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479 NE 102 St (11)N? 4572 Village.,o of Miami Shores JOB Air //c 5 ADDRESS ' 7 AL 0, re, INSPECTION s r( c -rte -=^r TIME READY • REMARKS INSPECTOR DATE 7`13 - �� nilage,,of Miami Shores JOB ADDRESS CA 7 a Pc O Z N? 4530 (,JeA - INSPECTOR n21 INSPECTION 0, .(_•'? - TIME READY , ----,.- REMARKS 4"..- 2 2 -'? 4.- .- G' ■I'' . ....< ‘.., r t (---: , , 2(1 (7 • J ,,/„., ci • t'L (or- ,-- :-/ _ DATE BUILDING ( 1 ELECTRICAL 1 PLUMBING (l ROOFING P1 Owner of rl...Lt f Building Architect ti: ti - t. ' 1. Contractor ,, t or Builder Legal Description. Address of , Building "t t f t Lot 1 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE l PERMIT IT? 11714 Work to be performed under this Permit ti , BL Signed • aLo6M NA/FILL Subdi- vision Value of Project $ INSPECTOR -ay.'? I Contractor's License No BY Amt. of Permit BY AUTHORITY $ 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 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. t , 4004 r ,,. t t.( 195 f y 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 assupie responsibility for all work done by either, myself, my agent, servant or employee. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. L �N Owner's Name and Address L to Registered Architect and /or Engineer Name and address of licensed contractor Location an�eal � description of lot to be built on: - Lot_ Vb ock ( Q Subdiv' Street and Number where work is to be done State work to be done and purpose of building (by floors)_ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories No._ _ 1 q Street Id E. /0 A' SSY To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ S0 D ' '� Amount of Permit $ L?_a 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 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) 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 tr . Permit No I 11/ 1 Date ____& s �� ` c Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) 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. OWNER'S NAME ARTRLI t E•.. WILLES PRESENT ADDRESS 4?9 N.E. 102nd. STREET LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) ) 179 N.E.. IO2rid. sTREET LOT ADDRESS 4?9 N.E 102nd. BLOCK STREET SUBDIVISION PHONE NO. LICENSE NO. GENERAL CONTRACTOR OWNER - ��rr�7 BUILDING PERMIT NO.J��.1/,11 [ /n 51. O/ 2. DATE 81 C PERMIT FEE S 5.00 BUILDER'S BOND NO. DATE ZONE P EQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST S 500.0() DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: P .G.• DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCRIPTION ALTERATION CBSS W" CBS x 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 BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY 1 RE- INSPECT BY RE- INSPECT BY FOUNDATION 7 - 2 - .J 7 / ✓ FEE TEMPORARY SERVICE $ BEAMS & LINTELS SEPTIC TANK $ $ SEWER FRAMING $ SOLAR HEATER $ $ GAS $ S $ $ FINAL I A \ . ! BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP SIP i- NW S CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK $ $ SEWER $ $ SOLAR HEATER $ $ GAS $ S $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK 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 ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS P G PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE DV