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141 NE 102 StBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building / / fi Architect Contractor or Builder Legal Description. Address of Building ;.✓ r..v� Lot 0 J /41 MIAMI SHORES VILLAGE, FLORIDA DATR ❑ PERMIT 1■ 11494 fl Work to be performed under this Permit 31. V Signed: Subdi- vision Value of Project $ ,,1 a U Contractor's License No � Amt. of p ermit 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. By' - ' 11 * ; 6 1# AUTHORITY 1954.-_ IId: •R In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in =genet conformity with the plans, drawings, statements peci' cations submitted to the proper authorities of Miami Shores Village. In accepting this pe it I assume responsibility for all work done by , ysel , wy ammo servant or employee. r� OWNER'S NAME MR.. AND MRS. S.. L. WARD 4 e PRESENT ADDRESS 111 N. E. 102nd Street LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 111.1 N. E.. 102nd Street LOT 20 & 21 BLOCK 19 SUBDIVISION MS S 1 GENERAL CONTRACTOR 0 `7NER ADDRESS PHONE NO. LICENSE NO. Q BUILDING PERMIT NO. -9 C 5 C DATE - 17 -5]t PERMIT FEE $ 5 BUILDER'S BOND O. DATE ZONE REQUIREMENTS CU. FT. / o P5' QJ PLAN CUBE CU. FT. z ` 7 - 5/ 7-4_)z f//9L EST. COST $ 500 TT DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: PG DATE 5-17-51 NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION ALTERATION DESCRIPTION �►�,y Extend. existin arrewned porrth X ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. (� . ry ISSUED �` c BY 1y 411 TO �J ... Jl ' BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEAMS & LINTELS $ SEPTIC TANK $ RANGE CONN. $ SEWER FRAMINC MOTORS $ SOLAR HEATER $ FIXTURES $ GAS S $ 5 INSPECTIONS DATE FINAL INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY CLZAN -UP ROUGHING GAS CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ SEPTIC TANK $ RANGE CONN. $ SEWER $ MOTORS $ SOLAR HEATER $ FIXTURES $ GAS S $ 5 INSPECTIONS DATE $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK SOLAR HEATER FIXTURES & FINAL FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE 5 NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES S 5 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS LECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY J 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. ,;1 t Date24 At =� � � , 1 9j--- Owner Name and Address ' _ 11 F" ;; dt -: No.1$ Street Registered Architect and/or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot— __�_ Block 1___ Subdivision Street and Number where work is to be done___~ State work to be done and purpose of building (by floors )__, _ New Building Permit No. // Disapproved (Signed) ___- Remodeling MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date_ and for no other purpose. dition Repairs No. of Stories To be constructed of_ i!e) --- Kind of foundation_ �2 R of Covering - Estimated Total cost of improvements Lf ____ _Amount of Permit $w__ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot /a ,5 ( ___ 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 ./ -,f/ 7( ? IL) 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 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 V` ) it--e rl/ 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. Date % Read, Sworn to and Subscribed before me. Notary. Public, State of Florida 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.