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574 NE 102 St (8)NE DANIEL SC IID. 'S NAME PRESENT ADDRESS 8000 N. J. Bayshore Ct. LICENSE NO. 7129 PHONE NO. JOB LO T 57L N. L. 1 2n (ST. OR AVE.) St. LOT, . 3 BLOCK. 94 SUBDIVISION M. S. Sect #4. GENERAL CONTRACTOR ?All= 8: P itIE R ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 5221 DATE 5.1'64 PERMIT FEE $ 36.00 BUILDER'S BOND No. 26 DATE 5- -64 ZONE REQUIREMENTS CU. FT. Tax Value — 0 PLAN CUBE 15 , 5 54.4 5 CU. FT. EST. COST $ 10 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: U. R. Bradford DATE BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE NEW CONSTRUCTION XHICIMOC D DC TYPE CES STORIES 1 ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION REPAIRS DESCRIPTION ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFI7 TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. /.-.. p I ISSU / / -/ ,Q BY uJ� ,fJ /�' �/ TQ �/y..,, 04/ - A� ,(y k frr J� „..,�q�.Q- DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: U. R. Bradford DATE BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION LT-s- > Dt�1�i. -S elone. Tl�. bV $ Wo-0 ROOF 1 $ BEAMS & LINTELS I $ POOL I $ FRAMING I S AIR COND. DATE BY FINAL I RE- INSPECT CLEAN UP ROUGHING $ SLAB I S TUB & TOP OUT SLAB SPECIALS PERMITS PERMIT NO. I DATE FEE TEMPORARY SERVICE I $ SEPTIC TANK. I AAOtt - LT-s- > Dt�1�i. -S elone. Tl�. bV $ Wo-0 SEWER 1 $ SOLAR HEATER 1 $ GAS I $ RANGE CONN. I S INSPECTIONS DATE BY RE - INSPECT BY RE- INSPECT BY ROUGHING $ S TUB & TOP OUT SEWER SEPTIC TANK SOLAR HEATER FIXTURES GAS CONTRACTOR QM ,6. - L ,EGTiQIc. - PHONE PERMIT N0,67.1 2* 1 DATE FEE $ NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS • PERMIT NO. DATE FEE TEMPORARY SERVICE .,4.2.1- 5 -1¢ -lay $ O. -v H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE RE - INSPECTI BY RE- INSPECT BY TFMP SERVICE - ....:i-Cei# (LIQtcriaG `` "",,pp J 3 i B Q[ Y FPp ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL PERMIT NO. s ?G?. f I DATE - 49" (67 NEW BLDG. I ALTERATION 1 ADDITION BUILDING INSPECTIONS CONTRACTOR N PLUMBING PERMITS & INSPECTIONS PHONE FEE $ ot2o2• REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Contractor or Builder Legal Description Lot PERMIT N9 ntritar R Q " 0 ,'� cen4 No. MIAMI SHORES VILLAGE, FLORIDA Architect i + . a ' , B1 Work to be performed under this Permit Address of ' f1 Value of �" II Amount of Building ' : r ' Project $ E r1 • • ' 11 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. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances arid regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employed. CONTRACTOR OR BUILDER Signed. DATE " 19 ' 4 - Subdi- vision INSPECTOR BY AUTHORITY 41OOT J f3� v o . pe&,n, ., q-F - C2:1-1 MIAMI SHORES VILLAGE L,..EpiSe - 7a z c t 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. i Date l � ) Owner's Name and Address _ ___ _ No._ 00 Ai Registered Architect and /or Engineer 3 Name and address of licensed contractor _ _ Location and legal description of lot to be iln: o 9 Lot Block __ , 7' a. Subdivision _ � _ Street and Number where work is to be done v 7 k , f'a a 1 _ State work to be done and purpose of building (by floors) and for no other purpose. New Building .34emodeling 1 ition Repairs No. of tori s r n To be constructed of Kind of foundation �_.__s Roof Covering /'_- � o n Estimated Total cost of improvements sic 0 e� Amount of Permit $ , 2 Zone cubage required _Plan Cubage * X4 _ w Distance to next nearest building Size of Building Lot NrE x / 1 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 applilant 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 pravisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed der this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such su.contractors, on work . be performed under this permit, as are licensed by Miami Shores Village. / ) Remarks (Signed)__ `_6 _ _ _ -_ _dt.r<gA. 6' 19‘ 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 ��� t Date `� -� �" Read, Sworn to and Subscribed before me. Disapproved Dat Notary Public, State of Florida ( Signed) �- - - -- s Building Inspe .r 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. cz '