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261 NE 102 St (4)-. OWNER'S NAME DDISS, CLAUIE NEW CONSTRUCTION PRESENT ADDRESS 261 N. E. 102nd Street LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 26i N. k. 102nd Street LOT /f -/9 Y - 6// ad BLOCK I c SUBDIVISION /17. J/0 re GENERAL CONTRACTOR J. M. Ritter DESCRIPTION Storage Room in rear of residence ADDRESS 10880 N. E. 2nd Place PHONE NO. LICENSE NO. 9248 BUILDING PERMIT NO. 9248 DATE 4/ PERMIT FEE $ 5.00 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE SIC CU. FT. V EST. COST $ 410.00 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: JLA BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE DATE 26/50 NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION ALTERATION DESCRIPTION Storage Room in rear of residence E 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. ISSUED BY TO DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: JLA BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE DATE 26/50 ', INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION DATE FEE TEMPORARY SERVICE $ 'BEAMS & LINTELS $ SEWER FRAM 1iJG SOLAR HEATER $ GAS $ $ INSPECTIONS 'FINAL BY RE- INSPECT BY RE- INSPECT BY ROUGHING CLEAN -UP GAS CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. 1 ALTERATION I 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 GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE $ 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 ROUGHING H. W. HEATER CONN RANGE CONN. I FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY - 6■534igs- Leg P do Remarks 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 Shores Village shall be complied with, whether herein spe. • ied or not. A copy of approved plans and specifications must be kept at building during progress of the work. /IN 7%6, C Owner's Name and Address 2L f �' ` r -� 4 N o. " E /1� Street Registered Architect and /or Engineer Name and address of licensed contractor ,,,,. : Location and legal description of lot to bOu t on: Lot Block JutWvl Street and Number where work is to be done_ _6/ 7') ! _ State work to be done and purpose of building (by floors) — and for no other purpose. New Building Remodeling Addition 4.-----"-~ Repairs No. of Stories To be constructed of ( /-?,_ Kind f.ouniadn ON r 1 Roof Covering so Estimated Total cost of improvements . _■,„„,...%, Amount of Permit $_ Zone cubage required " _ _Plan Cubage______________ Member Member Council Approved Date__ Distance to next nearest building 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 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 pemrit, as are licensed by Miami Shores Village. i' • l (Signed) ` • •: ..�i. - • e Size of Building Lot 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, .eing by me first duly sworn, upon oath deposes and says that he is the of the ab've described true. construction that he as c i full read the oregoing a lication, and that he did sign the same, and that all facts therein b him stat e 1 �.j 1 Permit •. m to and Subscribed before me. Disapprov:. Date t __ f (Si Notary Public, State of Florida My Commission Expires PLANNIN' :OARD 1 DATE Member Member Member 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. 453 X \z 8(T3 az���g3 = szp3 10 to I)