600 NE 101 St (9)• OWNER'S NAME
1Z�'>� � ¢'T 4� o • Lo mot
PRESENT ADDRESS
So
10995" N z a . 8 - A .+e.
LICENSE NO.
PHONE NO.
// JOB LOCATION (ST. OR AVE.)
. (Otog N I ■ E... .1 'OA ' I I STR.ICT.
LOT
I2 4 7 . II
BLOCK
I0 3
SUBDIVISION
µ........ S1+. - Se .A. "4
GENERAL CONTRACTOR
CA".
\ a0VY COWST. C. 1nc. .
ADDRESS
o N E
1 E... 111 - Si.
PHONE NO,
LICENSE NO.
0444ii
BUILDING PERMIT NO. IISt`j
DATE a l . I
PERMIT FEE 72
BUILDER'S BONG
- NO. Z7Z DATE 1'
1
�
yL
"TONE tt° REQUIREMENTS 2e.ose. CU. FT.
PLAN CUBE ZS lea CU. FT.
.. ....
EST. COST $ 3o 0m0
tt
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:. CZ. ..a# Lc.
�
q � DATL
f 1 , 14.-` 1 •
NEW CONSTRUCTION
TYPE
e.g $
STORIES
T.._.da,
ROOF CONSTRUCTION
Ire. •
INTERIOR CONSTRUCTION
3 &1v. .... - 3 8.. 4... 2et(fe•.c�-
REPAIRS
DESCRIPTION
... a. F/�oi'1 - ow r'�d... (...3... l -Pk..., .l'a►.. 1�M�' PL , -C 1 <J►(I t
Q DESCRIPTION
ALTERATION
//
ADDITION e• 1 ...
A
- CJ... 3�•se C�. T...:... ..
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
ISSUED
BY
TO
BUILDING PERMIT AND INSPECTION RECORD — MIAMI. SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
BY
ROOF / I,( 0
POOL
40 19 (72.
eca�■
BEAMS & LINTELS
-,:i- 07324
FRAMING
SEWER
TUB & TOP OUT
AIR COND.
H. W. HEATER CONN
$
FINAL
MOTORS
CLEAN UP
$
GAS
SLAB
$
r v l Lr 4 - , l-S
t C -
�oJ a�.L.._
- i14(3( — 4,42a
SLAB
FIXTURES & FINAL
SOLAR HEATER
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
RE- INSPECT
BY
S
SEPTIC TANK •
D 440C
oE
SC e. r..Wl_ L -,
-,:i- 07324
$ T
SEWER
TUB & TOP OUT
I
H. W. HEATER CONN
$
SOLAR HEATER
MOTORS
$
GAS
$
r v l Lr 4 - , l-S
t C -
�oJ a�.L.._
- i14(3( — 4,42a
[ ate War'
! '_
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
DATE
FEE I
TEMPORARY .SERVICE L
, L-C, �EC'7/. -
�l tS' i
$ 3 � -� ('
s
$ ■
TUB & TOP OUT
RANGE CONN.
H. W. HEATER CONN
$ P
MOTORS
SEWER
$
FIXTURES
$
SEPTIC TANK
S
FIXTURES & FINAL
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR L liz XI - EC-- c7i-----( tg- '
PHONE
PERMIT NO. 1 DATE
FEi$ 44-' ( 0
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE I
TEMPORARY .SERVICE L
, L-C, �EC'7/. -
�l tS' i
$ 3 � -� ('
s
$ ■
H. W. HEATER CONN.
RANGE CONN.
H. W. HEATER CONN
$ P
MOTORS
$
FIXTURES
$
S
INSPECTIONS
BY
RE - INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
p DATE
1
Gt.e ctF•C.•
\� (,J-,y -(p
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
y C
.Z
•
•
in
r �
CONTRACTOR/4-1e"Y- FO P/ Er-Y(__ Da 6
• 4
4 PERMIT NO. (t S1 . I DATE
• NEW BLDG. 1 ALTERATION
0 f t9
APPROVAL TO POWER CO. FOR SERVICE DATE
BUILDING INSPECTIONS -11 � A/C.
PLUMBING PERMITS & INSPECTIONS
ADDITION
ELECTRICAL PERMITS &INSPECTIONS
PHONE
FEE $
REPAIRS
BY
rt
0
IL
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.
p'/ Date Vac? 19
Owner's Name and Address es ie f . I( . ' h dd er No /d .P Street _.___ i ) .. 5 44
Registered Architect and /or Engineer 04 2i s. J t P _
Name and address of licensed contractor (•04 �L2!!__f 4'a• -7_071, kv A) E 07
S-
Location and legal description of lot to be built on: ,,yy
Lot___ f 12 1 / Block /e 3 Subdivision__ f! /Q • .51101' OS ,S en
l
Street and Number where work is to be done l d6 2) . L /0/ Ste -
State work to be done and purpose of building (by floors) Jr; .a. /)I t .__S'!__w i rte. __p 'r _.. Zer.z. -- 4e._
and for no other purpose.
New Building r/ Remodeling Addition Repairs No. of Stories
To be constructed of e. s • Kind of foundation ' aog ode _. Roof Covering I / L E
Estimated Total cost of improvements $ - 34 i are, S
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Amount
(Signed)
of Permit $ 1 Z ' Sv
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot 7.X1. _ b
Maximum live load to be borne by each floor
I hereby su it all the plans and specifications for said building. _ A notices with reference to the building and its construction may
be sent to igkot / J .C. Z eD? ere-- , e 1
The undersigned applicant for this b ding 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, Pennanent 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
STATE OF FLORIDA,
COUNTY OF DADE. j 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 are true.
Permit No.__. er" 9 Date
Disapproved Date41
(Signed) C2( ?-
Building Inspect
Read, Sworn to and Subscribed before me.
e
Its? 1-
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.
u 't = c.
-4-
VP- r7
7 - Z I1.3 o0 z 7
2 S'- r
"2-9 c
= 6.1 . S°
z . r c)
QL n .4 c • 6 e = 12; S
o.
hi-
Z ► o
p /e
La, t'1 ,
*AU:a..1 0-r CC