1480 NE 102 ST Archive (2)AL ERATION garage,
ADDITION I t
APPROVED I REJECTED DEFERRED TO COUNCIL REASONS
SUBMITTED TO PLANN NG BOARD
i
RE.SUBMI ED TO PL NNING BOARD
REMARKS
SUBM1TTE6TO VILLA COUNCIL
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III, t..l' RJ elf
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.33 CERTIFICATE �
E OF OCC IOANCY NO. ISSUED BY TO
BUILDING PERMIT AND INSPEi TION "RECORD —MIAMI S ORES VILLAGE
p OWNER'S N
NAIVE I
I PRESENT ADDRESS L
LICENSE NO. PHONE NO.
Guern9 � f
f3 i* f
JOB LOCATI t
t (ST.ORAYE.) L
LOT BLOCK S
SUBDIVISION
1480 N «E. 10 S
Street 9
9 3 M
Map Est.
GENERAL C
CONTRACTOR A
ADDRESS j
j., P
PHONE NO. L
LICENSE NO.
R.V. Glternsey I
I '
''
BUILDER'S BOND
2724. 1
11 -21 -x515 2
21� •
I O
BUILDING PERMIT O. I
I
PERMIT FEE $ I
O DATE
n,
37 1.65 I
I 20� 000
ZONE R
REQUIREMENTS C
CU. FT. P
PLAN CUBE C
CU. FT. E
EST. COST $
DATE
DRAWINGS,' SPECIFIC T
TIONS, RESTRICTIONS AND CUBE CHECKED BY:
TYPE S
STORIES R
ROOF CONSTRUCTION I
INTERIOR CONSTRUCTION
ebs 1
11* t
the o
oak and stonex floors, plaster
NEW CONSTRUCTION
DESCRIPTIO
REPAIRS 3
3 bdrm - maid's room -
-4 baths -Fla• roo -
- 1i�ing room - dining room-titehe
AA- CSTq -c® eBUILDINGs
INSPECTIONS
-7
PERMIT NO. J°Ow p DATE /— / t7 - .� Co
INSPECTIONS
DATE
BY .
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT
NO.
BEAMS & LINTELS
FEE
TEMPORARY SERVICE
RANGE CONN.
$
FRAMING
SEPTIC TANK
o2 -T&_'
Eta 120
FIXTURES
$
SEWER
$
o INSPECTIONS
DATE
FII4L
Z -ZZ
BY
RE- INSPECT
BY
TEMP. SERVICE
CLEAN -UP
GAS
ROUGHING
�� —
PLUMBING PERMITS & INSPECTIONS
CON TRACTOR
PHONE
-7
PERMIT NO. J°Ow p DATE /— / t7 - .� Co
FEE $
PHONE
PERMIT NO.
a DATE
® FEE
SPECIAL PERMITS
NEW BLDG.
DATE
ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT
NO.
DATE
FEE
TEMPORARY SERVICE
RANGE CONN.
$
$
SEPTIC TANK
o2 -T&_'
Eta 120
FIXTURES
$
SEWER
$
o INSPECTIONS
DATE
$
SOLAR HEATER
BY
RE- INSPECT
BY
TEMP. SERVICE
$
GAS
ROUGHING
�� —
$
H. W. HEATER CONN
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
GAS
FIXTURES & FINAL
SEWER
SEPTIC TANK
1 °83-°
NN
9W
SOLAR HEATER
FIXTURES
2 -Z9"��
wPt3.
$ 2
ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR
PHONE
-7
PERMIT NO. J°Ow p DATE /— / t7 - .� Co
FEE $
NEW BLDG.
ALTERATION
ADDITION-
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$ .
FIXTURES
$
$
o INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
�� —
d✓c�7
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
APPROVAL TO POWER CO. FOR SERVICE DATE BY la i2 r.),
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a�
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR -BUILDING PERMIT
Application is her, y made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure 'erein described. l, 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 Bud ng Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specification must be kept at building during progress of the work.
Date. - _A_ _ '��- . . .... ..,19
Owner's Name and Ad ess..' u,..?
I ��.... .._. No�� Street'. � . �
" .'.-
Registered Architect an for Engineer (I,..- �.------.°:...................._...---.-_..._-------_..._:.._......-------- •- •- •------ •----------- •• - - - ,-.-
Name and ac*ess of licensed contractor---- /' ._.... - - ---------------------------------- ---- ----- ---------------- ---- -.- .----- _--- .--- _- - -_ - -_ - --
Location and Ie0al description of lot to be built on / o
----------- ------ _.. Block _ ---------- :& ......... . .: ... Subdivision._.
o
Street and Number where work is to be done ......i .
_ .. _.
State work to be done and purpose of building (by floors) - --
To be constructed of_ •- - - - - -• emodeling ..... __............._. -.-Addition-
To Budding_ -I-"' _
_ Kmd of #buadati
Estimated Total cost of improvements ? - -._- ' _.Amount
Zone cubage required __° o !:M �� Y _-__ --Plan Ci
Distance to neat aearet ^building____.___.. maize of
Maximum live load to be borne by each
I hereby submit all the plans and specifications for said building. All
14* 03
and for no o er urpose.
Repairs ............... _ ...... . No. of Stories_:: �-
..
- - oof ®eg-- - - - k. a -
Of Permit $+ _._ ..... __
with reference to the building and its construction may
besent to_ -- - - - _ _ __._. _ _ - - -- — —_ _ — -- __--- -------------- ._.....--- • - - - - --
The undersi ed applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Flofida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contra" ctors 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 requir by the Act. The undersigned agrees to employ only such subcontractors „sin work to be performed under this
permit, as are licensed by Miami Shores Village.
(Sign%_
c�
STATE OF FLORID,
COUNTY OF DARE.
Before me, them ersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared-- -_ - - -. -. ___ -_._ _ . _.__.._---_..... ..... - --
_ _ g ....... _. -__. �.._ ___.___ _ _ __ __w - to we well known,
of the above described first duly sworn, u oath deposes and says that he is the- ---------------_--------------.------_-------------------,.•.-................._...----
and who, bean by mt. upon
�uljconstruction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by teed a e.
Permit No
� °a - -- Date -'"� _ Read, Sworn to and Subscribed before me.
Disapproved _ . Date ___ ._....._ -- -
- - •---- ••....._.
(Signed) .. ' C.zi " Notary Public, State of Florida
y... ___ -__... __......_ Y B or M Commission Expires ------------------------------------- - - ------ - _ _- _. - - --
PLANNING BQARD-.- • ..... ........ _---------------- - - - _- -DATE
Chairman .._............... Member ------- --•----•-------•--.....----- ------- __----- .------ ------ - -----------
- ..__.._
Member _ _ _.......__ .. _ _ - , _ Member
Member . ......... _ _......_ - _. .. Member - - — --- •- -- -• -- •-- -- -- _-- - - - -•-
Council Approved_ Disapproved _.---- -------- _-.- --------------------------------- -......................... Date
NOTE: A charge 'Pf $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re -ins Ilion 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.
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