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640 NE 101 St (2)OWNER'S NAME JOB LOCATION (ST. OR AVE.) LOT GENERAL CONTRACTOR 7;-..ner BUILDING PERMIT NO. 2924 ZONE ""�� DATE 1 -3 - 5 6 CU. FT. DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: Rea..t NEW CONSTRUCTION 710 ement til REPAIRS ALTERATION ADDITION SUBMITTED TO PLANNING BOARD 1 RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL 4'-7 -4Z CERTIFICATE OF OCCUPANCY NO. - CP ISSUED T1,Ir- PRESENT ADDRESS BLOCK �n7 ADDRESS PERMIT FEE $ 28.00 PLAN CUBE *- - 0 TYPE STORIES ROOF CONSTRUCTION DESCRIPTION wood hale, tiled_ sillF APPROVED REJECTED REFERRED TO COUNCIL SUBDIVISION i -, 7f 7ism; Eh7r-s .Jpc 4- CU. FT. . Paths to h4ve tilt REMARKS LICENSE NO. BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE PHONE NO. NO. 1900 BUILDER•S BOND EST. COSTS 2 % i 1 1 REASONS PHONE NO. LICENSE NO. DATE 1 ^ � ' INTERIOR CONSTRUCTION DATE DESCR IPTION f7E3 tore cr fi11. T'las ,j „o; - 1i rV 'Iri1 ^te eJiC/1> l w BY .ros.e_ I TO INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION ,.. SC1.ac3 � byy '17. � -3_ ,,_ i BEAMS & LINTELS - SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE " H. W. HEATER CONN. $ SEPTIC TANK $ S $ SEWER S MOTORS $ SOLAR HEATER FINAL " - - .... , ;, il '- , -L C C .� $ CLEAN -UP INSPECTIONS $ INSPECTIONS DATE BY CONTRACTOR .7- - PHONE PERMIT NO. • DATE FEE $ • NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ SEPTIC TANK $ RANGE CONN. $ SEWER S MOTORS $ SOLAR HEATER $ FIXTURES $ GAS S $ INSPECTIONS $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING I . ', .v .. - - " ' • .. - - ,. GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK SOLAR HEATER FIXTURES & FINAL /6 —. Z f 6.: le) , °/./C K"' FIXTURES s 1_ /7 a.) X/5 - 4'/ CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS $ FIXTURES S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE Rr UGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL /6 —. Z f 6.: le) , °/./C K"' BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE .1- Ik...-aC. BY £J f� BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT N° 0 Architect - Contractor or Builder Legal Lot Description - Address of Building MIAMI SHORES VILLAGE. FLORIDA Bl. /c Contractor's rc tens s No. Work to be performed under this Permit Subdi- vision = - �1 r C= Value of Amount of � __ Project $ 3 i 5 7 Permit $ This permit is granted to the contractor or builder named above to construc 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 specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR In consideratfog of the issuance to nib of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining there and in strict corlfermfty with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this pp>Snit Vassume nsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER t BY AUTHORITY 6 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. Date 4 19 Owner's Name and Address " ` - ° L / ' 1� ; - i • ' - No Street Registered Architect and /or Engineer 1 '' �.: 6 _. •� .d? 11 .1I_ . G'� _ .G J / �° : 1' �'L ` '�' ■ �" Name and address of licensed contractor � • '42i )_. t e / z_ Li -1'5 .,i1 1 /3 "GY: ■ Disapproved Date (Signed) Location and legal description of lot to be built on: � ``"'L ?C. `� Lot4 - _ -_ Block Subdivision =� `• c Street and Number %6here work is to be done % , �r �. � � 1 � State work to be done and purpose of building (by floors) µ and for no other purpose. New Building_.. . L L <' Remodeling Addition Repairs No of Stories / To be Estimated Total t of improvements $ of fou�di tn . _E ' ��: _: Roof Covering ', c' • " d t,,,,/ ' • i / a p Amount of Permit $ Zone cubage required 2___i�. t` t (' C cam. C -.. plan Cubage Z f / o Distance to next nearest building /' "�' Size of Building Lot i ' � 4 i jf "- ' 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 • '4- a - � -., ° . . ,:. /- , x'9 r �;`r - ®Ia " - 9. -- -— '• 1 s -OA- _ �.. y -•- • -- - ..- -- - -�.. � 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, 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 (S4 Ate �� d / �'' - ' <� = = _ �..� _ c _ ; _ Notary Public, State of Florida 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 are true. Permit No Date f - - �” Read, Sworn to and Subscribed before me. Building Inspector 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.