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443 NE 95 St (5)44 2: Permit No Application is hereby made for the approval of the detailed statement of tae: plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confer x ty with the I'milding 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 rr not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address N a ,z ? _____ _,n�_t . a. _ _. No._— ¢ 4- Street_ Registered Architect and /or Engineer _._- __-__. —__ Employing Plumber's Name 1-1E .a / _F No.__�_._..3__3�_._.__ Location and Legal Description Lot.___._._ _ ______ - -._ Blocic_ _ . Subdivision________ Street and Number where wark is to be performed— No._1_9__3- -eLt. `- /a a `Street Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit I ...... - -- ... - ---- -- - - - - ...... Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. My Commission Expires MIAMI SHORES VIL:_iitGE PLUMBING INSPECTION DEPARTME■s' APPLICATION FOR PLUMBING " . Vi77 ( Signed)... Date /° State work to be performed and purpose of building (By Floors)___.__ New Building ___ Remodeling__ _________ Addition________._ Repairs No. of Stories_ Capacity Gals (Signed)_ 7-S e_A- Plumbing Inspeior. 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 Ccmpensation 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 performpd- under this permit, as are licensed by Miami Shores Village. aster 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 hire stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS TUATH BS SHOWERS LAVA- TORIES SINKS SLOP SINKS L Tuas URINALS BASIN DRAIN 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 SWIM•G POOL CONTR. LIST CHECK 44 2: Permit No Application is hereby made for the approval of the detailed statement of tae: plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confer x ty with the I'milding 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 rr not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address N a ,z ? _____ _,n�_t . a. _ _. No._— ¢ 4- Street_ Registered Architect and /or Engineer _._- __-__. —__ Employing Plumber's Name 1-1E .a / _F No.__�_._..3__3�_._.__ Location and Legal Description Lot.___._._ _ ______ - -._ Blocic_ _ . Subdivision________ Street and Number where wark is to be performed— No._1_9__3- -eLt. `- /a a `Street Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit I ...... - -- ... - ---- -- - - - - ...... Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. My Commission Expires MIAMI SHORES VIL:_iitGE PLUMBING INSPECTION DEPARTME■s' APPLICATION FOR PLUMBING " . Vi77 ( Signed)... Date /° State work to be performed and purpose of building (By Floors)___.__ New Building ___ Remodeling__ _________ Addition________._ Repairs No. of Stories_ Capacity Gals (Signed)_ 7-S e_A- Plumbing Inspeior. 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 Ccmpensation 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 performpd- under this permit, as are licensed by Miami Shores Village. aster 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 hire stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 Lawq of the State of Flor'da, all ordinances of Miami Shores Village ?nd all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified o; not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address? " "'/ -/-to Registered Architect and /or Engineer and address of licensed contractor _ R 1 ') C (oleo 1J 5 Pia / A) is L E i eo - Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done__!'i `t 3 1 7 1 2 S "- s State wo to be done and purpose ! of building (by floors) a/co bL. ' �a L --- �t tn. and for no other purpose. New Building Remodeling Addition _ Repairs No. of Stories To be constructed of Kind of foundation Roof Covering t Estimated Total cost of improvements $ e ° p0 _ Amount of Permit $ Zone cubage required____ _ - _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor _ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for thi> building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or ub- 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 sit of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc tracto on w k to be performed under this permit, as are licensed by Miami Shores Village. f�� Remarks (Signed) . ° ' L Disapproved _ _ ___ __ Date (Signed) Chairman ___ __ _ ___ _ Member _ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date / L - f C No. - 4 g -3 - - -- - Street__NE- NING BOARD DATE Member / )-- / STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No � 7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector ' My Commission Expires Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ID ELECTRICAL E] PLUMBING [E ROOFING 0 Owner of Building t •- �. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 1 ?- 19_44 PERMIT Architect Contractor or Builder 1 Legal Lot Description Work to be performed under this Permit '. ' e i t- N° 5972 Bl t Contractor's License No. . r ( G Subdi- vision Address of ti . Value of -, 1 Amount of Building # ' Project $ J 1 Permit $ 4 This permit is granted to the contractor or builder named above to construct the building or to i stall 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. �- . 4 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complianc' with all ordinances andd, regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au orities of Miami Shores Villiige. In ac• cepting this p nnit I tsume responsibility for all work done by either, myself, my agent, servant or employee. f, f e..., w "7 / "U BY AUTHORITY ,uIot