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670 NE 97 St (12)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder " /./ Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6467 Bi. Work to be performed under this Permit Signed DATE 195 Contractor's License No. Subdi- vision Value of H Amount of B Project $ 11 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 aid that he assumes responsibility for work done by his agents, servants or employees. $Y. 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 subr fitted 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 s `r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -2- - Permit No....-- •-- .._...._ Dace. - _ ... _ .. 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%) Name and Address �A s . /�a H f 7w/es No. 470 t � Registered Architect and /or�ngine� - . Employing Plumber's Name =. Location and Legal Description Lot �= Block/ SubdivWon./_"IL °�r5 ( e T Street and Number when® work is to be performed—No � � a Street....�c .. �.'.T�..-- G l-- ._.:.....— . —• - - -- State work to be performed and purpose of building (By Floors) __._.. °o - P1. 6 S'7 j.... N Building — Remodeling ____ — _- --_ -_ Addition.- ._._.__ Repairs No. of Stories Size Septic Tank— _-- - - - - -- - - - - -- T ype of Tank_ Feat of Drain Tile.____ — — -- -Dist. Feet of Tank or Drain Field from Well. -_ Nature -of Water Supply: City — Well ___ _ ---- - - - -_- -- - - - -- _..Size of Soakage Pit 2 x 3 Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. (Signed) Capacity Cals CA-rig& l Ai A - A P) bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as n employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Sup ement, 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. 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 Conunission Expires Notary Public, State of Florida NOTE: A re- inspection fee of 01.00 will be ma ,.. whoa oath re-Inspection is made'neoeseary by improper notice, for inspection, or faulty materials and /or workmanship. TOTAL FIITUR[S CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINK, LAUNDRY TUIB U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NB CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HATER DEV WELL SPRKLR. SYSTEM ®WIM•G POOL re 0 L- i /Litre/, I CONTA. ✓ ✓ LIST CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -2- - Permit No....-- •-- .._...._ Dace. - _ ... _ .. 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%) Name and Address �A s . /�a H f 7w/es No. 470 t � Registered Architect and /or�ngine� - . Employing Plumber's Name =. Location and Legal Description Lot �= Block/ SubdivWon./_"IL °�r5 ( e T Street and Number when® work is to be performed—No � � a Street....�c .. �.'.T�..-- G l-- ._.:.....— . —• - - -- State work to be performed and purpose of building (By Floors) __._.. °o - P1. 6 S'7 j.... N Building — Remodeling ____ — _- --_ -_ Addition.- ._._.__ Repairs No. of Stories Size Septic Tank— _-- - - - - -- - - - - -- T ype of Tank_ Feat of Drain Tile.____ — — -- -Dist. Feet of Tank or Drain Field from Well. -_ Nature -of Water Supply: City — Well ___ _ ---- - - - -_- -- - - - -- _..Size of Soakage Pit 2 x 3 Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. (Signed) Capacity Cals CA-rig& l Ai A - A P) bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as n employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Sup ement, 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. 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 Conunission Expires Notary Public, State of Florida NOTE: A re- inspection fee of 01.00 will be ma ,.. whoa oath re-Inspection is made'neoeseary by improper notice, for inspection, or faulty materials and /or workmanship. 4,p Chairman Member Member ...... Z M MI SHO#R S VILLAGE BUILDING INSPECT 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•bthcr 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 �� ' 2_7 _ 2.-• ,19 — _Lei 1 Ow•nei s Name and Address ....Le /..:! .d.d.... Cry — No.. 6.2 a . Street.. e f 7 1.f.:_. Registered Architect and /o Englneei's e, MJC....5" / 77/...... 4' 11. Pe." ..... . .......... .................• „••, •,...... Name and address of licensed contractor •417/ / 4't PO° 1-.3 /N4 ' _ M3 3 1-4) 3 ( 7"./exe. /7,. -7,. 0 Location and legal description of lot to be built on: Lot ? 4 g 4 1, Pr I / Block /00 Subdivision / ! M /4// 1 c /.:f / e�L' L . .# Street and Number where work is to be done. 67 A,)6! `�'.._7Lt_... .. T ._....._..._ a , State work to be done and purpose of building (by floors) 5.k 1/././: . ...°V i AI --L. t '' L + //4:.72. and for no other purpose. . New Budding Remodeling Addition Repairs No. of Stories To be constructed of / 61 N ".CCNL.. •kind / ' of foundation Roof Covering Estimated Total cost of improvements 6. 8 Amount of Permit $... • `5 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 be sent to 6s.;2„./ d1/ ; j Te 2 ,e. /'74. 3 3 / 3 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor 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 pennit, as are licensed by Miami Shores Villa • � j � ,, / Remarks (Signed) c YtTF?��/f ��ff 7 ' _ //1/,9 73 , /1 / c Disapproved _ Date_. (Signed) ... u► ding nspcctor to the building and its construction may 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. Permit No.._... _,t _ Date J — .l 3 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PL NNINC BOARD DATE 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 fee of $1.00 will be charged when such re- inspection is made necessary by imprmper notice for inspection or faulty materials and /or workmanship.