444 NE 102 St (2)OWNER'S NAME
Prank H. Shuflin
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
444 N.L. 102nd Street
LOT
6-;.E15 of 7
BLOCK
91
SUBDIVISION
Sec. 4
GENERAL CONTRACTOR
owner
ADDRESS
PHONE NO.
LICENSE NO.
15888
BUILDING PERMIT NO.
3 -15 -54
DATE
9.00
PERMIT FEE $
BUILDER'S BOND
1653
NO. DATE
ZONE REQUIREMENTS CU. FT.
4,583 8
PLAN CUBE CU. FT.
5000
EST. COST $ �
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
addition
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
p /REMARKS
�) i ) � " / /` �
CERTIFICATE OF OCCUPANCY NO. / r (i
ISSUED F r ' ' f
BY <`:S•
I TO " %
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS `
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
PERMIT NO.
DATE
n �
TEMPORARY SE.RVICE
$
$
BEAMS & LINTELS
a�
,y V
''
S
SEWER
$
S
FRAMING
qo '')1.
`/
. '
GAS
$
$
S
S
INSPECTIONS
DATE
/ BY
RE- INSPECT
FINAL
Q_C
BY
ROUGHING
q",1 1;j`. -!
to % -ll
CLEAN -UP �� l.r; f ..
. =,
iC,�
/�
��� �!�l/
CONTRACTOR
PHONE
PERMIT NO. 1 DATE -
FEES r
NEW BLDG. 1 ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SE.RVICE
$
$
SEPTIC TANK
S
S
SEWER
$
S
SOLAR HEATER
$
$
GAS
$
$
S
S
INSPECTIONS
DATE
/ BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
q",1 1;j`. -!
to % -ll
ROUGHING
GAS
� d
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
C= 2- )'�V !
CONTRACTOR V k;; - 'LA-y--ci ■
PHONE
r
PERMIT NO. /1-47 3 1 DATE c F-- KY
)�9
FEE $ i �
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
S
RANGE CONN.
$
MOTORS
$
FIXTURES
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
1
ROUGHING
A ° �(���
� d
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
< . ‘%
< C 4
BUILDING INSPECTIONS
PLUMBING PERMITS & ON F ECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
DATE
❑ PERMIT N? 15888
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
7 „ u
Subdi-
vision
Value of
Project
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 clone 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.
I
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 strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Signed:
i
INSPEGw*rUR
Contractor's
License No
Amt. of
Permit $ i:,,/
BY AUTHORITY
•7
195
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or oilier structure her..ii, described. This ,ipplication is made in compliance and con-ormity with the Building Ordinance of Mia:.ii
Shores Village, Florida, and all provisions of the Laws cf the State: of I h rid... all o- d•nances of Mi .mi Shores Village and all rules and
regulations of the building Divici ,n of Miami Shor 1 illage ,h1 >e ro.np1.ed with, whether herein specified or not. A copy of approved
plans and specifications must be kei at building durin progress of the work.
Owner's Name and Addres g 11 I6 ,T� ' 0
Registered Architect and /or Engineer._
Name .'nd address of licensed contractor
Location and legal description of lot to be built on:
Loll G 4...te.13.1 0 L®j.1 .. Block e; \ 1 Subdivisio 5e a..
Street and Number k'here work is to be done. C' `t � _. � . s?
State work to be done and purpose of building (by floors)
Chairman
Member
Member
Council Approved
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
MIAMI SHORES VILLAGE
BUILDIN:, INSPECTION DEPARTMEN': -
APPLICATION FOR BUILDING PERMIT
_. }.I.a . i
Date__ -__3 �
and h..s compl ed with 'he �rov•aons thereof, and will require sinii.iar coma tame frou
in the WO k to be p r: -med under thus permit and :ill post or cause to be pet ted fo
or notices as are requir d by the Act. The u, der Igo •d agrees to employ only su
perniit as are licensed by M ami Shores 1
Remarks_. (Sig.
Date 5 4 ,19 ST"h`
1_a4. - .4
- -- 4 . _ _ fit p -
Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Member
Member .... .
Member
Date Disapproved
A Street. N • -! __I Q a._ S
Notary Public State of Florida
and for no other purpose.
Remodeling__ Addition....(,r . Repairs _ 1.0•"`" . No. of Stories
New Building. �Y Q'
To be constructed of 6 / . , S' . _ . Kind of foundation .Sp.V�$! __.e 4 i ... . Roof Cov g_th /i1/ 0 7 ✓?'(
Estimated - ;tal cost of improvements $__ 51, ® ®
� o p® Amount c ` Permit $.. _ _ . .,..—.
Zone 'ubage required _.. _Plan Cubage_. - -.... .
Distance to next nearest building.. .2 ® . , Size of Building Lot .. ,_X._ _/./__5. _t
Maximum live load to be borne by each floor _ 44.b _
hereby sub it all the lans and specifications for said building. All notices with referent to the building and its construction may
be sent to.._ teri iix t'_ may _
The undersigned appli:•ant for th's holding permit does hereby certify Mat he understands and accepts his obligations as an employer
of 1:,bor under he Florida Workmen's Compensation Act. being S. •t:on 5960 Co: - pled G.. al Laws of Florida. P r anc-n cent.
tractors or sub - contractor:, einplo 'ed by hint
tion on the site of the work so public note, e
.00ntr. ctors, on worry tp be urn, d der n th•
Before me, the undersigned authority, a notary public, duly authorized to administer oaths ..nd take acknowledgments, personally
geared ap-
pear ed _
to me well known,
and who, being by me first d ly sworn, upon oath depoees and says that he is the ... _
of th abov. de gibed istruction. t. . 1; has carefully read t e foregoing application, and that he did sign the same, and it at all facts
therem by him stated are tr ie.
Permit No
Disapproved 1._. Date
(Signed) - -- - -- `� - c,
r Bui •aPfa nspector My Coin:nission Expires.
Date
NOTE: A charge of $1.00 will be made for making corrections or _hanges to this application fir approval 1, s ! r. a obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is m;. 1r. ncces,ar; by improper notice fc r insp . t',n or fa ity
materials and /or workmanship.