1250 NE 91 Terr,A
N7C-767
Acct 30
Permit No._ of 9' Date - - 7/2/70 - -- -
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 11 • C e _G rdoer ____�__ _.--- _ -.__. No.__I25g_------ ____ -- Street 91. _Tarr.
Registered Architect and /or Engineer
Employing Plumber's Name P-'O;'1 ':S GAS SYSTiPl N - __ 564 * Street_�� 125th St.
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_
STATE OF FLORIDA, t es.
COUNTY OF DADE.
Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
Addition________. ___ Repairs No. of Stories.
Size Septic Tank_--- -- _----- --- _ --_ -- - •-- - - - -- -Type of Tank__
Feet of Drain --------------- Feet of Tank or Drain Field from Well
Nature of Water Supply: --- _________Size of Soakage Pit
Amount of Permit $ .4-. On ( Signed) - - -- ,E�'d - - ---C "- ' ----- - =:,te ._...
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen : Supplement, and has com-
plier 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 sub- contractors, on w to beperforme under this permit, as are
licensed by Miami Shores Village.
(Signed)
Subdivision __ .-- _- ----- -- _-- - ---_ - _
Street
Capacity Gals.
My Commission Expires Notary Public, State of Florida
Master Plumber.
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 -- _ . . ........... .. •- _ _ --
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notie:1 for ins' '►, or faulty
materials and /or workmanship.
CLOSET.
BATH
TUBS
SHOWERS
LAVA-
TORIES
S INKS
SLOP
SINKS
LAUNDRY
TUBS
U
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
Grill
TOTAL
FIXTURE.
CONTR.
LIST
I
I
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
i
,A
N7C-767
Acct 30
Permit No._ of 9' Date - - 7/2/70 - -- -
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 11 • C e _G rdoer ____�__ _.--- _ -.__. No.__I25g_------ ____ -- Street 91. _Tarr.
Registered Architect and /or Engineer
Employing Plumber's Name P-'O;'1 ':S GAS SYSTiPl N - __ 564 * Street_�� 125th St.
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_
STATE OF FLORIDA, t es.
COUNTY OF DADE.
Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
Addition________. ___ Repairs No. of Stories.
Size Septic Tank_--- -- _----- --- _ --_ -- - •-- - - - -- -Type of Tank__
Feet of Drain --------------- Feet of Tank or Drain Field from Well
Nature of Water Supply: --- _________Size of Soakage Pit
Amount of Permit $ .4-. On ( Signed) - - -- ,E�'d - - ---C "- ' ----- - =:,te ._...
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen : Supplement, and has com-
plier 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 sub- contractors, on w to beperforme under this permit, as are
licensed by Miami Shores Village.
(Signed)
Subdivision __ .-- _- ----- -- _-- - ---_ - _
Street
Capacity Gals.
My Commission Expires Notary Public, State of Florida
Master Plumber.
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 -- _ . . ........... .. •- _ _ --
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notie:1 for ins' '►, or faulty
materials and /or workmanship.
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA �'1,
ELECTRICAL ❑ Date ___S. - - 1 19 F'
PLUMBING ❑ PERMIT N° 8113 Contractor's r 4 e , ''
RO ING ❑ License No. j
Work to be performed under this Permit
Owner of
Building Ni • c
Architect
Contractor
or Builder 1 1t • 4 ' 14 " `!
f
Legal Lot i
Description I 1 BI
►
Address of +' T C'� 1 _S T,.---,1‘
Building i•• � e, N '+ s- r
faT)O p , L-=' .
Subdi-
vision
Sq Ft a a.
Value of �,� --
Project $
I Amount of •
II Permit $
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 whet r shown ot; plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agent seivants r employe.
` r (
11 r t�.._.� L I
Signe 7 -INSPECTOR) BY
In consideration of the issuance to me of this permit I agre o perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawi statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work do by either, myself, my agent, servant or employee.
CONTRACTOR or BUILDER
BY AUTHORITY
MIAMI SWIPES VILLAGE
BUILDING INSL EC :lON DEPARTMENT
APPLICATION F 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__- _ NOV. ._ -41
Owner's Name and Address... Harold_ C _ _Gardner_ No._ 1254- . Street 9.1 _'parr .. ___
Registered Architect and /or Engineer.. _
Name and address of licensed contractor TRULY _NOLEN * _ INC. - 600 .__W._ 7_. Avenue,. Miami __Fla-.
Location and legal description of lot to be built on:
Lo _ _- __ Block _ Subdivision_
Street and Number where work is to be done
1250 N,_ 91 - Terrace, Miami__Shore s, .__
State work to be done and purpose of building (by floors) -- _ ___.EumigatiOm — Using Vi-kane.-- g- as-- wi- tb - -au-- approximate
18 -2Q_ hours___expo -sure. _period.__ Nylon __tent.
EXTERMINATION
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation . CRS__. Roof Covering Pi- tched_Flat- -Tile
Estimated Total cost of improvements $___440 .00._ - _ _ __ -_ _ Amount of Permit $__ 6 -00 Gravel Flat
Zone cubage required _ ____ ._ plan Cubage____ _. 39 -,.480
Distance to next nearest building over .10 - - -F-t 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 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 inspQction on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subs tractors, r.:: work tp be performed 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 admirer 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 ptated are true.
Permit No. $ 1( Date_
Read, Sworn to and Subscribed before me.
and for no other purpose.
Disapproved Date
(Signed) yt
Building Inspector ' 6 My Commission Expires
Chairman .
Member _
Member _
Council Approved
Notary Public, State of Florida
PLA jf G BOARD DATE
Member
Member .
Member
_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 51.00 will be charged when si •h re- ;nspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.