335 NE 101 St (10)4c;11 ZC)
BUILDING
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
❑
Owner of
Building
Architect f r.
cepting thie tybil
//
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 4 5
Work to be perform afiS
Contractor !' " -� f
or Builder i �,'7t' ti e i�--Y "`E = - -t7 ,
Legal Lot
Description 11 Bl
Address of ti f , y.- L.-• - ,1 ,
Building = . / , • , _ • • 1
CONTRACTOR OR BUILDER BY
1,4 r ,.� - (�' .z e- ,y A 00, 7 -, c>„)
Subdi-
vision
Value of
Project $ i / �( 0
DAT1 ?1. 195
Amount of
Permit $
tin
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
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
time 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 drawings.; cr in th statements or specifics ons and that he assumes responsibility for work
done by his agents, servants or employees.
Signed Cr'!4 !// / -1T :
INSPECTOR
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 pc nformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
ssucee fesppnsibility for all work don by either, myself, my agent, servant or employee.
/
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AUTHORITY 6lat4
po�L� OWNER'S NAME
FF
PRESENT ADDRESS
�tJV b.• J• _'_V =_� �. 1.
LICENSE NO.
PHONE NO.
.1.11 lil-.
JOB LOCATION (ST. OR AVE.)
C+.:),, 1 • : .../..0 - is.; .. v l.•
LOT BLOCK
Cni l .".0 I -:S
SUBDIVISION V.
J"'.C. t, :.0 7.) „1 .--1_a:i ±_ : es
GENERAL CONTRACTOR
c. _ �;�es
ADDRESS
rZ:0 . -.. ]. 111t.. �:
PHONE NO.
PL I
LICENSE NO.
1.i..)'..“./
1-2 2E
BUILDING PERMIT NO.
1 ey /5^
DATE
12. G0
PERMIT FEE 5
BUILDER'S BOND
2,0;1,0 vfI1:;C
NO. DATE
ZONE P EOU IREMENTS CU. FT.
� O=
PLAN CUBE ` CU. FT.
G G00.00
EST. COST 5
v1
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY
DATE
C /1 l E "
NEW CONSTRUCTION
TYPE
, , "
STORIES ROOF CONSTRUCTION
1 � i,i_ ? . . ,:1
INTERIOR CONSTRUCTION
., a _C:2 .
.: . .. C' ,:e- ..^ : �� 2.
REPAIRS
DESCR IPTION
.�.-_ a ^ ZGC : .co - s, .. 1_� $._.. - .... ..n 113i ..
ALTERATION
DESCRIPTION
,C' ?1 '- --' ' f _ -:I -0 .l 1 . 1 -S ^.i1C. . c: . ase
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. Sly/
4_ //- S7
ISSUED
,...) !' :S
BY
p
eo,3 E t 7- 6 :4(C .sun'.
TO
0 7
- 7
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
PERMIT NO. ;
( ALT
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION $ -.a'.w
DATE
-.
1 `
0 A,
$
SEPTIC TANK Nollit
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a £t
BEAMS & LINTELS
1.'
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S
SOLAR HEATER
S
FIXTURES
FRAMING
° C
-
-
".:
s`
$
INSPECTIONS
$
INSPECTIONS DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING Z 41,., . v.: ^ ./ - ,d ®®
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FINAL
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GAS
CLEAN -UP
SEWER
CONTRACTOR -
PHONE
PERMIT NO. ;
( ALT
DATE ,-
FEE $
NEW ER ATION 1 ADD ITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK Nollit
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ll�ired
SEWER
S
SOLAR HEATER
S
FIXTURES
$
GAS
$
$
$
INSPECTIONS
$
INSPECTIONS DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING Z 41,., . v.: ^ ./ - ,d ®®
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b41'!2(5
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GAS
RANGE CONN.
SEWER
SEPTIC TANK
•,
FIXTURES & FINAL
SOLAR HEATER
FIXTURES Z 3-S-.7
ate- t -4-1-
1
CONTRACTOR 1 / "f. C { r,
PHONE
PERMIT NO. ' Z ,-- 1 DATE /r- 1 _ J (♦
FEE $ J•
NEW BLDG.
ALTERATION I ADDITION O
.7'1
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
$
$
H. W. HEATER CONN.
RANGE CONN.
MOTORS
S
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE 2t= �45c.47`•.)
ROUGHING U -
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P . fit..,.
-
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b41'!2(5
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H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
,2'. 5 7/`/ *5
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY