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BUILDING PERMITSOwner's Name and Addreso...... Registered Architect and /or Engineer. ... r. � Disapproved _ - -- -� (Site) NGAMI SHORES VILLAGE fl •,. ®flf�� INSPECTION DEPARTMENT A pur,• TIMM Fi R BUILDING PERMIT Application is hereby made for the . ,,proyal of the detailed statement of the plans and speclficadons 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 age and all rules and regulations of the Building Division of Miami Shores Village shall be complied Village with, whether herein specified or not. A copy of approved plans and specifications must bo kept at building during progress of the work, Name and address of licensed contractor ........... Location and legal description of lot to be built on: Lot.. Block Subdivision Street and Numb where work is to he done Date..._ �L' %; ..,,1 .. , 19. %� :._ No l Street 1/ '� ` ' State work to be done and purpose of building (by floors) _. - -- :: . f and for no other purpose. New Building Remodeling Additio /Repairs No. of Stories To ' constructed of ]Kind of foundatipn Roof Covering__ Estimated Total cost of improvements $ e' ejiL a _Amount of Permit $. ........ _. Zone cubage required-__-_- - -_ —__ - -_--- __.._ _ .___- --- - - —_ —Ian Cubage _. Distance to next nearest building__. ___ -_ - - _ -__ __ _ _ __ _ ____ __ _ _ __- -Size of Building Lot Maximum live load to be borne by each floor___ II hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may The undersi_ned applicant for this building permit dots hereby certify that he understands and accepts his obligations as an employer of Inbaz under se 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 in r, ion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su." ctors, on work td be performed under this permit, as are licensed by Miami Shores Village. Remarks- - -- - -_. — - -. (Signal STATE OF FLORIIDA, 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 stated are;lx57 Permit No — - -- Date ..... Date Building Inspecto ( - 70 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, P f. NNING BOARD__ __ _ DATE Chairman - - -- - Member - .. Memo - — - .. . _ Member - — Member . --- - -- - - ---- -- — Member — Council Approved ._._ _ _ _Date Disapproved ate 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 ins, on oz faulty materials and /or workmanship. rk3 r. --F N. Owner, Agent or Tenant of Buildin g g—�- _ Lot c Block `' Subdivision_' s,. a c,, Street Addressr;� ,r— Approved use by occupancy.4 tn:?� E;' C;;,.L() Remarks This Certificate of Occupancy is issued to the above named Owner for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. • CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION 1757 Miami Shores Village, Florida, ",.1 ''` BUILDING DIVISION CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Owner, Agent or Tenant of Building Lot Biock Subdivision-- Street Address . , Approved use by occupancy Remarks This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. . • , "; 1 . . 0,( Miami Shores Village, Florida, - I BUILDING DIVISION CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION IC? 7 7 Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot _ Block Subdivision Street Address Approved use by occupancy Remarks This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION ^� �" OWNER•S NAME IAA Al SAC -M eve • 09 'r PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) A s/ V /v � � �7 LOT G BLOCK SUBDIVISION D r.i2 0/4-140 #4,_ f E 5 - GENERAL CONTRACTOR .A -• S. C.2. c -R Lw C ADDRESS 11 S. ?'.o rr U PHONE NO, LICENSE NO. 'Z. 3 7 2-I BUILDING PERMIT NO. 1 3 4, DATE 'b_ .1^ 7" � (� PERMIT FEE $ 4- / • BUILDER'S BOND NO. 27 3 c DATE a _ 7 c ZONE It' " REQUIREMENTS /cc r CU. FT. PLAN CUBE Z g , 5, A_i7 CU. FT. EST. COST $ . I i C s DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: W- DAIS (- 4- 7b BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE NEW CONSTRUCTION TYPE G g g STORIES and ROOF CONSTRUCTION Ti le INTERIOR CONSTRUCTION 3 R e t i e eao.... _ 2 $a. 'R S REPAIRS DESCRIPTION C•n a I° e4.3 Flea®!' Ce Co e p e4 ::,,A. — L.. a `/� L J C� ". Se aft,'" td°I,.,A ALTERATION Q DESCRIP ON P l ADDITION ' i'C@. C, .l Wet" ` - -. 4 (e I ( ►fir _ SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIk REASONS RE- SUBMITTED TO PLANNING BOARD SURMITTFr) TO VILLAGF COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: W- DAIS (- 4- 7b BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION $ SEWER ROOF TEMPORARY SERVICE $ BEAMS & LINTELS S TUB & TOP OUT POOL GAS $ FRAMING S AIR COND. MOTORS FINAL $ FIXTURES CLEAN UP SEPTIC TANK S SLAB S SOLAR HEATER SLAB TEMPORARY SERVICE DATE BY $ SEPTIC TANK RE- INSPECT BY $ SEWER FEE TEMPORARY SERVICE $ SOLAR HEATER S TUB & TOP OUT S GAS $ RANGE CONN. S SEWER MOTORS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE ROUGHING S TUB & TOP OUT $ RANGE CONN. SEWER MOTORS RANGE CONN. $ FIXTURES SEPTIC TANK S S SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR Th de gm.. C'y _ PHONE PERMIT NO. /ZI99 I DATE 6-:-..2 ' 7 '21 FEE $ NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING S H. W. HEATER CONN. $ RANGE CONN. $ MOTORS RANGE CONN. $ FIXTURES S S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT' BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & CONTRACTOR 4 PERMIT NO. 0 I DATE 4 fY 7 NEW BLDG. ALTERATION ADDITION SPECIALS PERMITS 1 PERMIT NO. APPROVAL TO POWER CO. FOR SERVICE DATE I SPE TIONS HONE FEE $ DATE REPAIRS ELECTRICAL PERMITS & INSPECTIONS BY FEE a HIAMI SOLES VILLAGE APPLICATION FOR FINAL INSPECTION Prior to a final inspect_ n this application must t-e filled ou'q if sub cantractors have failed to take out permits the general contractor shall be responsible for the permit and fee. A final - inspection nust be made prior to the release to Florida Power and Light Co. and the . sue•ence of a certificaAs of occupancy. mEa „ LOT BLOCX _ !..&1N DAY LABOR CONTRACT DATE ITEMS 2 Ap`relt drives e c. 3o Cabinets Bath Vanity Cabinets - 5. Cabinets Medicine 6. Cabinets Unit Closet 7. Cleaning 8. Cleariu_Site_ 9. Conorete Foundatio101abs_,Bems 10. Cencete . ja"cs dri etc. 11. Contractorsyee 12. Electric Fixtures 18. Electric I4:E-u2rMent lcntai 15. Excaation 16. '4 for 17. Fizers - Finish rood & kitchen 18. FcIs 19. aa- 20. Glassli Sliding )Joors 21. Karduare - Finish 22. Harduare =Rough 23HeatA 24. Insurance - Liabilit com 25. Labor - Payroal 26. Labor - Contract 27. Labor - Contract 28. LandscaPing Grading 29. Lath P1aster Stucco .30. Lumber CA1. 17 31. Masonry Labor 32. Nasonry Materials Block 33. Millwork 34. Miscellaneous 35. Ornamental Iron T:Tork 36. Oven & Plate - Built-in 37. Overhead . _ 38. Painting 39. Permits Te7oporary Power 40. Pilir4i 41. Plumbing Complete 7 4 n 2. Pool - Suiming 52. - PUMD 54. 4ndous - Glazing Screens 55. ando Frames - Conc% SIGNED C OIVLui.CT eri )74- 9/Or JOB Amps SUB CONTRACTORS & SUPPLIERS ME & ADDRESS 6 Buil d Must AccommyIhip_Appligation for Final Tgapgotion_ TOTAL - SUB. _ "ZE-6-c•-. -- 14 43 aocf:ng,__& Seet Metal 1Jork 44 Trusses - Pre-fab. 45. Screen Enclosure W. Tub - OVIORPOrrlpf, 46. Septin lank OT Sewerage_ lrfflrilW 48. Steel - Iteinforcing & _ i str1. 2T±.._.7LC__-- - . 9 S i - ' - o S. / ----.- .,-- - , 0 -rv"' 5O ------ -* - -- ",g3- 0 7----- z77 27:, 51„ T.,e L Narble 7j4 # el Date Lib/ 94,, Legal Description ({ essee / Tenant < / /' c 74 �'" L ��"v Master Permit # .3( , ( U2 *✓ 9/ X Phone 2S /— D4.) Contracting Co. 00 Address Qualifier SS# - - Phone State # Municipal 0 Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Ty•e(circle one ):( BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE° SIGN WORK DESCRIPTION 7.i Owner's Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ** * * * "ROVED: Address RMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address ,57Y / 46- x 7 Signature of owner and /or Condo President Date: �lacicL1 Notary as to Owner an My Commission Expires FEES: PERMIT r RADON C.C.F. Fire Zoning Buildin Tax Folio . Signature of Contractor or Owner - Builder Date: BF am Y SEAL Notary as to Contractor or Owner - Builder 'z ° �� SCOTT W DAVIS My Commission Expires: i � » COMMISSION NUMGEF .., w!Nl' CC255237 TA � '" , ov OMMISS ON EXP. * or r∎ :o 4RN. 251997 * * Other Electrical Mechanical Plumbing Engineering NOTARY TOTAL DUE * ** �0 Permit No --• 1_.-)_-- Date ' ll Appl-cation i 1 ereby made for the approval of the detailed cantement of the plans and specifications herewith submitted for the build ng or other structure herem described. This application is made in complaisance and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, au ordinances of Miami Shores Village and all rules and regulations of th Building Di ' lion of 1&'ami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at `1 / building di . g progress of work r � � p lJ J Owner's Name and Address. 1°__ Vi. `r? �0 D ``, lL _ y �. __ N � � _ _l ✓ ' _ �o C l/ Street _ Registered Architect and /or Engineer _ . ______ ________ — _ —_ _ Employing number's Name %_ /S - V q _ J - �% , �(_l!� Zl i / /Il / li /2 /� _ l�To._ C� /� % � / � r � F f f Street . Lcca on and Legal Description Lot_ __ _ __..._ _____ — — — _Moak_ Subdivision - Strnst anml Manche" where work is to be performed —No ,Vi T /?1° (ate ,, CJ _._.. Street State wor"s to be perfom and purpose of building (By IF't curs) _ - New Building_-____ Sin Septic TaulTc -- - -- -- -- - -- Feet of Drain Tile_ - . Nature of Water Supply. City—Well. Amount of ?emit 0 /l STATE OF FLORIDA, COUNTY OF DADE. G'bonm ocfmnRFS VNEEASE PLUMM© B9SPECION DEPARMOdi APK2Q4d ©�� FOLD PLUMBING PERMOT — -- _ - . -• _ -- - -- ffiemor ➢sling - - - - -- - -- -- - - _ Addition.-._ Type of Tank _ - - - -- - -- - - - - - - _. _Dist. Feet of Tank or Drain Field from Well-. _ __ _ Si of Soakage Pit - (Signed) - - -- (Sigel) —. - Repairs_ _. Capacity Gas. ■ No. of Stories . _. _ .. . 4 AG2 ( :? n.mb nag hi giecto. The undersigned applicant for this building permit does 'b. eby certify that he understands and accepts his obhgeions as an e nployer of lobar under the Florida Workmen's Compensation Act, being Section 5938, Compiled General Laws of Florida Permanent Suppl -meat, 'n 1 1 d„ cnn plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ::d by hin in the Wo k 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 7 �T no ices as are r by I Act. The undersigned agrees to employ only such sub contractors, on work to be p,Erf). ed under thi, per nit, as are Rimmed br Mf I S&. Village. ( / C Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personal) appeared to me well known, and who, being by me first duly sworn upon oat deposes and says that he is the of the the above described construction, that he has carefully mead the foregoing application, and that he did sign the same, and that all acts tthera by hun stated are true. My Commission Expires Notary Public, State of Florida -- as er Plumber NOTE: A reirmspection fee of $1.GO will be made crh catch me- inspection b m ede•neeessary by improper notice for inspection, or faulty materials and /or arirnle v Chip. CL ®D'3TD SA7N TUGS SNOWER® LAVA 40RIE6 GIPoGD SLOP SINKS LAUNDRY "Nos URINALS CATC:'1 DAI3IN FLOOR DRAIN DRINKING FOUXT'NS TOTAL F XTURES CO3Tea. LIDT CNECX SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP INELL SPRKLR. SYSTEM d SW IM•G POOL - CONTR. dG6Y Cmsca �0 Permit No --• 1_.-)_-- Date ' ll Appl-cation i 1 ereby made for the approval of the detailed cantement of the plans and specifications herewith submitted for the build ng or other structure herem described. This application is made in complaisance and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, au ordinances of Miami Shores Village and all rules and regulations of th Building Di ' lion of 1&'ami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at `1 / building di . g progress of work r � � p lJ J Owner's Name and Address. 1°__ Vi. `r? �0 D ``, lL _ y �. __ N � � _ _l ✓ ' _ �o C l/ Street _ Registered Architect and /or Engineer _ . ______ ________ — _ —_ _ Employing number's Name %_ /S - V q _ J - �% , �(_l!� Zl i / /Il / li /2 /� _ l�To._ C� /� % � / � r � F f f Street . Lcca on and Legal Description Lot_ __ _ __..._ _____ — — — _Moak_ Subdivision - Strnst anml Manche" where work is to be performed —No ,Vi T /?1° (ate ,, CJ _._.. Street State wor"s to be perfom and purpose of building (By IF't curs) _ - New Building_-____ Sin Septic TaulTc -- - -- -- -- - -- Feet of Drain Tile_ - . Nature of Water Supply. City—Well. Amount of ?emit 0 /l STATE OF FLORIDA, COUNTY OF DADE. G'bonm ocfmnRFS VNEEASE PLUMM© B9SPECION DEPARMOdi APK2Q4d ©�� FOLD PLUMBING PERMOT — -- _ - . -• _ -- - -- ffiemor ➢sling - - - - -- - -- -- - - _ Addition.-._ Type of Tank _ - - - -- - -- - - - - - - _. _Dist. Feet of Tank or Drain Field from Well-. _ __ _ Si of Soakage Pit - (Signed) - - -- (Sigel) —. - Repairs_ _. Capacity Gas. ■ No. of Stories . _. _ .. . 4 AG2 ( :? n.mb nag hi giecto. The undersigned applicant for this building permit does 'b. eby certify that he understands and accepts his obhgeions as an e nployer of lobar under the Florida Workmen's Compensation Act, being Section 5938, Compiled General Laws of Florida Permanent Suppl -meat, 'n 1 1 d„ cnn plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ::d by hin in the Wo k 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 7 �T no ices as are r by I Act. The undersigned agrees to employ only such sub contractors, on work to be p,Erf). ed under thi, per nit, as are Rimmed br Mf I S&. Village. ( / C Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personal) appeared to me well known, and who, being by me first duly sworn upon oat deposes and says that he is the of the the above described construction, that he has carefully mead the foregoing application, and that he did sign the same, and that all acts tthera by hun stated are true. My Commission Expires Notary Public, State of Florida -- as er Plumber NOTE: A reirmspection fee of $1.GO will be made crh catch me- inspection b m ede•neeessary by improper notice for inspection, or faulty materials and /or arirnle v Chip. Permit No.- -- .� 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 or..:. ces of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether 7 , specified or not. A copy of approved plans and specifications must be kept at building during progress of work. � e Owner's Name and Address__ -- work. - ` � o'i - _._. No. Registered Architect and /or E ineer._____— p � - - C — - ---------- __._ - -� -�j lEmploying Plumber's Name - a4e 6.! �a uv�K`�° }� ` . �1 ' No .241 JLt. ' street_ _ Location and Legal Description Lot Blorti Subdtvisippi Stmt and Number where work is to be performed—No --- / 8 4) .A Street 9/ State work to be performed and purpose of building (By Floors) _ New Euilding______.. .... . - - - - -- Remodeling— ________ —___ Addition___________ ..... Repairs No. of Stories - - -- .- ........ .... Sim Septic Tank ------------- - - - - -- ----- - - - - -- -Type of Tank_ I'r'mt of Drain Tile -_ -_ -- -- - - -. J ist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Weli._ -- __------- - - - - -- ---- ______— __._Size of Soakage Pit Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PE ' t EV (Signed) _ 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 5988, Compiled General Laws of Florida Permanent Supplement, and has 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 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, ork to be performed hider thi�;ermit, as are licensed ,, Miami Shama Verge. STATE OLD FLORIDA, COUNTY OF DADE. My Commission Expires (Signed ) —1 / 7S Date .._ L Street - -/ /•r . Capacity Gals. C. Notary Public, State of Florida Plumbing Yy — Master Plumber. Before nee, 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 a 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 mins/section fee of $1 1 will he made when such re- inspection is made necessary by improper notice for inspection, cr faulty materials and /ex workmanship. CLOSETS Tues rues fi NOWERe LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI:ITURIO comm. LIST 0 D CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP - �'�" H EATER DEEP SPRKLR. WELL SYSTEM SW IM POOL _ • A l ____ _._ _ _ Cmmze. LIST CHECK - - -.° Permit No.- -- .� 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 or..:. ces of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether 7 , specified or not. A copy of approved plans and specifications must be kept at building during progress of work. � e Owner's Name and Address__ -- work. - ` � o'i - _._. No. Registered Architect and /or E ineer._____— p � - - C — - ---------- __._ - -� -�j lEmploying Plumber's Name - a4e 6.! �a uv�K`�° }� ` . �1 ' No .241 JLt. ' street_ _ Location and Legal Description Lot Blorti Subdtvisippi Stmt and Number where work is to be performed—No --- / 8 4) .A Street 9/ State work to be performed and purpose of building (By Floors) _ New Euilding______.. .... . - - - - -- Remodeling— ________ —___ Addition___________ ..... Repairs No. of Stories - - -- .- ........ .... Sim Septic Tank ------------- - - - - -- ----- - - - - -- -Type of Tank_ I'r'mt of Drain Tile -_ -_ -- -- - - -. J ist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Weli._ -- __------- - - - - -- ---- ______— __._Size of Soakage Pit Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PE ' t EV (Signed) _ 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 5988, Compiled General Laws of Florida Permanent Supplement, and has 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 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, ork to be performed hider thi�;ermit, as are licensed ,, Miami Shama Verge. STATE OLD FLORIDA, COUNTY OF DADE. My Commission Expires (Signed ) —1 / 7S Date .._ L Street - -/ /•r . Capacity Gals. C. Notary Public, State of Florida Plumbing Yy — Master Plumber. Before nee, 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 a 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 mins/section fee of $1 1 will he made when such re- inspection is made necessary by improper notice for inspection, cr faulty materials and /ex workmanship. ermit No.- — = Application is hereby made for the approv .! of the detaild statement of the plans and specifications herewith submitted for the building or other structure hewn described. This application le 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, a ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall .- complied with, whether h•ein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Nana and Address..__ Street Registered Architect and /or Engineer____,____ Employing E'lunab Nam Block Street and Number where work is to be parform.. " —No J/II State work to be perfonne l and purpose of building ([s +y New Builds ___ _ ......- - -.. Reaaadeling__ ___ ___ __ Addition Size Septic Tn7+Tt ✓ Amount of IPes mit 6 - -- STATE OF FLORIDA, COUNTY ®F DADIE. 0 O 1 ©RES V9f.L aGL PLUMBING NSPECTION DEPARTMENT I FFLCAU J V-02 GLUM 9NO FEINT Type of Tank — - - -- -- Capacity Gals. Feet of Drain Tile._ _____ ----- IIDist. Feat of Tank or Drain Field from Well Nature of Water Supply: City —WA __ —___ ..._..- _...______-------- _ - - - -- -Size of Soakage Pit 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 5988, Compiled General Laws of Florida Permanent Supplement, and has 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 rr e5 Otis permit; and will post or cause to he posted' for inspection on the site of the work such public notice or notices as are required by t T. Act. The undersigned agrees to employ o such sub - contractors, on work to be performed under this permit, as are licensed by Mf=s1 Shams 'fll ge. Repairs Street__ Date -2 - _° 7e) Street__. 1 = Subdivision-- _-- - -__.- -- - - -_ -_ No. of Stories...... My Con omission Expires Notary Public, State of Florida ( Signed) _ � 1- 7 /2' -�,l _ ! v . / P umbing Inspector. ( Signed Master Plumber. Before me, the undersigned authority, a notary duly authorized to administer oaths and take acknowledgments, personally appeared to me well knewa, 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. NOTE: A re-faspection fez off 6Il.io will be made whew cam& se-in pectiura is made necessary by improper notie.) for inrf n, or faulty materials and/er vmikmanship. CL66'3T0 BATH TUGS fi0{O1fJ ER6 LAVA• TORIES G+INK6 SIS Sim) LAUNDRY 'rues U RINALS CATCH ®AGIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI::TUREE CONTR. LIST CHICK SaPTtC TAw:t Sa IIR CONN. DRAIN FIELD SOAKAGE PiT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL corms. LIST - - - -- - CHECK ermit No.- — = Application is hereby made for the approv .! of the detaild statement of the plans and specifications herewith submitted for the building or other structure hewn described. This application le 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, a ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall .- complied with, whether h•ein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Nana and Address..__ Street Registered Architect and /or Engineer____,____ Employing E'lunab Nam Block Street and Number where work is to be parform.. " —No J/II State work to be perfonne l and purpose of building ([s +y New Builds ___ _ ......- - -.. Reaaadeling__ ___ ___ __ Addition Size Septic Tn7+Tt ✓ Amount of IPes mit 6 - -- STATE OF FLORIDA, COUNTY ®F DADIE. 0 O 1 ©RES V9f.L aGL PLUMBING NSPECTION DEPARTMENT I FFLCAU J V-02 GLUM 9NO FEINT Type of Tank — - - -- -- Capacity Gals. Feet of Drain Tile._ _____ ----- IIDist. Feat of Tank or Drain Field from Well Nature of Water Supply: City —WA __ —___ ..._..- _...______-------- _ - - - -- -Size of Soakage Pit 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 5988, Compiled General Laws of Florida Permanent Supplement, and has 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 rr e5 Otis permit; and will post or cause to he posted' for inspection on the site of the work such public notice or notices as are required by t T. Act. The undersigned agrees to employ o such sub - contractors, on work to be performed under this permit, as are licensed by Mf=s1 Shams 'fll ge. Repairs Street__ Date -2 - _° 7e) Street__. 1 = Subdivision-- _-- - -__.- -- - - -_ -_ No. of Stories...... My Con omission Expires Notary Public, State of Florida ( Signed) _ � 1- 7 /2' -�,l _ ! v . / P umbing Inspector. ( Signed Master Plumber. Before me, the undersigned authority, a notary duly authorized to administer oaths and take acknowledgments, personally appeared to me well knewa, 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. NOTE: A re-faspection fez off 6Il.io will be made whew cam& se-in pectiura is made necessary by improper notie.) for inrf n, or faulty materials and/er vmikmanship. U Street and Number where work is to be done M EZ A a o RES LLAG E [S31 ._.D15.91G 1° SPEG`TlON DES «GRTEMENT APFLOr, -'70E3f F'D LIIL, ONO 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. Oaei s Name and Address )�, t No r% Street Registered Architect and /or Engineer._;_ i, 1 Name and address of licensed contractor Location and legal description of lot to be built on: Lot__ - Block Subdivision A r State work to be done and purpose of building (by floors). 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 $ Amount of Permit $ - ' ` Zone cubage required ' �� plan Cubage_ r ' Distance to next nearest building__. -._ . - _____ __ . .. _ -.- -. Size of Building Lot_ Maximum live load to be borne by each floor___ II 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from •ntractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted fo n 'ection on the site of the work such public notice or no as are required by the Act. The undersigned agrees to employ only such ! • ontractors, on work to be rformed under this permit, as are licensed by Miami Shores Village. , " /✓, ' Remarks.- _______ - — (Signed / 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 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._ : 4,-, < � ' _ Date ��� ../....7 t___ Rea , Sworn to and Subscribed before me. Disapproved _ � . /I? :tte �� _ (Signed) _ - — _ t �� _ 4-,.,1. !_ Building Inspector Notary Public, State of Florida My Commission Expires PLANNING B,eARD_ DATE Chairman / - ---- ---- -- - - Member Member Member - _ __ -- -- _ .. Member Council Approved _ _Date Disapproved __ ... trz . - (l_ ri, y ' �! - , 19 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 insi,i, .ion or faulty materials and /or workmanship. 00 0,'. l (; • • ' n n p, ; Cs C c e> r r 1 Owner's Name and Address M AMI SHORES VOLLAGE AP UDCATDDN FOR E_ MDLDDND PE MDT Application is hereby made for the approval of the detailed statement or me plans and specifications herewith submitted for the build in¢ 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, ell 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 07 not. A copy of approv plans and specifications must be kept at building during progress of thework. Registered Architect and /or Engineer ����! � ' k. ... Building Inspector BUILDING :NSPECTION DEPARTMENT Date..._. "" / _ .. _ No. Stae2¢_ .A � L Y ld, at i. Name and address of licensed contractor _.. a Location and legal description of lot to be built on: Lot Block Subdivision .... Street and Number where work is to be done ST Street State work to be done and purpose of building (by floors) e emrd . 6 pt /01 5 % - ' - _.._. and for no other purpose. Ncw Building Remodeling Addition repairs No. of Stories To be constructed of Kind of foundation loaf Covering Estimate Total cost of improvements $ 3 Amount of Permit .ri. 7 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 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 50G6, Compiled General Laws of Florida, Permanent Sup ur pleent, anti has complied ssiti 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 arc required by the Act. The undersigned agrees to employ only such subcontractors. on work to performed under this permit, as are licensed by Miami Shores Village. �q Remarks __._..__ (Signed) 66 STATE OF FLOFIDA, COUNTY OF DADE. D ss. 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 tI.e above described construction, that he has care ully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are truet Permit No gi 1 A Date )) 1 Read, Sworn to and Subscribed before one. 0 (Signed) Disapproved .. * .._ Date \ Notary Public. State of Florida My Commission Expires 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 hecn obtained frznn the I'Lrnrir.;; A re impectiun fee of $1.00 will be charged when such re- inspection is arnado as eas3ary by improper notice for ins tiase ar faulty materials and /or workmanship. FUMIGATION DEPAR`T'MENT, INC. Po O. BOX 381777 5C5 N. W. 03rd STREET MIAMI, FL 33138 75 S 700---Dade 463- 80500-- Broward (FUMIGATOR - WHOLESALER) SEAL FUMIGATION CC: County Health Department Fire Department FUMIGATION NOTIFICATION LOCATION OF STRUCTURE: 5° e q OWNER'S NAME & ADDRESS: Ai' t _A DATE & APPROXIMATE TIME OF RELEASE OF FUMIGANT: ALERT LEAR PEST CONTROL 505 N.1I. 103 St Miami Florida CO NTRACTOR�ETAI L rtf?E. OF STRUCTURE: CBS ( ; FRAME ; OTHER ; RESIDENCE) ; ; OTMER AI'L CUBIC FEET: `? q0� NAME & APPROXIMATE QUANTITY OF FUMIGANT: VIKANE) ; Has L o on .R APPROXIMATE LENGTH OF FUMIGATION PERIOD: ), CETTIFIED OPERATOR IN CHARGE: BRADFORD DIEHL TELEPHONE: 754-5933 (Day) D.•: Country 463-8050 °' Broward Country 472 -4107 (Night) ( row rd Country Fa.smigation shall •- performed at all times in strict adherence to the fumigant °s registered labeO rtci Florida State Division of Health Regulations, Chapter 1701 -2 of the Florida Administrcvtrive Coce. FUMIGATION DEPARTMENT, INC. shall hold itself primarily liable to the Florida State De •rtment of Health and Rehabilitative Services for the full performance of all fumigation work performed on the above - described premises, and shall hold itrs4lf Primarily liable for the full performance of all of the terms and conditions of the retail *fumigation contract for the above described premises as may be required by Chapter 482, Florida Statutes and Chapter 10D -55, Florida Administrative Code. TENT FUMIGATION 1( FD `2 0479 Date f ; Job Address Tax Folio a PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description Owner / Lessee / Tenant ,d , ,_ Owner's Address • '` Contracting Co. Cf,: -� �. ,f ull 6 l/1 ` 731 \ A e 1 ' Qualifier Pah/o Ne SS# - - State 00 ( i/J Munidipal # Competency 4 r(9-2/7 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION X 7 Square Ft. Estimated Cost(value) ` WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize,.the above -named contractor to do the work stated. / / S of Contract6rTr Owner - Builder Signatur= of owner and /or Co Date: Notar as to Owner and /or Con My Commission xpir s: a ** 'dent FEES: PERMIT 5 RADON C.C.F. ** * APPROVED: Zoning Buildin Mechanical Plumbin Date Master Permit 0 Phone , /- _.. b g/ F Ins .Co. A `, S 4 fit_ °r No ary as to Contractor or + er-BuiJ My Commission Expires: * * * NOTARY TOTAL DU' Fire Other Electrical Engineering„