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688 NE 101 StOWNER'S NAME PRESENT ADDRESS fi ,- LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1o$ ` :S M _ I �1 fi t" '. . LOT i'l BLOCK 1 IJ:5 SUBDIVISION ,i illa:,, 6;. ),,.) .e .4f q GENERAL CONTRACTOR (JLt.; :- ADDRESS ('.acre PHONE NO. LICENSE NO. BUILDING PERMIT NO. 13'3 DATE (f I - " � - 1 1 PERMIT FEE $ I5 6 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. :_.)J EST. COST $ (000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DAT= BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE NEW CONSTRUCTION c�f.ir POD arkS_ . TYPE STORIES I 1 ROOF CONSTRUCTION +"II , e, . e f .. J.L. INTERIOR CONSTRUCTION 1 REPAIRS J DESCRIPTION ALTERATION DESCRIPTION ADDITION 7 SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SURMITTFD TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED 1 BY 1 TO DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DAT= BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION SEPTIC TANK ROOF 1)ICAar ). POOL - -� In 1 BEAMS & LINTELS $ FRAMING TUB & TOP OUT AIR COND. GAS I FINAL $ FIXTURES CLEAN UP I $ SLAB t SEPTIC TANK SLAB FIXTURES & FINAL SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE I $ SEPTIC TANK I $ SEWER $ SOLAR HEATER TUB & TOP OUT $ GAS I $ $ FIXTURES t INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING $ H. W. HEATER CONN. $ RANGE CONN. TUB & TOP OUT $ MOTORS $ FIXTURES SEWER I $ t SEPTIC TANK FIXTURES & FINAL SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TFMP. SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES I $ t INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT BY TFMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTION (p{1PG�5 CJ 7TIn' CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS I DATE 1 ALTERATION I ADDITION PHONE FEE $ REPAI RS CONTRACTOR PERMIT NO. NEW BLDG. ELECTRICAL PERMITS & INSPECTIONS I DATE I ALTERATION APPROVAL TO POWER CO. FOR SERVICE DATE I ADDITION PHONE FEE $ REPAIRS BY 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. June une 28 , Owner's Name Name and Address._. Mrs. Mary M. Leach No 688 NE 101 St. Street Registered Architect and /or Engineer Name and address of licensed contractor_. Nyst rand Lloyd Corp. 230 SW 17 Ave., Miami, Fla. Location and legal description of lot to be built on: Lot_. Block _ Subdivision Street and Number where work is to be done 688 NE LOL Street State work to be done and purpose of building (by floors)_. Carporte - sQs Tin cap L -30 #. Mop -2 -1. Asphalt & gravel. and for no other purpose. New Building Remodeling Addition Repairs._ No. of Stories To be constructed of Kind of foundation. Estimated Total cost of improvements $_._130. Amount of Permit 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 foi said building. All notices with reference to the building and its construction may be sent to.__._ The undersigned applicant for this building permit doe hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec:ion 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 sue ..ss bcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss Chainnan _ Member Member . Council Approved._ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. oaL PLANNING BOARD._ __ _Date Roof Covering._ $5.00 Before me, LI: undersigned authority, a notary public, duly authorized to administer oaths and take ack iowledgments, 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 1 ) ( 1 10 Date_ V_l - a - - - - 7 I .- .____ Read, Sworn to and Subscribed before me. Disapproved _.__ _ _ Date (Signed) Buildingtlnspector My Commission Expires__ Notary Public, State of Florida DATE Member Member Member Disapproved ._. Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty t I Owner's Name and Address./dV/L Registered Architect and /or Engineer Street and Number where work is to be done State work to be done and purpose of building (by floors) STATE OF FLORIDA, 1 COUNTY OF DADE. J ss i MIAM8 SHORE'S 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. Name and address of licensed contractor r<ac -----"'' ( A-- Location and legal description of lot to be built on: /it- /® ( Lot _-- -+ Block Su < 4CFLC and for no other purpose. New Building Remodeling Addition r.--- Repairs No. of Stories / To be constructed of Kind off undation "s C - Roof Coverin_g '• c- `-'j' - Estimated Total cost of improvements $ Mc Amount of Permit $ 1 - - . - 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 saidebui Ong. All notices. with reference to the building and its construction may �-J.r be sent to ' /% �=` /4-'1— J c_1GrE Lfr A c1-f 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 rovisions 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). E- -- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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 sign the same, and that all facts therein by him stated are true. Permit No / ` L- Date � — l 7/ Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) C _ �r — Notary Public, State of Florida C Buil ing Inspector I My Commission Expires L'14-74— L S /ia—" ri Co st -- - / 2 ,.. [a � = Date ..._ No Street__ `` 1° ' to me well known, PLAN , I C BOARD DATE Chainnan 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 Boar A re- inspects n fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or orkinanship. Member Member Member 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 , 19 .._..._ Owner's Name and Address No Street..., Registered Architect and /or Engineer.... Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block.____ Subdivision. Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building .. Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ;? Amount of Permit $ 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 The undersigned applicant for this building pennit 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 pennit, 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 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 Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) 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.