824 NE 100 St (5)-Tee/ NAME
t a 7 .5 ' / N
PRESENT ADDRESS
82 4 a. E. /00 - Sf /cef
LICENSE Th.
!l/���
PHONE NO.
JOB LOCATION (ST. OR AVE.)
82 ¢ A t G. -ioc' St e• te1.
LOT
8 ( ( 4 ) A 7
BLOCK
/69
SUBDIVISION
/ ,, ho .Sea-- 8.
GENERAL CONTRACTOR
J 6 4..4 A. 4 .sa.7.
ADDRESS
2/9S J.E i z4. -R $feee.e
PHONE NO.
LICENSE NO.
77SS
r
BUILDING PERMIT NO. .i 8`Z
DATE � "
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PERMIT FEE $
BUILDER'S BOND
NO. DATE
A.1c0-8e.7
ZONE REQUIREMENTS CU. FT.
T. u. • 2778
PLAN CUBE S, S / p 4. CU. FT.
oa
EST. COST $ 3 4 D ID0
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: �' - �/Ly ,
DATE
ii 8 J - T /
NEW CONSTRUCTION
TYPE
C.
STORIES
o �c .
ROOF CONSTRUCTION
I -- e..,. /1 d
INTERIOR CONSTRUCTION
I .gcalroo„. gld, f .e
REPAIRS
s DESCRIPTION
e C'. - 2 0 �%�O.6 /' p/4 s 7�e r C d e - NA-C(
? r ce S i Ce, .
DESCRIPTION /
ALTERATION
L
` _
ADDITION �b S Q a_, - -el WL
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFD TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. /`- 73
ISSUED /l at
BY
TO • �� 2N.'� N
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
.215-
INSPECTIONS
DATE
BY
INSPECTIONS DATE
BY'
FOUNDATION
SEo7iL
Ta.. k_
ROOF
$
SEWER
BEAMS & LINTELS
I
POOL
SOLAR HEATER
FRAMING
$
RANGE CONN. -
AIR COND.
GAS
SEWER
FINAL
$
CLEAN UP
FIXTURES
SLAB
A
S
SLAB
SOLAR HEATER
TEMPORARY SERVICE
DATE
BY
$
SEPTIC TANK Z°SO
SEo7iL
Ta.. k_
4, # J ((-
$
SEWER
ROUGHING
I
$
SOLAR HEATER
$
RANGE CONN. -
$
GAS
SEWER
MOTORS
$
$
FIXTURES
SEPTIC TANK
A
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE - INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
ROUGHING
$
TUB & TOP OUT
$
RANGE CONN. -
SEWER
MOTORS
RANGE CONN.
$
FIXTURES
SEPTIC TANK
$
S
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR ALfe„ /sh 6 - r G
PHONE
,_571."‘" ,_571."‘" p �o
PERMIT NO. �`f 1 DATE �L' / -/
FEE $. 5�� —
NEW BLDG. 1 ALTFRATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
ROUGHING
$
H. W. HEATER CONN.
$
RANGE CONN. -
$
MOTORS
RANGE CONN.
$
FIXTURES
$
S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TFMP. SERVICE
ROUGHING
H. W. HF.ATER CONN
RANGE CONN.
FIXTURFS & FINAL
CONTRACTOR
PERMIT NO. 1 DATE
NEW BLDG. I ALTERATION I ADDITION
APPROVAL TO POWER CO. FOR SERVICE DATE
BUILDING INSPECTIONS J i {�9
PLUMBING PERMITS & INSPECTIONS
SPECIALS PERMITS I PERMIT NO. 1 DATE
PHONE
FEE $
REPAI RS
BY
FEE
ELECTRICAL PERMITS & INSPECTIONS
r ... CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1573
Miami Shores Village, Florida, 4 -1-65
Owner, Agent or Tenant of Building B • Bernstein
Lot 8 & j 7 Block 1 Co 9 Subdivision Miami Shores S pot.. 8
Street Address 8211 DI_ E. 100th. St.
Approved use by occupancy Bedroom and bath addition
Remarks #5862
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 = 5594
T.V. =2798
BUILDING DIVISION
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building IA
Architect
Contractor
or Builder
Legal
Description
Address of
Building
❑
) pc
V t _ ( A-P:
Lot w s
MIAMI SHORES VILLAGE, F O D
I E �
N9 v
�� . -
PERMIT N. 5 s s Contractor s
o _ lei
II B I t,
- I I
CONTRACTOR OR BUILDER BY
Work to be performed under this Permi
Subdi-
vision
License No.
1
Value of t t - j I Amount of
Project $ :71,1 ( -+ I Permit $
4
14, 6--c)
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 ° ' 't" INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance �^'' th all o d regulations
pertaining thereto and In strict conformity with the plans, drawings, statements or specifications submitted to the proper authontles of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
FLT
Location and legal d of lot to
Lot v of Block
Street and Number where work is to be done
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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, 311 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_ ." '
No. 02
Registered Architect and /or Engineer IC-CA V
Name and address of licensed contractor J- t Sots 1 -1 N E l Zt - S
Owner's Name and Address Meet-Mu. ' 6 eiLio Sr€ 0
b built on:
St to work to be done and purpose of building (by floors)
Subdivision__. 1 4 1 1k Ski E :r
NE,w je
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,
therein by him stated are true.
' ( 1
Permit No '__ Y Date_______'__ —C.° Read, Sworn to
Disapproved Date
(Signed) ( AV-P)'\. --
Building Inspector
and Subscribed before me.
r Fa.NT
e.GU Sr 46
19_x?
Street
i00 ' S*
6
and for no other purpose.
New Building Remodeling Addition ✓ _ Repairs No. of Stories
To be constructed of C-P•5 • Kind of foundation 1Q3Z Co'JC- Roof Covering_Af- . G2,
Estimated Total cost of improvements $ ' Amount of Permit $ 1 4
Zone cubage required p S � lan Cubage_ r - 77 V • r Z 7 9 j+ tb. _ __
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 e • :,'ed by him
in the work to be performed under this permit; and will post or cause to be posted f f i spection on the site of the work s ch . lic notice
or notices as are required by the Act. The undersigned agrees to employ only such s ontr�c brs, yn worlg9 to be pe , • e s and
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 that he did sign the same, and that all facts
Notary Public, State of Florida
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.
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