400 NE 101 St (12)MIAMI SHORES VILLAGE, FLORIDA t'�
BUILDING I( DATE. l ``~ "
ELECTRICAL D PERMIT 'NA 11743
PLUMBING fl
ROOFIN D rk to be perfo ed under this Permit
Owner of f r '
Building V r/ � , /Q 11
Architect ft (44r
Contractor
or Builder irttn '
Legal Lot 11 al.
Description �L
Address of A j 1 �/
Building 1470 �i �... / �
Subdi-
vision
Value of
Project $ j
v
195
Contractor's
License No
' 1.1)
mt. of
Permit $
2rGs e'
.... ir• iszO
This permit is granted to the contractor or builder named above to construct the building or to ins pment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that th be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the pro er uthorities. 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 wit on. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibi r orough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawirr�s or the star en r specifications and that he assume responsibility for work
done by his agents, servants or employees. �1
Signed • V im" f
444. L i*V
BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all oril'inances 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 ting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY
AUTHORITY
PAID BY
- .se. boa
YEAR
... _ r .
ANNUAL TAX
acct . ; /p.
PERIOD USED
AMOUNT PAID
DATE PAID
—
RECEIPT
NUMBER
ROBERT. G. & LILLIAN S. BARBER
/ , 2 . e r
Per, #117/13 7/5/5i
/ 9 -C; A
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/ °3A.0' ./
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ADDRESS J}00 N.E•101st.. MEET
LEGA L.._.._
RECORD GARBAGE TAX
MIAMI SRES VILL
BUILDING INSPECTION DEPARTM
APPLICATION FOR BUILDING
Application is hereby made for the approval of the detailed statement of the plans and s
ing or other structure herein described. This application is made in compliance and conforn
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances
regulations of the Building Division of Miami Shores Village shall be complied with, whether
plans and specifications must be kept at building during progress of the work.
NT
GE
PERMIT
—
Date '
Owner's Name and Address_ n , -(` Cr_`'= '__._PaW - - -- No
Registered Architect and /or Engineer q ry
Name and address of licensed contractor �!�ta--NAi2u
Location and legal description of lot to be built on: MM cc
__`_ '__1___. Block 4__Q Subdivision !___�_SQl±C________]_4R-
Street and Number where work is to be done___
State work to be done and purpose of building (by floors ) _____5....7—
New Building -')f•14") Remodeling Addition Repairs and for no other purpose.
To be constructed of e ? % Kind of fp undation_ Cr__� Ro No. of Stories
Estimated Total cost of improvements $ t 1 j f' Amount of Permit $ C' `l ' fCovering 9r
a . ' fi e,
Zone cubage required s _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
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and a
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law
and has complied with the provisions thereof, and will require similar compliance from all contractors
in the work to be performed under this permit; and will post or cause to be posted for inspection on th
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on
permit, as are licensed by Miami Shores Village.
Remarks_ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take
peared _
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
therein by him stated are true.
Permit No _ Date_ 2 S
Disapproved _ __ Da e
(Signed)
Building Inspector
PLANNING BOARD
Chairman Member
Member Member
Member __ Member
Council Approved Date Disapproved
Read, Sworn to and Subscribed b
Notary Public, State of F
My Commission Expires
ecifications herewith submitted for the build -
ity with the Building Ordinance of Miami
of Miami Shores Village and all rules and
herein specified or not. A copy of approved
DATE
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after appr
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper
materials and /or workmanship.
1
,19
Street ' -� -- Q - - - -—
¶ S_ec -7( 4
e building and its construction may
cepts his obligations as an employer
of Florida, Permanent Supplement,
sub - contractors employed by him
site of the work such public notice
work to be performed under this
acknowledgments, personally ap-
ign the same, and that all facts
fore me.
orida
to me well known,
Date
val has been obtained from
no
t \ice for inspection or faulty