434 NE 102 St (7)OWNER'S. NAME
DAN S C I-1 M 1 D T
• PRESENT ADDRESS
aO °o • .1J. E' BAY S HoaE e�d
I .LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
4 54 N. E . 1 OZ. STRE.t1
LOT
8 it ID io at - t
BLOCK
91
SUBDIVISION „�
MIAMI SNORES 4
GENERAL CONTRACTOR
- 141.4e.0 E WAI.L.Ac..E - 4/61a. U.S- U.).
ADDRESS
on s +. % 1340 S.W. St
PHONE NO.
LICENSE NO.
(0434-
, 41-18
BUILDING PERMIT NO.
DATE ID 2 7•`3
A e
PERMIT FEE $ 4.8
BUILDER•S BOND
NO. ZSa DATE G.
ZONE 1 a. REQUIREMENTS 18, Co° CU. FT.
7: c i( sg E"
PLAN CUBE 2 3 110 CU. FT.
EST. COST $ / 3. Q OO
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY /1). R. B"..1 c .- 1
DAAT=
4. ' 7 7 - (0 f
NEW CONSTRUCTION
TYPE
C. T3 a
STORIES
04C
ROOF CONSTRUCTION
7; /e ••
INTERIOR CONSTRUCTION
1 3 aGdro°.... 2 4. . fc�r.�z.a,
REPAIRS
1 / DESCRIPTION L
T4.oe9 p�sS�e o L � , 4060 CC .,e *- 4..••
ll. .. t
.,.( C t /n� L
ALTERATION
F DESCRIPTION
- file c. / /�i -
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
a
CERTIFICATE OF OCCUPANCY NO. Pi to
P. -a l- 6
I ISSUED
BY
_-'c t i i)r,
1 TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
Z - \ -k- '3 I L V)-'S
ROOF
y "IS'
(--;�5
BEAMS & LINTELS
1-U-L ? LS(
POOL
DATE
BY
'RAMING
BY
RE- INSPECT
AIR COND.
ROUGHING
1' 7-1--1
FINAL
CLEAN UP
S
TUB & TOP OUT
SLAB
"( - -Wi
w
3
FIXTURES & FINAL
SLAB
-2-3-L..
`-- 1 -'S
S
TEMPORARY SERVICE
I I S
SEPTIC TANK (Joi —ti-
S,J a=“) F ceI7 s- - `_a I $ at -4--.-1
N
SEWER
I I 3
SOLAR HEATER
I S
GAS
I I S
444 4 te;,.( - P«.�; - r. 411
¥8 ,- V - 14.... f - 77, 6- s
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
1' 7-1--1
,.. =2•
S
TUB & TOP OUT
RANGE CONN.
3
FIXTURES & FINAL
SEWER
-2-3-L..
`-- 1 -'S
S
FIXTURES
SEPTIC TANK
S
SOLAR HEATER
5
FIXTURES
GAS
CONTRACTOR -L *. A.
E- c- T eI..4 C , ^
PHONE
RE- INSPECT BY
�
PERMIT NO. 'P
3 (� -,.—
1 DATE —2 — « -
FEE S '7-5.1 �
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
?- 1-t --L?
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE L
Ad
t� te.G.t /,
. 243 - 4 '
S
RANGE CONN.
H. W. HEATER CONN.
S
RANGE CONN.
3
FIXTURES & FINAL
MOTORS
S
FIXTURES
S
5
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
?- 1-t --L?
c.`ht—'S
ki. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
2
CONTRACTOR 1Acran_I-T-1,
DATE
NEW BLDG. ✓ I ALTERATION 1 ADDITION
PERMIT NO. 4e
APPROVAL TO POWER CO. FOR SERVICE DATE
BUILDING INSPECTIONS S. 'rii 1490E-rri 6 td-
PLUMBING PERMITS & INSPECTIONS
1 -(—r3
SPECIALS PERMITS PERMIT NO. 1 DATE
6 -0i PHONE
FEE S
ELECTRICAL PERMITS & INSPECTIONS
REPAIRS
BY
__
FEE
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Y ,
BI
CONTRACTOR OR BUILDER
Work to be performed under this Permit
DATE
19 ,.
Subdi-
vision
Value of *"-* Amount of
Project $ s r; `' t I 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 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 or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed' "' ' . 1 r - ; :j , INSPEC ' .
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance: vith all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ae
cepting this permit I assume responsibility for all work :done) by either, myself/my agent, servant or employee.
AUTHORITY +Boor
tip r I"
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 1uilding 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.. D i t S G _ t''l__ g___0�
Registered Architect and /or Engineer 0- Ef It R.9 ? i TT
Name and address of licensed contractor A PASS E • VG A L--L F is 6 D [P V V . l.
/A V1r = 4 ef JS i-R U C'1"/ O /)(
Location and legal description of lot to be built on:
ptEST IO -t" o 7
Lot_. -L- 2 1-07" 1-07" 7- 8 Block Ci i -
A�
Street and Number where work is to be done T3. " ' g, e i 0 NJ a
I
State work to be done and purpose of building (by floors)
-1 - - - - - - F Am 1 _c ets Re S D e- I c P.
and for no other purpose.
New Building- _yI~_ Remodeling Addition Repairs — No. of Stories O He
To be constructed of G 6 S Kind of foundation C N C.-^g- E l Roof Covering..Xl Le
8
Estimated Total cost of improvements $...._lS_QOO
Zone cubage required / J
P - LO
Distance to next nearest; building.___.
1 4 - ' 1 1 g Date
Permit No
Disapproved (� , at
Ale
( Signed)
Building I. ,ector
MIAMI SHORES VILLAGE
Subdivision...- J4crrf o
Amount of Permit $
. c st
- - zre &
Date Jv N E , r�5 , 19
No Street
4- p e t 'Ai- S h u kt es
.STIR er
Plan Cubage 2 � y .1.7 0 T. J. • `11,5'13V
Size of Building Lot G n —® tr X I 1 +3
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
"DAN S C H 1`( I DT 2,00o hD , t: � $A S p 2a �v �r.T..... i 3E
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. {� vs
Remarks (Signed) 9' `411 4. ,.
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
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.
Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
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.
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 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. ;CA/L'44
Registered Architect and/or Engineer
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
r3A-4/..A-1P
Permit No Date
Disapproved Date
(Signed)
Building Inspector
Chairman
Member
Member
Council Approved Date
MIAMI SHORES VILLAGE
Date
Name and address of licensed contractor
Location and legal description of lot to be 1 A o built on:
Lot
i_41' Art 4-ompr-rs Subdivision -)1- er4-0
/134' q
e A_,44-02., Al' •
and for no other purpose.
New Building , Remodeling
Addition Repairs No. A..atories /
To be constructed of C.% 13 S Kind of foundation et,"k/...... Roof Covering
Estimated Total cost of improvements
Amount of Permit $
Zone cubage required Plan Cubage
Distance to next nearest building ------ .2Q I Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said build'
be sent to
The undersigned applicant for this building permit does hereb
of labor under the Florida Workmen's Compensation Act, being
and has complied with the provisions thereof, and will require sin
in the work to be performed under this permit; and will post or cfuse
or notices as are required by the Act. The undersigned agrees to e
permit, as are licensed by Miami Shores Village.
Remarks
5 J L a — - 2 - 4212
notices with reference to the building and its construction may
'fy that he understands and accepts his obligations as an employer
5966, Compiled General Laws of Florida, Permanent Supplement,
ompliance from all contractors or sub-contractors employed by him
be posted for inspection on the site of the work such public notice
only such subcontractors, on work t. be performed under this
(Signed)_
/
/ L1
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.
Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Street ) '
,
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
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 51.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.