60 NE 102 St (2)OWNER'S NAME
1.1 N E c a 4: Ere. 4 -J . 12 ..e a ■ 0• tom____ .
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
4.ca '. -. to°,• 9,..•..'Z.
LOT
4
BLOCK
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SUBDIVISION db/
A .... 014e,00 ?Lou- op Mi' ,; Sk.
GENERAL CONTRACTOR
De op.... 2 G.LA�s F
ADDRESS
1 S
lo._,� N•'.• 9g— t-
PHONE NO.
LICENSE NO.
4g a"N
BUILDING PERMIT NO. 1 .6 - 2.
DATE 2 -7- (o/
.e
PER IT FEE $ 4 �
BUILDER'S BOND
NO. . °1 DATE Z -7-b
ZONE 1 &•CREQUIREMENTS 1 YS® O CU. FT.
'r: v. * 17. o 1 1
PLAN CUBE Z4 ,0 0 3 CU. FT.
00
EST. COST S / , 00�
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DRAW NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C.• P'�` P'F_� G L
I DAT=
NEW CONSTRUCTION
TYPE
�e3 %
STORIES
One
ROOF CONSTRUCTION
T. Le-
INTERIOR CONSTRUCTION
. 3 eo �loo,s.. 2- a -‘.4 41
REPAIRS
,
DESCRIPTION
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G".....,.. .-& o �ww ,-
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DESCRI ION
ALTERATION
S •
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ADDITION 74 444.
• .�/bS L e /O{ // [ -,.114 44.. d Ccti /�.7
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SURMITTFr) TO VILLAGF COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. I7,.•LV I ISSUED 7 r
1-]� �(
B Y - " - ' +
TO I.'E-AV-C 4J0 O.L,IC_
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
TEMPORARY SERVICE
1
FEE
$
RE- INSPECT
SEPTIC TANK
(tlO2 : M
r) - ... 7 ' (Cio - r .c—, -
Er-,
$
i Z4
SEWER 6r - 01.
- 9 /'f,� -,,e,
0 0P�Il 3rlo 0
MOTORS
$
i.-
SOLAR HEATER
FIXTURES
$
$
GAS
S
SEWER
1
L
FIXTURES & FINAL big . e_C t,
$
I a
SEPTIC TANK °
_., �_
i
INSPECTIONS
DATE
FEE
BY
RE- INSPECT
BY
RE - INSPECT
BY
ROUGHING
$
RANGE CONN.
$
MOTORS
I
TUB & TOP OUT
FIXTURES
$
I
S
SEWER
L
FIXTURES & FINAL big . e_C t,
`&.—W £,J I I
SEPTIC TANK °
_., �_
i
rf ,..,
P-, -
or.
- !v .,
<' � o.• ,-
SOLAR HEATER
I
FIXTURES ESt1 C.° it-i.,—.
4 25 — [0(
GAS
SPECIAL PERMITS PERMIT NO.
DATE
FEE
TEMPORARY SERVICE E%os 77'c - cCrd
d ,(��.., Jaye
$
H. W. HEATER CONN.
I
ROUGHING
$
RANGE CONN.
$
MOTORS
I
S
FIXTURES
$
I
S
INSPECTIONS DATE
BY RE - INSPECTI BY
RE - INSPECT) BY
TEMP. SERVICE
I
I
ROUGHING
H. W. HEATER CONN
I
RANGE CONN.
I
I
L
FIXTURES & FINAL big . e_C t,
`&.—W £,J I I
N.
N.
4 3
FINAL
SLAB
SLAB
INSPECTIONS
FOUNDATION ` a - ,l.r . i.a
BEAMS & LINTELS I I
FRAMING I I
I I
I
I
CONTRACTOR
SPECIALS PERMITS
DATE I BY I INSPECTIONS
ttci -t
BUILDING INSPECTIONS
ROOF
POOL
AIR COND.
CLEAN UP
PLUMBING PERMITS & INSPECTIONS
PERMIT NO. 1860 1 DATE 2— t4. C -, 1
NEW BLDG. $ 1 ALTERATION I ADDITION
I PERMIT NO.
ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR L M C,
PERMIT NO. iS C. I DATE 3^ 1S C-
J
‘Z1 APPROVAL TO POWER CO. FOR SERVICE DATE
DATE
tine
DATE I BY
1
PHONE
an
FEE $
REPAIRS
FEE
I PHONE
FEE $ 4rt • 9 o
BY
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
6 /
plans and specifications must be kept at building during progress of the work.
1
Owner's Name and Addres
Registered Architect and /or gineer
and address of licensed contractor
Location algal description of lot to be bolt on:
Lot Block Subdivisi
Street and Number where work is to be done
State work to be done and purpose of building (by floors) ,r
New Building Remodeling .Addition
To be constructed ofc. Kind of foundation .
Estimated Total cost of improvements LL . T
be sent to
The undersigned applicant for this building pennit does hereby certify that
of labor under the Florida Workmen's Compensation Act, being Section 5966,
and has complied with the provisions thereof, and will require similar complia
in the work to be performed under this permit; and will post or cause to be p
or notices as are required by the Act. The undersigned agrees to employ only
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Date..._..
and for no other purpose.
Repairs No. of Repairs No. of Stories
Roof Covering
Amount of Permit $
�. c_c6)
Zone cubage required ./ sc
�__ .Plan Cubage
Distance to next nearest building.... Size of Building Lot )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
TAA
e understands and accepts his obligations as an employer
ompiled General Laws of Florida, Pennanent Supplement,
ce from all contractors or sub -contr tors employed by him
ted for inspection on the site of t ork such public notice
uch sub 4 ntractors, on wo to : pz formed under this
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 hire stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Notary Public, State of Florida
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.
•
' o.
3
THOMAS E. FREDERICK
CIVIL ENGINEER AND LAND SURVEYOR
PHONE PL4-6553 • 280 N. W. 104Th STREET • MIAMI, FLORIDA
,
1.or: 7 11.
V_APf
PVITI A I. CERTIFICATE
1 HEREBY CERTIFY that the at/ac/i,71 plat represents a recent
.urz ey nade by me or under my direction and is true and correct
to the best of my k nmeledv and belief; also-that-#he--4.itildin-g
and folinaration lines isr.- t(40111. Fatid4F 414A gi4 11:444, eI4S ShO 11'H
-rod rOtuf#Pue-ted.
ThN
Survey of
Legal Description
Lot No._ 14 Block No 7//` Subdivision_ _24/21711) P/91" '
according to Plat thereof as recorded in
Plat Rook .Page '//7
Public Records of Dade Couniy, Florida.
FINAL CERTIFICATE
I HEREBY CERTIFY that the building has been erected as
A wn hereon.
, e
14iami, Florida • I 9 5. .
THOMAS E. FREDERICK, Engr. Cwt. .#222 -Sunmor's C•rt. #83
THOMAS E. FREDERICK, Eng.. God. #222- Surveyor's Cert. #83
LOCATION SKETCH SCALE- /'" = 200
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LOT SKETCH SCALE-....4 £
Miami, Florida 19 5 _
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