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180 NE 99 St (21)STATE OF FLORIDA, COUNTY OF DADE. ss. 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 of Miami Shores Village, Florida, and all provisions of the Law: of the State of Florida, all ordinances of Miami Shores Village ^nd all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specifier) o: not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address____ _ n t e S s o r r i School Registered Architect and /or Engineer._ _.__.________ Name and address of licensed contractor Don Elliott-Air Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 170 NE 99th Street State work to be done and purpo of buildin (by floors) _ install 1 P erfection 65,000 BTU Oil Well Furnace - 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 $ Amount of Permit $ 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 su ontracto s, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed)_ 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 ar true. Permit No ( Date — 2- ° (3 .- Sworn to and Subscribed before me. Disapproved (Signed) _ Date Date Feb - 11, 1967 _ r� c� 9th , 1 No.. -_ f_ 0 _ ___ . Street__ NE _ _ ? . - -t _ d --- Heating Inc. 1792 NW 20 St Notary Public, State of Florida to me well known, Building Inspector My Commission Expires PLANN 'V BOARD.___ __ __. ________ DATE Chairman Member ._ _ .. _ Member _ Member Member Member Council Approved.___.. Date Disapproved _____.______ ___ ______ ____ ______- ____ .._ _ .. _.. _.__.__.. 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. N o Sc4j c- 5596/ O, / TAAJk � 11 ,24CCE "S,DOD Brij WAII FuR.ance � '• y tl�eu- OuTi %n - WkfI *vItH METAL Coj e. GS, nbo Bra Ail 111M11 Fucnl» -ce DON ELLIOTT AIR COND. & HEATING INC. 1792 N.W. 20th STREET PH: 634.6216 MIAMI, FLA. AOuTES30211I School - 170 ALE, 9f 4r, M. SI�IoKC.S s 4./ %X �,_ /. Name of School /1 7'f.Sf ®R I JC Hi/ ®® AL. C DIR Ec #-'R) Principal - K A rf gy/1/ fAMv si /c• J Item No. 1. BUILDING - Type of construction CAW Does roof leak /d/0; Are steps and stoops J in good repair Can external openings be _yd easily and effectively closed ; Unit or ? central heating facility____; Adequate___* eV Ventilation adequate____ Type walls and ceilings p _4Sf',lli • Good repair ; No. rooms needing painting • • Clinic room Isolation room = • Illumination in Library and 3 darkest rooms class Comments: /{f FACtc 1ty / LL.f/M//li'Af"/Ovi/ 2. WATER SUPPLY - Municipalye School owned = ; Privately owned • Under pressure y € Pressure adequate Type and depth of well ft; Depth of casing; ft; Surface protection pro - vided2==_ • System in good repair Yom; Tested periodicallyyL '; Date r- "- Result of last lab. test-5;41 • Approved '/DES' Comments 3. SEWAGE DISPOSAL - Municipal _ Septic tank Capacity gallons; Adequate —; Operating properlyyr• Drain field operating properly; Privies = ; Approved type ; Good repair.E-4; Comments — FLORIDA STATE BOARD OF HEALTH SCHOOL INSPECTION FORM PAPE f (City, county, or district 1 (Authority Section 381.50, Chapter 381, Florida Statutes, 1941 and amendment thereto) Location Pre ME: y 9 *' W or C Enrollment: Boys Girls /® Item No. 4a. TOILETS: Boys - No. Commodes ? ; Adequate Properly constructed 4/ Na. in good repair a:__; No. with open front seats 1. ; Cleany# No. provided with toilet paper; No. Urinals ; Type ' ; Adequate CleanWir Na. Lavatories2L; Adequate.; Clean;' Soap provided` S; Type dispenser • Floor impervious Drain provided Clean yeS• Walls clean; Needs paintingAIA • ShowersL®; Locker rooms.5.6Urg Comments 4b. TOILETS; Girls - No. Commodes ' ; Adequate) Properly constructed . ; No. in good repair __L.• No. with open front seats,/__; Clean No. provided with toilet paper—; No. lavatories* Adequate$ Clean Soap provided Type of dispenser Towels provided; Ventilation Adequate - Lighting adequateYiS; Floor impervious ) J' • Drain provided/i12; Clean Yia Walls clean S Need painting.(; Showers1106, Locker rooms .� /is: Comments . DRINKING FACILITIES - No. fountain heads in b ilding_L ; Adequate -1._; No. Approved type - ; No. fountain heads in yard • Adequate ® • No approved type ° ; Comments ' O O 'J' /DE F,kfl / 1 . PREMISES - Play grounds clean' • Well drained - Subject to Dust flurries=_' Adequate storage for garbage and trash 7' Satisfactory method of disposal; Comments S CHood:- e/V % .? NL pAi a- y — N® PLAY Romer /d 1=4G14,,i &J' ti AVE 8 A p ELEC C cii.e/t 1'44/ F © REFAOG AAV Fel t, '/4 /A/ H ff14*I ,/f, /Vex 1 yew /44STA " "FP Remarks or instructions given RB * 40/ 4/14 g Copy of inspection report received by Date of inspection I 6 " ‘Rt Sanitarian 114. SAN -410 COLOR OF FINISH ILLUMINATION IN FOOT CANDLES Without Arti- ficial Light With Arti- ficial Light Ceiling Walls Library Low High - High Low_ Low —High Low Class Room #1 C;REA/1 47,12E4 _ Low Low__ _ High 1® Class Room #2 _ High High�JLow High - Class Room #3 Low _ I High _ _ Name of School /1 7'f.Sf ®R I JC Hi/ ®® AL. C DIR Ec #-'R) Principal - K A rf gy/1/ fAMv si /c• J Item No. 1. BUILDING - Type of construction CAW Does roof leak /d/0; Are steps and stoops J in good repair Can external openings be _yd easily and effectively closed ; Unit or ? central heating facility____; Adequate___* eV Ventilation adequate____ Type walls and ceilings p _4Sf',lli • Good repair ; No. rooms needing painting • • Clinic room Isolation room = • Illumination in Library and 3 darkest rooms class Comments: /{f FACtc 1ty / LL.f/M//li'Af"/Ovi/ 2. WATER SUPPLY - Municipalye School owned = ; Privately owned • Under pressure y € Pressure adequate Type and depth of well ft; Depth of casing; ft; Surface protection pro - vided2==_ • System in good repair Yom; Tested periodicallyyL '; Date r- "- Result of last lab. test-5;41 • Approved '/DES' Comments 3. SEWAGE DISPOSAL - Municipal _ Septic tank Capacity gallons; Adequate —; Operating properlyyr• Drain field operating properly; Privies = ; Approved type ; Good repair.E-4; Comments — FLORIDA STATE BOARD OF HEALTH SCHOOL INSPECTION FORM PAPE f (City, county, or district 1 (Authority Section 381.50, Chapter 381, Florida Statutes, 1941 and amendment thereto) Location Pre ME: y 9 *' W or C Enrollment: Boys Girls /® Item No. 4a. TOILETS: Boys - No. Commodes ? ; Adequate Properly constructed 4/ Na. in good repair a:__; No. with open front seats 1. ; Cleany# No. provided with toilet paper; No. Urinals ; Type ' ; Adequate CleanWir Na. Lavatories2L; Adequate.; Clean;' Soap provided` S; Type dispenser • Floor impervious Drain provided Clean yeS• Walls clean; Needs paintingAIA • ShowersL®; Locker rooms.5.6Urg Comments 4b. TOILETS; Girls - No. Commodes ' ; Adequate) Properly constructed . ; No. in good repair __L.• No. with open front seats,/__; Clean No. provided with toilet paper—; No. lavatories* Adequate$ Clean Soap provided Type of dispenser Towels provided; Ventilation Adequate - Lighting adequateYiS; Floor impervious ) J' • Drain provided/i12; Clean Yia Walls clean S Need painting.(; Showers1106, Locker rooms .� /is: Comments . DRINKING FACILITIES - No. fountain heads in b ilding_L ; Adequate -1._; No. Approved type - ; No. fountain heads in yard • Adequate ® • No approved type ° ; Comments ' O O 'J' /DE F,kfl / 1 . PREMISES - Play grounds clean' • Well drained - Subject to Dust flurries=_' Adequate storage for garbage and trash 7' Satisfactory method of disposal; Comments S CHood:- e/V % .? NL pAi a- y — N® PLAY Romer /d 1=4G14,,i &J' ti AVE 8 A p ELEC C cii.e/t 1'44/ F © REFAOG AAV Fel t, '/4 /A/ H ff14*I ,/f, /Vex 1 yew /44STA " "FP Remarks or instructions given RB * 40/ 4/14 g Copy of inspection report received by Date of inspection I 6 " ‘Rt Sanitarian 114. SAN -410 BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA , i Date ELECTRICAL ❑ PLUMBING ❑ PERMIT Np 8412 ROOFING ❑ 0 Owner of Building it t e1 CONTRACTOR or BUILDER Work to be performed under this Permit Architect Contractor or Builder " Legal Lot Description Bl , Address of f `^ Building (_. ' i c Subdi- vision Sq. Ft. Value of Project BY ix Contractor's License No. C f t 4. 3 /' t 1 , c / f 7 f otkit 11 Amount 11 Permit of 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 applica- tion 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 and that he assumes respon- sibility for work done by his agents, servants or employee). a t / / I l Signed e.„41) • i - e l "" Ni" INL '•'(I ISPEL°,TOR) BY In consideration of the issuance to me of this permit I agree O '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 submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done kiy eit ter, myself; my agent, servant or employee. AUTHORITY .h f 19 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 11 ' 19 to Co ELECTRICAL PLUMBING ❑ PERMIT N9 7935 Contractor's r{4 3 License No. v 7 ROOFING ❑ 0 Owner of Building { tti1 rd T, Architect Contractor or Builder r A. Legal Description Address of Building Lot o CONTRACTOR OR BUILDER Work to be performed under this Permit €C _ Subdi- vision Value of Project $ C? •_ ? Amount of 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 applica- tion 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 and/that he assugit!s respon- sibility for work done by his agents, servants or employees. —J \. ; Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with ali" ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities el iami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my gent, rant or employee. BY AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No S • Date 9 -66 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 worl�. Owner's Name and Address._..B -110 ..N..E.. ...99th....St.. No Street Registered Architect and /or Engineer Employing Electrician's Name Hart Electric N N. ! 0 t'St4t • Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories " vice Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type •,f Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 2.0.0 (Signed) STATE OF FLORIDA, COUNTY OF DADE. I ss. (Signed) Before me, the undersigned authority, a notary public, duly authorized Ele "� al Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors em oyed 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 per under this permit, as are licensed by Miami Shores Village. to administer Master Electrician. 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, and 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•innpiction fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or wotkmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. Sw. DIST. CAD. SERVICE TE r. ". P. SERVICE PERM. MOTORG 0.! HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CON: R. LI ST ^ ^ A [� 1 - 3ton ALC CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No S • Date 9 -66 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 worl�. Owner's Name and Address._..B -110 ..N..E.. ...99th....St.. No Street Registered Architect and /or Engineer Employing Electrician's Name Hart Electric N N. ! 0 t'St4t • Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories " vice Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P Type •,f Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 2.0.0 (Signed) STATE OF FLORIDA, COUNTY OF DADE. I ss. (Signed) Before me, the undersigned authority, a notary public, duly authorized Ele "� al Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors em oyed 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 per under this permit, as are licensed by Miami Shores Village. to administer Master Electrician. 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, and 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•innpiction fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or wotkmanship.