94 NE 100 St (9)BUILDING ❑
ELECTRICAL
PLUMBING ❑
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder r ' %x• t.��
Legal Lot
Description
Address of . s
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE + 195
PERMIT N? 7784 Contractor's
License No A
Work to be performed under this Permit •' i
s7. t- fet". t'10'v1 _ v1
1
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $
Amt. of
Permit $
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 application
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 specificati ns and that he assumes responsibility for work
done by his agents, servants or employees. j
Signed • �_. "` a r BY
INSPECTOR "
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLA. N9 8627
JOB
ADDRESS
INSPECTION
TIME READY
REMARKS:
aA7,
t OWNER'S NAME
%• L. z ,,,, , .v,E , 474
NEW CONSTRUCTION
PRESENT ADDRESS
S ¢ I E. ieo 3 .9 4
LICENSE NO.
PHONE If).
• ' JOB LOCATION (ST. OR AVE.)
9 4 11_ C. /0. S r
'ice LOT
1 F a 0 3
BLOCK
I
SUBDIVISION
nf, 4,,., ; .$n4 e.r
GENERAL CONTRACTOR
d5c..0 Alert
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 7723
�I r4�
DATE o °Z� -.1�
W
PERMIT FEE $ ZOOO
BUILDER'S BOND
NO. DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 3,4412 L CU. FT.
EST. COST $ 2 J■ alte-R
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C • /-. /h , eK
DATE
.z4 -T
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
NEW CONSTRUCTION
TYPE
4 l3 S
STORIES
°r/c
ROOF CONSTRUCTION
i3- Ti c .c
INTERIOR CONSTRUCTION
xTEA/y /Od✓ re. o ,L , OR
REPAIRS
7 DESCRIPTION
'Jo nes
ALTERATION DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. 5 S
O
C
`2 - 2 j
ISSUED (
-' Y
L ` Z . vim- v , ,-; rv. vy.
TO
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C • /-. /h , eK
DATE
.z4 -T
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
$
ROOF
I
$
BEAMS & LINTELS
$
$
POOL
S
FRAMING
RANGE CONN.
AIR COND.
DATE
BY
FINAL
BY
RE- INSPECT
CLEAN UP
ROUGHING
S
SLAB
.
FIXTURES & FINAL
S
TUB & TOP OUT
SLAB
SPECIALS PERMITS
PERMIT NO. DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
SEWER
I
$
SOLAR HEATER
$
$
GAS
S
RANGE CONN.
RANGE CONN.
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
S
.
FIXTURES & FINAL
S
TUB & TOP OUT
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. I DATE
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
RANGE CONN.
$
MOTORS
-
$
FIXTURES
S
.
FIXTURES & FINAL
S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
I DATE
1 ALTERATION 1 ADDITION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
PHONE
FEE $
REPAIRS
BY
Owner of
Building
Architect
Contractor
or Builder_
• Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
BUILDING
ELECTRICAL ❑
PLUMBING PERMIT N?
❑
ROOFING ❑
ti
Subdi-
vision
D A F 0,1 .
� - ' Coottavtor i '
' Li No
Work to be performed under this Permit
Sq. Ft
Value of
Project $
This permit is granted to the contractor or builder named above to construct the building or to install the egtfipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work w$1 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 specificat' ns and that he assumes responsibility for work
done by his agents, servants or employees. j --�.
ti
• s,1 ji c' {
Signed • ,, pt F
# ' /a.' BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
,golf. of
Permit $
BY AUTHORITY
195
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot_ o ts__/_ .z. 4_ El5 3 Block a' '
Disapproved _.
(Signed) .....
1
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.... 2 / fli / �1 e/ �1 /_ 1
Registered Architect and /or Engineer .. C!1ci.P."( s.._ ..� t-./(e /
® (may
Date !lr �/ , 19
No Street.._ /0 O7'
Subdivision...... / nd.[.�???'d1 She ,- j
Street and Number where work is to be done L _ �d._1 ^ ' /
State work to be done and purpose of building (by floors) C .d 9.l��'_!,>'69�d ss�I��2 /.'r.1
and for no other purpose.
New Building Remodeling
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ g . !? ._ o o Amount of Permit $ _ .@_ 0
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 Q_(!�Y__
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 to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) f1(
Addition Repairs No. of Stories
1 -.
STATE OF FLORIDA, j
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 Ile has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. _
Permit No 7 72 S Date O 2' ✓ Read, Sworn to and Subscribed before me.
D
Notary Public, State of Florida
B'Gilding Inspector My Commission Expires
1
1
•
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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