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525 NE 101 St (12)OWNER'S NAME Wm. Pierce PRESENT ADDRESS LICENSE NO. -264 Palmetto Dr Mia Spps PHONE NO. � E.) JOB L L O OCATION (ST. OR AVE.) 525 S reet ry LOT �j f� 1! • •C l" BLOCK SUBDIVISION �f M.S HONE�NO. 4 Wm. Pi erne ADDRESS LICENSE.' O. BUILDING PERMIT NO. 1236 DATE 2 /14/ 1 55 d PERMIT FEE $ 18.00 BUILDER'S BOND I ' NO. 1759 DATE /. LL(',/ 55 ZONE R4 REQUIREMENTS 2 CU. FT. PLAN CUBE 23,320 CU. FT. EST. COST $ 14,000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE X NEW CONSTRUCTION u TYPE o.b.s. STORIES l ROOF CONSTRUCTION Tile Hardwo IGy, O RUCTION Plasterwalls and ceilings> REPAIRS DESCR IPTION ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS 1 0� CERTIFICATE OF OCCUPANCY NO. 1 / n 1� I ISSUED / "' /� TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSNECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY U FOUNDATION ;i -/ - ,'< /- TEMPORARY SERVICE TEMPORARY SERVICE S BEAMS & LINTELS H. W. HEATER CONN. ` $ OA //(J SEWER RANGE CONN. FRAMING 3 -0)1--.5 W , S GAS FIXTURES $ $ �J FINAL BY RE- INSPECT BY RE- INSPECT BY ROUGHING (� 1∎04. p p C L E A N - U P `1.+G' - 4� r " 'v � ^� "" J�- v 6 CONTRACTOR I�� NIIIMIM IIIII PHONE PERMIT NO. �i-a DATE ."/ - . FEE S a7 I NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE S SEPTIC TANK 1 1 EN H. W. HEATER CONN. ` $ OA //(J SEWER RANGE CONN. $ SOLAR HEATER MOTORS S GAS FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING _ r GAS ROUGHING ' 1 )- 24- $V 1, SEWER H. W. HEATER CONN ttt SEPTIC TANK tiglikel =- SOLAR HEATER ��- FIXTURES FIXTU & F RES I NAL 516 -.sr n4 CONTRACTOR ( PHONE PERMIT NO. 1 403 1 DATE a - C � l,'I" 7( 5-5--. A FEE S �2 4 NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING ' 1 )- 24- $V 1, H. W. HEATER CONN ttt RANGE CONN. FIXTU & F RES I NAL 516 -.sr n4 6r-1--- / / 91_ 8 BUILDING INSPECTIONS PLUMBINCz +F,FZMITS & INSPECTIONS ,ELECTRICAL_PERMITS & INSPECTIONS i APPROVAL TO POWER CO. FOR SERVICE DATE 5 IT /5 167� 1~`1� CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 172 Miami Shores Village, Florida, Owner, Agent or Tenant of Building - -v-1 • Lot �� °'W 1 D p Block 94' Subdivisio Street Address ij a Approved use by occupancy Remarks 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. or it I I (a to BUILDING DIVISION Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. SS. Disapproved ____ (Q�� A �/ __ _ % • e (Signed) Member Council Approved 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. i.ng Inspector Location and legal description of lot to be builj on: Lot I °i® Block Street and Number where work is to be done zr S5 N State work to be done and purpose of building (by floors) Subdivision Date Owner's Name and Address._. Registered Architect and /or Engineer Name and address of licensed contractor No Street and for no other purpose. New Building Remodeling Addition Repairs No. ton To be constructed of °' Kind of foundation C - --- a Roof Cove • Estimated Total cost of im ements $______ Amount of Perrot Zone cubage required / DO 0 O r plan Cubage___ Distance to next nearest building Size of Building Lot �� 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 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 t o be performed under this permit, as are licensed by Miami Shores Village. ) Remarks (Signed) ^_.�. fi o 02- " ,19 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 dul sworn, upon oath deposes and says that he is the of the above d sc 'bed str ion, that he has ca ;efully read the foregoing application, and that he did sign the same, and that all facts therein by him ar .. e. Permit No Date /4. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.