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PLUMBINGPermit No 3 , a MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Applicatio i is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure kerein described. This application is made In compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all previsions 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. �' /�Kj - 23 / /�S l �r r Owner's Name and Address .4R4 ___�Y��`.CP 7 / L'No. ,.._47 0 Street..---:__ = a 9 S Registered Architect and /or Engineer _..._ . Yf �yLgclr / c — C ��� /6770 Aii.J,St 2 t `/4"-74- Dom, E h Ytn Pl 's Nam! -- ...� , No...., a..�.._.....�........ 1trs��._..... I oca a sd Legal Descripti n Lot. f 'a� 7 Mork "5 SubdiviskmWi �f �'�€ Street and Number where work is to be performed —No .- / 6 street... ? 3 S ' State work to be performed and purpose of building (By Floors)__ .-.— — •--- _-------- .�...— New Bulking. — Remodeling —_-_ — __ Addition......— _..._. -. Repairs Size Septic Talk_.- _Type of Tank —_Gib .&) C _+_.- _--- ..._._...___ Feet of Drain Tile .2 oL t n1SL Feet of Tank or Drain Field from Well..._.-- Nature of Water Supply: City —Well. Size of Soakage Pit My Commission Expires (Signed) Amount of Permit $ e7 ` o 0 (Sign a -- - -- - — - -- Plumb 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 5988, Compiled General Laws of Florida Permanent Supplement, and lair com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort' to be performed .nder this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as err required by the Act. The undersigned agrees to employ only such sub - contractors, coq wo; to be performed er this permit, as are licensed by Miami Shores Village. Date No. of Stories .. Notary Public, State of Florida STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the •_ -••.. - -_ - •- -.--- -• - -•- _ —._ of the above described construction, that be has carefully read the Iuregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be ands whom nob wiupsatian V loadellsosenri by improper nodes far hspection, at faulty materials and /or workmanship. C,.OarT. BATH Tool' SNOwERS LAVA TORIES SINKS SLOP SINKS L/.UNDRT Toss URINALS CATCH SASIN FLOOR DRAIN DRINKING FOUNT•NS I TOTAL PIATuREs CONTR. LIST _ CHICK SEPTIC 'TANK SEwcn CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR NEATER MEP 'INELL SPRKLR. S M SWIM'G POOL CONTR. LIST _ 1 CHICK Permit No 3 , a MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Applicatio i is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure kerein described. This application is made In compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all previsions 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. �' /�Kj - 23 / /�S l �r r Owner's Name and Address .4R4 ___�Y��`.CP 7 / L'No. ,.._47 0 Street..---:__ = a 9 S Registered Architect and /or Engineer _..._ . Yf �yLgclr / c — C ��� /6770 Aii.J,St 2 t `/4"-74- Dom, E h Ytn Pl 's Nam! -- ...� , No...., a..�.._.....�........ 1trs��._..... I oca a sd Legal Descripti n Lot. f 'a� 7 Mork "5 SubdiviskmWi �f �'�€ Street and Number where work is to be performed —No .- / 6 street... ? 3 S ' State work to be performed and purpose of building (By Floors)__ .-.— — •--- _-------- .�...— New Bulking. — Remodeling —_-_ — __ Addition......— _..._. -. Repairs Size Septic Talk_.- _Type of Tank —_Gib .&) C _+_.- _--- ..._._...___ Feet of Drain Tile .2 oL t n1SL Feet of Tank or Drain Field from Well..._.-- Nature of Water Supply: City —Well. Size of Soakage Pit My Commission Expires (Signed) Amount of Permit $ e7 ` o 0 (Sign a -- - -- - — - -- Plumb 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 5988, Compiled General Laws of Florida Permanent Supplement, and lair com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort' to be performed .nder this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as err required by the Act. The undersigned agrees to employ only such sub - contractors, coq wo; to be performed er this permit, as are licensed by Miami Shores Village. Date No. of Stories .. Notary Public, State of Florida STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the •_ -••.. - -_ - •- -.--- -• - -•- _ —._ of the above described construction, that be has carefully read the Iuregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be ands whom nob wiupsatian V loadellsosenri by improper nodes far hspection, at faulty materials and /or workmanship. Permit No %) l 4_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Applicatior is hereby made for the approval of the detailed statement: of the plans and specifications herewith submitted for the building or other structure horein 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. Owners Nime and Address Registered ,krchitect and /or En eer `g' �I ) f vrt ?) /' Nor. ...-. . $r.�,.l.�. • n and 6ga1 ption Lo // d o /5. umber© T , ✓ ma y tTo t 7 Block _� `� / SubdivI on ?L4 (• — State work to be performed and purpose of building (By Floors) __._._ — Q L A :yid J a. - f { e t A / 1 e . Street and 'Slumber where work is to be performed —No New Building------_ --- .- - -...- - - -• - -. Remodeling—__ —_.._— Addition, ----- _ —•• -- Repairs Size Septic' rank- - Feet of Drain Tile Dist Feet of Tank or Drain Field from Well .. Nature of Water Supply: City —Well Size of Soakage Pit ZS Amount of ;Permit $ No S Street..' L 93 (sue) -- ' ------------------------ - -_.�. 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 5968, Compiled General Laws of Florida Permanent Supplement, and h„r com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort• to be performed wider this permit; and will post or cause to be posted for inspection on the site of the . h public notice or notices as err required by the Act. The undersigned agrees to employ only such sub - contractors, on . k to under this permit, Ks are licensed by ;111ami Shores Village. (Signed .1-02 7 S7—/'0 No. of Stories My Commission Expires Notary Public, State of Florida aster Plumber. STATE OF FLORIDA, 1 ts. COUNTY CF DADE. Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ._ - -- .. •-- •---- _ - - -. - - . --. — ._ _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by bin stated are true. NOTE: A re- inspection fee of $1.00 will bso made wham wait selasp•ot es Y snadelsac mery by Improper notice far Lasp•ctlon, et faulty materials sad /or worlaaanship. CLOSET/ BATH Tu•• aNOW[Ra LAVA• TORIES • INK[ SLOP •INK[ LA JNORT TueS URINAL[ CATCH BASIN FLOOR DRAIN DRINKI NO FOUNT' NI TOTAL PIATUR[E Comm. LIST CHECK SKPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR • SW IM•G FOOL C OWN . LIST CHECK Permit No %) l 4_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Applicatior is hereby made for the approval of the detailed statement: of the plans and specifications herewith submitted for the building or other structure horein 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. Owners Nime and Address Registered ,krchitect and /or En eer `g' �I ) f vrt ?) /' Nor. ...-. . $r.�,.l.�. • n and 6ga1 ption Lo // d o /5. umber© T , ✓ ma y tTo t 7 Block _� `� / SubdivI on ?L4 (• — State work to be performed and purpose of building (By Floors) __._._ — Q L A :yid J a. - f { e t A / 1 e . Street and 'Slumber where work is to be performed —No New Building------_ --- .- - -...- - - -• - -. Remodeling—__ —_.._— Addition, ----- _ —•• -- Repairs Size Septic' rank- - Feet of Drain Tile Dist Feet of Tank or Drain Field from Well .. Nature of Water Supply: City —Well Size of Soakage Pit ZS Amount of ;Permit $ No S Street..' L 93 (sue) -- ' ------------------------ - -_.�. 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 5968, Compiled General Laws of Florida Permanent Supplement, and h„r com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort• to be performed wider this permit; and will post or cause to be posted for inspection on the site of the . h public notice or notices as err required by the Act. The undersigned agrees to employ only such sub - contractors, on . k to under this permit, Ks are licensed by ;111ami Shores Village. (Signed .1-02 7 S7—/'0 No. of Stories My Commission Expires Notary Public, State of Florida aster Plumber. STATE OF FLORIDA, 1 ts. COUNTY CF DADE. Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ._ - -- .. •-- •---- _ - - -. - - . --. — ._ _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by bin stated are true. NOTE: A re- inspection fee of $1.00 will bso made wham wait selasp•ot es Y snadelsac mery by Improper notice far Lasp•ctlon, et faulty materials sad /or worlaaanship. I herewith submit the following application for a permit covering the installation of a Septic Tank ___� • Feet of drain tile: Installed by: REmarks: (NEW: Old: Nc. of Plumbing Fixtures: Nature of water supply: City: Acditional information: PERMIT NO. // MIAMI SHORES VILLAGE, FLA. APPLICATION FOR SEPTIC TANK PERMIT • DIVISION OF PI.iU.iBINWSPLCTION Scakage Pit: : Relaying: Address: New: A Story:: Addition: Remodeled: Fcr a (Store: Garage: Apt: Hotel: Office Bldg. (Res: Garage wash floor: ?taste water from a: Building has: Stores; Offices; Apts; Hotel Rms; BEdrums Ovner or Agent://f.; ° ;-� 6 -�� �� � � iiiddress: Lct No., `' j / Block No SUBDIVISION Acdress of work: ' /' ) `/ Laundry Tubs: Floor Drains: Well: Feet Distant from all wells: Type of tank installed: Tank capacity in gEllons: Size of Soakage Pit: Purpose of same: Ready for Inspection: Date: Wic3 4 2s7 Time: AF PROVED BY: �� '' r, CONDEMNED BY: • cC) Issued to Fixtures Fixtures Sewer •tic Tank aiami A o F L O PLUMBING PERMIT N9 1122 re to install the following described plu mbi.ngordance wi.th the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plu ing and drainage work done in iami Shores Village, Florida. Xif For a_story building at L /( Total $ Village Plumbing Inspector Received Pay nt b OWNER LOT BLOCK SUBDIVIS N hi � j a iT ), .r�rt- -i , ../. 7 / �j ��/ � 2/,/ , 1 Issued to Fixtures Fixtures Sewer •tic Tank aiami A o F L O PLUMBING PERMIT N9 1122 re to install the following described plu mbi.ngordance wi.th the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plu ing and drainage work done in iami Shores Village, Florida. Xif For a_story building at L /( Total $ Village Plumbing Inspector Received Pay nt b OWNER LOT BLOCK SUBDIVISION //04/ 1 S '. tJ� r ' - -- L.t.. —� L. .. - r • v..- er1.( -1 f b� s �i �r"? 4Iiami fhores F L 0 R 1 D A PLUMBING PERMIT N9 1085 Issued to J"` -' to install the following described plumbing, in accordance thh the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. 41'1 2/ r For a� //e-4.../ stor//e-4.../ //e-4.../ building at _tg Fixtures .,•w / ji' ,.411"., / f .+2 t.� .1 " Fixtures 7 $ Sewer $ 6 C3 •tic Tank $ Total $ $__ Village Plumbing Inspector / ' ` r' Received Payment by JILDING _ ECTRICAL UMBING rr CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE y 1 94 L Contractor's License No. PERMIT N? 5314 Work to be performed under this Permit t 1 r r Amer of .�- tilding - chitect )retractor Builder gal Lot Ei. zsc ription idress of Value of Amt. of 'Ming- ! ; . , ` Proje 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 applh- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ins, drawings, statements or specifications that may hi.ve been submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans are changed w' out authorization. A further condition upon which this rmit is granted is the understanding that the contractor or builder named above assumes the r sibility for thorough knowledge of the ordinances arid *ulations pertaining to the work covered hereby whether shown on the plans or drawings or in e statements r-specifications aP 1 -that he assym es resporp- .ihty for work done by his agents, servants or employees. r . �✓ Signed. -f' 1.4 INSPECTOR t By " `v In consideration of the issuance to me of this permit I agree to perform the work c*ered reunder In compliance with all ordinances and regulations rtaining thereto and in strict conformity with the plans, drawings, statements or specification submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, s ant or employee. Subdi- vision BY AUTHORITY UILDING ECTRICAL LUMBING ontractor Builder egal Lot Bl. escription (.: MIAMI SHORES VILLAGE, FLORIDA DATE 7 194 L / :.. PERMIT N? 5330 Work to be performed under this Permit wner of uilding rchitect Subdi- vision Contractor's License No ddress of Value of Amt. of uilding r Project 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 appli- .tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have S een submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans ark changed- without authorization. A further condition upon which this -rmit is granted is the understanding that the contractor or builder named above assullies the responsibility for a thorough knowledge the ordinances and .gulations pertaining to the work covered hereby whether shown on the plans or drawings Or in the statements or speeifications and that he assumes respon- bility for work done by his agents, servants or employees. y " 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 :rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROQFIN Owner of Building MIAMI SI'IORES VILLAGE, FLORIDA DATE_" 2 7 ° {" 419 PERMIT N9 5212 4 if Architect Contractor or Builder 6 Legal Lot Description Bl CONTRACTOR OR BUILDER BY Work to be performed under this Permit —_.- V s Address of s- - Value of Building / / (.r• �' Project $ Contractor's License No. Subdi- vision I! Amount of ., t 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 whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed - i " ! 1 itPFrRTDR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all, artd pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Niami Shores Village. In ac. cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING RQOFING Owner of Building Architect Contractor or Builder ' MIAMI SHORES VILLAGE, FLORIDA ❑ DATE PERMIT Legal Lot Description Work to be performed under this Permit Bl N9 5982 Contractor's License No. f Subdi- vision Amount of ! Permit $ Address of Value of _ Building ! Project $ L This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements ;or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me pertaining thereto and in strict conformity with ceptinq this permit I assume responsibility fo : : ,e,„ ..„," , .1 , 4 4 1 CONTRACTOR OR BUILDER Signed. INSPECTOR of this permit I agree to perform the work covered hereunder in compliance.1v✓ith all ordinates and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao ell work crone by either, myself, my agent, servant or employee. BY AUTHORITY ••BOT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building �J ❑ MIAMI SHORES VILLAGE, FLORIDA c -LI DATE. 19_4±" PERIIIIIT PI �. N • 7973 Contractor's License No. ❑ Work to be performed under this Permit Architect Contractor � +� or Builder P ) J ■ _ _ , , ; - .. .0 f , c • 1 r' 7 , C . I -°1 n! F-,. -. Legal Lot Subdi- Description Bl vision F � Add I sg of J ,[ � 3 •� � ` . , Value of of Project $ ( 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 q thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements dr specifications and that he assumes respon- sibility for work done by his agents, servants or employees. j C - / 1 CONTRACTOR BUILDE a Signed. BY ri t4 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auth cepting this permit I assume responsibility for ell work clone by either, myself, my agent, servant or employee. /Cie TOR all ordinances and regul of Miami Shores Village. In ac. AUTHORITY AI SOT OWNER LOT BLOCK SUBDIVISION EW / - Date Issued to iami cJhoresslllage F L O R I D A PLUMBING PERMIT N9 1085 a r r to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_L story building at c5~/ Fixtures --4. / c. L t 1/ 7/ Fixtures 1 $ Sewer r $ / Septic Tank $ Total $ t 7 Village Plumbing Inspector Received Payment by Permit No q 3 Size Septic Tank._-_---_--- -- Feet of Daain Tile___ Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot_____________ Block Street and Number where work is to be performed —No Type of Tank Nature of Water Supply: City — Well._.._.- ___ _______ _ _______ __- -_ -_ -- ________ __..___Size of Soakage Pit ( Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor =1 performed under this permit; and will post or cause to be posted' for inspection on the site of the w required by the Act. The undersigned agrees to employ only such sub -contra • s, on work t licensed by Miami Shores Village. Date � - 21 ` / C. 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. Owners Name and Address -------_•__---__-- --- _-_-__- ____— �� ----------- _- -•-- --._._ No. _ -�__`� Street Registered Architect and /or Engineer________ - - Sfer __ -_- ------ _------- ------------ _ -_f-- � [# { c--S- � Employing Plumber's Name- . iv e 4. -_J q._ ►`lE E` e !_' 1 No.------ _-- - - - - - � Street__ Subdivision _ Y- [ N [ f� ".0 aLO e / \ State work to be performed and purpose of building (By Floors ___ _�.. New Building _____•__ _______ _______ Remodeling____ -- ____ ____ Addition Repairs L. No. of Stories. Capacity Gals __Dist. Feet of Tank or Drain Field from Well My Commission Expires Notary Public, State of Florida - Plumbing Inspector. s as an employer of labor upplement, and has coin- ed by him in the work to be public notice or notices as are under this permit, as are Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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 notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH Tiles e6 LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuss U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N6 TOTAL FIXTURES CONTR. LIST CHECK E EPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK Permit No q 3 Size Septic Tank._-_---_--- -- Feet of Daain Tile___ Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot_____________ Block Street and Number where work is to be performed —No Type of Tank Nature of Water Supply: City — Well._.._.- ___ _______ _ _______ __- -_ -_ -- ________ __..___Size of Soakage Pit ( Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor =1 performed under this permit; and will post or cause to be posted' for inspection on the site of the w required by the Act. The undersigned agrees to employ only such sub -contra • s, on work t licensed by Miami Shores Village. Date � - 21 ` / C. 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. Owners Name and Address -------_•__---__-- --- _-_-__- ____— �� ----------- _- -•-- --._._ No. _ -�__`� Street Registered Architect and /or Engineer________ - - Sfer __ -_- ------ _------- ------------ _ -_f-- � [# { c--S- � Employing Plumber's Name- . iv e 4. -_J q._ ►`lE E` e !_' 1 No.------ _-- - - - - - � Street__ Subdivision _ Y- [ N [ f� ".0 aLO e / \ State work to be performed and purpose of building (By Floors ___ _�.. New Building _____•__ _______ _______ Remodeling____ -- ____ ____ Addition Repairs L. No. of Stories. Capacity Gals __Dist. Feet of Tank or Drain Field from Well My Commission Expires Notary Public, State of Florida - Plumbing Inspector. s as an employer of labor upplement, and has coin- ed by him in the work to be public notice or notices as are under this permit, as are Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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 notice for inspection, or faulty materials and /or workmanship. 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 he:ein 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. / No. ' Street Registered Architect and/or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank Type of Tank Capacity Gals. • Feet of Drain Tile Dist Feet of Tank or DraM Field from Well Nature of Water Supply: City—Well Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. S S . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -------- (Signed) / Date / Street Subdivision --- ( Signed) No. of Stories 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 froin all contractors or sub-contractors employed by him in the work to be perfonned 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. 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 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-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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS / URINALS _ CATCH BASIN FLOOR DRAIN - DRINKING FOUNT'NS - - TOTAL FIXTURES CONTR. LIST -1- -*I- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M'G POOL CONTR. 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 he:ein 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. / No. ' Street Registered Architect and/or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank Type of Tank Capacity Gals. • Feet of Drain Tile Dist Feet of Tank or DraM Field from Well Nature of Water Supply: City—Well Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. S S . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -------- (Signed) / Date / Street Subdivision --- ( Signed) No. of Stories 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 froin all contractors or sub-contractors employed by him in the work to be perfonned 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. 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 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-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. BUIL DING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6300 Work be performed under this Permit L f 1..... r j 0L4- fir , / ,, Architect Contractor or Builder fC Legal Lot Description Address of Building This pertltff iS trait/01'161W eei aetop -o ,gamed above to construct the building or to install the equipment or device described in the appli- cation herefor In strict compliance with all ordinanees'pertainmg thereto and with the understanding that the work will be performed in compli: nce with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit in:.y 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 u orrwhich this permit is granted is the understanding that the contractor or builder named above assumes the responsibili y for a thorough knowledge df es and regulations pertaining to the work covered hereby whether shown on the plans or dryings pr in thetirents or sp `iftions and t1C a assumes espon- ONTRACTOR OR BUILDER Bl. sibility for work done by his agents, servants or employees. Signed! Subdi- vision Value of Amt. � i , Project Permit .-- DATE SP aeli Contractor's License No. In consideration of the issuance to me of this permit I agree to perform " the work covered hereunder in .compliance with all,ordinances aid teliIIiatons pertaining thereto and in strict conformity with the plans, drawings, statements or sincifications submitted to the proper authorities of Miami Shores Vi1111z""ge. In acceptipg this permit I assume re onsibility for all work done by either myself, my agent, servant or employee. 19 Owner's Name and Address Registered Architect and /or Ea f....sly Employing Plumber's Name Nature of Water Supply: City —Well STATE 01' FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT xti Size Septic: Tank_ Type of Tank Capacity G Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) r5 Permit No. / Date ! V / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subited fof 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 No Street No. Street Location and Legal Description Lot 1 " J Block Subdivis n l �j✓ Street and Number where work is to be performed —No o.� Street /! State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories My Commission Expires Notary Public, State of Florida • =. Master Plumber. Amount of Permit $_ (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 hjm 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. :LOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST 1. 0 .A\ CHECK , ■ Owner's Name and Address Registered Architect and /or Ea f....sly Employing Plumber's Name Nature of Water Supply: City —Well STATE 01' FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT xti Size Septic: Tank_ Type of Tank Capacity G Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) r5 Permit No. / Date ! V / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subited fof 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 No Street No. Street Location and Legal Description Lot 1 " J Block Subdivis n l �j✓ Street and Number where work is to be performed —No o.� Street /! State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories My Commission Expires Notary Public, State of Florida • =. Master Plumber. Amount of Permit $_ (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 hjm 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. Pennit No.___ 3 L 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 -- No Street V / f3 Registered Architect and /or Engineer Employing Plumber's Name . .� No._ J336) Street Location and Legal Description Lot - Street and Number where work is to be performed —No. L_ / c'1 1_ •• Street I__/ State v ■ork to be perfomred and purpose of building (By Floors) New Building _ _... ._- ___ ___ __..__- ____ ____ _ Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $_l STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Subdivision • Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Date (Signed) Capacity Gals My Commission Expires Notary Public, State of Florida • O w. al.. 2 9 7 V9- 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. Master Plumber. Before nie, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the sane, 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 notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 1 Pennit No.___ 3 L 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 -- No Street V / f3 Registered Architect and /or Engineer Employing Plumber's Name . .� No._ J336) Street Location and Legal Description Lot - Street and Number where work is to be performed —No. L_ / c'1 1_ •• Street I__/ State v ■ork to be perfomred and purpose of building (By Floors) New Building _ _... ._- ___ ___ __..__- ____ ____ _ Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $_l STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Subdivision • Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Date (Signed) Capacity Gals My Commission Expires Notary Public, State of Florida • O w. al.. 2 9 7 V9- 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. Master Plumber. Before nie, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the sane, 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 notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL ,PLUMBING Owner of Building • PERMIT N° 5330 Work to be performed under this Permit Architect Contractor, or Builder ` -' 1 1 • i - ° Legal Lot Description Address of i Value of Amt. of Building - ' (- Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described ii the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in complian :e 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 axe changed without authorization. A further condition upor which this permit is granted is the understanding that the contractor or builder named above asspmes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings qr in the statements or specifications and that he assui nes respon- sibility for work done by his agents, servants or employees. . - - Signed: ' " By INSPECTOR A 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 authcnikes of Miami Shp] es) Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA BL Subdi- vision DATE 194— Contractor's License No. ,4 _ .d� Ct�NTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING 4 Owner of if, Building ! 1' Archite` Contractor or Builder Legal Lot Description Address of ) 2.? r, . Building ! f 1 , This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described is the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in complian -e 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 upoi which this permit is granted is the understanding that the contractor or builder named above assumes the resnsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications gad that he asswnes respon- sibility for work done by his agents, servants or employees. By In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with au_ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authdiittes of Miami Sh es7Village. In accepting this permit I assume responsibility for a work done by either myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5314 Work to be performed under this Permit r iy Bl. CONTRACTOR OR BUILDER BY Subdi- vision Value of Project DATE „r 194 Contractor's License No. Amt. of Permit Signed.,c• INSPECTOR AUTHORITY 1. t 14 APPLICATION FOR BUILDING PERMIT Application is her by ma e for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or ether structure erein escribed. This application is made in compliance and conformity with the Building rdinance 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 Buil ng Division of Miami Shar Village shall be ,.,...._lied with, ___Lett__ herein plans ard specifications ust be kept at building during progress of the work. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date. — _. ._ e 2 e . ,1.974 Owner's Name and Address WI r i V 1-5 - a _. i lol• c in — No 510 .. _.. Street- - 9.._3 R 5 Registered Architect and /or Engineer Cc/ /4 ,-1. k' .12__l Name ar.d address of licensed contractor.. .(1.k g_ wii�l . 1214.5 Core 554 4 11.5. 66.... 1 f/..LL___.. Location and legal description of lot to be built on: • P n / ?_. Lot_.... - .,� - -E. 3 Block._. / Sub 1- 4- ! /-- _., D Y .e J Q . - S . c '�- to I o Strut and Number where work is to he done -6.71 Jf �_ E .7 6-c 5 2E ( State wo.•k to be done and purpose of building (by floors)... ✓ O/ a ___.........._..._ - - -• -� _.._ ... and for no other purpose. New Building Remodeling Addition Repairs • No. of Stories To be co rstructed of G UN /2 Kind of foundation Roof Covering Estimates Total cost of improvements $....F49 Remarks_ and who, Leing by of the above descri therein by him stat Permit No Disapprove 1 (Signed) Chairman -.._ Member -•--- _ -._._ Member .........._ Council Approved 1 Date. Date Built' g Inspect Date corrections Amount of Permit $ Zone cubige required --- •-- ..__...___. - -- _.._._._.._...._.._.__ - -- _ _Plan Cubage / Distance to next nearest building --- •-- •--------------- _____ -- - Size of Building Lot - 2 7 Maximum live load to be borne by each floor I her by submit all the ._ plans and specifications for said building. All notices with reference to the building and its construction may toll a ' A / be sent to_fl_YYL S_ag. wn9.A.gI 1_S!�_ ._. 00.17: • 5 5 - Q_. 1.1. • A.itf_5 1 v+ I _.0 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 5960, 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 s h pub 'c notice or notices as are required by the Act. The undersigned agrees to employ only such s s. tractor , on work to perf ed ; ' der this permit, as are licensed by Miami Shores Village. • X11 • -- - -- (Signed) me first duly sworn, upon oath deposes and says that he is the ed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts are? STATE OF FLORIDA, COUNTY OF DADE. I ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared — Read Swo No My Commi ubscribed before me. ic, State of Florida pires____ ........... - ......• _.to me well known, PLANNING BOARD_. ATE Member - _....._ Member Member Disapproved Date NOTE: A charge /of $1.00 will be made for making or changes to this application after approval has been obtained from the P 1 a nnin Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.