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237 NE 102 St (7)BUILDING E ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 8271 ROOFING ❑ Owner of Building Architect 4'- Contractor or Builder Legal Description Address of Building Lo j j"'- t4- rf MIAMI SHORES VILLAGE, FLORIDA Date.'.' 4 Work to be performed under this Permit .'s 3 ? it d C 7 t . i • . 'flap AN. d_ft el ?PAL. 4t. C «• C-_71-..-OS4. Cw t i 7 I I B1 • • Subdi - visiot Sq. Ft. Value of Project Contractor's i c y co* License No. 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 applica- tion 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 1 a drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants.ol emplo tf SignedOr/ ± • FOR) BY In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawing- atements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work don. A either, myself, my agent, servant or employee. • -�-- CONTRACTOR or BUILDER BY AUTHORITY 19 3 I Amount of II Permit $ OWNER'S NAME i a.,..ES E vJ ,l_sa t..4 PRESENT ADDRESS ` N.E. X02 ST, LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 'L3 - 7 N N E E. t o -2. _,.. - ...49 - z. LOT 15- 1(. BLOCK . / SUBDIVISION /, r 47, ,-,1&.7d pfs.f d 1. S ?� ... , 1 l A GENERAL CONTRACTOR LI 2_ v4 Co N S t (L0L - TLo , y ADDRESS 1 31 ci - 7 w- Z ir- , E. 14w PHONE NO. ' LICENSE NO. !, BUILDING PERMIT NO. ' � 1 DATE l - �- ( _7 7 PERMIT FEE $ ' BUILDER'S BOND NO. 4. ' DATE ~----^ AOCiTICPa ZONE REQUIREMENTS CU. FT. PLAN CUBE 41 z.1" CU. FT. EST. COST $ C /B - C' a IA- NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: 3 - 1` nn & r Lair- 9 f DATS /_ 4. `- NEW CONSTRUCTION TYPE STORIES ON.e. ROOF CONSTRUCTION �,. ' 7 Jr ..� /J INTERIOR CONSTRUCTION I /L ©ems - &? 7J2c /`�._ REPAIRS n r m DESCRIPTION 000 / 7/ c / _ E N 7 jt "if-7 71 04 -- ALTERATION / DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS �f CERTIFICATE OF OCCUPANCY NO. 17 3 7 - I SSUED ' JYZ. BY Y TO 1 4. .,,4 $ E. �/ l r0•1 BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION ROUGHING I ROOF TEMPORARY SERVICE SEPTIC TANK 6J• L.. p BEAMS & LINTELS I g- POOL $ [L/ 7 � FRAMING RANGE CONN. AIR COND. SEWER FINAL I CLEAN UP $ FIXTURES SLAB I S GAS SLAB 1 $ SPECIALS PERMITS PERMIT NO. I DATE RE - INSPECT FEE TEMPORARY SERVICE BY ROUGHING I 5 TEMPORARY SERVICE SEPTIC TANK 6J• L.. p / Q // g- 7 $ [L/ 7 � SEWER / RANGE CONN. SEWER $ SOLAR HEATER $ FIXTURES I S GAS S 1 $ I S FIXTURES INSPECTIONS DATE BY RE - INSPECT BY RE - INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT H. W. HEATER CONN $ RANGE CONN. SEWER MOTORS $ FIXTURES SEPTIC TANK $ S SOLAR HEATER FIXTURES GAS CONTRACTOR IA. L_\....1 C_ EL•EG7,21Q • PHONE PERMIT NO. rZl 7 I DATE /— 1°' G 7 FEES Z' ZC NEW BLDG. 1 ALTFRATION � 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TFMP. SERVICE — ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL co 4 a CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS PHONE FEE $ REPAIRS DATE I ALTERATION I ADDITION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Comp/ 7-21-67 N° 171 Miami Shores Village, Florida, 11 - 9-67 Owner, Agent or Tenant of Building James E. Wilson Lot 15 -16 -17 Block 3 SubdivisionAmmended plat of MS #1 Street Address 237 N E 102 St Approved use by occupancy Bedroom & game room addition Remarks 8271 This Certificate of Occupancy is issued to the above named Owne r for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. Plan cube 4725 ‘)/t°"5 UILDING DIVISION Z' e 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. Owner's Name and Address wt,(rS 6" 1 1 s 0 tit Registered Architect and /or Engineer -------- Q e4_ — • Name and address of licensed contractor 1k/1 —CO S T CO Location and legal description of lot to be built on: A (� Lot_ 1S 1 (G c* (1 Block 3 loo Subdivision / /J EAJ.PEN ?C.1117 _gCP 0 I J k l� E� Ef� E Street and Number where work is to be done s? 3.7 N 1 () Z S 1 State work to be done and purpose of building (by floors / 0 . - __._ -A .D_.N.t s_t'. Cia /.. N�'F - - -- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories Kind of foundation - 101 0 - gw .c. Gam___.______ R oof Covering_ U. s To be constructed of___ __ __ fl 1/EZ. y �, Estimated Total cost of improvements $___T � ��� ._._. Amount of Permit $ l 0 0 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 pennit 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, Pennanent 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 ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such .co ors, on ork t rmm d under this permit, as are licensed by Miami Shores Village. Remarks _ (Sig :' tic- r� -v,<• - 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. '- 2 1 1 Permit No Disapproved (Signed) • BUILDING INS z u ION DEPARTMENT Date Building Ins!` tor MIAMI SHARES VILLAGE APPLICATION FOR BUILDING PERMIT S J Date &e, ` ,19.4 No._ ' 3 Street N E 102 /314 - w•Dtxie 4 41 r Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires LANNING 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. Fs- G 2 • o Cr- _ P .4l p E- n-.,,..T F- 7 1 I 4r o t, .4•