1041 NE 96 St (5)J
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 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 the work.
Date V "'
Owner's Name and Address �J1J Lt 6 " ) 1 @ E R 1 " 1 _1 1 O 1 - 1 ! , t\ I 0 q ( F� Si- �. , Street
Registered Architect and /or Engineer A L ? . P T h f e.. 2,-p ^
Name and address of licensed contractor €:1 \ P �� F � _ A � \� T' ' t2 l� c t �� P� • KJ b ° �� � ' �
Location and legs description of lot to be built on:
LotL4 11 FA/ Block (J A
Street and Number where work is to be done \-4 1
Subdivision
// I /o/ 4> '
New Building Remodeling Addition Repairs No. of Stories
19 f 0
rk to hr done and purpose of building (by ,floors), state exterior colors (submit samples)
C
LS l 4r S (7 G'4 1 77—il
/ (2411) �--- .
end for no other purpose.
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements 5 _ Amount of Permit S q
��5
Tone cubage required Plan Cubage
Distance to next nearest building _ Size of Building Lot
Maximum live Toad to be borne by each floor
1 hereby submit all 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 I understands and accepts his obligatons as an employer of Labor under the Florida W'orkmen'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; a•el 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 oy only such subcont acto • on *or to he 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 dublic, duly authorized to administer oaths and take acknowledgments, personally appeared
Disapproved �� $ Dale
(Signed)
Building Inspector
PLANNING BOARD DATE
Notary Public, State of Florida
Chairman Member -
My Commission Expires
to me well knowtr,
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 ',ly him stated Li re true,
9/ I Q /,a 6
•
Permit No °" 4/ I/ Date /J /g 6 v" Read, Swart to and Subscribed before me.
Member ' Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanehlp
Carrier
Airt,,onditioning
• Dvision or
Carrier Corporailon
Carrjer .
Carrier Parkway
Syracuse. New York 13221
Commercial Air Conditioning
0 Carrier Corporation — 1961
"Zs
Prepared for 'e G° Eg A C i
Address 1 1 kf % sr.
- - _ --k
' Date
E-53 (7- 77)
rj51 - /0351
W• 311 -913
.I- i 1 . i_.
L su'o .04,)
•
-
Wr liST
Air iti0r"ng
0 Garner Corporatron
Carrier
Carrier Parkway
Syracuse, New York 13221
Commercial Air Conditioning
o Carrier Corporation — 1961
—4-
i
.i.-i...:. _
Date___—
T �
Prepared for d1 d i Eg f C 1
Address LQ4 1 M 96 s r-
! S
E-53 (7-77)
qsi - fo35T
sz•311 - 9131
Ltuto To004l)
q
R
BUILDING INSPECTION DEPARTMENT
A FLU ATIDN 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._.. -_./9 OA"
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot_. Block Subdivision
State work to be done and purpose of building (by floors)
®'1 L �- 7 i)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
MIAMI SHORES VILLAGE
Btilding Inspector
Chairman
Member
Member _ .. .
Council Approved Date
NOTE: A charge of $1.00 will be made for making
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
Date
No Street
A " ' , �-
,19
Street and Number where work is to be done
e ®�.?.
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
Fo be constructed of Kind of »trndation Roof vering
Estimated Total cost of improvements $ n/ 4f00.67 ° Amount of Permit $ 2..
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 perfor:ned 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) i /�
` . ter_ — w •
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 s ed are true. �
Pernik No Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
PLANNING BOARD DATE
to me well known,
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
corrections 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
Permit No 74 —'
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 —._. � �� �� GiG/1 .. No.------ _--- .__... __r Street.
Registered Architect and /or Engineer___.__._.____ — __ .
- --------------- -
Employing Plumber's Name / G✓ �� ___ J t- � No.___. _ —___ _ _ _ Street__
Location and Legal Description Lot Block Subdivision...__
/e, �(
Street and Number where work is to be performed—No �1r' 1' .Street_
State work to be performe8 and purpose of building (By Floors)
New Building_______!_--- ... -- - - - --__ Remodeling —___ ___ __ Addition_
Size Septic Tank ----- -- — — - Type of Tank
Feet of Drain Tile___ —_Q.x 1_ ___ Dist. Feet of Tank or Drain Field from Well
Natusa cf Water Supply: City — ....... Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, I gs.
COUNTY OF DADE. v
MIAMI SHORES VILLAGE
PWMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
(Signed). s
Repairs.__ No. of Stories.
Date
Capacity Gals
Plumbing Inspector.
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 5988, 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 performed under this permit, as are
licensed by Miami Shores Village. ,
G'
Master 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 him stated are true.
My Commission Expires 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.
CLOUTS
TUBS
SHOWERS
LAVA.
TORIEe
SINKS
SLOP
SINKS
LAUNDRY
TUBE
U RINAL S
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
c ,/
/
D
/
CHECK
' . l
SEPTIC
TANK
/
SEWER
CONN.
DRAIN
FIE
SOAKAGE
PIT
GREASE
TRAP
S - FliiK1
HEATER
DEEP
WELL
$PRKLR.
SYSTEM
SWIM' 0
POOL
7,A
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COr�.
Lust
CHECK
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ce
Permit No 74 —'
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 —._. � �� �� GiG/1 .. No.------ _--- .__... __r Street.
Registered Architect and /or Engineer___.__._.____ — __ .
- --------------- -
Employing Plumber's Name / G✓ �� ___ J t- � No.___. _ —___ _ _ _ Street__
Location and Legal Description Lot Block Subdivision...__
/e, �(
Street and Number where work is to be performed—No �1r' 1' .Street_
State work to be performe8 and purpose of building (By Floors)
New Building_______!_--- ... -- - - - --__ Remodeling —___ ___ __ Addition_
Size Septic Tank ----- -- — — - Type of Tank
Feet of Drain Tile___ —_Q.x 1_ ___ Dist. Feet of Tank or Drain Field from Well
Natusa cf Water Supply: City — ....... Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, I gs.
COUNTY OF DADE. v
MIAMI SHORES VILLAGE
PWMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
(Signed). s
Repairs.__ No. of Stories.
Date
Capacity Gals
Plumbing Inspector.
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 5988, 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 performed under this permit, as are
licensed by Miami Shores Village. ,
G'
Master 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 him stated are true.
My Commission Expires 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 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 iuilding 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
Registered Architect and /or Engineer
Name and address of licensed contractor
I ° ct iv Q 1 _.._.. StreetAI _ E~.. _ i c `ed
Location and legal description of lot to be built on:
Lot Block Subdivision _
'--' Street and Number where work is to be done ' Q4 e- 6 .. 5L e;
State work to be done and purpose of building by floors) :..: i1:'. `..(i lA.. . Q _. r a _.._ _ .._
r . ........ ,..
and and for no other purpose.
New Building Remodeling Addition Repairs... No. of Stories �....
To be constructed of Kind gat() of Roof Covering ........... ..._.. —
Estimated Total cost of improvements g... ° on Amount of Permit $.
Zone cubage required - .__..1?lan 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,
h.ac rmmniied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
se to be posted f r inspection on the site of the work such public notice
loy only such J tb�ontractors, on work to be pe ormed under this
IAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
JONES PLUMBING
9536 N. W. 7th AVENUE PHONE 7-2582
INSTALLATIONS ' J 2 REPAIRS
Plumber
Job Name
Date Hours
1 - --0 -IT
end, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
.DATE
horized to administer oaths and take acknowledgments, personally ap-
--._ to me well known,
r that he is the.
;oregoing application, and that he did sign the same, and that all facts
Member
Member
Membee
Disapproved Date
ns or changes to this application after approval has been obtained from
spection is made nseessarq by imp oper notice for inspection at faulty