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1192 NE 91 Terr (6)STATE OF FLORIDA, COUNTY OF DADE. 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 7/18/66 ,19 Owner's Name and Address Irving Horsey 1192 N. P 91 Ter} ,ee Street Registered Architect and /or Engineer Name and address of licensed contractor G. &r___it.___be t.1. &tion. 2901__1I.__w.___111at__S#. - . 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) __ INSTALL 3/4 HP Air Conditioner and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required_ Distance to next nearest building � ss. Date Date Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chairman Member Member Member Member ____. Member Council Approved Date Disapproved Roof Covering __ _Plan Cubage _Size of Building Lot 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 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 5986, 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. ( Signed) G. 4riM. IN$ TION 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 �a are true. Permit No 1___/ 1_ Disapproved (Signed) Notary Public, State of Florida Building Inspector My Commission Expires Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper n ,tire for inspection or faulty materials and /or workmanship. has been obtained from t -- F- - k;F:-= r. •fr- 1-zt=t t- rz-it I 1 ..i••••,:,a r P ' t '1 5 • $ 11, L 1 „?. 10 (ost—t z 11 J - pp t s•:, ti - N ) ‘, i. A. ARCHir 1 , '44 91 r10 • MichAl. • • Q71 • 1 s-y,. I , t .•,. — . i . • fol-'--- rr.--f,:- 4 1 -:'- V,• ,4 - , 4 1 • - FL . (74, 4 I -•-"•• „ _ • oa 4 %. • t. ) E;N!s1( A. A. - ARCHiTE; Ti .."?qAC • NVO40. F �_— CLOSETA BATH TUBS "OWE" TORIES SS INK SLOP SINKS LAUNDRY Tuns URINA CATCH BASIN FLOOR DRAIN DRINK! NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•O POOL CONTR. LIST I_ CHECK I o Application is hereby xuad 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 RR �j Owners Name and Address ./?�_ "L_ ---_T. � 5 f�1-_ No. --. - - -__I �_.1"Z___. Street. ._• 72 C 7/ Ffi Registered Architect and /or Engineer.---- �* _____-___,_;.#„,... _ nt _--- 7- •--- •- -- -_....__. c Employing Plumber's Nae_..1 L Q2ZG ' &P? J(No.___. �1 6.. - -. Street". � _ ` ,C_ 6 _dS ? Location and Legal Description Lot-. _____."-__--.____.---_-.._ — ___ Block .y� l Street and Number where work is tti be performed-No. ___ _—___ /'7 Z- treet. J_/_e p! ��L.- - j t State work to be performe8 and purpose of building (By Floors)_.____ f c.4a.4 1..___._ _A1 r A/Ei.. aX_ - _-- _-- _..(._ New Building_______ ...... ___ Remodeling _ __._ _-...___ Addition------ _._- .- .- - - - - -. Repairs _L...•••••" No. of Stories. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oa My Commission Expires Date Size Septic Tank .._.— _._--_______ - - - --- __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 Capacity Gals. ( Signed) _ Subdivision - - - -- - _ -__ -_ umbing Inspector. 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 Pert ' - t Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contracto . emplo ed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site the wor such p .lic notice or notices as are rtcl'ed by the Act. The undersigned agrees to employ only such sub - contractors, on y • to • - pert. ed under this permit, as are licensed by Miami Shores Village. 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. Notary Public, State of Florida ter Plumber. NOTE: A re- inspection fee of 31.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING r Architect Contractor or Builder Legal Description Address of Building Lot r^ •1 1 r / r CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of f' Building . Work to be performed under this Permit f Bl N° 7743 Contractor's License No. Subdi- vision Value of I Amount of Project $ I Permit $ DATE "1 19 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. �. Signed. 1 ' ,r ` c 1 ' . _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in co with all ptldinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. • BY AUTHORITY All legia3 BUILDING ❑ ELECTRICAL ❑ PLUMBING PERMIT N? ❑ N • ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot C ,, _, , CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Bl. 1 8114 DATE 195 . Contractor's License No Work to be performed under this Permit < ` f t : ,,, Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ BY AUTHORITY • 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 application 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 responsibility for work done by his agents, servants or employees. Signed • ? SIN � e :, t... t BY S ECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.