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315 NE 101 St (14)-r O ER•S E Fes , , -L/C/ PRESENT ADDRESS c3J4 /6/ LICENSE NO. PHONE NO. J / �OB LOON IST �' LOT BLOCK . - . SUBDIVISION � / GENERAL CCcf TRACTOR 1W4ER �� /��j/J _ BUILDING PERMIT NO. Q7! VS DATE 107 dePJE ADDRESS PERMIT FEE $ 2 � D PHONE NO. BUILDER'S NO. DATE LICENSE NO. BOND ZONE PEQUIREMENTS CU. FT. PLAN CUBE CU. FT. es 0 EST. COSTS C/® - DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCRIPTION u ALTERATION �� ®�� / �r� /�Ta DESCRIPTION A f� �,H 4 �i/ / //ff 6i .09O ' A90 iA � � , T� / AY,Y. P.e 2, ADDITION Are, 0 >, SUBMITTED TO Pi AnInnmc,ja0a�n APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED BY I TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS LATE BY RE- INSFECT EY RE- INSPECT EY F OUNDA i ION TEMPORARY SERVICE $ Yx � SEPTIC TANK / .2 A 30.3/47 S / 0 P SEWER JEANS 8c LINTELS � f S SOLAR HEATER S FRAMING %% ✓_ if .� Ed3 S FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT FINAL ROUGHING 44, , t 4 /! �tYS TEMP. SERVICE CLEAN •UP ROUGHING , 14/0) L.) CONTRACTOR ,,�EJe7 -4Fi I Co j PHONE FEE S e,S.',� PERMIT NO. .2 A 1 DATE 4/0z, NEW BLDG. 1 ALTERATION X ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ Yx � SEPTIC TANK / .2 A 30.3/47 S / 0 P SEWER � f S SOLAR HEATER S GAS S FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 44, , t 4 /! �tYS TEMP. SERVICE GAS ROUGHING , 14/0) L.) SEWER 1 H. W. HEATER CONN, / RANGE CONN. SEPTIC TANK /, ' y 4 4 7 E ayS SOLAR HFATER __ -- .. FIXTURES & FINAL — -_._ - FIXTURES CONTRACTOR J7 4. �L I:4Cei L PHONE 7-/6 .(z FEE S /4 9.5-- PERMIT NO. � DATE �/0� N EW BLDG. 1 ALTERATION )( ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ • H. W. HEATER CONN. $ RANGE CONN. $ MOTO $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING , 14/0) L.) 1 H. W. HEATER CONN, / RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING Architect MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 5185 Work to be performed Owner of Building F� .r"" / ) fi`i .o '/ .[a `"Contr actor or Budder 014 Legal Lot - I Bl. Description 11 �--f 4; 1 '1 •• f"'" DATE Contractor's License No Otar . + - +.. t4 under this Permit L Subdi- t vision J I 1 -. t ry 194_ Address of Value of Amt. of jJ Building s Project ��''— Permit ° ,p� � This permit is granted to the contractor or builder named above to construct the buil ng or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the unde tanding that the work wil 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 time 1 f the work is not done in compliance with such ordinances or if the plans are c . nged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assu e es. -nsi. lity for, thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dr teme s .r s ecifications and that he assumes respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the work covere.I ereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specificati s submitted to the proper authorities of Miami Shores Village. accep t his it I assume responsi ility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILD Signed. BY • A By AUTHORITY A BUq.DING 4 -ELECTRICAL PLUMBING PERMIT N? 5185 Work to be performed under this Permi B ui n e r g � ,teL 4? A , Architect 'Contractor C• or Builder tf r 4A." Legal Lot _ Description MIAMI SHORES VILLAGE, FLORIDA Address of Value of , Ai Amt. of J,.@ Building . i . i Project -.0.' Permit This permit is granted to the contractor or builder named above to construct the bu' . ing or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the und standing 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 time if the work is not done in compliance with such ordinances or if the plans are c.anged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above ass . .A. the re ., nsi tlity fc s a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or..dr• •, : s or ir e ateme1 t or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the work covere ereunder in compliance with all o dinances and,segjilatipns pertaining thereto and in strict conformity with the plans, drawings, statements or specificati• s submitted to the proper authoilin of Miami Shofe9 YiNge. In accept ' this permit I assume responsibility for a work done by either myself, my agent, servant or employee. CONTRAC R OR CHM Ill, Signed. Subdi- vision DATE k)1 4 ,4„, e 194T Contractor's License No 1}�e IV Lid LA.t AUTHORITY 0 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 herewit 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 '1-1 1 V , 19.4 . ,, Owner's Name and Address 011.: �' �_ __:� ti_ _ %��'� No 3 Street_i T / • E • / 6 / St Registered Architect and /or Engineer 1 ,f, ' Name and address of licensed contractor L V Location and legal description of lot to be built on: _ (`f ! d`-* 4 Block 3 F Subdivision Street and Number where work is to be done 1 _ 6 s" work is be done a and purpose of building (by floors)._ . YC141t �F= r i — and for no other purpose. New Building Remodeling V Addition Repairs No. of Stories To be constructed of Kind of fogndation Roof Covering �a ."W Estimated Total cost of improvements $___/ ' Amount of Permit $___: Zone cubage required _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 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) / )4- 1 STATE OF FLORIDA, t's - COUNTY OF DADE. ss. Notary Public, State of Florida 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. Permit No Date____ Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector 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. wit