118 NE 102 St (5)OWNER'S NAME
C rl tnn Dooley
JOB LOCATION (ST. OR AVE.)
118 NE 102nd Street
PRESENT
11g 11. E. 102nd
LOT
12 & 1/2 E 13
ADDRESS
q +reet
BLOCK
14
Miami
LICENSE NO.
SUBDIVISION
Shores Section
PHONE NO.
1
GENERAL CONTRACTOR
Owner
ADDRESS
same
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 2796
DATE 3 Dec. 55
(.,
PERMIT FEES 6.00
BUILDER'S BOND
NO. DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE CU. FT.
EST. COST S 1200
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
ALTERATION
DESCRIPTION
carport extention to garage, replace wood gals with glass.
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
*f *' P r' i -.a s •" 9 . ,
CERTIFICATE OF OCCUPANCY NO.
r<a F, t -
ISSUED
7 . - f ,
BY
_per CO
TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
CONTRACTOR
PHONE
PERMIT NO. j DATE
FEE $
NEW BLDG.
ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
$
SEPTIC TANK
$
$
SEWER
$
$
SOLAR HEATER
$
$
GAS
S
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
GAS
SEWER
H. W. HEATER CONN
SEPTIC TANK
RANGE CONN.
SOLAR HEATER i
FIXTURES
FIXTURES & FINAL
CONTRACTOR
PHONE
PERMIT NO. DATE
FEE S
(
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
S
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
- , • (/I BUILDING INSPECTIONS
INSPECTIONS . 3 D TE / BY RE- INSPECT BY RE- INSPECT
FOUNDATION
BEAMS & LINTELS
FRAMING
FINAL
CLEAN -UP
r
PLUMBING PERMITS & INSPECTIONS
RY
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of .,,
Building .- 4, ...4 1 ►` ' E . 4 ' L
`.rchitect fIC04 1., rtift,,, 511/4)6
'ontractor
= Builder
PERMIT N? - ►.,. on c
icense No.
gal Lot `Z &7 ' j3
cription / 13
'press of
'ing
MIAMI SHORES VILLAGE. FLORIDA
h/
TOR OR BUILDER
Bl.
Work to be performed under this Permit
Sub
Valu of
'• - t , Promt $ r
his permit is granted to the contractor or builder named above to construct the builging or to install the equipment or device described in the application
in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
, statements or specifications that may have been submitte to and appr by proper municipal authorities. This Permit may be revoked at any
I work is not done in compliance with such ordinances or the plans e c nged without authorization. A further condition upon which this permit is
the understanding that the contractor or builder named a ve assu es th responsibility for a thorough knowledge of the ordinances and regulations
the work covered hereby whether shown on the plans o d or tie state rents or specific • �t he assumes responsibility for work
agents, servants or employees. �... w
+r rNwNltar
Signed.
INSPECTOR taw°
BY
C
40 Si j� t,
- ,, I..
f 24`
/Tr.; CLAS
AmotMt of
Permit $
r ,i,
.,-. .,
ration of the issuance to me of this permit to perform the work covered hereunder in complia with all ordinances and regulations
and in strict conformity with the plans, drawings, statements or specifications submitted to the proper thorities of Miami Shores Village. In ac-
I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY ems,
Owner's Name and Address .... ... ..
Registered Architect and /or Engineer._..
Name and address of licensed contractor
Location and lega d . �i tion of lot to be built on •
Lot /Z.. _. . h.J33lock / 4
Street and N ber here work is to be done
State work to b
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.
e and purpose of building ( b
and for no other purpose.
New Bulding Remodeling Addition 1t ,l airs No. of Stories
To be constructed of __.. Kind of foundation x Roof vering
Estimated Total cost of improvements $ Q._ ® Amo t of Permit $ ` .
Zone cubage required _Plan Cubage.S. P � �-- F6' A
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 he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5968, 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
permit, as are licensed by Miami Shores Village. ,
Remarks (Signed
4
Building Inspector
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for making
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
MIAMI SHORES VILLAGE
•
Member
Member
Member
Disapproved
` +
/ Street... -"JO
Notary Public, State of Florida
PLANNING BOARD DATE
corrections or changes to this application after approval
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 to - true
Permit No _ ____ f__(�.__ Date Read, Sworn to and Subscribed before me.
Disapproved _. �� Date
(Signed)
My Commission Expires
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty