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70 NE 100 St (9)CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1122 Street Address 70 N.E. 100th St. Plan Cube 8022 Tax Value 4011 Miami Shores Village, Florida, 8 - Owner, Agent or Tenant of Building THOMAS H. RAINES W 35' of 3, all 125 of • Lot B � dc —� Subdivision M•S• #1 Approved use by occupancy 2 Bedroom and Bath Addition Remarks. 204 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 OWNER'S NAME 710,, .t . d. PA/ d E s PRESENT ADDRESS 70 A/ -E , /6 &; LICENSE NO. PHONE NO. ..yy '/JOB LOCATION (ST. OR AVE.) 0 C. /O 0 LOT BLOCK SUBDIVISION r. J Id" Lr 3 4 Y Pi 4 Eas of till atf.a 9 - S / . / 1� nn GENERAL CONTRACTOR I✓797A.) !4 a/r45 5 ,cf — ADDRESS PHONE NO. LICENSE NO. p BUILDING PERMIT NO. 1-0 4- DATE S nco PERMIT FEE $ 4� �_ BUILDER'S BOND NO. DATE 4,1901 T(o►J ZONE REQUIREMENTS CU. FT. YLL`A, 1/4 ii-c..0 C a Quo(( PLAN CUBE va - 1 - 1.-- CU. FT. eA EST. COST $ g3 o ob �� M DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: '- FNUE n IL`, s DATE 4. ` 1 O NEW CONSTRUCTION TYPE - . - STORIES Leap ROOF CONSTRUCTION �I t._.• INTERIOR CONSTRUCTION Z limo . ..4-A f.+ REPAIRS DESCRIPTION �1 / /'► A 4 1,O I p - I.rc O-{+4)C. Foo2S fry a p r,,,, /�7 O o-- °' ALTERATION DESCRIPTION &ao0 g" AU Tie, 4„ - Ti LE S. /1 - ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SURMITTF.D TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I 1 Z- ISSUED �� �� BY � 1 1 � TO 1 1 0201. �1 /lr Y- 124 , - BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE $j- 01 -C INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION ROUGHING 1 ROOF SEWER 'BEAMS & LINTELS 1 S SOLAR HEATER POOL $ FRAMING AIR COND. MOTORS FINAL 0 5 ei FIXTURES CLEAN UP SEPTIC TANK 5 •; SLAB S SOLAR HEATER SLAB SPECIALS PERMITS PERMIT NO. I DATE I FEE TEMPORARY SERVICE 1 1 S SEPTIC TANK ROUGHING 1 1 $ SEWER ROUGHING 1 S SOLAR HEATER $ GAS 15 MOTORS I s INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE ROUGHING S TUB & TOP OUT 5 RANGE CONN. SEWER MOTORS RANGE CONN. 0 5 ei FIXTURES SEPTIC TANK 5 •; S SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR n.3 Ef.----- .., . n -,., PHONE PERMIT NO. -2-1 A c 1 1 DATE 6--- V C. ,e, FEES NEW BLDG. 1 ALTERATION > 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING S H. W. HEATER CONN. 5 RANGE CONN. $ MOTORS RANGE CONN. 0 5 ei FIXTURES 5 •; 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 CONTRACTOR 4r.-. c i ) v C C PERMIT NO. - 2-AZ- 1 DATE -S NEW BLDG. 1 ALTERATION 1 ADDITION PHONE FEE $ REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING ROOFING Owner of {. Building Architect Contractor or Builder r '' Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA o PERMIT N? 332 Signed. r DATE 19 I �: Contractor's License No. ' r Work to be performed under this Permit B1 Subdi- vision Value of k Project $ ` 3: This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Amount of Permit $ ` BY. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with Ell ordinances and regulation' pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In/ cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architects Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE 19 t� ■ ERMIT N9 ' i e ta?crirEa CONTRACTOR OR BUILDER Work to be performed under this Permit Bl. BY Subdi- vision Value of Project $ P' 11 Amount of II Permit $ / This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed ` , 1'' BY • 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 conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assumelespopsibilitay all work done by either, myself, my agent, servant or employee. AUTHORITY r ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING Address of Building Owner of Building Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 212 Signed- Work to be performed under this Permit B1 This permit is granted to the contractor or builder named above to cons ruct the building or to install the equipment or device described in the applica- tion 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 or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 13Y Contractor's License No. Subdi- vision Value of Project $ DATE �� � 19 11 Amount of / II Permit $ BY: 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 conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, , myself, my agent, servant or employee. AUTHORITY ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA ❑ DATE T‘- 19 • PERMIT 298 Contractor's License No. - 5 0 ❑ Work to be performed under this Permit r ' CONTRACTOR OR BUILDER B1 Subdi- vision ' M� Value of 11 Amount of Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 bee 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 or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed- BY • 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 conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent; servant or employee. BY AUTHORITY ABBOT PRINT 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. _ Date / 3 , 19 C Owner's Name and Address.. if, R A- f N E No 7 v NI,E Street /O O ST Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: i p Lot 4 ,' Block / Subdivision Street and Number where work is to be done 70 /l/,C, ! 0 0 s r- State work to be done and purpose of building (by floors) -1 15706 D /x.e lANll Stt0'?�S and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ,8v /'L r U P Estimated Total cost of improvements $ h ' 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 he work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc tors, on work be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. f 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. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (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. STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved � z Date (Signed) Building Inspec 4r 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. Owner's Name and Address. ..J, Registered Architect and /or Engineer Name and address of licensed contractor L! fleAlAve. Location and legal description f tp lib Lot __ ems- I' f `� loc Street and Number where work is to be done State work to be done and purpose of building (by floors)_.. Date Subdivision. "_�_!./ No 'l o (/__ Street • - t c o - T t and for no other purpose. New Building__. �1 Rernodeling. Addition v Repairs No. of Stories To he constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ J •yrN e Zone cubage required _Plan Cubage r0,2..a.✓ , ' :/ 6J/I c !� iya �h e ice- ° , 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 • the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such bcontractors, on wor t. . - performed under this permit, as are licensed by Miami Shores Village. Remarks. (Signed 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 2 .. Date 1 — � ' ° Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires LANNING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. cey 6770 x o 12 ( 3 Permit No Z� Application is hereby made for the approval of the detailed statement of the plans and specificatio•: erewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Build' Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and a 1 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 work. STATE OF FLORIDA, } COUNTY OP DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL P RMIT rr-- 0 6 3. MIAMI SHORES VILLAGE Owner's Name and Address Registered Architect and /or 4. 'nee/ Employing Electrician's Name. ; .. No95 _ ...' u"'itreet C��Y• Location and Legal Descri. ' Lot 3 v Block Subdiv' on Street and Number where work is to be performed —No 90 /v. New Building Remodeling Addition / ' State work to be performed and purpose of building (By Floors) Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ / (Signed) (Signed No Street Repairs No, of Stories The undersigned applicant for this building permit • does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub•co on work to licensed by Miami' Shores Village. Da Street " Inspector. ccepts his Igations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the ork such public notice or notices be , performed under this permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST /3 / // i/ 13 ,1 V CHECK V ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK - ( 3 Permit No Z� Application is hereby made for the approval of the detailed statement of the plans and specificatio•: erewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Build' Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and a 1 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 work. STATE OF FLORIDA, } COUNTY OP DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL P RMIT rr-- 0 6 3. MIAMI SHORES VILLAGE Owner's Name and Address Registered Architect and /or 4. 'nee/ Employing Electrician's Name. ; .. No95 _ ...' u"'itreet C��Y• Location and Legal Descri. ' Lot 3 v Block Subdiv' on Street and Number where work is to be performed —No 90 /v. New Building Remodeling Addition / ' State work to be performed and purpose of building (By Floors) Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ / (Signed) (Signed No Street Repairs No, of Stories The undersigned applicant for this building permit • does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub•co on work to licensed by Miami' Shores Village. Da Street " Inspector. ccepts his Igations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the ork such public notice or notices be , performed under this permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CI h$eTf BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES -- CONTR. LIFT � �� -- CHICK / . �, SEPTIC TANK SEWER CONN. DRAIN. FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL — CONTR. LIST / / CHICK Permit No._ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well. ______: Amount of Permit $ ---------- we' 0 / MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby nw de for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owner's Name and Address S ____!_ asAP `_-------------- ••--- - - - - -- No. Street Registered Architect and /or Engineer_____________________ Employing Plumber's Name , A/61 , Va � No.________— ________ Street- -__ Location and Legal Description Lot__._.._.._.____ ____ -______________ Block_ Subdivision Street and Number where work is t� be performed —No._ 70 lo O Street State work to be performed and purpose of building (By Floors) New Building _ Remodeling_ Addition_ Repairs - 5 /7_ -' No. of Stories. Type of Tank (Signed) (Signed). Capacity Gals.__ .__Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit My Commission Expires Notary Public, State of Florida umbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent upplement, and leas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo d 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or work*nanchip. 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. Date O — —' a ,19 Owner's Name and Address.. � 1�i.� F 3 H, 1i1i1 , No.___7Q__.il.._ Street_...1D4_th._St.. Registered Architect and /or Engineer Name and address of licensed contractor Brady Roofing Tiles Mfg. Co, - 2955 N. W. 73rd St. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done. ._ 0 N. E. laatZI__ASt_. State work to be done and purpose of building (by floors) Roof Addition: 30 - — Tile and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Tile Estimated Total cost of improvements $ 11 .Q5 .00 Amount of Permit $S,00 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 employ bur under the Florida Workmen's Com I e, and has complied with the provisions thereof, and will require similar compliance from all contractor or sub - contractors employe in the work to be performed under this permit; and will post or cause to be posted for ' spection on t�e sit , him g of the work such prubli notice or notices as are required by the Act. The undersigned agrees to employ only such spb�ontractor o woJlt tp be performed n dr this permit, as are licensed by Miami Shores Village. 'r Remarks (Signed)._ of la P ensation Act, being 5966, Compiled P filed General Laws of Florida Permanent S u t p c STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowi 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 33 Z- Date -- -- Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida Building Inspe tor My Commission Expires LIANNING BOARD DATE Chairman Member V 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.