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340 NE 94 St (8)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. Owners Name and Address Registered Architect and /or Engineer MIAMI SHORES VILLAGE %4m e s NN o� `G✓ � /y7 �J a7 C Name 'and address of licensed contractor JONd f 7 ii t .Sow /NC - 2 8/ f' A4144 / e • • Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) CA-1"'" 64.7.5 B' ,4.770 G r 4 � o ,E}�i� 771 4 400 . and for no other purpose. New Building Remodeling ✓ Addition Repairs To be constructed of Kind of foundationCON.0 . `e )c /f7- ter Estimated Total cost of improvements $ 006 °-(2. Zone cubage required Distance to next nearest building Date (4, & . ) , 19.ZZ ... No . — Street 1% - r e 9 ' f)4 / »v AL-A/v 020 r` D dB ie, G X✓.1. 7e j No. of Stories yring LT ®rte? ., Amount of Permit & plan Cubage Size of Building Lot PLANNING BOARD �RZf Maximum live load to be borne by each floor I hereby submit all the plans anct specifications for said building notices with reference to the building and its construction may be sent to �ON� "1/ �i�J� ,Semi 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 pennit, as are licensed by Miami Shores Village. - Remarks (Signed). STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - - 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 a. Disapproved (Signed) Date -7- - ?r.._._ Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida Building Inspector My Commission Expires 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING P i MIT Application is hereby :made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of .the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address._..cLatTle&__.AQ110. Registered Architect and /or Engineer Name and address of licensed contractor Bs rert Location and legal description of lot to be built on: and who, being by me first duly sworn, upon oath deposes and says that he of the above described construction, that he has carefully read the foregoing therein by him .! 54 stated d are true. Permit No.___ 2/ _$ Disapproved (Signed) ' 1 4 . 1 " ' - - --•- M II A M H S H E S VO L L A S E Date / / r ?/ Building pector — � Z Da e Council Approved Date NOTE: A charge of $1.00 will be made for making the Planning Board. A re inspection fee of 51.00 will be charged materials and /or workmanship. Date is the application, Read, Sworn to PLANNING BOARD DATE Chairman Member Member August 4, 1972 ,19 No 340 Street NE 94th St., Roofing & Supply Co. 3710 NW 41st. St. Miami, 33142 Lot Block Subdivision Street and Number where work is to be done. 3 NE 94th St. , Miami Shores, Fla. State work to be done and purpose of building (by floors)...} o- o_f - - - -ne w._- re-&r._..adcl firm.- _1..,, .4.',r.. _h, s.e.., . 1.490 Milaeral.-- s.ur.faced.__ roll__ roofing. _.ani...o.ezkentt...sk Ingle tile, 2hz squares and for no other purpo New Building Remodeling Addition $ Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering.Ti1e Estimated Total cost of improvements $.300. 00 Amount of Permit $,.5. 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 3710 NW 41st. St., Miami Fla. 33142 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 inspectio on the site of e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc rs, on w o be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) der-a, STATE OF FLORIDA, COUNTY OF DADE. y ss.. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Member Member Member Disapproved corrections or changes to this application after approval to me well known, and that he did sign the same, and that all facts and Subscribed before me. Notary Public, State of Florida My Commission Expires when such re- inspection is made necessary by improper notice for inspection or faulty has been obtained from Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR B1.3ILDING 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 duripg progress of the work. se-:� rr as3 — Date , 19 Owner's Name and Address... ShiT1T1__.C4nttrliction Co, N 1509 N. Ea ee 130th St. Registered Architect and /or Engineer Name and address of licensed contractor Brady Roof ing & Sheet Metal 2955 N. W. 73rd St. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 340 N. E, 94th St . State work to be done and purpose of building (by floors) RooX__Q.n residence; 30 -90 -Tile and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 30 -90 -Tile Estimated Total cost of improvements $1.7.00..00 Amount of Permit $ 8.00 Zone cubage required ..... .Plan Cubage Distance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Perm ent Supplement, and has complied with the rovisions thereof, and will require similar compliance from all conkractors or sub-contracto employed by hint in the work to be performed under this permit; and will post or cause to be posted for inspe Od o the site of the o such public notice or notices as are required by the Act. The undersigned agrees to employ only such. .con }:cters,J 9 work to b/ l- formed under this permit, as are licensed by Miami Shores Village. Remarks (Signe Date.._O 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 .6 77 Disapproved (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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. PERMIT ? APPLICATION FOR MIAMI SHORES VILLAGE Date � ` 1 7 Job Addre s J r 0 A 9 4- 5L Tax Folio Legal Description Historically Designated: Yes / Tenant '' r I 1 ( 7.- C (‘ N Master Permit # Owner's Address 3 '"7 (V - f ( Phone Contracting Co. 1 ti Q I) / U i h Address Qualifier ( V e � e State # ' C ( 0 ,) 7' n Municipal # Competency # Architect/Engineer Address - 7V Bonding Company Address Mortgagor Address Permit Type (circle one BUILDING ELECTRICAL PLUMB G MECHANICAL ROOFING PAVING FENCE ( SIGN ro o F � (ti h 1 WORK DESCRIP'T'ION Square Ft. and/or Con ature of own APPROVED: Zoning Mechanical 3 Oo FEES: PERMIT RADON 1,(-Je ftle KA ( 3 Estimated Cost (value) s t ©-6 5 President Date Notary as to Owner and/or Condo President , Commission Expires: j /6� Building 7 1/*7frri `Phone Signature of Contracto v Owner- Builder Electrical Ins. Co. 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 pliance with all applicable laws regulating • ' zoning. Furthermore, I authorize the above -named _ t. work st Notary as to Contractor or Owner - Builder Date My Commission Expires: 751-L12,o( ticl .to 1 Date c. C.C.F. /' NOTARY BOND TOTAL DUE as Plumbing Engineering Date Job Address 3 « 7 "/E. Legal Description Owner/Lessee / Tenant W [((;'4 e f 3 t (b N �L( Contracting Co. . (' o d (l�S Qualifier ( L ( ^ G P(P S A k 3e (/ State # CC C c5 ? ( 7 Municipal # Bonding Company 4 / /V7/1 Owner's Address Architect/Engineer Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA e r r WORK DESCRIPTION Historically Designated: Yes No Square Ft. 75-- (0 0 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 m this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: and zo laws regulating c APPROVED: Zoning Mechanical Notary as to Owner and/or Condo-President My Commission, Expires: a z "" ro:s scat. FEES: PERMIT e ° RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE that all the foregoing information is accurate and g. Furthermore, I authorize the above -n d c President Date Building 4 r S7ise..ErTax Folio QS. J-276).0-// Date Address 74/k , C ss# Phone 5 (' ( 0 c Competency # Address Address Address Estimated Cost (value) C.C.F. r re NOTARY Master Permit # A///q 4 /0,0g Phone 756 — 7 7 3 ROOFING P VING FE CE SIGN ', 5 / " (c Ins. Co. F Signature of Contractor or !+ er- Builder Notary as to Contractor or Owner- Builder My Commission,Expires .„ -:V f'U, C r4 a t[: r 9 �a e Electrical pliance with all applicable 5 —fig -�6 Date Date BOND .3 0 0 . TOTAL DUE 3 &t - Plumbing Engineering APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address James Donn Jr. No 340 Registered Architect and /or Engineer Name and address of licensed contractor Lang Roofing 8f Tile Co., Inc... 430 N. W. 79th St. Miami Fla. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 340 N. E. 94th St. Miami Shores, Fla. State work to be done and purpose of building (by floors) 54 sq. shint?le tile standard— and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of :improvements $ 2000.00 Amount of Permit $ 12,00 Zone cubage required .Plan Cubage Distance to next nearest: building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only sue ubcontract• , on work to be perfor under this permit, as are licensed by Miami Shores Village. Remarks ( Signed). /� ' __' = -' Gam"" r V, P. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date July 1,� 1960 Notary Public, State of Florida Street N. E. 94th St., ,19 LANG ROOFING & TILE COMPANY, INC., 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 ti� �' Date Read, Sworn to and Subscribed before me. Disapproved Date._ ( Signed) Building Inspector ; i My Commission Expires PL NING 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 FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement us ore plans and specifications herewith submitted for the build • inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance. of htiarnt Shores Village; Florida. anti -all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and a1I nrles 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 tILO ✓ Registered Architect and/or Engineer .. None and address of licensed contractor Walter Scott Roofing &. Repair, Inc 675 Ali Bab Averue Location an legal do tipn of lot to be built on: Q £ �/� Cpa Locke FL �� �+ L ot'/ `c a. -fr g/ Block. 4 SubdivislonP '(8 L 1 L i 1J a6o 6 Street and Number where work is to be done..._.. ti .k t, z i — ST, / /wt 33/ 31 • State work to be done and purpose of building (by floors). /e=- °O -c - ea GXP` Za C#3 P � v ai F-a /f o P 343 ;"4- M o P 90 ? C 47a. A f. • u-1 k % t FCC,fi (V.. and for no other purpose. Addition Repairs; )( No. of Stories....... /.:'` dd Roof Covering Amount of Permit �1 f M Remodeling Kind of foundation _._...._. Estimates Total cost of improvements $ ..._0.4.. . ° New Building To be constructed of Zone cubage required Distance . to next newest building Maximum live load to be borne by each floo MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Chair:min Member Member .. I hereby submit all the plans and specificatL9n for said building. All notices with reference to the building ltd its construction may be sent to./t/96 'mot_ Y"7`. / o-e / cr- j e r o , a / r L f 67.r /Y�r /4�9 /�co 0 P4 t c ca The un.ier.icr.ed applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of L.bur under the 'Florida Workmen's Compensation Act. being Section 5 Compiled General Laws of Florida. Permanent Ste(ilt•uient, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 arc required by the Act. The undersigned agrees to employ only such subconpacton, on worts, to perforated under this pcnnit, as are licensed by Miami Shores Village. Remarks..._ __ --- (Signed) STATE OF FLORIDA, t . COUNTY OF DADE. ss • Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared . 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 e.. Permit No.. Z ' _ _ ._.� Read, Sworn to and Subscribed before me. ...._...... Date Date ..____.. Building Inspector Disapproved ► , • . ��= . --- (Sinned ) No x43 an Cubage ... ..._ Size of Building Lot. Notary Public, State of Florida My Commission Expires ` -e 7 .1, toreet�J .... /3S %0 to me well known, PLANNINC BOARD ._. -DATE Member .. .._ Member — _.._.,.--- -•-- ._...._..._.. Member ...._ _._ _. r......__._ Council Approved _...._Date Disapproved .._.._ Date NOTE: A charge of 51.00 will be made for making corrections or changes to this application after approval has hero obtained from the Itu.trd. A re ln.p.c tiers fce of 51.00 will be charged when such re- inspection is made• necessary by improper notice for inspection or faulty matcriala anu /or workmanship. Registered Architect and /or Engineer Name and address of licensed contactor O6eflOWt Roo Location and legal description of lot to be built on: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby i:nnde 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..._..., /4 80 Raymund aoneA No street Owners Name and Address .. Lot Block 909 N 99 titEi Street and Number where work is to be done Statall . .__._. _._. sa ss —... _ . � sass ��• State work to be d ne ,and purpose of bu'!di (by Coors) . e IWO • .. on �.Zope �J.eclion and 4 p eui. up nap an pave / on 4.ect on. Repairs Roof Covering /5.00 New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ 5370.00 Disapproved (Signed) i Date Building Inspector 7357 N. W. Miami £1 Miami_ JLa.. and for no other purpose. No. of Stories 26 4gl].. Amount of Permit $. Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Jfaxunum 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 Sup �Iement, and has complied with the plrovisions thereof, and will require similar compliance from all contractors or sub - contractors en •ioyed by him in the work to be performed under this permit; and will post or cause to be posted for inspec on on the site of the wgtk s i public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcot.•- Mors, on work I•'.- rimed under this permit, as are licensed by Miami Shores Village. , / Remarks..._ ( Sig ed) , _ ✓E 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. W4.1 Date 111Y0 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection of faulty materials and /or workmanship. D a t e s !'D °t 0 Job Address .1 4 C • 4 4 '4 H - Tax Folio Legal Description Historically Designated: Yes No D 3 Owner/Lessee / Tenant \N,) t I L- *•"•-`''. . '1 .1 i „ Master Permit # (c7 g Owner's Address 4 4-6 e . C1 4 4 Contracting Co. Qualifier • State # Municipal # Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC ROOFING ' AVING FENCE SIGN WORK DESCRIPTION 'C (r t ki i t s c. �' Y F cs A t,-, t 0 0) a ¥t - 1 - 1> 4- , A 1' 7 Estimated Cost (value) 1 Q U Square Ft. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE btL e t- ib tJo Address Phone 3bS - t_7( - 7 7 90S ") 73 9 ?S z- SS# Competency # Ins. Co. Address WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of o FEES: PERMIT 60. RADON do Od 9 S' / ate T L n , 011 Signature of Contractor or Owner - Builder �(� 7 -/o - -)ao Notary a to -Omer and/or Condo • ,. _ _ i - Notary as to Contractor or Owner - Builder Date My Commission Exp s: OFFICIA Cyr RY My Commission Expires: GLADYS J VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1 .O C.C.F. /. NOTARY 1 BOND Phone W Date APPROVED: TOTAL DUE Zoning Building iik$ ti ti o t Electrical Mechanical Plumbing Structural Engineer CLOSET[ BATH Tus[ aHOW[RS LAVA. TORIES SINKS SLOP Sims LAUNDRY TUES URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI CONTR. LIST CHECK - ,� _. SOAKAGE PIT GREASE TRAP SOLAR 19[ATER DREW WELL SFRKLA. SYSTEM Eiw IE9'G POOL SEPTIC TANK S[W[R CONN. DRAIN F IELD LIST CHECK Amount of Permit $ L- 14- 0 ?MAW SNORES V LLAGF PLUMBING INSPECTION DEPARTMENT APPLICATION F R PLUMING PERMIT u � N \ 7 T)Y�p � _ •� � � � T 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 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._ I , r - - Sr- .. Owner's Name and Address � � S 'De? r - No `� Street. �� . Employing Plumber's Engineer ��- pd' L A.) a- t, 6.1.* T r .. 6101G dG. c.J : iv d' j - Lt ...- -� Q,•+wn••vm�a..�.msen..mv 8 tt11�4.r.�..ms... w..�..... ^,,,sr••- Location and Legal Description Lot- Bloc4 _ Street and Number where work is to be performed —No & . m ' L- ' et , - .... ''" �-� l t- I State work to be performed and purpose of building (By Flaoro) _ —• .� �__...__. New Building- Remodeling —_ _-- _.—___ Addition... - -- . - - -- Repairs No. of Stories... ...... ..... ... . ( S4gn d)_ Size Septic Tank__. Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well..._______ -_ - - -- Nature of Water Supply: City —Wells Sias of Soakage Pit. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obf tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Penn 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. Plumbing Inspector. (Signed) -*- - - - -•- Master Plumber. STATE OF FLORIDA, µ COUNTY OF DADE. b 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 rend there ng 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 asses e..iaspsedes is suade.nsassary by iertproper node* for inspection, at faulty materials and /or workmanship. TYPE NUMBER RGH SET FEE BUILDING PLUMBING PERMIT NO. PERMIT NO. BATH TUB Contractor Phone.,,z3s 83 79 iP L GO, - 'az ta .m As/.. z BIDET c -4 DISHWASHER Contractor's Address CV , /lcOd .S Gc/ !o / Cf[ 33 / t4 DISPOSAL / DRINKING FOUNTAIN Owner's Name Phone ,.,. F S QC ti N 7' FLOOR DRAIN 7 4 GREASE TRAP Job Address dip 44 e. 9 5C S27 INTERCEPTOR 3 LAVATORY Lot Block Subdivision LAUNDRY TRAY CLOTHES WASHER Present or Proposed Use of Building RES /OE,✓CE SHOWER SINK /A/STAL[. AIAriJ S /.f/4' / Old // New 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 all laws regulating construction in Dade County. if , C ""' �, WATER CLOSET INDIRECT WASTES WATER SUPPLY AIR CONDITIONING NG UNIT FIRE SPRINKLER Signature of Master Plumber or Owner Date of Issuance: Insurance Date Q -i –7 7 Issued By: This permit does not become valid until signed by an outhorized repre- sentative of the Director, Metropolitan Dade County Building and Zoniny Department and all fees ore paid and receipt acknowledged in the spore provided. HEATER —NEW INSTALLATION HEATER - REPLACE LAWN SPRINKLER - WELL SWIMMING POOL - WELL WATER SERVICE 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 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. " / •; ,re e. TOTAL FEE ,S o vo 123.03 -6 (REV.3/75) BUILDING AND ZONING 909 S.E. 1 AVENUE MIAMI, FLORIDA 33131 PLUMBING PERMIT APPLICATION INSPECTOR'S COPY Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ?1 Approved Correction Re- Insp'n Fee Time .spov®2) - 7gd� 34€ 7cI St 3 S 2 X74? For Inspector: 714-'0 /Z Name to T 7 it 2 - -z