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150 NE 102 St (7)OWNER'S NAME P PRESENT ADDRESS L LICENSE NO. P PHONE NO. JOB LOCATION (ST. ON AVE.) L LOT B BLOCK S SUBDIVISION GENERAL CONTRACTOR - - ADDRESS P PHONE NO. L LICENSE NO. �( DATE 5 -3 -51 P M B BUILDER•S BOND ZONE REQUIREMENTS CU. FT. P PLAN CUBE 1,430 CU. FT. E EST. COST $ 00 TI+ DATE NEW CONSTRUCTION TYPE S STORIES R ROOF CONSTRUCTION I INTERIOR CONSTRUCTION REPAIRS DESCR IPTION ALTERATION DESCRIPTION % A ADDITION S SUBMITTED TO PLANNING BOARD APPROVED R REJECTED R REFERRED TO COUNCIL R REASONS RESUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS e � � a . ?� T a; �- ' \ BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE EY RE- INSPECT HY RE- INSPECT BY FOUNCATION c-4 -��J DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS FRAMING $ $ SEWER $ $ SOLAR HEATER $ $ GAS FINAL $ $ $ INSPECTIONS CLEAN -UP BY RE- INSPECT BY RE- INSPECT BY ROUGHING CONTRACTOR PHONE PERFIIT NO. DATE FEE $ NEW BLDG. I 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 ROUN1NG GAS H. W. HEATER CONN SEWER RANG9 CONN. SEPTIC TANK a' SOLAR HEATER FIXTURES & FINAL FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUN1NG H. W. HEATER CONN RANG9 CONN. a' FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING DATE � 195 ELECTRICAL ❑ PERMIT N? 11428 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be rformed under this Permit Owner of / ti -..� Building �_. Architect Contractor or Builder Legal Description. Lot MIAMI SHORES VILLAGE, FLORIDA Address of _ f Building r •. (./ i - • Subdi- vision Value of Project $ B ILD • • BY • Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building otto 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. Signed• BY INSPECTOR 3 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances stid regulations pertaining thereto a n strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of mi res Village. In acceptin r m , • I aaum) responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 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 Sfiores 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. Owner's Name and Address_ -,. ��a__F �� ° " No. ti`Q r / .' Registered Architect and /or Engineer f �__ M _ _' ` .rc__4_; , i 1 tea' l Name and address of licensed contractor /_. t' - ;��_- _�.d�1A Location and legal description of lot to be built n: Lot_____ _9 ." ________ Block / 'y__ —__ Subdivisio _ ._ _ � 1 ___J"ry 72.4......._ Street and Number where work is to be done_•s /0 Zit`' _ __L. i State work to be done and urpose_ of bui ding (by floors)_____Lf.e_ ..4. i L + ,� -, _9_ __f_ __ 1 fr New Building STATE OF FLORIDA, COUNTY OF DADE. j ss. modeling To be constructed ofj4;� . � _rovements - � Kind of foundation__,.__ �+ .''' R f Covering ? ? ��� Estimated Total cost of improvements $___ P 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 __ r t ' ' ,i P� /7 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, 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) - - -f = " �, -I "' Addition r✓ Date _ e>,••• and for no other purpose. Repairs No. of Stories 1 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 for going application, and that he did sign the same, and that all facts therein by him stated a true. ,...�— �' Date_ Permit No._ / E / Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Stree 4 1 .42 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.