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1192 NE 91 Terr (11)Date .i Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Phone # For Inspect : 03 Name & ate Approve I k9 ! JJ Correction ❑ Re- Insp'n Fee ❑ 00 3.1 Permit No. Name Address Company MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date// JO / la Time Type Insp'n ∎Avm/ _ • P 1 Phone # 9-C Q- For Inspector: 3) Name & ate Approved Correction Re- Insp'n Fee lit/torffi (7,A= LO © 3 _ - =_i MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n \\ Permit No. V 71 C` liter Name Address Company Phone # For Inspector: G`3 Name & ate Approved Correction Re- Insp'n Fee Type Ins Permit No. Name Address Date T Company i% y I_ d °�J '� veil �� Phone # g 3 Name & ^ . For Inspector: "tar Correctio Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request a 2 1 R °c3y 1 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 building 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. Owner's Name and Address Registered Architect and/or Engineer Date Name and addre of censed contractor S (/7 L � , n_�n` iioc at i� g cription of lot to be built on: // ,j ,j 5' D Q / & 7ff / / ,r sue° 1� ii// ' f / , Lo / �� Block / Subdivision /� // [ Z Kto treet and Number where work is to be done �� � �j �j State work to be done and purpose of building (by floors), state exterior colors (submit samples) J ' ` �•�" G` w w L��� and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S Amount of Permit S V r Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 on ch subcontractors. on work to be performed Remarks (Signed) G "'t tAZ under this permit, as are licensed by Miami Shores Village. / STATE OF FLORIDA l COUNTY OF DADE. } ss. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 for•goin_ application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. ,7■ 7 Disapproved � 9 Date a f Notary Public, State of Florida (Signed) Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of S25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 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 building 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. Owner's Name and Address " ,„ F f MIAMI SHORES VILLAGE Registered Architect and/or Engineer Name and address of licensed contractor / /f.� ® ogre 7 �� �� Location and legal description of lot to be bui on�, s ,� � . p, �, , ,^ � t , k_, ,. Lot p 1 14 Block Subdivision \dJCI ,, .12 u; f a -..,, � )(,,t..4 Street and Number where work is to be done I k Vi ; V ' ,), 1�, r <4 "' ' 'k k- 1 '..'u -i 1 (..1-0 ' - State work to be done and purpose of building (by floors), state exterior colors (submit samples) n and for no other purpose. New Building Remodeling Addition Repairs No of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida \lorkmen 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 1 STATE OF FLORIDA J COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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. II f I Date /°' 4 ` Read, Sworn to and Subscribed before me. r Council Approved Date `I ', S 19 No. I � l l Street 1� -C?�- 9 e Disapproved (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Date Disapproved Date Notary Public, State of Florida NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. l,, PREPARED 'MUM TECH - E STATE OF :TIVE CODE) S TRUE AND :ND BELIEF. EMBOSSED :134 , 1987 t A/LL /7,e 7 7 rift rloeD* :oat Ti riortumail • uro suDVtn g FOUND(' I PST SCALE: 1" = ? I a/I • REV.: REV.: REV.: DATE ✓D• .5? E 2• �'' .• �• � :'• 1? • ti O,.t)..:4 ; .0. /7.1/ • • 44/4//7 2 k /e4ce % ripe • oSo r ;42 s a p I --- ; F.B. 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 plans and specifications must be kept at building during progress of the work. Date ...___. °� . —r _ .. ..._._ _..._.... ,19 W n Owner s Name and Address . �f Registered Architect and /or Engineer el C ? Name and address of licensed contactor '1"1 C 1 e '" ro" Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) 141.eL,c e r (1) 14 /2 -- and for no other purpose. New Building Remodeling �'" Addition Repairs No. of Stories To be constructed of Kind of foun Roof Covering Estimated Total cost of improvements $ Zone cubage required Amount of Permit Sc. _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plan and specifications for said building. All notices with reference to the building and its construction may G ° ; be sent to.. v + C 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, Pennane•nt 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 t site of the work such. rlic notice or notices as are required by the Act. The undersigned agrees to employ only such subconSractors, o /work to be perfo under this permit, as are licensed by Miami Shores Village. Remarks (Signed) ., _ _�_l 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 - -- 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 sta ed art. . Date °� 1 Permit No. Disapproved (Signed)� Building Inspector Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, 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. Permit No. V Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's NameM awl l 6r'ktc�t . Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ New Building -------- •- •-- ..... -.. Remodeling Addition -- ------ ...-- •- -..... Repair No. of Stories Size Septic Tan1_._- .------------- - - - - -- ----Type of Tank Feet of Drain Tile_ —. -- — — -- _Dist. Feet of Tank or Drain Field from Well. - Nature of Water Supply: City—Well. ___.._____.—._.Size of Soakage Pit Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed No.__. , Z Street.- n .. / -_: vt 1 treat . e. Bloc]r Subdivision.-_. J _ Stroh l.... _. Capacity Gals...- f ?elc? 1 ' web PA1 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' ' obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied 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 o + e sit of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -con • : ctors, on • k to - licensed by Miami Shores Village. under this permit, as are Master Plumber. - STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made'neoewry by improper notice for inspection, or faulty materials and /or worlmzanahip. LO TS CSE BATH Tub[ SMOW[R• LAVA• TORIES SIN" SINKS LAUNDRY Tu•• URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• TOTAL FIXTURES CONTII. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT 0 TRAP SOLAR HEATER DEEP WELL SPRKLR S SWING POOL CONTR. — LIST CHECK Permit No. V Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's NameM awl l 6r'ktc�t . Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ New Building -------- •- •-- ..... -.. Remodeling Addition -- ------ ...-- •- -..... Repair No. of Stories Size Septic Tan1_._- .------------- - - - - -- ----Type of Tank Feet of Drain Tile_ —. -- — — -- _Dist. Feet of Tank or Drain Field from Well. - Nature of Water Supply: City—Well. ___.._____.—._.Size of Soakage Pit Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed No.__. , Z Street.- n .. / -_: vt 1 treat . e. Bloc]r Subdivision.-_. J _ Stroh l.... _. Capacity Gals...- f ?elc? 1 ' web PA1 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' ' obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied 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 o + e sit of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -con • : ctors, on • k to - licensed by Miami Shores Village. under this permit, as are Master Plumber. - STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made'neoewry by improper notice for inspection, or faulty materials and /or worlmzanahip.