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128 NE 94 St (3)MIAMI SH+ RES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR UILDING 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.__ . Jack Moore Registered Architect and /or Engineer Protectu Awning .aales Inc. 701 W. 25th St. Hialeah Name and address of licensed contractor Street and Number where work is to be done 128 N. E. 94th St. Date 1/20/62 No 128 Location and legal description of lot to be built on: Lot • 10 =11 =12 Block 22 Subdivision Miami Shores Section 1 ammedded State work to be done and purpose of building (by floors) Install alum. fold -down awnings 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 $ 1850000 Amount of Permit $ 2 "0,50 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 Protectu Awning 5alLs Inc. P. 0. Box .59 Hialeah 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) " "_ Pr'ote_otuAiming .5ales Inc. Byo9�C���l�'� ,19 Street N o E . 994th St o STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No V Date Read, Sworn to and Subscribed before me. Disapproved (Signed) e/ l Build g 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. Notary Public, State of Florida _Aft MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMUT 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 a' building during progress of the work. Owner's Name and Address ._.. . 4 1ank__T1 e STATE OF FLORIDA, COUNTY OF DADE. ss. Date 7/20/62 , 19 No 128 Street Attla ..,Ste Registered Architect and /or Engineer Name and address of licensed contractor Pr.ctectu --Qu zk ,U.gp___ laze 701 t5e 2 .5th Ste Hialeah Location and legal description of lot to be built on: Lot 10.1 1-12 Block 22 Subdivision ._._..... Z11a9111..._Swims __feot •on 1 atuasOod Street and Number where work is to be done 128 .- a® 94th at. State work to be done and purpose of building (by floors) Install alum. Sald•dnz;m awnings 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 $ 1350.0 Amount of Permit $ 2.5Q 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 '_rn4sae$a _J��� -_ C :; �a--- libcs9 s 0. Bay: .595 Hialeah The undersigned applicant for this budding 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 rovisions 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).- Before me, the undersigned authority, a notary public, daily 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 51.00 will be charged 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 s mitted the ilding 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 a building during progress of work. Owner's Name and Address Registered Architect and/ Employing Plumber's Location and Legal Descripti Sian Septic Tank Feet of Drain Tile___ Nature of Water Supply: City — Well._____ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES TILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING i' i•imiT ( Signed Date Street and Number where work is to be performed—No. ____—_. __ Street State work to be performed and purpose of building (By Floors) _.__.______.___..___.____ New Building _ _._ Remodeling_____ __._ Addition______ ............... Repairs No. of Stories. Type of Tank Capacity Gals t. Feet of Tank or Drain Field from Well_____________________.._ __Size of Soakage Pi Plumbing Ins. of or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl':ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen ent 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. I 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when Duch re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SH OWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BABIN FLOOR DRAIN DRINK NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHacR Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s mitted the ilding 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 a building during progress of work. Owner's Name and Address Registered Architect and/ Employing Plumber's Location and Legal Descripti Sian Septic Tank Feet of Drain Tile___ Nature of Water Supply: City — Well._____ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES TILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING i' i•imiT ( Signed Date Street and Number where work is to be performed—No. ____—_. __ Street State work to be performed and purpose of building (By Floors) _.__.______.___..___.____ New Building _ _._ Remodeling_____ __._ Addition______ ............... Repairs No. of Stories. Type of Tank Capacity Gals t. Feet of Tank or Drain Field from Well_____________________.._ __Size of Soakage Pi Plumbing Ins. of or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl':ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen ent 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. I 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when Duch re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship.