358 NE 101 St (2)f / �, -
OWNER'S NAME
l G i4 2. Al
TYPE
C S
3 4 - 8
PRESENT ADDRESS
/I-6. / 0 1 — I - 7 -
LICENSE NO.
PHONE NO.
3 4 7 8
JOB LOCATION (ST. OR AVE.)
/I- 4 N. ®o/ "6Jr
LOT
( * $ e 4
BLOCK
SUBDIVISION
!-11 aii re s &c...1 /
SUBMITTED TO PLANNING BOARD
GENERAL CONTRACTOR
s /4ii.444$
4/17
C„r
ADDRES
6 N �' 7
PHONE NO.
LICENSE NO.
I
,
�y!
BUILDING PERMIT NO. T 4 7 7
f�
DATE " / L 4
PERMIT FEE $ /
BUILDER'S BOND
NO. DATE
ZONE
i r i c.0 - -
REQUIREMENTS
CU. FT.
3 'y.- 0, L-1.2., = -zc _ 13
PLAN CUBE e, .. CU. FT.
0 0
EST. COST $ da ®4:) r
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C.. tk •
BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE
I DATE
Y Imo_ e,
NEW CONSTRUCTION
TYPE
C S
STORIES
O et, e.
ROOF CONSTRUCTION
\�,.°T' op
INTERIOR CONSTRUCTION
FC 1 ■ D(A (3A M. APO
REPAIRS
DESCRIPTION ( ,, r .0
"''r' 42_,/ (' 0- Z Z. 0 ( .-5 / 4' 1 INA C2. / 2. 4 e s-a a x� C es._ 0 c ect,
DESCRIPTION
ALTERATION /
L �a'-S
.(
ADDITION 4.3e.6 e, (9 _ t `/\ vas --.---
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFD TO VILLAGE COUNCIL
REMARKS
/
CERTIFICATE OF OCCUPANCY NO. 1+2- I ISSUED /r fr (' 3
��/f !
BY '• "'>
{,!/
TO / /'�/ COQ' .9-Lel
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C.. tk •
BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE
I DATE
Y Imo_ e,
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
y�32"-y'
`'
ROOF
€t-30 -d
e_.tiG. ,
BEAMS & LINTELS
o- 8 Y"' -
k.6
POOL
SOLAR HEATER
$
FRAMING
`6'3'-' .3
e., "45
AIR COND.
MOTORS
$
FINAL
$
FIXTURES
CLEAN UP
INSPECTIONS
) '' t. S.
SLAB
C S , v'� C
"30l(5
RE - INSPECT
BY
ROUGHING
SLAB
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
REPAIRS
SPECIAL PERMITS
$
SEPTIC TANK
FEE
TEMPORARY SERVICE
$
SEWER
$
H. W. HEATER CONN.
$
SOLAR HEATER
$
RANGE CONN.
$
GAS
$
MOTORS
$
$
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE - INSPECT
BY
ROUGHING
TUB & TOP OUT
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
ROUGHING
$
H. W. HEATER CONN.
$
RANGE CONN.
RANGE CONN.
$
MOTORS
$
FIXTURES
$
FIXTURES & FINAL
III I b / ' ; d
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE - INSPECTI BY
TEMP. SERVICE
ROUGHING
y( - ? L{
::.�S6
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
III I b / ' ; d
F ie.
BUILDING INSPECTIONS
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
DATE
1 ALTERATION 1 ADDITION
PHONE
FEE $
REPAIRS
. APPROVAL TO POWER CO. FOR SERVICE DATE
BY
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
- r7
Registered Architect and /or Engineer
Name and address of licensed contractor_.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 3 _� (? r •
State work to be done and purpose of building (by floors)
Disapproved , Date_
(Signed) _
Building Insper
Date° — ® ,, 19
No 3 � A�_ Street / ® S Y .
and for no other purpose.
New Building Remodeling Addition L. Repairs No. of Stories. p > _gyp
To be constructed of K' K. ,,,. f foundation.._ Roof Coverin 4i — teC9-
Estimated Total cost of improvements $ 7,0,1 �' 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 t be performed under
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
O
Notary Public, State of Florida
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 �4? edsttated are true.
S
Permit No S Date v � Read, Sworn to and Subscribed before me.
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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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 ® /
/ 19
Owner's Name and Address._.. jl-. -. -__ • � _r /
.j No S s' 0s Street /0 / 4 ,
Registered Architect and /or Engineer 3 � 2
Name and address of licensed contractor / <' .A
Location and legal descripti n of lot to be built on:
Lot / /Z..6,/ � Block
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
New Building Remodeling
To be constructed of.__Ce__Ga o .. Kind of foundation "o e
Estimated Total cost of improvements $ .15°
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building.
be sent to
Permit No
Disapproved
(Signed)
Building Infector
MIAMI SHORES VILLAGE
Date. __ a.° t 0
Subdivision / _k2. v SfYQ e
r, s ,
� e • lad f •
syy. C d,'..S. Afl,
•
and for no other purpose.
Addition f° Repairs No. of Stories
Roof eCoring e / d
A ou of Permit � $ (/-f_._�/
.Pjin ubage %I Z. �/ . . t 2,6651 2,6651 V
Building Lot.. ` y
.
PLANNING BOARD DATE
6 ,7.P/ A' /,V1., 77
. 'J
Read, Sworn to and Subscribed before me.
re)
4 o._
11 notices with reference to the building and its construction may
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 subcontractgr on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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.
Notary Public, State of Florida
My Commission Expires
Chainnan a 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.
'41;4"-.A c/^/74(c,...).= A7 ,ro i ,
0 0 3