15304BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor...
or Builder—'r+r I.
Description Lot a. if 61
w.
Address of p
This permit is granted to the contractor or budder named above to construct the building Or to ink the
herefor in strict: compliance with all ordinances pertaining thereto and with the understanding, that the work
drawings, statements or specifications that may have been submitted to and approved by the proper
if the work is not done in can once' with . such ordinances or if the plans are changed witbout teutboria utign.
granted is the understanding :that, contractor or builder named above assumes the responsibility for &: sliorough;:1 3 oasrt` ,
pertaining to the work -covered whether .shown on the plans or drawings or in the statements or spec & tions.*nd; that,
done by his agents, servants or m oyees.
MIAMI SHORES VILLAC3
E PERMIT N? 15304
a
Work to be performed under this Perini
FL€ RI A
DATE
Subdi-
vision
Value of
Project ;
Signed.
INSPWroR
In consideration of the issuance to me of this permit I agree to perform the work =mere(' hereunder in. compliance= wieli.
pertaining thereto and in strict conformity with the fans, drawings, statements or specifications submitted to .the:ptvsper a bf.
In accepting this perm}�,�5I. assume resp linty f all work done by either; myself, my agent,:servent or employee.'
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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 ocher structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Fior:da, and all provisions of the Laws cf the State of Florid. t all o- dnances of Mi au Shores Village and all rules and
regulations of the Building Division of Miami Shores Village -1,1 ttompl.ed with, whether herein specified or not. A copy of approved
plans and specifications must be kepi at building durin8 progress of tl.e work.
Owner's Name and Address
Registered Architect and /or Engineer_____
Name and address of licensed contractor.
Location and le gal des r ption of lot to be built on:
Lot - - -- - Block - — _ Subdivision__ = ,
Street and Number where work is to be done__.____ e
State work to be done and, purpose of building (by floors) Y_
Date_
,19
and for no other purpose.
New Building Remodeling_-- __.:__. ._t_-_. Addition_____.__ Repairs. _ No. of Stories_
To be constructed of Kind of foundation_ _ _- _- ___ _ _._ _ f Covering__ -
® a
Estimated i 7tal cost of improvements �_7
P $_.- -_ -- -- -- -- — ..._-- ___.____ _Amount of Permit $ - -_ -. .__ .._ . -- _ ..._
Zone cubage required _.. _ - - _Plan Cubage�-° �r - - --- y - f�
�/
Distance to next nearest building - _Size of Building Lot--_-_ �� - @ �Q V �'1
Maximum live load to be borne by each floor------ .__�.__ - - --
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 uncle: signed 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. Coirp led Gen ral Laws of Florida, Per,nanen',. Supplement,
and has complied with the rovisions 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 subconir. r rs work to be perform -_i:der this
permit., as are licensed by Miami Shores Village.
Remarks__ _ __��__ (Signed)___
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
and who, being by me first duly sworn, upon oath deposes and says that he is the_._.
of the above deticiibed c, Instruction. that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Permit No.4 Date �_ ' Read, Sworn to and Subscribed before me.
.to me well known,
Disapproved
(Signed) ___
Date
Building Inspector
PLANNING BOARD__
Notary Public State of Florida
My Conunission Expires_ __..
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 Planr.:ng Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or fal.ity
-
materials and /or workmanship.
II t
ob
24
7
,� o c a
/ / 7
708
Warner Ring OWNER'S NAME
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
672 H.E. 98th Street
GENERAL CONTRACTOR.
Halsema Brothers
3r4
LOT
BLOCK
101
ADDRESS
SUBDIVISION
Sea, 4..
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO.
15304
10.15 -53
PERMIT FEE
S.00
BUILDER'S BOND
NO. 1611 DATE
ZONE
REQUIREMENTS
CU. FT.
PLAN CUBE LA /'7 -C .
DRAW NGS, SPECIFICATIONS, RESTRICTIONS AND CHECKED BY:
TYPE
NEW CONSTRUCTION
EST. COST $
.sue
STORIES ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
ALTERATION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
DESCRIPTION
Idni -d °p1
DESCRIPTION
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. i 993 ISSUED /(4117,e BY 404041 TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
L' J % B LD Ali k PE TIONS
INSPECTIONS
DATE
BY n
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
/D- /4'S-3
SIN,
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
BEAMS &LINTELS
/I "a'.
ea
$
SEWER
RANGE CONN.
FRAM I NG
//— 1-ST3
MOTORS
N.
$
GAS
FIXTURES
$
$
$
INSPECTIONS
DATE
BY
FINAL
/ a - 7-,
RE- INSPECT
BY
ROUGHING
/ O° z a-
A
CLEAN -UP
Al
I
ROUGHING
// 3 -s'5
"*Z-
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR GC, &k.A•
PHONE
PERMIT NO. /5114 -1 DATE O'° /6- $ 5
FEE $ v® s
NEW BLDG. ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
$
SEPTIC TANK
H. W. HEATER CONN.
$
SEWER
RANGE CONN.
$
SOLAR HEATER
MOTORS
$
GAS
FIXTURES
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
/ O° z a-
A
GAS
ROUGHING
// 3 -s'5
"*Z-
SEWER
H. W. HEATER CONN,
SEPTIC TANK
RANGE CONN.
SOLAR HEATER
FIXTURES
r�
1��17
I
1 2`A II�1 I 3
.
ELECTRICAL. PERMITS & INSPECTIONS
CONTRACTOR
PHONE
PERMIT NO. /53 7/ DATE ile/®z ®S®
FEE $
NEW BLDG.
I ALTERATION I' 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
// 3 -s'5
"*Z-
H. W. HEATER CONN,
RANGE CONN.
FIXTURES & FINAL
I
1 2`A II�1 I 3
F+ Q
APPROVAL TO POWER CO. FOR SERVICE DATE
BY