S NAME �Cu -P' P..) 1.4..11ELZ PRESENT ADDRESS 3 N•e . Ic 1 t� Sk . LICENSE NO. PHONE NO. - JOB LOCATION (ST. OR AVE.) 301 ) . (ot.— Sf. LOT ■ t3 4 ,...) Z 14 BLOCK 3& SUBDIVISION )4 :o1,.,..., S Shay. GENERAL CONTRACTOR MA TTHEW • se c 4S 1 ADDRESS 4 N....,. aa Ste . PHONE NO. LICENSE NO. • BUILDING PERMIT NO. 3 0 3 4 DATE 6' i4 (ca- . e PERMIT FEE $ Ia BUILDER'S BOND NO. DATE A4d ZONE REQUIREMENTS CU. FT. PLAN CUBE /Boo CU. FT. EST. COST $ 17 O DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:C.44 . Pi•'ILK.., e c . DRAT= 4,- -2•i ^`'L NEW CONSTRUCTION TYPE ca g . STORIES 0e, RO F CONSTRUCTION 44-4-k INTERIOR CONSTRUCTION $ �., ,1 oP . 411,4,;, _ REPAIRS DESCRIPTION /� � // V. /* 44 7 .11.sr' o.. Capes. t .(// rd. tC. 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. 13 6 7 ISSUED BY /[J� /���! //e TO `�' `�E.7 / 1/ I BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE 1 BY INSPECTIONS DATE I BY FOUNDATION BY ROOF SEPTIC TANK FEE BEAMS & LINTELS $ POOL $ TUB & TOP OUT FRAMING SOLAR HEATER $ AIR COND. $ GAS FINAL MOTORS $ CLEAN UP S FIXTURES SLAB SEPTIC TANK S SLAB SOLAR HEATER SPECIALS PERMITS. PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER $ TUB & TOP OUT $ SOLAR HEATER $ RANGECONN. $ GAS SEWER MOTORS $ S FIXTURES INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT H. W. HEATER CONN $ RANGECONN. SEWER MOTORS S FIXTURES SEPTIC TANK S g SOLAR HEATER FIXTURES GAS CONTRACTORt 4% r e n .4 � Q Grk# L. e© a DONE PERMIT NO. La F> C.. 7 1 DATE -(I - 6 . 'V FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION s REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGECONN. $ MOTORS S FIXTURES S g INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECTI BY TFMP. SERVICE ROUGHING H. W. HEATER CONN RANGECONN. FIXTURES & FINAL CONTRACTOR ,/ h.. . "*5 PERMIT NO. S4 3 Co 1 DATE I ALTERATION NEW BLDG. ELECTRICAL PERMITS & INSPECTIONS PLUMBING PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BUILDING INSPECTIONS 0 4-1-1—G i 1 ADDITION t(, BY REPAIRS PHONE _ FEE $ /b X3014 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1367 Miami Shores Village, Florida, C/30/62 Owner, Agent or Tenant of Building Ruben dill er Lot 13 Lc \^1 14 Block Street Address 3 0 t rh 01 ° t S t. Plen Cube - 1800 Tax Value - 900 38 Subdivisio Approved use by occupancy R -4 t>7 n t z en Remarks 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. BUILDING DIVISION • 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. Yi � , Street A/ /D/ Date Owner's Name and Address... - .._.9.fdF4! /LLE No Registered Architect and /or Engineer .... '..� A./- 463--. -- Name and address of licensed contractor...._ / ,Z• Location a Iegg tio of lot to be built on: Lot # /33 41/ /.._.. Block. 3,„k Street and Numbelwhere work is to be done State work to be done and purpose of building (by floors) — TO e.,47 I ` �aIIJ'r ./frC_1'T - Estimated Total cost of improvements $ 7c c2 uilding ector 3 of Subdivision __ ?( I hereby submit all the plans and specifications for said building. All notices with reference to be sent to The undersigned applicant for this building permit does hereby certify that he under:ta of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile? C and has complied with the provisions thereof, and will require similar compliance froi /aI in the work to be performed under this permit; and will post or cause to be posted fo or notices as are required by the Act. The undersigned agrees to employ only such permit, as are licensed by Miami Shores Village. Remarks (Signed) J- e ,9.r A m' # 4 /Tc 0 Al and for no other purpose. New Building n Remodeling Addition 1/ Repairs No. of Stories To be constructed of 1? s Kind of foundation. ___/ )( f 44, Roof Covering RC/ Amount of Permit $ ` c:)` j1 q Zone cubage required Plan Cubage I ape* C,, . }i . r. V - = l e3� 6! Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor the .4 building and its construction may s and accepts his obligations as an employer neral Laws of Flor• contracto a, Permanent Supplement, rs employed by hi k such public not e rformed under his 7 / 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 ar true. Permit No 30 r. / Date £ — Read, Sworn to and Subscribed before me. Disapproved (Signed) 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. 1601M04 ®o0.4. 4.116 Ig_8 n 142.1-C)" /ro® ;' eu egj 7.21b tcs ea 0