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102 NE 102 St (14)I � ,�� ER'S NAME /4i/0 /I E,Et,�ei9 PRESENT ADDRESS /i 2 Ai z /02 ^' Sr. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) X02 /1/E //2 � LOT BLOCK 1 SUBDIVISION GENER CONTRACTOR h. I 4b) - I e 6I//Z 225 ADDRESS PHONE NO. LICENSE NO. Co) r ` / BUILDING PERMIT %/ 4r Qs i 1 n g �O DATE %/� �� I PERMIT FEE S s BUILDER•S BOND NO. DATE ZONE PEQUIREMENTS CU. FT. PLAN CUBE CU. FT. WiiILL L 4 1 ° EST. COST S ow / 6 ' $ 9 /114 �� J DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: Z Om. DA E 8/.fo � 1 '7 9/g T7 NEW CONSTRUCTION TYPE C4 45 STORIES / ROOF CONSTRUCTION 4 .Z INTERIOR CONSTRUCT! /`rye " " 9.15/ e REPAIRS DESCR IPTION A /i1� C � LL 47:0•061,401/ D ESCR I PT I ONAP�,P�dd /a.5-,..2- 4,/, 6,1 7. ai m9 .L'od01E A 6 6F ADDITION 84 .'4. PM* ors^ R SUBMITTED TO PbAt�LN� ^'C a ^ ^D API 0 ED / /#1, REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED I BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS ATEJ'` BY RE- INSPECT BY RE- INSPECT BY FOUNDATION QD / � Ri . FEE TEMPORARY SERVICE BEAMS & LINTELS ' / TI 1(1� r/7 $ SEWER FRAMING $ SOLAR HEATER $ GAS $ $ FINAL DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. J ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER SEPTIC TANK RANGE CONN. SOLAR HEATER FIXTURES FIXTURES & FINAL CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ F $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE r ' ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS PPROVAL TO POWER CO. FOR SERVICE DATE BY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 1947_ License No. ELECTRICAL PERMIT N? 5664 Contractor's 6-- PLUMBING Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER Bl. /0 Z �� d BY »l e C t'/i I AA. 4 yt v �tw2 S. // .lac Subdi- vision Value o 7G $ °� Project Amt. o J` Permit AUTHORITY 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 appli- cation 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 chan ed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes th esponsibility for a thorough know f the ances and regulations pertaining to the work covered hereby whether shown on the pl • awings r in the tem is or specificationsth� a5�ames respon- sibility for work done by his agents, servants or employees. / J��JJ b Signed C I B INSP OR r � In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wit ordinances an? regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acc s permit I s re bns ty for a rk one by either myself, my agent, servant or employee. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or got. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block_ BUILDING INSPECTION DEPARTMENT' APPLICATION FOR BUILDING PERMIT Street and Number where work is to be done 19 � � _ State work to bc` done and purpose of building (by floors) 2. (_ -mot "r a Tam fi l e t �� �^' 6 ' L New Building________ —�_ Remodeling____________ Addition_ To be constructed of ___‘4 -2-5 __ Kind of form ion____✓ �_'_= ) 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 permit does hereby certify that be 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 au ctors, on wok to be performed under this permit, as are licensed by Miami Shores Village. Disapproved Date_ (Signed) Building Inspector PLANNING BOARD Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged when materials and /or workmanship. MIAMI SHORES VILLAGE Ad," 'i s e � %' � ��%��� � ,- , No–_______ Street tP Subdivision 7 , 19___ —_ and for no other purpose. __.... Repairs No. of Stp:ies___-- _______ Read, Sworn to and Subscribed before me. DATE i too f_ Covering_ Notary Public, State of Florida My Commission Expires Remarks (Signed) STATE OF FLORIDA. u. COUNTY OF DADE. ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. �‘)/, nn ,;,/ . L7,: .?, / /// ;4 Permit No Date__ Member Member Member Disapproved _Date making corrections or changes to this application after approval has been obtained from such re- inspection is made necessary by improper notice for inspection or faulty