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487 NE 100 St (5)Owner's Name and Address Disapproved (Signed) 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer Name and address of licensed contractor s Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) and fbr,no other purpose. New Building Remodeling Addi .n Repairs No. of Stories / To be constructed of C___. Kind of foundation Estimated Total cost of improvements $ A •unt of Permit $ Zone cubage required / .Plan Cubage____iGc!._ Distance to next nearest building / Size of Building Lot.. Maximum live load to be borne by each floor .41/ 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) 7 Date ate No 4/ 1 a Slr eet o-.Sa- Roof Covering ,i9 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 true. e ry Permit No � Date___ Read, Sworn to and Subscribed before me. a` 71 -.! Notary Public, State of Florida • ' : ui . ing % ector 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. °-RAL-JJ t©S4- la C,3 ■ 0S 3160 SoX T r (.,, OWNER'S NAME Milton T. Nelson PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 487 N.E. 100th Street LOT BLOCK SUBDIVISION GENERAL CONTRACTOR owner ADDRESS PHONE NO. LICENSE NO. 2283 BUILDING PERMIT NO. 8 -18 -55 DATE 5.00 PERMIT FEE $ BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 1 CU. FT. EST. COST $ 700 DRAW NGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION utility room addn. to rear of res. ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS 4 CERTIFICATE OF OCCUPANCY NO. 4 I 7 1 / -/ - S7 ISSUED r..hekl. BY 1 A To .✓ 7 i t/.s o.✓ . TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DAT BY RE- INSPECT BY RE- INSPECT BY FOUNDATION /bsS• ,, FEE $ SEPTIC TANK BEAMS & LINTELS /I1 7` -N ( � 6 r✓ $ $ SOLAR HEATER FRAMING $ $ GAS $ $ $ $ INSPECTIONS DATE BY FINAL BY RE- INSPECT BY ROUGHING RE- INSPECT BY CLEAN -UP GAS PERMIT NO. DATE FEE $ NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE - FEE $ SEPTIC TANK $ $ SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING RE- INSPECT BY TEMP. SERVICE GAS ROUGHING ' /,t,..5b 9_,_ SEWER H. W. HEATER CONN -� SEPTIC TANK RANGE CONN. SOLAR HEATER FIXTURES FIXTURES & FINAL CONTRACTOR - _ I Q PHONE PERMIT NO. l DATE 9 -/ - - OL-3 hh .R FEE $ 4 / 1 ( 1V NEW BLDG. LTERATION I 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 ' /,t,..5b 9_,_ H. W. HEATER CONN -� RANGE CONN. FIXTURES & FINAL UILDING INSPECTIONS CONTRACTOR PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PH BY N? 447 Miami Shores Village, Florida, January 1, 1957 Owner, Agent or Tenant of Building Milton T. Nelson Lot 23 & 24 Block 90 Subdivision Miami Shores Sec. #1 487 N. E. 100th St. Street Address CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Approved use by occupancy Utility room addtion. Remarks. This Certificate of Occupancy is issued to the above named off' 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 _the erection, f8atruction, alteration or remodeling of buildings or structures. Plan cube Tax Value 527 t;c9 BUI NG DIVI