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54 NE 100 St (11)OWNER'S NAME lie . // s 61,ae e'a/ W, d PRESENT ADDRESS J5t 4Q7 /DD 7 -k", LICENSE NO. PHONE NO. 7-.2747 JOB LOCATION (ST. OR AVE.) ¢ /Y E. X40 . LOT s( X , •9 BLOCK SUBDIVISION O&I f/94e j (1.s GENERAL CONTRACTOR 14,,e/77 /4i'i'' ADDRESS 14/, #/( 6''" 6aer PHONE NO. 7-/-1,/ LICENSE NO. BUILDING PERMIT NO. J;e// DATE 1 PERMIT FEE $ � 0o BUILDER'S BOND NO. DATE ZONE P EQUIREMENTS CU. FT / LAN CUBE / `� FT. EST. COSTS ;�� �� DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:A.j'f , DATE �J ! T, NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUqTiON REPAIRS DESCR IPTION ALTERATION DESCRIPTION T��/ �o``,� /t- de e/ / R �� //�D //?4 0 7 i./ G�GI , re,. e e/ 9 - /Q p ^ //D / -f / � /i�TG//a '�.(�. L ,dL✓i X ,(/� J /\ ADDITION SUBMITTED TO RL�MFN -FMG &A. APPROVED 7 4'7 REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY I TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY FOUNDATION ,t,� 9' �?�'�Y AfIS TEMPORARY SERVICE TEMPORARY SERVICE $ BEAMS & LINTELS H. W. HEATER CONN. $ SEWER RATIGE CONN. FRAM ING SOLAR HEATER MOTORS S GAS FIXTURES $ S $ INSPECTIONS FINAL BY RE- INSPECT BY RE- INSPECT BY ROUGHING CLEAN -UP GAS CONTRACTOR PHONE PERMIT NO. 1 DATE FEE $ NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE $ SEPTIC TANK H. W. HEATER CONN. $ SEWER RATIGE CONN. $ SOLAR HEATER MOTORS S GAS FIXTURES $ S $ 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 • �99Q• D r' PHONE 7 3 • `�: PERMIT NO. 2 7 DATE ✓ i Y, FEE $ �m NEW BLDG. I ALTERATION ttt ADDITION REPAIRS 4 P SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RATIGE CONN. $ MOTORS $ FIXTURES S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APEIR `OVAL TO POWER CO. FOR SERVICE DATE BY ;UILDING LECTRICAL 'LUMBING 7wner of 3uilding "architect c ontractor )1% Builder .ega1 7escription >ddress of luilding Lot MIAMI SHORES VILLAGE, FLORIDA ,,rr DATE � - 1 6 ' 194 '1 PERMIT N° 5211 Work to be performed under this Permit Bl. Subdi- vision Value of Project Contractor's License No 1v...••"` .. CONTRACTOR OR BUILDER G' Signed: l :,. , '* '` ti By This permit is granted to the contractor or builder named above to construct the buildi g or to install the equipment or •' vice escribed in the appli- .ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be perf• med in compliance with any - ilans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked I t any time if the work is not done in compliance with such ordinances or if the plans are changed ithout authorization. A further condition upon which this I s rmit is granted is the understanding that the contractor or builder named above assupa the rwf onsibility for "a thorough knowledge of the ordinances and egulations pertaining to the work• covered hereby whether shown on the plans or dra i thestatena�tyt{ or specifications and that he assumes respon- ability for work done by his agents, servants or employees. BY 1 Amt. of Permit INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work coveri'a hereunder / in compliance with all ordinances and regulations jertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY /' t • aUILDING 'LECTRICAL PLUMBING e ` Owner of I ; g , %:� Building i Architect Contractor or, Builder Legal Lot Description Address of Building l�• l / /LL'471ViJe CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5211 Work to fbq performed under this Per 6 4 t,z CA,Adt Bl. oLgt Signed. Subdi- vision Value o Project permit is granted is the understanding that the contractor or builder named above ass br regulations pertaining to the work covered hereby whether shown on the plans or sibility for work done by his agents, servants or employees. BY DATE s.i e; - 194 Contractor's ) License No. "'. D'''' 4 r 0 0 This permit is granted to the cgjitrac or or builder named above to construct the building or to install the equipment or evice elf scribed in the appli- cation herefor in strict compliance wi alLor nances pertaining thereto and with the understanding that the work will be perf rmed in compliance with any plans, drawings, statements or specifications that 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 changed withouf' authorization. A further condition upon which this s th Amt. of Permit fir' ons{bility fpf a, thorough knowledge of the ordinances and tte. ttsstt . or specifications and that he assumes respon- By ; JNSPECTOE( 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 Miami Shores Village. In accepting this pyrmit - I assume resyonsibility for all work done by either myself, my agent, servant or employee. 6. J AUTHORITY 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. �, �j °' tX '1, , Date ' !L� '�� 1 4 , 19__ Owner's Name and Address____ �` � � L ��''J��✓ , No Street Registered Architect and /or Engineer l� '' i "'�� �'- Zo Name and address of licensed contractor 4. -1 >'' Location and legal description of lot to be built on: Lot Block Subdivi Street and Number where work is to be done � 1� /� State work to be done and purpose of building (by floors) 14 _l- '=' .�� ! s T e 1 4.4-4 --°'- Rw- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fo ndation - oo Covering Estimated Total cost of improvements !� ' �° p $____ _ __ 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 und gr�t�his permit, as are licensed by Miami Shores Village. Remarks (Signed)_ -- -- - - 4 41 /- t-. .----- �,., = ---- vLLa STATE OF FLORIDA, COUNTY OF DADE. ss. pear-�d Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- Permit No Disapproved Date (Signed) Building Inspector l 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 saine, and that all facts therein by him stated are true. Date____ _ _ Read, Sworn d Subscribed before me. Notary Publ' p#e Rol iorrstA " My c ommission expires My Commission Expided - -bu- American to me well known, • N.Y 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.