390 NE 101 St (5)MI:!I SHORES VILLAGE, FLA. N9 9553
JOB
INSPECTOR
ADDRESS 3 C. /0
INSPECTION
TIME READY 1L ?if; ! Ar -- 59
REMARKS:
OWNER•S NAME
•
-44 S 4i e p7.¢,4) .k.
PRESENT ADDRESS
.39e. lv. 6 /o / V -
LICENSE NO.
PI4ONE NO.
JOB LOCATION (ST. OR AVE.)
J o I. C. G /ol �' II:
LOT
1/ 2
BLOCK
j,
SUBDIVISION
1 m i SA eS —
GENERALL CONTRACTOR
e e..4)/Z - ✓ a2.
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. (g'
DATE , ..7 - 7 7- /
PERMIT FEE $ 26c-
BUILDER'S BOND
NO. DATE
460/77" —
ZONE REQUIREMENTS CU. FT.
/ fg44 Vri 4,a4
PLAN CUBE 12 �I: X CU. FT.
EST. COST S Z 3 p0
/y
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY `- N. ,W g E`__
DATE
I 4 -Z
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DE CRIPTION
6,414-4-4-&- / �I J i(J.� -aie�0in 4- 0 4��'l/'. al-me. 7
o� a�
DESCRIPTION
ALTERATION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO ILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
ISSUED /
BY
TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS I DATE
BY
FOLNOATION
RE- INSPECT
ROOF
S
SEWER
BEANS & LINTELS
TEMPORARY SERVICE
POOL
SOLAR HEATER
$
FRAMING
$
AIR COND.
$
FINAL
$
CLEAN UP
MOTORS
SLAB
$
FIXTURES
SEPTIC TANK
$
SLAB
S
SOLAR HEATER
TEMPORARY SERVICE
DATE
BY
$
SEPTIC TANK
RE- INSPECT
BY
S
SEWER
FEE
TEMPORARY SERVICE
S
SOLAR HEATER
$
TUB & TOP OUT
$
GAS
$
RANGE CONN.
$
SEWER
MOTORS
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 & FINAL
FIXTURES
GAS
CONTRACTOR 4 A9i. - . - .. 2 J C. ,e sS HONE
DATE
PERMIT NO. ��'j 7 1 DATE -If --/. .- c `
FEE $
NEW BLDG. 1 ALTFRATION 1 ADDITION � ) 4 .--_ _
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 - INSPECTI BY
TFMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
CONTRACTOR
PERMIT NO.
NEW BLDG.
E1
■
'&"' 'BUILDING INSPECTIONS 51-1
SPECIALS
I v
A
APPROVAL TO
PLUMBING
Lld De r=
ver
POWER CO.
I
ALTERATION
PERMITS &
'�
1 ADDITI6N
INSPECTIONS
7,
PERMITS I PERMIT NO. 1 DATE
ELECTRICAL PERMITS & INSPECTIONS
FOR SERVICE DATE
PHONE
FEE $
REPAIRS
BY
6 .Oe
FEE
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 962
Plan Cube 12518
Tax Value 6259
Miami Shores Village, Florida, 7 -28 -59
Owner, Agent or Tenant of Building WILLIAM S. WIGHTMAN 1 2
Lot 1 & 2 Block 39 Subdivision MIAMI SHORES
Street Address 390 N.E. 101at St.
Approved use by occupancy ENLARGE FLORIDA ROOM, CONVERT GARAGE INTO BR.
Remarks. 8484
This Certificate of Occupancy is issued to the above named
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.
OWNER
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.
Owner's Name and Address
APPLICATION FOR BUILDING PERMIT
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Registered Architect and /or Engineer
Name and address of licensed contractor CGO IV F
Location and legal description of lot to be built on:
Lot L A f / Block . Subdivision
Street and Number where work is to be done
State work to be done and purpose of buildin (by floors) +41
eed le 44 .-dc/ e t,z ,o.R_
and for no other purpose.
4 1 0 / 1 1 / ' 340e e s
New Building Remodeling Addition ✓ Repairs No. of Sto jes
To be constructed of 0r3• Kind of foundation 429 AO Covering..
Estimated Total cost of improvements $ 7r rt`
Amount of Permit $ N
Zone cubage required Plan Cubage _ j ..��i�
Distance to next nearest building Size of Building Lot
7'a
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 contracto 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 he site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco r rs, n 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 ar tru qq
Permit No g L' Date ? -57 Read, Sworn to and Subscribed before me.
Disapproved Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chainnan 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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