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BUILDINGDate Job Addre ,�� &( ' ?L 5W Tax Folio // AVZ :' A / 1 Legal Description _ - Q, +' A 6� "' S e Z S f v,�7 C J f'4' (owner7 Lessee / Tenant J r4bv --Z a cs t j4 Owner's Address S7 D 7U F 9a S f re o f --- Phone 75/ •— 7r 0, Contracting Co. CiaLlk,/ Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING 1 [p PAVVING FENCE SIGN ref 2 �, \ A q r cv �-. Yk Y V - v rc� - 1' WORK DESCRIPTION ¢� S 1 Square Ft. r 5 Notary as to Owner and /or Condo President My Commission Expires: ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE * * Address Estimated Cost(value) 6/ © 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 co truction and zoning. Furthermore, I auth a the above ed c ntractor to do the work state f26 Srgnatu�r - of — owner arn or z.oTrav rresident Date: '•. JOCFPHINE CHURCH CA! , ;',:t :c, State of ftonda Sign Date: 9/t 7 as to y Commission ** FEES: PERMIT L 7, RADON C.C.F. b 4967 NOTARY 15 TOTAL DUE 4 0 Fire Other Buildin Electrical Mechanical gineering OWNER'S NAME W. D. TERRELL PRESENT ADDRESS -N R 93rd St LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) �1 St 510 N. E. 93rd LOT ; W2 7 BLOCK SUBDIVISION MS #2 GENERAL ONTRACTOR Bristol Builders ADDRES PHONE NO. 2'0421 LICENSE NO. 6218 BUILDING PERMIT NO. 6218 Q /Q DATE 2 /18/48 L PERMIT FEE 56•00 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST S 1800•00 DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION ALTERATION DESCRIPTION Build detached GprAge th porch - Shcs>•nr h Tai l Pt- T.Av - lay tnhR- X X ADDITION SUBMITTED TO PLANNING BOARD APPROVED 2/17/48 REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REM RKS ��. CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION fj 2 /1 8 /48 DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS 2/25/48 EWS $ s SEWER FRAM ING $ SOLAR HEATER $ $ GAS $ $ $ $ FINAL DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP 3/4/48 EJMc ROUGHING CONTRACTOR George Spinks PHONE2 -6449 PERMIT NO. 6272 DATE 3/3/4 FEES 4. NEW BLDG. I ALTERATION 1 ADDITION X REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK $ s SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSV CTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 3/4/48 EJMc ROUGHING GAS LCW LC H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK SOLAR HEATER FIXTURES & FINAL FIXTURES CONTRACTO} Gulf gl PHONE 3 PERMIT NO. 6 T ATE 3/11/48 FEE $2, NEW BLDG. 1 ALTERATION ADDITION X REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING �r� 3/12 /48 LCW LC H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL //Z/48 JDH BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 4/8/48 BY JDH - PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER fr� � / 1940 /e) " p 12 " L[/ 41 ICr 7 - , d °' l ./..li �3.L 7 4 . Ik1 .i.d 1'. i L /.. .L . / 1941 /1 J //.r // AP l/ 1942 0 0 0 0 - - / / 3 (Y 1 I , , i 4 v 1943 ■� / . 0 - � d" 4,,71 Veal ei� C d ���.� - 1/ .3 ��j p / /(!J / i 4N 0 � � - -- � ' 1944 � V ,� �O di . Q�4 / f9 - / 1Y . (4J 1945 �c c. Q (3. : l- / _ ^ k- ''� �/�Xkk 1946 1947 C a Cg' a - /7' • - /41 / _ A t-- 7 - `L /-2-'�/ qq '/ " T A /2-6. - 7 ' _ /( f 1948 a 00 / /'W l/ re 1949. �� f � °1/ / _' - '7 - s4 �I � � , :1 °T ? /.. / i....,:d , � 1 S c (J AR .7" a .i r/ 1950 '/ LOCATION it GARBAGE TAX RECORD 510 N. E. 93rd St. year annual tax _period_used amount paid date paid receipt # Estelle_Terrell /931 . A24.3./ffl _ _ . /3 iMJL _a! ' -\ TYPE NUMBER RGH SET FEE 11038 ID BATH TUB Contractor � pc,,,,..D Ph Q X S ( BIDET DISHWASHER C tractor's Address D.aS )Th [ 33 . DISPOSAL DRINKING FOUNTAIN Owner' Name Phone C--k 1 FLOOR DRAIN GREASE TRAP Job ddres >F' I O ,E_. . q 3 CA INTERCEPTOR LAVORATORY Lot Block Subdivision LAUNDRY TRAY CLOTHES WASHER Present or Propose se of Building -,p SHOWER SINK Old New No. of Bedrooms TEMPORARY WATER CLOSET URINAL Applica ion is hereby made to obtain a permit to do the work and installo- tions as hereon indicated. I certify that no work or installation hos been effected prior to the issuance of said permit and that all work will be per- formed to meet the standards of I laws regulating construction in Dode County. ....._9_,A-..n.,___Li9 j WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: AIR CONDITIONING UNIT FIRE SPRINKLER Signature of Master Plumber or Owner Date of Issuance: Insurance Dote Issued By: HEATER, - NEW INSTALLATION HEATER - REPLACE LAWN SPRINKLER - WELL SWIMMING POOL - WELL WATER SERVICE This permit does not become valid until signed by an authorized repre- sentative of the Director, Metropolitan Dode County Building and Zoning Department and all fees are paid and receipt acknowledged in the space provided. SEWER CONNECTIONS UTILITY-SEWER UTILITY - WATER PLUMBING INSPECTIONS SEPTIC TANK RE LAY GROUND PUMP & ABANDON SEPTIC TANK ROUGH SOAKAGE PIT - CU. FT. CATCH BASIN TUB & WATER PIPE INTERCEPTOR. GREASE, OIL SEWER DISCHARGE WELL DOMESTIC WELL SEPTIC TANK AREA DRAIN WELL ROOF INLET SOLAR WATER HEATER POOL PIPING FIRE STANDPIPE. POOL PIPING k 0 C LAWN SPRINKLER SYSTEM REINSPECTION FINAL PLUMBING I further myself, qualified Signed THE OWNERS AFFIDAVIT: certify that all work will be done by me personally, for without any outside help, other than a licensed & duly contractor as required by law. TOTAL FEE I'S O_ 113.03-6 (REV. ) PLUM PRESS DOWN HARD THE LAST COPY IS YOURS • NIETEECtiAz4.141TY BUILDIrf - - N. W. 12 ST. IAMI, FLORIDA 33125 PLICATION GULPSTREAM MADE IM MIAMI 633.8271 te:43D f FOR OFFICE USE ONLY \O ® 5a ' BUILDING PERMIT NO. PLUMBING PERMIT NO. TYPE NUMBER RGH SET FEE I Er) 38ID BATH TUB Contractor Phone �.G� PLA-,,s-.0 Ph ` 0X S {G BIDET DISHWASHER C tractor's Address ,aS r i t . L-1 DISPOSAL DRINKING FOUNTAIN Owner' Name Phone CIN FLOOR DRAIN GREASE TRAP Job ddres tom' ® ,E-. , q 3 INTERCEPTOR LAVORATORY Lot Block Subdivision LAUNDRY TRAY CLOTHES WASHER Present or Propose se of Building SHOWER .-$,e, SINK Old 1 New 1 No. of Bedrooms TEMPORARY WATER CLOSET URINAL Applica ion is hereby made to obtain a permit to do the work and installa- tions as hereon indicated. I certify that no work or installation has been effected prior to the issuance of said permit and that all work will be per- formed to meet the standards of I laws regulating construction in Dade County. � � Signature of Master Plumber or Owner Date of Issuance: Insurance Date Issued By: WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: AIR CONDITIONING UNIT FIRE SPRINKLER HEATER, - NEW INSTALLATION HEATER - REPLACE LAWN SPRINKLER - WELL SWIMMING POOL - WELL WATER SERVICE This permit does not become valid until signed by on authorized repre- sentative of the Director, Metropolitan Dade County Building and Zoning Deportment and all fees are paid and receipt acknowledged in the space provided. SEWER CONNECTIONS UTILITY - SEWER UTILITY - WATER PLUMBING INSPECTIONS SEPTIC TANK RE LAY GROUND PUMP & ABANDON SEPTIC TANK ROUGH SOAKAGE PIT - CU. FT. CATCH BASIN TUB & WATER PIPE INTERCEPTOR, GREASE, OIL SEWER SEPTIC TANK DISCHARGE WELL DOMESTIC WELL AREA DRAIN WELL ROOF INLET SOLAR WATER HEATER POOL PIPING FIRE STANDPIPE. POOL PIPING I S O C. LAWN SPRINKLER SYSTEM REINSPECTION FINAL PLUMBING I further myself, qualified Signed THE OWNERS AFFIDAVIT: certify that all work will be done by me personally, for without any outside help, other than a licensed & duly contractor as required by low. TOTAL FEE SS OC 123.03 -6 ( REV.) METROMIUZIZELUNWPOUNITY BUILDI PLUM N. W. 12 ST. IAMI, FLORIDA 33125 PLICATION GULIITR[AM'W1" MAO[ 1M MIAMI 6338271 PRESS DOWN HARD THE LAST COPY IS YOURS 1 FOR OFFICE USE ONLY \ O ®Sol \( BUILDING PERMIT NO. PLUMBING PERMIT NO. TYPE NUMBER RGH SET FEE 1 �� -< to BATH TUB - Contractor � Phone p t 1 �., �_0 9 _) *: 70 BIDET DISHWASHER -.0_,9 . _� C tractor s Address L-1:2-3 Owner' DISPOSAL DRINKING FOUNTAIN Name Ph one ( lr ,1, > > FLOOR DRAIN GREASE TRAP 4,,, Job ddres 5 ' O q3 CJ INTERCEPTOR LAVORATORY Lot Block Subdivision LAUNDRY TRAY ( CLOTHES WASHER Present or Propose se of Building D„ -3 SHOWER SINK Old New No. of Bedrooms TEMPORARY WATER CLOSET URINAL Applica ion is hereby made to obtain a permit to do the work and installo- tions as hereon indicated. 1 certify that no work or installation has been effected prior to the issuance of said permit and that all work will be per- formed to meet the standards of all laws regulating construction in Dade County. \' WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: AIR CONDITIONING UNIT FIRE SPRINKLER Signature of Master' Plumber or O er \" L- w Date of Issuance: Insurance Dote Issued By: HEATER, - NEW INSTALLATION HEATER - REPLACE LAWN SPRINKLER - WELL SWIMMING POOL - WELL WATER SERVICE This permit does not become valid until signed by an authorized repre- sentative of the Director, Metropolitan Dade County Building and Zoning Department and all fees are paid and receipt acknowledged in the space provided. SEWER CONNECTIONS UTILITY - SEWER UTILITY - WATER PLUMBING INSPECTIONS SEPTIC TANK RE LAY . GROUND • PUMP & ABANDON SEPTIC TANK ROUGH SOAKAGE PIT - CU. FT. CATCH BASIN TUB & WATER PIPE INTERCEPTOR. GREASE, OIL SEWER SEPTIC TANK DISCHARGE WELL DOMESTIC WELL AREA DRAIN WELL ROOF INLET SOLAR WATER HEATER POOL PIPING FIRE STANDPIPE. POOL PIPING , ,--, ,.,- , LAWN SPRINKLER SYSTEM REINSPECTION FINAL PLUMBING 1 further myself, qualified Signed THE OWNERS AFFIDAVIT: certify that all work will be done by me personally, for without any outside help, other than o licensed & duly contractor as required by low. TOTAL FEE �( . t23.O3-6 (REV.) BUILDI PLUM PRESS `iWN `HARD THE LAST COPY IS YOURS I, FLORIDA 33125 NTY 351 N. W. 12 ST. PLICATION 4t 1104 30 \OO \\ BUILDING PERMIT NO. FOR OFFICE USE ONLY PLUMBING PERMIT NO. TYPE NUMBER RGH SET FEE BATH TUB Contractor Phone i .. BIDET DISHWASHER Co tractor's Address j 1 DISPOSAL DRINKING FOUNTAIN Owner' . Name Phone •, + - FLOOR- DRAIN GREASE TRAP Job ddressj I i •-' • INTERCEPTOR LAVORATORY Lot Block Subdivision LAUNDRY TRAY CLOTHES WASHER Present or Proposed of Building SHOWER .i SINK Old New No. of Bedrooms TEMPORARY WATER CLOSET URINAL Applica ion is hereby made to obtain a permit to do the work and installa- Lions as hereon indicated. I certify that no work or installation has been effected prior to the issuance of said permit and that all work will be per- formed to meet the standards of all laws regulating construction in Dade County. I WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: ' AIR CONDITIONING UNIT FIRE SPRINKLER Signature of Master Plumber or Owner Date of Issuance: Insurance Dote Issued By: HEATER, - NEW INSTALLATION HEATER - REPLACE LAWN SPRINKLER - WELL SWIMMING POOL - WELL WATER SERVICE This permit does not become valid until signed by an authorized repre- sentative of the Director, Metropolitan Dade County Building and Zoning Department and all fees are paid and receipt acknowledged in the space provided. SEWER CONNECTIONS UTILITY-SEWER UTILITY - WATER PLUMBING INSPECTIONS SEPTIC TANK RE LAY GRQ JND- PUMP & ABANDON SEPTIC TANK ROUGH SOAKAGE PIT - CU. FT. CATCH BASIN TUB & WATER PIPE INTERCEPTOR. GREASE, OIL SEWER SEPTIC TANK DISCHARGE WELL DOMESTIC WELL AREA DRAIN WELL ROOF INLET SOLAR WATER HEATER POOL PIPING FIRE STANDPIPE. POOL PIPING LAWN SPRINKLER SYSTEM REINSPECTION FINAL PLUMBING I further myself, qualified Signed THE OWNERS AFFIDAVIT: certify that all work will be done by me personally, for without any outside help, other than a licensed & duly contractor as required by law. TOTAL FEE it - 113.0 * -4 (REV.) PRESS DOWN HARD TP1E LAST COPY IS YOURS METROWILIVUS/DADE_COUNTY Y BUILDI AND - Z- ONING- _- ___1: N. W. 12 ST. MIAMI, FLORIDA 33125 PLUMBING_PE _- PLICATION 633 -1271 BUILDING PERMIT NO. AUDITCP'S CCF`' FOR OFFICE USE ONLY PLUMBING PERMIT NO. TYPE NUMBER RGH SET FEE BATH TUB Contractor Phone BIDET DISHWASHER 44 Co tractor's Address ) DISPOSAL DRINRIN6r *OUNTAIN Owner' Name Phone ,. 4 4 ' ••.f 6•. FLOOR DRAIN .. : ,- GREASE TRAP Job Address) INTERCEPTOR LAVORATORY Lot Block Subdivision LAUNDRY TRAY CLOTHES WASHER Present of Proposed Use of Building SHOWER SINK Old New No. of Bedrooms TEMPORARY WATER CLOSET URINAL Applica ion is hereby mode to obtain a permit to do the work and installa- tions as hereon indicated. I certify that no work or installation has been effected prior to the issuance of said permit and that all work will be per- formed to meet the standards of all laws regulating construction in Dade County. WATER CLOSET; INDIRECT WASTES WATER SUPPLY TO: AIR CONDITIONING UNIT FIRE SPRINKLER Signature of Master Plumber or Owner Date of Issuance: Insurance Date Issued By: HEATER, - N 'EW INSTALLATION HEATER - REPLACE LAWN SPRINKL 'fWELL SWIMMING POOL - WELL WATER SERVICE This permit does not become valid until signed by an authorized repro- s entativeof..the. Director, Metropolitan Dade County Building and Zoning Deportment and all fees are paid and receipt acknowledged in the space provided. SEWER CONNECTIONS UTILITY - SEWER UTILITY - WATER PLUMBING INSPECTIONS SEPTIC TANK RE LAY _ GRQJND, PUMP & ABANDON SEPTIC TANK ROUGH SOAKAGE PIT - CU. FT. CATCH BASIN TUB & WATER PIPE IrsITERCEPTOR. GREASE. OIL SEWER SEPTIC ISCHARGE WELL pOMESTIC WELL TANK %AREA DRAIN WELL ROOF INLET ,SOLAR WATER HEATER POOL PIPING FIRE STANDPIPE. POOL PIPING LAWN SPRINKLER SYSTEM REINSPECTION FINAL PLUMBING I further myself,_ qualified Signed THE OWNERS AFFIDAVIT: certify that all work will be done by me personally, for without any outside help, other than a licensed & duly contractor as required by Taw. TOTAL FEE 123.03 -6 (REV.) METROPOLITAN DADE COUNTY BUILDING AND ZONING 1351 N. W. 12 ST. MIAMI, FLORIDA 33125 PLUMBING PERMIT APPLICATION APPLICANT'S COPY BUILDING PERMIT NO. FOR OFFICE USE ONLY PLUMBING PERMIT NO. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing' 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 0 ,19 Street Owner's Name and Address 7 No 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 -4140 1YE State work to be done and purpose of building (by floors) ___ __. gy. -- Estimated Total cost of improvements $_ Zone cubage required (Signed) MIAMI SHORES VILLAGE .0 BUILDING INSPECTION DEPARTMENT 11 APPLICATION FOR BUILDING PERMIT 44' rf Notary Public, State of Florida X and for no other purpose. New Building Q Remodeling Addition 1� Repairs No. of Stories f To be constructed of d✓ Kind of foundation t G � //L 4 • Roof Covering = 0 ono _Amount of Permit $ s 7 __ _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. Remarks_ ( Signed) ___AS /0" :1404 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 sta ed are e. ,1 Permit No._ . 1 7 Date /T i Read, Sworn to and Subscribed before me. Disapproved Date wilding Inspector 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. 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 Owner's Name and Address / � _ a ________ %_______ No.___.P?1. Y Street - - - L ti 1 Registered Architect and /or Engineer Name and address of licensed contractor Ci_ `>_�i- 1 Location and legal description of lot to be built on: Lot Block Subdivision - r - - - - - - -- Street and Number where work is to be done a "' ` ALL- � State work to be done and purpose of building (by floors u i and for no other purpose. New Building Remodeling Addition _1 Repairs No. of Stories To be constructed of r rA v, Kind of foundation C_.? i1_sr., Roof Coxering L l< Estimated Total cost of improvements $ .t__C. _ Amount of Permit $ t`` d l 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 e 1 w+ : -- be sent to �- - . , i =- �.� = =- -:...._ 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. �� f Remarks_--_---_ (Signed) IL �� t r STATE OF FLORIDA, COUNTY OF DADE. } ss.. r -. r I � , _ * 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 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 $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. Application is hereby made for the approval of the plans and ' specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with, whether specified or not. 4 )AA. _ U,,,c,-",, ,:1.7,.. , r. _ f • tl ARCHITECT :., .. .� ,ft `'. r_ CONTRACTOR LOT ..' -f ).4e 7 /BLK.7SUBDIVISION STREET # I ' F ' O NEW .,:ADDITION ^ REPAIRS - .NUMBER OF STORIES ) ROOF �:..A.. -„1 TOTAL COST 4 Lee; OWNER �.!•/ . �f Before me, the undersigned authority, a notary public, duly authorized to administer oaths n• take ackno -dgment, personally appeared � _`� L � to me well known, and who, being by me first d .'sworn, upon oath deposes and says that he is the buil• of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are tr e Read Sworn and Subscribed before me, Notary Public (Signed) Aokc, Building to be used for +; � 4 , ,s and no other use. I hereby submit all the plans and spedifications for said building. STATE OF FLORIDA) COUNTY OF DADE ) My Commission expires Cubic Feet Chairman C_ . ._ Memb -� Member_/' IZ_ Secretary Building Inspector r le BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA *: }at *ai:a`' .; . r4; * Cubic Feet required in this Block t` FLxiNNING BOARD t 1 I APPLICATION Signed. DATE 3 Permit No. Issued to # �`� °� , j ' Date Electrical Permit No. Plumbing Permit No. -t: f: ` " 0 81 . PLUMBING FIXTURES (WHITE)Eoehler.Fixtures 1 Shower Stall 5, -7586 Tipton shower, 3 ft. rod with Hags head. 2 Water Closets 4706 -J Sea Pearl Seat. 2. Lavatories 5 -310 17 x 19" angle supplies, less stops. 1 Er555 5' Metropolitan tub with 7510 trim. 5' rod and pins. 1' X41830 Sink 20 x 24 flat rim Acid Resisting with 8692 faucet and 9101 strainer, 1 2 part Cement Laundry Tray complete. 2 Angle Lawn Faucets where shown on Architect's plans, ADDENDA* SOLAR HEATERS 1 14' twelve light heater instead of ten light as shown on plans. ROOF $ Tile shall . be laid on 90# rooting - not 30" as stated. SHEET METAL 3 PLUMBING $ All flashing required shall be cop)` - not Armeo or equal galvanized metal. Provide 450 gallon Septic Tank not 350 gallons as shown on plans. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot ' / Work to be performed under this Permit r+ r , , Address of , t F--- ° w Value of [ tj I Amt. of fir' BUildln Project fie ,/ 6 ' 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- cation 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 • / By INSPECTOR • In consideration of the issuance to me of this permit I agree to perform the work covered hereunder itt compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA PERMIT. N? ' 4166 BI. Subdi- vision DATE Contractor's License No BY AUTHORITY V t` 194 vir 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 - it.g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami S tort's Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and n•gulations of the Building Division of Miami Shores Village shall be complie with, whether herein specified or not. A copy of approved pans and specifications must be kept at building during progress of the work. f ` Dat ..k. cV t'9 Q.. A- 2 _ _ .__ 19.1 2 Owner's Name and Address.. !.!.!': ........... No. S�_.._.. Street —t! . � 3 � R)gistcred Architect and /or Engineer ................ „_,,,. .. . Name and address of licensed contractor L k:.._ "..1.11 t N C4.E:15=- ............. ..........._ . ...- -- L.)cation and legal description of lot to be built on: LA Block Subdivision. ._..._..._ Street and Number where work is to be done s ° q I »_..._ H. -e._• ... _. ! I � C.Zn::.__.1._: . - -g $4 -_/T�� State work to be done and purpose of building (by floors)_ .C.c&,..- .3:-±-� ‘-'" ‘-'" — " o`9 . �"? �� 7,__ L - • s r .. rte.' t a + Q ` ..__ C i . F - . . 1 '- a � ' . , . ( ' a s _A.4.4 D i2 M 00 -L_ t W q - » . and for no' other purpose. N .w Building Remodeling I' Addition Repairs °' No. of Stories _. To be constructed of Kind of foundattScg. Roof Covering E: timated Total cost of improvements $ / 2 e 1. - Amount of Permit $, _. c:,0 Zcne cubage required _plan Cubage D stance 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 Fl • ida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance fr. . contr tors or s,ub- •ntractors employed by him in the work to be performed under this permit; and will post or cause to be posted or ins - ectio• . he to o e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such u•,- tra• •rs, •a/or'. performed under this permit, as are licensed by Miami Shores Village. s. Re marks...____.__ .__._ _._ (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths pe. ued ..J 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 the rein by him 1.39-5r) stated are true. Permit No. Date I/ 47 Read, Sworn to and Subscribed before me. Di: approved - -r (Signed) Date. __._____.. B ilding Inspector My Commission Expires PLANNING BOARD ».- _...•_...DATE Chainnan . — Member _........ ». »......_ »_ ».._ Member ... ._...._ - -• -- Member - .---- ._..._..._........_... Member_.._...__.._. ._._ .._.._._...._. Member .._._...._.._....._._... - ..... .._.»».. Co •mcil 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. t 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. Notary Public, State of Florida take acknowledgments, personally ap- _ to me well known, • 4 - 4 Eap- - /5 ,eeAZfri / & 0r,Q,t /a /o ,)E 93 54 ' , /7 / ! ! lam' Gc ,lar 6,f,coo, ,c'4» /g/ //s /.e, Lf or‘ Guc_re g5,7 cJ, /// 7 Qom. 11 ' c . 33/17 -7 7o - , i7 � / q -99J . P(1 OFFICIAL NOTARY SEAL <■ ° SANDRA M MOWTIEL * COMMISSION NUMBER CC401261 •• 0 MY COMMISSION .EXP. OF PP AUG. 171