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565 NE 102 St (4)MIAMI SHORES VILLAGE, FLA. No 5877 JOB e5 ADDRESS__e--5 /I° INSPECTION TIME READY 3 : j REMARKS INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. No 5971 JOB ADDRESS e (� INSPECTION TIME READY /10' ?1 `/A 6 REMARKS: °} bx(- t '�' INSPECTOR DATE OW ER' NAME JIM 2Y C. GRflvUv NEW CONSTRUCTION PRESENT ADDRESS 565 N. E. 102nd St. LICENSE NO. PHONE NO. JOB LOCATION ST. OR AVE.) 565 N. E. lb2nd St. LOT Ef 20 all 21 BLOCK 93 SUBDIVISION Miami Shores Sect. 4 GENERAL CONTRACTOR OWNER—BUILDER DESCRIPTION ADDRESS PHONE NO. LICENSE NO. [ BUILDING PERMIT NO. 5111 DATE -G, 3 -2 PERMIT FEE $ 19.00 BUILDER'S BOND NO. 2604 DAT1324 64 ZONE REQUIREMENTS CU. FT. T. V.— 1552.00 PLAN CUBE 310 CU. FT. It EST. COST $ 8500.00 DRAW NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:ZI R BUILDING PERMIT AND INBPE RECORD -MIAMI SHORES VILLAGE D AT I NEW CONSTRUCTION TYPE CBS STORIES ONE ROOF CONSTRUCTION Built Up INTERIOR CONSTRUCTION Convert existing garage REPAIRS DESCRIPTION into dining room construct new garage 20 x 24 ALTERATION DESCRIPTION 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 6 BY W / I TO .� „ .( . F. - // _,� - DRAW NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:ZI R BUILDING PERMIT AND INBPE RECORD -MIAMI SHORES VILLAGE D AT I ' INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION I $ ROOF I $ BEAMS & LINTELS TUB & TOP OUT $ POOL $ FRAMING e AIR COND. MOTORS /- /WP- /- 2. /IP .. /((v FINAL $ $ FIXTURES CLEAN UP SLAB S SOLAR HEATER SLAB FIXTURES SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE I S SEPTIC TANK I $ SEWER I $ SOLAR HEATER TUB & TOP OUT $ GAS $ RANGE CONN. e INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING PERMIT NO. DATE FEE TEMPORARY SERVICE /SD StRIJ ^ S!le - d/ -(.S ) TUB & TOP OUT H. W. HEATER CONN. S RANGE CONN. SEWER $ MOTORS /- /WP- /- 2. /IP .. /((v 6 f /.i -60 $ $ FIXTURES SEPTIC TANK S SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR J 0 {d N IV V S CL. LC.TR, l PHONE PERMIT NO. 5 /&'D I DATE -!— /S - 64I FEE $ /i. 4/0 NEW BLDG. ' 1 ALTERATION I ADDITION ' REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE /SD StRIJ ^ S!le - d/ -(.S ) $ H. W. HEATER CONN. S RANGE CONN. $ MOTORS /- /WP- /- 2. /IP .. /((v 6 f /.i -60 $ $ FIXTURES S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT' BY TEMP SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS DATE 1 ALTERATION 1 ADDITION PHONE FEE S REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING ROOFING Owner of 1 1 ; ' Architect - t Contractor or Builder Legal Description DATE 0 PERMIT 51 OCIE. r w N . ..Britt ctoee tilt L, Lfcer} a No. - w .. ii 41 Lot Li . CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit Bl. f, s4 Subdi- vision BY AUTHORITY 19- 2 Address of Value of r 1 Amount of , Building t ' I . Project $— 1 Permit $ t i 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 INSPECTOR 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. /MOOT 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. Vi a / k g ���/ Da te , 19 j�31�j L' • r I Gta A ;' • Jecul A \ • �x 6°e e 4 No-. Street l f G Owner's Name and Address J Registered Architect and /or Engineer ( -\ aY \'c"\ \ Name and address of licensed contractor Location and legal description of lot to be built on: { �l ? i � � � Block C t 5 Subdivision N Street and Number where work is to be done `,Skil `1 State work to be done and purpose of building (by floors). r� � F 1 - / ' / 1 c ., ° New Building- 1/ Remodeling___ Y Addition Repairs - To be constructed of_C Kind of foundation ,____ Roof Covering ___ , Estimated Total cost of improvements $ t ` , (. ( ` _Amount of Permit $ L Zone cubage required — ___.Plan Cubage �` 1 4 ' 1 • ' 1 • r G E ?t ` Distance to next nearest building Size of Building Lot 7S 'Z S APPLICATION FOR BUILDING PERMIT 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 X, t • . ., be sent to L 7 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 bcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed ) __ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date__ __ ` F(` t-- Date y p r 1 � s, uilding Inspector Read, Sworn to and Subscribed before me. Notary Public, State of Florida No. of Stories e.; (,,f r ra f12/ ' ?/ and for no other purpose. r C U (7/ e. 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, 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. Permit No Disapproved ( Signed) My Commission Expires PLANNING BOARD DATE Chairman 1 Member Member Member Member Member Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. Date has been obtained from for inspection or faulty