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775 NE 97 St- CLOORTD BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES -- CONTR. LIST _ 3 f' / / / / ' CHECK ., SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP . .- ,, DEEP L r ii ', WELL SPRKLR. SYSTEM Age �y- iF� (�/g C/� (Irp�,,�P� ��QQ r - - CONTR. LIST 1 6 .._ -.. - CHECK Size Septic Tank Feet of Drain Tile_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm(tted for th>s 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'a Name and Address ____ -� ! =° No. __ 2 . 5 _ __ StreetA7' - Registered Architect and /or En 'AQer._______— .____ —_ ______— _________________- ____ -_ Employing Plumber's Name ✓. / .e! _ �� ---- - -- - -- No.__ - _/_. 7_ Q Street___ -- - _ - -.l-. �/`A Nature of Water Supply: City -Well. ' - Amount of Permit $ - - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Location and Legal Description Lot______-______________-_______ Street and Number where work is to be performed -No 2s State work to be performed and purpose of building (By Floors New Building_ Remodeling_____ __ -- Addition_ — --- ( Signed) _ Date ! Subdivision .— Street Jr � 7 11 Repairs No. of Stories. _ Type of Tank___ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well — __• _Size of Soakage Pit bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e ployer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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. /1 n (Signed)._ Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /o2 workruinnship. G V A P. Paid to Miami Shores Village, Dade County, State of Florida, easv/1981 THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE POSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS Village )1 00. THIS LICENSE EXPIRES In consideration of the sum- ($ . ) • • Ldcense N° 51398 is hereby licensed to engage in or operate the business of THIS LICENSE NOT TRANSFERABLE WITHOUT THE APPROVAL OF THE VILLAGE MANAGER. MIAMI SHORES VILLAGE, FLORIDA Date Issued By. APC Owner's Name and Address B1 1! Registered Architect and /or Engineer Disapproved (Signed) Building , spector 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 cf 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. l I Date. _ 1 1 1 J No 3_ _� / 0 Street 4678 e 3337 /v , 1.4/, ,19 l/ , Name and address of licensed contractor Location and legal description ff 1 t e built on: 11 Lot . 16. � A9t5 a:T�_4 w ni '7 0 Subdivision._.L /.i/11? / J_I.1 A _ E- &S 5. F C / ©y1 / 7/3' 7 Street an Number where work is to be done._7 - 7_! ,A - -i -E 4- 9 State work to be done and purpose of building (by floors) and for no other purpose. New Building "" Remodeling Addition Repairs No. of Stories To be constructed of_._e , .2 L C • Kind of foundation �t Roof Covering Estimated Total cost of improvements $ Amount of Permit $.�. o_ s Zone cubage required -- -•i -- 1L-, .Plan Cubage__ �I_.,,5j�1 - __.t t _,__ C nZ -- i r Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit a the plans and pfp cifications for said building. All notices with reference to the building and its construction may be sent to.. .A./ --t- 0, ( A- L__ _L__1.6_ 1 5- - / - a i __- c- . /-'''' * ) .. - Jii ii. )- a . t. .A...4 The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an tniployer 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 employee: 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 o be performed under this permit, as are licensed by Miami Shores Village. /� Remarks (Signed)__( „X� -e—f' /�' 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 333? Date ' Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 obtaired 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. 3 /1", isp7 3,0 ' G••••••• i t' - C / 75/ / PP f 1 .•• • °22 ) ar cci Il 'a Ca 4 - f - Co L e_ - 3 / C.? e-u.. r STATE OF FLORIDA) SS COUNTY OF DADE ) A F F I D A V I T ! L . D. W tillAwa� (0 )s.w. ag 14±A of the Village of Miami Shores, County of Dade and State of Florida, being duly strorn, doth depose and say, that under the provisions of Ordinance No, 185, dated June 15, 1948, amending paragraph (d) of Section B ®368 of Ordinance No. 97 of the Building Code of Miap i r age, he desires to build a 1 Z e u , o c oa c. c on Lot w $a d m? , neck 7 of Subdivision, that he is the owner ef said property, and will be the owner of said � � „, , SA, bze s s ev ., 3 , that he ui11 do the work personally, and that he will, at such times as are required by the Zoning and Building Director: o 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of tilis Code. 5. Apply for inspections., 6. File with the Building inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Shores Village for any part portion of the work. 9. Not set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shore;: Village. Such. affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner - builder as herin provided, is limited to but cne ve:aer- builder permit each 2 years, and where an owner ®buil.lee. has once exercized the privilege herein conferred. no ceC3,f.. ai:pi ica- tion for owner-builder periiit shale be granted in less than 2 years, unless the applica,._t is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: SUBSCRIBED AND SWORN TO BEFORE ME this day of 195 . NOTARY PUBLIC A.D.7 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement ut rrte plans and specifications herewith submitted for the build • inc 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..._..... Q ® ._� Owner's Name and Address ._. No....F..b ..».. Street-P. Registered Architect and /or Engineer.... •‘1kA <` :.. . ,:,. ,,,•••,,,•!,,,,,,,..,,,•,•,,, ` .. f .. Name and address of licensed contactor Location and legal description of lot to be built on: Lot 1 Block Subdivision Street and Number where work is to be done ` tom' e L State work to be done and purpose of building (by floors).. _ _. ` ce..t ___........__..._ ......_. . .__ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories. To be constructed of Kind of Roof Covering Estimated Total cost of improvements $ h SOC ° Amount of Permit & 55 e 6 Zone cubage required _.._...Plan Cubage Distance .to next nearest building .5 Pr Size of Building Lot 6. t' 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 h e of labor under the Florida Workmen's Compensation Act, being Section 5tJ and has the provisions thereof, and will require similar contpl ianc in the work to be performed under this permit; and will post or cause to be or notices as are required by the Act. The undersigned agrees to employ onl pcnnit, as are licensed by Miami Shores Village. Remarks (Signe Building Inspector tat ' nucrstcomplied G6, C � mpi • C '• t frot all d• 1 • ' pecti • t ns'�• ntractor • �zo 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 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 .._ 51 5 Date r'I ° "® Read, Sworn to and Subscribed before me. Disapproved a Date Notary Public, State of Florida (Signed) My Commission Expires r PLANNING BOARD DATE Chairman Member \fcrober Member _ Member nds and accepts his obligations as an employer eral La lorida, Pertnant'at Supplement, tract • s or su ; pa n• ployed by him onf,the site,•` the work su public notice wo to 1p perfornpd under this to me well known, 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 frrnn the Pl.rnnir.g 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. CLOSET BATH Tuee SNOW [RS LAVA• TORIES SINK• SLOP SINK[ LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N• TOT..L FIXT4. RES CONTR. LI T _ CHECK 1 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HATER DEEP WELL SPRKLR. SYSTEM BWIM'O POOL m CONTR. LIST - - ...... - . CHECK Perini, No. °"" ` "� Size Septic Tank_..-__..-- •-- •- •- •--- -___ -- ..____._...Type of Tank Feet of Drain Tile..__ -- ___ - - - - -- _Dist. Feet of Tank or Drain Field from Well . Nature of Water Supply: City — Well.. -- __. ..... .._--•- _ ---. -_ .•-- •- - -._ _._Size of Soakage Pit Amount of Permit $ t it STATE OF FLORIDA. D se. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT As-a. , o L0 $ N®' ,... (Signed)_ Date _ . 1 1 4 1 . N. of Stones (Signed)- - -- `. - -• -- My Conurusalon Expires Notary Public, State of Florida :I;.p11..ItL is hereby made for the approval of the detailed statement of the plans and specifications herewith subr a:• .-1 for the building or other Aructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mk ! Shores Village, Florida, a,ad all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic -• of the Building Division of IMttami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at 'wilding during progress of work Qd Ji `.)vner's Name and Address Yo1o. �� .tre .egist. red Architect and /or Engineer .62tO w°�‘ :mploying Plumber's Name and Legal Description Lot_ e !el L.L � "°��' 1 Lcs'st 1 Block 1 Subdivision..d.". Street and Number where work is to be performed —No. _ 1 r cti$, a. Street - - ^ — — State work to be performed and purpose of building (By Floors) _ ...___._......_ New Building ...... Remodeling_ __ .... - -_ Addition..._-.._ Repairs Capacity ^ gals... _ .... - Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n,,lovei of label under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent fupi lement, and has oar,. lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him it • A+ rk prrfonned under this permit; and will post or cause to be posted' for inspection o a site of the work such pnhl: notice T. no iccr cs required by the Act. The undersigned agrees to employ only such sub - contr _ `s . to be - rformed ',x this ,r Licensed by Miami Shores Village. Mast sa Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per,or,.i : c nprarc 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 be did sign the sae's, and tiaat all acts, therein by him stated are true. NOTE: A re- inspection fee of $$1.00 will be made when rnede•aeoessary by improper notice for losing -eon, or touitq materials and /or workmanship. .1 u ar .a4r7 f 6. so I N '& \.4' : . g • s.„ A - p m 8 ? A L eg. ii rieyo r No. 66. State of Florida.. CERTIFICATE: I hereby certify that the Sur of the property described hereon is true and correct to the best of rye knovle arid be tiFf ss recently surveyed 1/4.itie j directiOr aid, that there ae10 croaChrnnts unks sh� or noted. f , '-'''' ,€4,''' - -, 1 , -,,---- - '."r„.. .......„ , • .;-, - ,, ,-,-: • 4-7 „, J o , r : o -,..,,L3 _:.- .,; t 1.::: t:;.:, -.! . • • :;1 -_-;,,, , . :‘-.4^ *--:;"Visn.,,,.— ..x.,...,-,., ...-...1,r1;:,, REcERTIFICATION: I hereby certify that the resurvejr'''.'. of the property , described hereon and dated September, I962 is true and correct to the be t of my- knowledge a ,. belief belief as recent i resurveyed de In ifinctl§us. - _ , . f g. Land Surveyor #1015, State,-of 'Ths _ _ • -• E. 10 • Lo1rE, ALL Larrri4v/.24) M s Ai. 144 s W° mas, V 1 L-L.AG E. c:)P 1.4,411 ..140ZE.S C)45.1= c.cm..314 c• A Accoi r1.. Cook . . the NIL) •C dt of Dade County, Flo. c! i rO'31i k . (? IATES, C. 59t f4.. sL ..n ^, r r r A 3p 1 "art c1� 1 N , (1.�. o1fi7 +TY7 4. IS A LL. E PL—-97 tDET. 1 L. Sk vnf r ° F - .41