665 NE 97 St (4)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.
Owner's Name and Address
Registered Architect and /or Engineer_________
Employing Plumber's Name -.
l �_ No._ _ 7_._ °° _,›?_c Street_ -- . °c/
Location and Legal Description Lot____�_____�W_-____��L�_ __ Block_ Subdivision ....... _____ ..... _ ...... _______
Street and Number where work is to be performed—No—__(e t y - _ __ __ Street ? fir-- State work to be performed and purpose of building (By Floors) _ Jll s..tP.d f 7 /a m �[.I •
New Building Remodeling_____ _____ Addition_______. Repairs No. of Stories.
. Size Septic Tank
Feet of Drain
Nature of Water Supply: City — Well._____
±
Amount of Permit $ ......
�`
STATE OF FLORIDA, ss,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.___ _C T __"t-_Z Street__ C TS
_ Type of Tank___ Capacity Gals
Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed) _
Date
My Commission Expires Notary Public, State of Florida
Plum g 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 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.
(Signed)
Mast 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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS BATH
TUB$
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
/
42-.."'"-
CHECK
H
^•
SEPTIC
TANK
SEWER
CONN.
DRAIN.
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIRT
CHECK
_
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.
Owner's Name and Address
Registered Architect and /or Engineer_________
Employing Plumber's Name -.
l �_ No._ _ 7_._ °° _,›?_c Street_ -- . °c/
Location and Legal Description Lot____�_____�W_-____��L�_ __ Block_ Subdivision ....... _____ ..... _ ...... _______
Street and Number where work is to be performed—No—__(e t y - _ __ __ Street ? fir-- State work to be performed and purpose of building (By Floors) _ Jll s..tP.d f 7 /a m �[.I •
New Building Remodeling_____ _____ Addition_______. Repairs No. of Stories.
. Size Septic Tank
Feet of Drain
Nature of Water Supply: City — Well._____
±
Amount of Permit $ ......
�`
STATE OF FLORIDA, ss,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.___ _C T __"t-_Z Street__ C TS
_ Type of Tank___ Capacity Gals
Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed) _
Date
My Commission Expires Notary Public, State of Florida
Plum g 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 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.
(Signed)
Mast 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.
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.
11C(c ANfl
t k 77/17
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.
`'� °'� �7 Date " 1 �1. p 4 910
Owner's Name and Address..... � 1l CF `a �1>S� (( '�d Zr k No..GL S Street a�,. . / 7
Registered Architect and /or Engineer ...........'. Kt..t .l? dL
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot .k_..14, IR 4- cl 0 Block 1 0 1
Subdivision
Street and Number where work is to be done L .i
State work to be done and purpose of building (by floors) ®ti 4� e .D
Permit No
Disapproved
( Signed)
3s
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
BUILDING INSPECTION DEPARTMENT
Date
ate
ct-a, 0
/,1
_24 c r.
M_ S /
S Cr
d7
and for no other purpose.
New Building Remodeling Addition � Repairs No. j of Stories
To be constructed of. Kind of foundation Q c q e Res" 8 Roof Covering ... $�s.,'4..L•.9......It p
Estimated Total cost of improvements $ tp Amount of Permit $..ti.
Zone cubage required Flan Cubage io 46-7 ` 74( LUG` = °2-4- Q
Distance to next nearest building Size of Building Lot 1 i X OA
Maximum live load to be borne by each floor
I hereby sub 't all the plans and specification g 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 subcgntractors, (old York to be performed under this
permit, 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
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.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
e
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chainnan .. 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
- Ferials and /or workmanship.
, ,gr _ i1
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CAdN'eet /AX ■ZD
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= 73 )47, -
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