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1250 NE 102 St (11)OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) I 7- 5 L 15 N . a 1 e Z �� ( LOT BLOCK - /6 S SUBDIVISION A GENERAL CONTRACTOR / , .S . a L,a> S , S t---.1 ADDRESS PHONE NOZ E NO. LICENSE . BUILDING PERMIT NO. i 3 C C. �'C DATE ' O"--1 `_ / � / / PERMIT FEE $ `� BUILDER'S BOND �/ NO. �O ® a� / DATE � `, (� ZONE 1C, Z 4 REQUIREMENTS � �OdC. CU. FT. l 9 m PLAN CUBE 34. C7-/ & CU. FT. r EST. COST $ - Ze l , G G G p� DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: Q• (4. )t4 Flit iz. Gc—.. DAT6 lc —Cz —, NEW CONSTRUCTION TYPE e '� S STORIES 646 ROOF CONSTRUCTION T 1 1_ C. . INTERIOR CONSTRUCTION � S ae m-fs a, s•V` - • - 6. - if REPAIRS DESCRIPTION ,� 0---1- 2-D A D i2 •— a4 2 L ` A-11 TL LE FL0c n -S YL ALTERATION DESCRIPTION fff [� )64-J 4 �1 L_ t /i• — T( C._C Cfc—c S Filt7/1 14 - 60/f ADDITION SUBMITTED TO PLANNING BOARD APPROVED ,.� REJECTED ,4%-)i) REFERRED TO COUNCIL .Q 1 ■YL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFD TO VILLAGE COUNCIL REMARKS - — • 3- 7 6 CERTIFICATE OF OCCUPANCY NO ; I t' �Y '1 .-- ISSUED IN \ � / BY � TO �� © �� + �� BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNG\TION ROOF DATE FEE BEAMS & LINTELS I POOL CC a�n -9i C JA-nI T1-., 1L FRAMING $ $ q ICI - 2 Y - AIR COND. 1 FINAL MOTORS I CLEAN UP $ FIXTURES SLAB SEPTIC TANK 1 $ SLAB S I Q SPECIALS PERMITS PERMIT NO. I DATE RE- INSPECT BY FEE TEMPORARY SERVICE ROUGHING DATE FEE $ ROUGHING SEPTIC TANK N. D.,.._ F._ CC a�n -9i C JA-nI T1-., 1L C-o . $ $ q ICI - 2 Y - SEWER 1 SOLAR HEATER MOTORS I $ FIXTURES GAS SEPTIC TANK 1 $ S I Q INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE ROUGHING H. W. HEATER CONN 1 $ TUB & TOP OUT QI! LF//h 1/ ZS S, RANGE CONN. SEWER MOTORS $ FIXTURES SEPTIC TANK $ FIXTURES & FINAL S SOLAR HEATER FIXTURES GAS C. CONTRACTOR Q. .e - Et.. YL - PHONE V PERMIT NO. ' r 7O ZS 1 DATE tt - - rot FEE $'24' 0 li Y 5 NEW BLDG. /` 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING H. W. HEATER CONN 1 $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ FIXTURES & FINAL S INSPECTIONS DATE BY RE- IN BY RE- INSPECT BY TFMP. SERVICE te /7 �-• k-C7e7/�/ C: ( n f / 00 ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL L 9 A 3+2-140 9-oo Fc .s , CONTRACTOR 1 ewo!'S PERMIT NO. 'VII NEW BLDG. / 1 `7 APPROVAL TO BUILDING INSPECTIONS 1.4-1.) PLUMBING PERMITS & INSPECTIONS /Sr Ca I DATE I ALTERATION I b - S� I ADDITION PHONE FEE $ REPAI RS ELECTRICAL PERMITS & INSPECTIONS POWER CO. FOR SERVICE DATE BY $ MIAMI SHORES VILLAGE, FLORIDA ` ' D E ' k_ 1954_ BUILDING ELECTRICAL ❑ PLUMBING ❑ PERMIT N? ROOFING ❑ Owner of Building - Architect Contractor or Builder Legal Description Address of Building Lot 7 C...1 .. e t?^ 31' Work to be performed under this Permit • 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 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. 7 Signed: (.1 • t ,t INSPECTOR ,t In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ord n� a ces and regulations pertaining thereto and in strict confo mitt' with the plans, drawings, statements or specifications syb'mined to the proper authorities of Miami Shores Village. In accepting this permit I ass e re o ibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Postc Subdi- vision Sq. Ft Value of e,y Project $ 1,e ^4'i. , . Amt. of Permit $ lr�' BY AUTHORITY .: I7 MIAMI SHORES VILLAGE Owner's Name and Address.....]% 910. / Street and Number where work is to be done BUILDING INSPECTION DEPARTMENT Date State work to be done and purpose of building (by floors) - '' r' . t i l� 'e`ri. 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. 4 "*.t.. No Street Registered Architect and /or Engineer...__ .. . 1zK. ?" Name and address of licensed contractor Location and le al description of lot to be ui t Lot Block Subdivision .c and for no other purpose. New Building e,--.i Remodeling Addition r epairs No. of Stores To be constructed of t.J9 £ Kind of foundatio>6-' >�'.Gf .. Y. ,e4. Ro of Cohering � / 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 5966, Compiled General Laws of Florida, Permanent Supylement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub,contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the sle Of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s 13contractors, on rk to be performed under this Estimated Total cost of improvements $.4i 6.,, .\ /11 Amount of Permit $ 66 i a-- Distance to next nearest building Size of Building Lot cll 'C ') Maximum live load to be borne by each floor permit, as are licensed by Miami Shores Village. L Remarks (Signed) i� ic ( -aZ- L y3 2 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, t pon 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 3rtGA Date ° —� +_`f Read, Sworn to and Subscribed before me. Disapproved i Dat . Notary Public, State of Florida (Signed) Buildin. 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. 0 e:PA-e-A_ ) L 3X 56 Lc" = , 1 x 3 IL 4-" — A1 1;L4" p"--- 0-4"X / 1 If t( 'I 5 X I 4 — = - ,z1L-45( = /.?v 33x = to Po-ta g 6 11- 1 I -10" = " . ••■•••.• ••••••• /0731.0 765: 1 icfr A-00.67 .3,3y r eg”,b1° 70,7r" PI 1 , ,137e1 x -5 ' 1 N 11 ":- R • --■■■•• 3g/i.0%77 e, ff17)737 laiL