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710 NE 94 St (6)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. Owner's Name and Address . ...... -.. 4. _ �.`�d _ I\Jo .............._ »... Street-- - . Registered Architect and /or engineer -• •.••• , ,: ,,,t,.. . Name and address of licensed contactor .���'�i�� . »...._ Location and legal description of lot to be built on: -. // Lot I �%' Block 5 Subdivision --74i4iiiikii gtie2-4, .f4 fr Street and Number where work is to b e done 2/2 i °t • State work to be done and purpose of building (by floors). New Building 3- and for no other purpose. Remodeling Addition Repairs No. of Stories / To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ q.� STATE OF FLORIDA, COUNTY OF DADE. ss Permit No. .____ � Date Disapproved t ") Da (Signed) � .� r � Building Inspector Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission !Expires Amount of Permit $x. 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such su tra s, on work to be performed under this pennit, as are licensed by Miami Shores Village. � Remarks..._ (Signed) e� 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. to me well known, P L „ 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 hoard. A re inspection fee of $1.00 will be charged when such re-inspection is made necesaary by Improper notice for inspection or faulty materials and /or workmanship. Owner's Name' Job Address Municipality_ .A -12 Indicate North PERMIT APPLICATION Show: Electrical service and septic tank location. Fill in dimensions of lot. Lot Block Subdivision/ Cost of Job $ Front Note: This sheet has been prepared for the expediting of building permits. All information required here is necessary and must be given. Omission of any of the required information will result in a delay in obtaining the permit and the installation of the job. In addition to the information required above, it is absolutely necessary that the distances from the building to the lot lines on awning shutter jobs, and the distances from the patio or carport to the two nearest lot lines be indicated on the sketch. PERMIT APPLICATION J ( / / r / Municipality ;� (- .,-. r L� S Subdivisions �'! ,1.' "" P y lir G* Owner's Nam Job Address - Show: Electrical service Indicate North A -12 4,' and septic or in dimensions of lot. Front Lot ' G Block t, s Cost of Job $ 7 tank location. 47: , a VL/ Note:. ,This sheet has been for the expediting of building pYe'mits. All information required here is necessary and must be given. Omission of y of the required information will result in a delay in obt ing the permit and the installation of the Job'. In addi't-i o the information required above, it is absolutely necessary that the distances from the building to the lot lines on awning shutter jobs, and the distances from the patio or carport to the two nearest lot lines be indicated on the sketch. 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 . Registered Architect and/or Engineer Name and address of licensed contractor < Location and legal description of lot to be built on: , Lot Block Street and Number where work is to be done State w'rk to be done and purpose of building (by floors) ;bi ./ • /-' and for no other purpose. New Building . Remodeling Addition k Repairs No. of Stories . • // , To be constructed of , ..2 " Kind of foundation f ¼/ -"- -''''- Roof Covering ,-„/ Estimated Total cost of improvements $ / 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 plan and specifications for said building. All notices with rderence to the building and its construction may be sent to -, STATE OF FLORIDA, COUNTY OF DADE. and who, being by me of the above described therein by him stated Permit No ‘9"" Disapproved (Signed) ..../LA SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT % // .• • /' • 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, onvork to be "perfojmed under this permit, as are licensed by Miami Shores Village. Remarks (Sign , Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, first duly sworn, upon oath deposes and says that he is the nstruction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts true. ./) Date 4 13 ding I or Chairman Member Member Council Approved Date /. - , Date ...-- . / e ,, i ' ; • t '''' , ..,•--1. be made for making i;;Y Subdivision ..e ,/ - 2 / 7 , • LANNING BOARD DATE No Street y \ o, „ Read, Sworn to and Subscribed before me. 19 Notary Public, State of Florida Commission Expires Member Member Member Disapproved Date NOTE: A charge of $1.00 will 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. corrections or changes to this application after approval has been obtained from BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building L] DATE 195 PERMIT N? 6277 Contractor s License No. Work to be f f: performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Bl. Subdi- vision Value of " Amcunt of Project $ " 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 application 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 rogulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or, specifications and that he assumes responsibility for work done by his agents, servants or employees. • -1 A Signed. BY. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAIE. FLORIDA DATE 195 PERMIT N? 6139 Contractor's License No. ❑ Work to be performed under this Permit B1 CONTRACTOR OR BUILDER BY Subdi- vision Value of Project $ Amount of 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 application 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 responsibility 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 in 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 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.. No J' Ey Street 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 State work to be done and purpose of building (by floors) Disapproved Date. (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date ,19 Notary Public, State of Florida 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 $ — 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 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such 'sub�" contractors, o work to be performed 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 stated are true. Permit No / / Date ' °' Read, Sworn to and Subscribed before me. Buildi�fg 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. T. fo L 1-4 f:-: ;41 Is Ace"; A — -3c 14 - s' ‘‘6 — 17'-- II" 11. 14 el 4+4 - r L 4" it )& ty. A 1;g! Z" 1 . Oa as C. 0• 7. "- ,- -7.'Pth lC ("• . : u trest C. Dradford FUILCING PERMIT NO REPAIRS ALTERATION • ADDITION • OWNER'S NAME JOB LOCATION (ST. OR AVE.) GENERAL CONTRACTOR 6- ZONE" "° REQUIREMENTS 17500 NEW CONSTRUCTION SUBMITTED TO PLANNING BOARD CBS RE- SUBMITTED TO PLANNING BOARD P(IBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO" Ql DATE APPROVED 10-7-57 CU. FT. PLAN CUBE One ISSUED 7 4_,X 116th Street REJECTED Tile PRESENT ADDRESS LOT BLOCK 16 65 ,Tiarn.c7 X4t ;t't ADDRESS 116th Street PL 8 -343 PERMIT FEE S 3 BY 20205 TYPE STORIES ROOF CONSTRUCTION 17, DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: 0. H. DESCRIPTION DESCRIPTION REFERRED TO COUNCIL TO CU. FT. LICENSE NO. REMARKS 2 BR 2 BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE SUBDIVISION PHONE NO. LICENSE N.O. BUILDER•S BOND EST. COSTS • 2: NO. DATE �!.E3 -- "".5r! REASONS PHONE NO. DATE ?.0 - -57 INTERIOR CONSTRUCTION „ood Floors, Plastered cad ceilings, Tile bath ant sille G. • 5 6..4 bf,-7 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE . BEAMS & LINTELS $ SEPTIC TANK ', DA t7 r-'", S r r IC__ t - CL � '63' 7. 3 FRAMING O$_ °' 7174 , - IT•'Z -rt. .eJdJc_ SOLAR HEATER FIXTURES S GAS $ $ INSPECTIONS FINAL $ INSPECTIONS DATE BY RE- INSPECT BY CLEAN -UP BY ROUGHING i .3 } 6 Gc P JJ7. se 7c 14'- 1 CONTRACTOR CI'T ?c .. 11 a , C „ PHONE PERMIT NO. 6 1 3 DATE e^ . - - 1- J t FEE $ NEW BLDG. V- ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN. $ SEPTIC TANK ', DA t7 r-'", S r r IC__ t - CL � '63' 7. 3 SEWER MOTORS $ SOLAR HEATER FIXTURES S GAS $ $ INSPECTIONS DATE $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING i .3 } 6 Gc P JJ7. se 7c 14'- 1 --Y- 5 7 _ GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK SOLAR HEATER FIXTURES & FINAL FIXTURES CONTRACTORT , c >' PHONE PERMIT NO. (., DATE /,7 ' ?-5; -Jf I FEE $ O S'fC,; NEW BLDG. 7 I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ZoN / ?AG 70 4. c / ] s H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING oK _ f .... "./! a 7• _ H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 4 w J , fi 3 w 3 5 a d W 12 BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY PROFESSIONAL QUALITY FUMIGATION AND TERMITE WORK 7471 N.W. 8 STREET, MIAMI, FL. 33126 / P.O. BOX 441587, MIAMI, FL. 331441687 / TEL. 282 -3301 TERMITE & FUMIGATION, DIV., INC. 7471 N.W. 8 STREET MIAMI, FL 33126 262- 3301- - -DADE (FUMIGATOR - WHOLESALER) FUMIGATION NOTIFICATION LOCATION OF STRUCTURE: OWNER'S NAME & ADDRESS: bre5SM5 TYPE OF STRUCTURE:CBS ,( FRAME OTHER RESIDENCE APTS OTHER APPROXIMATE CUBIC FEET: o aO /1'$' fie. / L . (CONTRAC RETAILER) NAME & APPROXIMATE QUANTITY OF FUMIGANT:VIKAN ind 4HER DATE & APPROXIMATE TIME OF RELEASE OF FUMIGANT :/(Q - 3 !).`X ) APPROXIMATE LENGTH OF FUMIGATION PERIOD: 2/ ,,0.E'07A CERTIFIED OPERATOR IN CHARGE: BOB LO.ZANO TELEPHONES: 262 -3301 (day) DADE COUNTY 264 -5754 (night) DADE COUNTY Fumigation shall be performed at all times in strict adherence to the Fumigant's registered label and Florida State Division of Health Regulations, Chapter 1701 -2 of the Florida Administrative Code. TERMITE & FUMIGATION, DIV., INC. shall hold itself primarily liable to the Florida State Department of Health and Rehabilitative Services for the full performance of all fumigation work performed on the above described premises, and shall hold itself primarily liable for the full performance of all of the terms and conditions of the retail Florida Statutes and Chapter 1OD -55, Florida Admini- strative Code. SEAL FUMIGATION: TENT FUMIGATION :, cc: County Health Department: Fire Department: