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1275 NE 93 St (6)Registered Architect andror Engineer ..--- and address of licensed contractor 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. 'Date o4" ( {� 4 19 // t.--Owner's Name and Address G ` -� -� x a/ �// v No,47 > Street >7 / yl e/ ,- Location and legal description of lot to be built on: l� g Lot / f , Block / Subdivision /9rn O� t.J/ 1 � Jot o s/ a 7 ® /i' c.treet and Number where work is to be done .,776- , � l 4 ---State work to be done and purpose of building (by floors), state exterior colors (submit samples) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering .-- Total cost of improvements s /AOD 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 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 only such subcontractors. on wor)C to be performed under this permit, as are licensed by Miami Shores Village. Remarks ISignedl_/ STATE OF FLORIDA 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 forego g application. and that he did sign the same. and that all facts therein by him stated are true. � S Permit No. Date Read. Sworn to and Subscribed before me. Disapproved ` Date Notary Public. State of Florida (Signed) Building Inspector • My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date 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. STATE OF FLORIDA, COUNTY OF DADE. 1 ss. (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement um use 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 " l(. / . ... �_. �_... /y _ Owner's Name and Address ...' /9 — L .�D No. f Z 4 .. Street .4 q . ! .a3 $ Registered Architect and /or Engineer ,., _ _, Name and address of licensed contractor .,.1/..9./Y e w Location and legal description of lot to be built on: Lot Block / Su division iv�^— .. p 2 ! � _._... Street and Number where work is to be done.! 2 � ti G : 1 .J � �7 7- ... ` . _.. .. State work to be done and purpose of building (by floors).. D . 4 / / C .- id e 4 ,(,7 7o._.s2a Notary Public, State of Florida Building Inspector My Commission Expires and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof �'4 Covering ^ Estimated Total cost of improvements $ m 0 /7 Amount of Permit S. ,C ' "'4�� 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 •' "igation s an employer of labor under the Honda Workmen's Compensation Act, being Section 5966, Compiled G neral Law • ' o da, Per nt Supplement, and has complied with the provisions thereof, and will require similar compliance from a .nt " -.,rs or su. act. mployed by him in the work to be performed u nder this permit; and will post or cause to be posted for i cti. t si o/ e " such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su • trams o oa ; rk i o rformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 constructio9, that he has caret Ily read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. C� Permit No.._.P01l C Date t 1 1 J 19 Read, Sworn to and Subscribed before me. Disapproved .1. Date PLANNING BOARD DATE Chairman Member Merr■ber 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 fmtn the Planning Board. A rc 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. • I 1 7 - . • • • r • •.> 4 - 1 z Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPA , 'TMENT APPLOE1 TIT 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____ March 4 ,19 Owner's Name and Address John A. Ma No. Street N. E. 93rd St. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1275 N. E. 93rd St. , Miami Shores, Florida State work to be done and purpose of building (by floors) mii]Q' s ?14i,.pa.1ng and for no other purpose. New Building Remodeling Addition Repairs XXX No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 1, 0 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 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 ccepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comm . Gen to w,spf,Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance fro 11 . ;orsub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted f sp atr.n th6 site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such �co l:�c . , p n work to be performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to peared (Signed) administer oaths and take acknowledgments, personally ap- 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. / 460/ / Permit No )®e75 Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida Building nspector My Co mission Expires PLANNING B RD__. ___.._ DATE Chairman Member Member 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 $1.00 will be charged when such re- inspection is made necessary by improper not e for inspe, ,ion or faulty materials and /or workmanship. PL4- 76v v 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. - Owner's Name and Address.. .W • is Registered Architect and /or Engineer Name and address of licensed contractor � d . - - _7,,....--.24.4g. . - 1 SJ � p R Location and legal description of lot to be built on: Lot /v Block / Subdivision itio '' Street and Number where work is to be done L .,2 -..e,..1 ,a State work to be done and pur se of ilding ( floor ) �[ Disapproved Date (Signed) Building Ins. tor Date ' n ; S9 No .....1- 7 E f Street - -? . /... 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 $ 4 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 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 pennit 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 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 n work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signe 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. l / Permit No S 2 t ' Date / (`( - d Read, Sworn to and Subscribed before me. 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 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. 3r--- Registered Architect and /or Engineer Name and address of licensed contractor "i Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done l ° ? State work to be done and purpose of building (by floors) Disapproved (Signed) Chairman Member Member W .( Date.- 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 , 19 T'9 ' / , J 4/ c . // / Owner's Name and Address. No Y Street ry 67 )- 6es c, 73 PL NING BOARD DATE a F' u/ L p 1 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 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 pennit 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 Sup/dement, 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 subontractors, on work to be per f9rmed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. J 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 ( ° L Date Qua ° 4- 7 4 ' ead, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires 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. Maximum live load to be borne by each floor Disapproved (Signed) .... Buildi g Inspector 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 / b y e kept at building during progress of the work. R i CO CONS rRiaOI t d a) Date 06 q .• - ,19�d� Owner's Name and Address' � (l _M B A o; (1.6k-6P,, p 3 lac-. 1 '_Y.- _ No Streit Registered Architect and /or Engineer V / P t�' EL& E/ , O �P A - t / Name and address of licensed contractor�� 7n L :.y f lip.. j I �C • 1 i ifu- ti Location and legal description of lot to be built on: Street and Number where work is to be done Subdivisyn. Y 1,) /et State work to be done and purpose of building (by floors) New Building e- °''' . Remodeling Addition To be constructed of Kind of foundation ..- !/_ _Q G Estimated Total cost of improvements $__. -. Amount of Permit $ Zone cubage required ___ tra .. 0_ _Plan Cubage 3. - -a Distance to next nearest building / 2-t ® Size of Building Lot _ r __/ _7 I hereby submit all the plans and specifications for said building. All notices with reference 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 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 su}rcontractors, on work to by-performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Chairman Member Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT and for no other purpose. Repairs No. of, Stories / Z Roof Coy LE PLANNING BOARD DATE / 71 to the building and its construction may STATE OF FLORIDA, COUNTY OF DADE. j 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 sta ed ar true. Permit No Date___ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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. �'D 114 ..( 4 ! \ (4_,.‘,...*LZ c Cis :4 iv 6. l e) o e4 4 11_ ts t 4 1 51 1 7 1-1. O tt ( E4 1 / 4 tisls IS 0 L o t et„.4 c tit^ 0.41 11 41 : 2 1,40 1 11 . 4 - 9 Z " 41 '*t • It N. 15.21 • FE►ce E$4c4 - 7.5.0o S CALE I -- 30 93". SCALE - 150 S c of 0 2!1 E MCQ . SKET H )F SURVEY Lot 10, Bleck 1, BA/ LURE, according to the plat thereof recorded in Plat Book 44, at page 63, of tie Public Records of Dade J unty ,Florid ORD.# 1656 July 29, 1955 F.B.# 26 -48 Scales Shown I HERLBY ERTIF That the attached m SKET:3H OF SURVEY" or the above described proderty is true and correct to the best of my ,- tnowledge and belief as recently surveyed and platted under my direction. A330 '1 % Ll.tiD 5 -RVE ;ORS 0 / P 1 2" H. Lt. TJ O R Registered Land Surveyor #889 r - S) ST NT E )F FLORIDA r q70 5cS4W Street and Number where work is to be done 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 11/1/55 , 19 Owner's Name and Address........ 8taxxleL_.Bu.icler . No. Street Registered Architect and /or Engineer.... ._Arc..o...Co. trun±iori...Cc Name and address of licensed contractor Lang Roofing and Tile Co Inc. 430 NW 79tt1_..S.t_..,.__ City Location and legal description of lot to be built on: Lot Block Subdivision.. 1275 N, E x...93rd St. State work to be done and purpose of building (by floors) and for no other purpose. New Building .X Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering tile Estimated Total cost of improvements $ 990._QQ Amount of Permit $ 5-.-00 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 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 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. Lang Roofing and Tile Co., Inc. Remarks (Signed) ■ STATE OF FLORIDA, COUNTY OF DADE. j 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 1 ! ® Date S.S Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member Member Council ,pproved Date Disapproved Date TE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from thejlanning 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 aterials and /or workmanship. Permit No Application is hereby m e for the approval of the detailed statement of the plans and specifications herewith sub tted for the building or other structure herein describe 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 Miarni Shores Village shall be gomplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Address Registered Architect and /or Engneer Employing Plumber's Name deti LZ No 1/J2Leet Z „ Block 9 ./ Subdivision7)Zet Location and Legal Description Lot / Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. j Street and Number where work is to be performed— No._,G__ State work to be performed and purpose of building (By Floors) New Building 1/ ss. ,a7 (Z4 No i1)). Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well 1 v ` Size of Soakage Pit 0A ( Signed) Plumbing 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 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date 4 -1,___ Street Master Plumber. Street --- f. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, an , 15eing by me first duly sworn, upon oath deposes and says that he is the of the above ed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein b 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. 1 CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS ' 4 ` • /J � T•TAL . T i�E CONTR. LIST �/ �/ // / � T� s •J+�' ' r —7,- / � C EC • 1 . / `� [ ..J S..r 0 Q f . e i - � SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL ` j • 4{4' V SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP CONTR. LIST / i 6-6 / 50 ,. _/ 0 ( . CHECK Permit No Application is hereby m e for the approval of the detailed statement of the plans and specifications herewith sub tted for the building or other structure herein describe 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 Miarni Shores Village shall be gomplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Address Registered Architect and /or Engneer Employing Plumber's Name deti LZ No 1/J2Leet Z „ Block 9 ./ Subdivision7)Zet Location and Legal Description Lot / Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. j Street and Number where work is to be performed— No._,G__ State work to be performed and purpose of building (By Floors) New Building 1/ ss. ,a7 (Z4 No i1)). Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well 1 v ` Size of Soakage Pit 0A ( Signed) Plumbing 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 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date 4 -1,___ Street Master Plumber. Street --- f. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, an , 15eing by me first duly sworn, upon oath deposes and says that he is the of the above ed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein b 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. 1 • Oh A . 1 . . . OWNER'S NAME Stanley Bldc,, Inc, !"RESEN'l LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 2.75 pr ( ;3r( - 1 Stre^t LOT 10 BLOCK 1 SUBDIVISION 9av Lure GENERAL CONTRACTOR S c<rna ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 232? DATE 8- 250.,5 �1 PERMIT FEE 26 BOND 1840 NO. 1840 DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE - 9 r l CU. FT. EST. COST $ 2 DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE CBS STORIES 1 - ROOF CONSTRUCTION t:;_le INTERIOR CONSTRUCTION stone?- ant oak f?..00rs, n1r ^tc REPAIRS DESCRIPTION 1.1 j LS and c. Clings 1 3 bdrm -maj r" s room -3-4�- b th; - alitchen= d nir- room- roc"" �livir ; room ALTERATION tprabe DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 3 ig 3 -2I- -s7, ISSUED 4, e I 5 Tsa At 4_ i Lo 4 0 ,t/c. By.------ TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIbNS' DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION r '0 AS K FEE TEMPORARY SERVICE TEMPORARY SERVICE 0 BEAMS & LINTELS / /0 ° f ir /) `= 14- / $ SEWER (00 O /_- FRAMING / 0 -.26- — /A . MOTORS $ GAS FIXTURES $ $ $ FINAL - ' :�4 BY BY RE- INSPECT BY CLEAN -UP /Q °%,{. Y r- -g — /} CONTRACTORA.�� ' PHONE a ii 99 PERMIT NO. G'o DATE 9- al- ...„, FEE $ c� O. ® C..) NEW BLDG. ALTERATION ( ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE 0 $ SEPTIC TANK H. W. HEATER CONN. `= 14- / $ SEWER (00 O /_- 0,..e.... $ SOLAR HEATER MOTORS $ GAS FIXTURES $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING /Q °%,{. Y r- -g — /} GAS ROUGHING PO*" qi - ..-515 .■ SEWER H. W. HEATER CONN SEPTIC TANK / O 7 f/ A RANGE CONN. SOLAR HEATER FIXTURES ��// Z- Z - SI w2(3 FIXTURES & FINAL Z — 2 7 Sa C.. el,' 5 VI CONTRACT PHONE ^ 9 PERMIT NO. 4 1 3 DATE 'yam .5 9 ..— %.5 -'" S' .... / FEE $ ( Z�S NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 0 $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- SPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL Z — 2 7 Sa C.. el,' 5 VI 6 I2, -;-k' BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE Y- J BY cAJ �, BUILDING ELECTRICAL PLUMBING ROOFING Owner of L Building - Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA DATE 195 Contractor's License No. PERMIT N? 2323 Work to be perfo Bl. Subdi- vision Value of II Amount of Project $ II Permit $ This permit is granted to the contractor or builder named above to construc 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. . BY INSPECTOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /.Z i i ' 7 Job Address /. S 4V. £ , Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant `?/ • 174,4 .L ^' 7 Master Permit # Owner's Address /.2"/ $ ^J E 9? ./ . Contracting Co. Arlon, Inc. Address 8723 Sw 129th Te rr . Qualifier Richard R. Wynne SS# Phone 251 —1 279 State # Municipal # 000013371 Competency # Ins. Co. Ko 1 i s c h Ir' . Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION .T./9 11 K e , n+ C. ite..y io • 1 .0 Q oJO ■ Square Ft. /10 ,L.;v ,T 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 certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re: atin;iconstruction an ning. Furthermore, I authorize the above -named contractor to do the work stated. FEES: PERMIT NOT • STATE OF FLORIDA JENN FER NAFTAL -PEREZ COMMISSION # CC588692 EXPIRES 10.11.2000 BONDED THRU ASA 1.888- NOTARY•1 RADON C.C.F. to Contra ssion Ex wner- : uilder Signature of Contractor o otary My Co NOTARY Phone 7 f't - q-7 Cr gs C".0.4v, Owner - Builder Date NOTARY • STATE OF FLORIDA JENNIFER NAFTAL -PEREZ COMMISSION # CC588692 EXPIRES 10.11.2000 BONDED THRU ASA 1-11118-NOTARY-1 BOND ate APPROVED: Zoning Building Mechanical Plumbing L Engineering 7 Electrical tr gnature o ASTRID FLEMMINGS WORKERS' COMPENSATION EXAMINER BUREAU OF COMPLIANCE DIVISION OF WORKERS' COMPENSATION 401 N.W. 2ND AVENUE SUITE S -321 MIAMI, FLORIDA 33128 Notary to Owner My Commission Exp r wner and/or Condo Presi t FEES: PERMIT)() RADON FLORIDA DEPARTMENT OF LABOR & EMPLOYMENT SECURITY APPROVED: Zoning Building Mechanical (305) 377 -5385 EXT. 107 SUNCOM: 452-5385 FAX: (305) 377 - 7239 Contracting Co. 3.1- • PO o I 5 YC • =n C- • Address /( 5 A/. to 94 ST . Qualifier Co ep / z- P o e SS# 4o 4 - 9a - Re,ci 7 Phone 5 e; S - 75g - 1' - h I S t a t e # Municipal # C o m p e t e n c y # 0 0 , 0 0 /41 1a 4 Ins. Co. ), ScExly Zvs. C , Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Re-P, DESCRIPTION e -P� JISh ; n5� 007 1 l SgrIa o e - Square Ft. Estimated Cost (value) 00- ® o 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 wo stated. q, I or C ' `.. Date NOTARY PUBLIC STATE OF FLORIDA CONDASSION NO. CC714103 MY COMMISSION EXP. MAIL 1 Date 2000 C.C.F. PSI( / Historically Designated: Yes No N FOR MIAMI SHORES VILLAGE Tax Folio n or o Owner- Builder Phone 6305 - ?54- ' 91 to S Master Permit # 4 6 o J Notary as to Contractor or Owner- Builder My Commission E • NOTARY FFI GLADYS S NOTARY PUBLIC VII.LAR PUBLIC STATy OF FLORIDA COMMISSION NO. COI 4203 MY COMMISSION Electrical BOND TOTAL DUE J r' il_ 7400 Date 1 ", -i -moo° Date Plumbing Structural Engineer