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262 NE 96 St (4)Permit No.- - - $ - j 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 No.__. _ - -- _ - -. ___ -- Street. N_. Ea 96th Street Registered Architect and /or Engineer__ - _ - - -- Employing Plumber's Name ABC _SEPTIC TANK SF.RVI(W No. 312.3 _ —_ -_ _ Street. 54th Street- Location and Legal Description Lot. Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Blo 4r 262 State work to be performed and purpose of building (By Floors) _ _____ New Building - -_ -- _ _ --- ____ -- - _ - -_ -- Remodeling —_ -- - - - -__ .__ Addition. Amount of Permit $_ STATE OF FLORIDA, I COUNTY OF DADE. (Signed)._ ( Signed Subdivision Street. _ - N.E.-- -9ath.. .Street.__..._. - -- Repairs No. of Stories . . ... .. ...... ... ..... Size Septic Tank_ - - - -- ----- - - - - -_ - - - -- -Type of Tank_— Capacity Gals. - 50' Relay Feet of Drain ___ -- — —Dist Feet of Tank or Drain Field from We11 _______________ Tile___---- _ - Nature of Water Supply: of Soakage Pit 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 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnowledgments, 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessRry by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS 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 SWING POOL CONTR. LIST CHECK Permit No.- - - $ - j 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 No.__. _ - -- _ - -. ___ -- Street. N_. Ea 96th Street Registered Architect and /or Engineer__ - _ - - -- Employing Plumber's Name ABC _SEPTIC TANK SF.RVI(W No. 312.3 _ —_ -_ _ Street. 54th Street- Location and Legal Description Lot. Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Blo 4r 262 State work to be performed and purpose of building (By Floors) _ _____ New Building - -_ -- _ _ --- ____ -- - _ - -_ -- Remodeling —_ -- - - - -__ .__ Addition. Amount of Permit $_ STATE OF FLORIDA, I COUNTY OF DADE. (Signed)._ ( Signed Subdivision Street. _ - N.E.-- -9ath.. .Street.__..._. - -- Repairs No. of Stories . . ... .. ...... ... ..... Size Septic Tank_ - - - -- ----- - - - - -_ - - - -- -Type of Tank_— Capacity Gals. - 50' Relay Feet of Drain ___ -- — —Dist Feet of Tank or Drain Field from We11 _______________ Tile___---- _ - Nature of Water Supply: of Soakage Pit 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 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnowledgments, 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessRry 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 rdinance 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 A-1r 2- - Date ' Street__ AI N 0 ------------------ Registered Architect and /or Engineer Name and address of licensed contractor APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 floor)____ re PAI A 1 t_ M__Ct 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 $ 71g•°-- _ - Amount of Permit $__L• 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 permit, as are licensed by Miami Shores Village. 01-0 Remarks (Signed) Disapproved Date (Signed) - :i � 1',1 i... — =' Notary Public, State of Florida -- r Building Inspector My Commission Expires 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._ _7 t"•••• S Date__ -- 1 Z4/2 Read, Sworn to and Subscribed before me. 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. 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 described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisi State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be c ... z., ..nn... 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 I1ti�/I/I1�1�1/ Location and legal / descripti n of lot to be built on: Lot — k3/ 1 Block 2' 9 Street and Number where work is to be done Subdivision zC State work to be done and purpose of building by floors). state exterior colors (submit samples) o 4 , 1 �.- k w t --lGS Remarks (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 permit, as are licensed by Miami Shores Village. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation °f Roo ` ff Covering Estimated Total cost of improvements S a /�Q> °'> i��/ yy'l� . ()amount of Permit S V ✓ ' & 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to Date / No. 2� 'CGS' . /NOD J.z06 /J3170 6447-- ip 77 a 7 "\- STATE OF FLORIDA COUNTY OF DADE. } ss. 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. Permit No. .1.7,5 Date O Read, Sworn to and Subscribed before me. Disapproved � � Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member 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 workmanship. Notary Public, State of Florida 2 1 19 B / � /� � Street