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766 NE 95 St (6)Permit No Amount of Permit STATE OF FLORIDA, } ss. COUNTY OF DADE. 0 maw SNORES VILL&GE PLUMING INSPECTION DEPARTMENT PPLICATOON FOR PLUMBING PER OT 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 __________________ Registered Architect and/or EnginT Employing Plumber's Name_12Z Location and Legal Description Lot_ Block_ 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 Repairs street. W_E No. Street__2i_41.) 2— 7 -- ( Signed)_ subdivision Street we 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 Capacity Gals._ ( Signed). 61Y Date / cp No. of Stories .. . Plumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Per anent 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 die Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this perinit, 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. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re-inspection fee of $1.O0 will be made when such re-inspection is made •necessary by improper notice for insp or faulty materials and/or workmanship. GLOM:LTG BATH TUBS SHOWER° 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 SW I M 'G POOL CONTR. LIST CHECK Permit No Amount of Permit STATE OF FLORIDA, } ss. COUNTY OF DADE. 0 maw SNORES VILL&GE PLUMING INSPECTION DEPARTMENT PPLICATOON FOR PLUMBING PER OT 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 __________________ Registered Architect and/or EnginT Employing Plumber's Name_12Z Location and Legal Description Lot_ Block_ 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 Repairs street. W_E No. Street__2i_41.) 2— 7 -- ( Signed)_ subdivision Street we 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 Capacity Gals._ ( Signed). 61Y Date / cp No. of Stories .. . Plumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Per anent 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 die Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this perinit, 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. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re-inspection fee of $1.O0 will be made when such re-inspection is made •necessary by improper notice for insp or faulty materials and/or workmanship. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to b Lot Block Street and Number where work is to be done - State f.•ork to be done and p ose of bull ing (by floors) STATE OF FLORIDA, COUNTY OF DADE. j ss. Disapproved Date (Signed) Building Inspector 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. New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ Date._ �.. / � ........_. ... _ No. ... 7.G ..,G_. ..,..... .,,.,...,,1,,,1,= 1,..... uilt on: Subdivision 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, 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 perinit, as are licensed by Miami Shores Village. Remarks._. l- � C1 (Sign / `7 7 6 /i ?S-1J - and for no other purpose. Repairs No. of Stories Roof Covering Amount of Permit $. 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.___..__ Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE Chairman Member \fcrr,ber 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 fmtn the Planning Board. A re- inspection fee of Sl.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty materials and /or workmanship. 0\` BUILDING INSPECTION DEPARTMENT • APPLICATION FOR CUVLDONG PE MOT 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 Namo and Address...if MOAMO SHORES VOLLA E z 7 / v Chairman ,Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. Date No New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ PLANNING BOARD DATE %po ,19 Strout /it Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be _C� built on: ���� Lot .3 — Block 4�__d Subdiiyisi -- ..C-,"'�/°`" ^' Street and Number where work is to be done - CB. - _ S State work to be done and purpose of building by floors) / eVe Notary Public, State of Florida and for no other purpose. Repairs No. of Stories Ro J Coovecin& 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 lans a . : specifications for sa• building. All notices with reference to the building an�onstruction m be sent to �/ ' C - - - -- �• _ .i . t 7.l .�II2 6C ...�( i 4A ` -- 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 .ntractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec,y .n on the .ite •,f the work such public notice or notices as are required by,the Act. The undersigned agrees to employ only such su. .•..Ttors, on or to be - .erformed under this permit, as are licensed by Miami Shores Village. Remarks..._ (Signed) 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 __.stat /ed(�aree true. �] J / Permit No._____I_J_._J Date 1 -- ' 2 - 1__ Read, Sworn to and Subscribed before me. Disapproved Die_ (Signed) - - - t-- - - - - -t= • Building Inspector / % My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /-?‘//00 Job Address C G N6' "5 s "- Tax Folio g Y 6/ CE Le_. Description Historically Designated: Yes No / Tenant d2 Signature o My Commiss Exp 0 aD Owner's Address 7 ‘C C 5_5" .5 5 & 7 Contracting Co. 1j " / �i R e l� r0" . Qualifier DogAA e % � /p�/•v State #(/9C o 7 3907.Y / Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUM WORK DESCRIPTION /Y /� i4 /1 an Square Ft. Estimated Cost (value) g 9 o ,y 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 owner and/or Condo President V construction . r zoning. Furthermore, I - r4 orize the above -named contractor to do the wr k stated. er and/or Condo President FEES: PERMIT tr at. i 7 DORRANCE L. YOUNT My Comm Exp. 8/25/00 By Service Ins No. CC578383 1Paear y Worm ()0h$1I RADON V at e C.C.F. Address / - 0 /5,7007 �7 SS ( Phone3c>S7 ?i90Pe.5 Competency # Address Address Master Permit # "'/ 7014 Phone 3 " G 7C� Ins. Co. 6/641 -"'/Oe/J G MECHANIC RO ! ING PAVING FENCE SIGN Notary as to Contr or or Owner- My Commission Expires: s l a Owner- Builder NOTARY ® BOND Date ' ( der ate My Comm Exp. 5/26/2001 Sande® By Service Ins Its. CC65o5o1 I I Personally Known I 1 Darer I.D APPROVED: 4�, f ° Zoning Building Electrical • Mechanical " Plumbing TOTAL DUE Structural Engineer