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810 NE 100 St (2)OWNER'S NAME W. C. WTNFREY PRESENT ADDRESS 810 N. E. _100th. St. LICENSE NO. PHONE NO, JOB LOCATION (ST. OR AVE.) 810 N. E. 100th. St. LOT 9 & E 2 10 BLOCK I 169 SUBDIVISION I MIAMI SHORES SECT 8 GENERAL CONTRACTOR OWNER BUILDER ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 6127 (� �] L DATE 2 -16-65 PERMIT FEE $ 12.00 BUILDER•S BOND NO. - DATE ZONE REQUIREMENTS CU. FT. T.V. = 1633 PLAN CUBE 32M CU. FT. EST. COST $ 1 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: W R_ BRkDnFBD DATE 2 -16-65 NEW CONSTRUCTION TYPE CBS STORIES ONE ROOF CONS TILE INTERIOR CONSTRUCTION CONVERT EXISTING SCREEN PORCH REPAIRS DESCRIPTION TNTO FLORIDA ROOM ALTERATION DESCRI PTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS 1 CERTIFICATE OF OCCUPANCY NO. I(-O I ISSUED Ii -11-1. / � 1� c BY ats © TO 0-Z- '%9 BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE l INSPECTIONS DATE BY INSPECTIONS DATE IA' 1 FOUNDATION ROUGHING $ ROOF $ BEAMS & LINTELS I $ POOL GAS FRAMING $ AIR COND. ere FINAL I SEWER CLEAN UP SLAB $ FIXTURES SEPTIC TANK SLAB SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE I $ SEPTIC TANK ROUGHING $ SEWER $ SOLAR HEATER $ $ GAS I $ RANGE CONN. ere INSPECTIONS DATE BY RE - INSPECT BY RE - INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT $ RANGE CONN. SEWER MOTORS $ FIXTURES SEPTIC TANK $ a SOLAR HEATER FIXTURES GAS CONTRACTOR 1\4 A. . , Q 5 + 1e.e - PHONE PERMIT NO. 67.,/ n 1 DATE � ( - / -(�� J � FEE 7' NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ a INSPECTIONS DATE BY RE- INSPECT' BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN - _ - RANGE CONN. FIXTURES & FINAL -CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS DATE ( ALTERATION 1 ADDITION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE $ REPAIRS BY CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1601 Miami Shores Village, Florida, 11 -17-65 Owner, Agent or Tenant of Building W. f: _ WINFREY _Lot 9 & Eg of 1tlock 169 Subdivision MIAMI SHORES SEfTION _ Street Address 1ClOth. St. 1 • 1! _ 1 . _ el Approved use by occupancy Remarks # 6129 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. PLAN CUBE R 3266 TAX VALUE - $1,633. BUILDING DIVISION 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 ,, '' / ^/ �! �^ Date 2 /J —` r 19 Owner's Name and Address - ` Y - __.�• W / r • !" RG y No Street____ / Registered Architect and /or Engineer C• 2 °. ) �1 ..__. 5n77 cis_,e_er Name and address of licensed contractor Locatiorand leg 1 description of of to be built on: Lot- __-_ __ E__- - _Y 11) 7 lock l 6 9 Street and Number where work is to be done 4 l Permit No (a. ( � — Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT m C. i,✓Ef € f Building Subdivision Date & o 4Z State work to be done and purpose of building by floors)._ . e ej $o 2 c 70 PE 4- rcloS el °--o V ' e rte 0 - T Fern �lc ,o o - New Building Remodeling t,"" Addition Repairs No. Af Stories To be constructed of Kind of foundation 711 Roof Covering Estimated Total cost of improvements $ 7- "I � '�" � ° ° ° Amount of Permit $ `� '— Zone cubage required_____ _Plan Cubage -3 .6 6. roe $J4e.r4.3, ; '7 _ 1: V. = I (0 3 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 i 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 to of the rk sitch pubic notice or notices as are required by the Act. The undersigned agrees to employ only such spbfofitractors, on rk to be erformed x(nder this permit, as are licensed by Miami Shores Village. Remarks (Signed) _ and for no other purpose. STATE OF FLORIDA, COUNTY OF DADE. j 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. Date — 1 — 6 Read, Sworn to and Subscribed before me. ate Notary Public, State of Florida spector My Commission Expires PLANNIN OARD DATE Chairman Member Member Member Member Member Council Approved 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. Fa.„ i /�� -r- , y /�' /Lt' � � €4. /7. 0 8 Ii � 7 M 7 1. 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