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290 NE 98 St (14)a. Owner's Name and Address ss. Chairman --------_------__ -- Membe Member — r r M ember - - - - - -- • - - -- 4- —4. =-- - - -_ -- Council Approved_______ ______ / 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 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein s�gtified or not. A copy of approved plans and specifications must be kept at building during progress of the work. y , n i� ry H., N' --- Street_a_ -e_d 1 Registered Architect and /or) ngineer Name and address of licensed contractor�a Location and legal description of lot to be built on: Subdivision Street and Number where work is to be doneC__ i; State work to be done and purpose of building '(b}' floors) 4f and for no other purpose. New Building _ Remodeling _ dition r Repairs No. of ies 11 L1________ Kind of foundation___ To be constructed of_���(`�' g Stor �� _� �n��- - ,.4 - _� A _Roof Covering__ Estimated Total cost of im �ovements $_ _ ---' ________ __Amount of Permit $ Zone cubage required______ __L _D__i2._______— ________ - -__— ._ Cubage Distance to next nearest building_ r ° -.;.- - ___ _Size f Building). __��� n �_B ` +' Maximum live load to be borne by each floor__ - __ —____ ___ ___ _ E -- I hereb submit a the plans and specifications or said building. 11 notices, with reference to the bulling and its construction may be sent to_ ' ' L _ 1� � � 4,:_'t: e� �' • :9 jY s - t,• - �� _ Vii) "-, ',-'. /i 4 /,, ( ° The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor u der the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and 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 o rbe performed n'nder this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary pOlic,� autho, ,ized to administer oaths and take acknowledgments, personally appeared , and who, being by me first duly sworn, upon oath deposes and says that he is the —!! '- ` w ., r _ — —__ ,__ __,„ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that - facts' • therein by him stated are true. , •I 0 , Permit No.___ .. J ___ - -_ Date ' c',.1 r''''. Sworn to d tibscrib . lefore Disapproved Date C '. � . « a _ . , % A" Notary Public, State of Florida ' o' ,��- • (Signed) - �_ ,,/-, /7;; • `: � • r Building Inspector My Commission Expires__6y_ "._� ll c_ ��- PLANNING BOARD_ . (over) P to ti.. . known, . _— (r -- _DATE Member - - - - - -- — - -- Member Member - ------ - - -_ —_ _- -_---- - - -_ —_ Disapproved -- — - -- - - —Date NOTE: A charge of $1,00' b "e'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. ` • LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. • 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. ' Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and. Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. STATE OF FLORIDA, COUNTY OF DADE. ss. appeared Permit No. Disapproved (Signed) — — — - -- --- _____ -- Building Inspector 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 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 regula- tions 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. No'f!_� ? LL' — Stree J Owne.r's Name and Address Registered Architect and /orngineer —_ �L —_ _ � Name and address of licensed contractor `��� '' \v, A Location and legal d cription of lot to be built on: L /St ot__ / Block___ Subdivision_ _ �y ° C- 44 ri Cs- - Street and Number where work is to be done____ /_ __ ` � / !� ���-� _ 0 _ State work to be done and ur ose of building p p g (by floors) __and for no other purpose. New Building ______ Remodeling_ dition Repairs No. of Stories 1 To constructed Estimated ost of 4^ � ? -. ?r . ' � o i, /� �� Kind of found�iJ ___ __ � � .___ _,,, Covering__ { ,�_,. t ._ f improvements $_L —� - A mount of Permit $ --- -- - -- -- L 1 ' . r _ - -_ - -_ _Plan Cubage Zone cubage required______ _ __ —___ Distance to next nearest Maximum live load b borne by each floor_ _ Size of Building Lot ___� � ? ` ?_ �_� __- ___- ___ -___, g P , I hereby submit all. the plans and specifications,for said building '11 notics. with references to the building and its construction may be sent to/1 �.0 11--).?/-) — L < / PLAIZINING BOARD___ Mber Mem Te ,4 '— Member _. ' '\-J',n� . Council Approved _— __________— __— _____— _— _— _ - - --- -Date Date-- --- - -- — - -- — �' Date / 44) _ _�� Mem Disapproved 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 to be performed Mader this permit, as are licensed by Miami Shores Village. G J(7� ;, A r Remark.; (Signed) J�� �,�� , t Before me, the undersigned authority, a notary pu lic --d y autho& to administer oaths and take acknowledgments, personally ___-- ___ —__to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the me c=— 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. / 19 Read, Sworn to d ubscrib d before Notary Public, State of lortda o mission E x p i r e s _ _ ___Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fro' 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 r materials and /or workmanship. (over) 6. Moving or wrecking. LIST OF CONTRACTORS, SUB- CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heat'' g, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. U 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 7. Septic Tank and Drain Field. 1"8. Structural and Reinforcing Iron 19. Tj1e, Terrazzo, Marble, Granite and Cut Stone. 20. :Electric Fixtures. 21. Illuminated Signs. and Steel. • dze.L 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring, not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 22.!. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and. Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. 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 he- somplie ith, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of w k.' Owner's Name and Address __ �� '_ i ,C/ ° Registered Architect and /or 'rigineer Employing Plumber's Name Location and Legal Descripti Lot APPLICATION FOR PLUMBING PERMIT Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (l. � � OL ? No F- a°1 -ii Iii ._ l ✓�J� Block Subdivision �G / Street and Number where work is to be performed —No 1 Street /_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. ..Size of Soakage Pit. (Signed) 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 the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed) ____ Date , , No. , Street c u� '' Street__ may/ — — Notary Public, State of Florida / STATE OF FLORIDA, 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. 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 TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES 1 LIST � CCCL"'rn / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST IST CHECK v 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 he- somplie ith, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of w k.' Owner's Name and Address __ �� '_ i ,C/ ° Registered Architect and /or 'rigineer Employing Plumber's Name Location and Legal Descripti Lot APPLICATION FOR PLUMBING PERMIT Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (l. � � OL ? No F- a°1 -ii Iii ._ l ✓�J� Block Subdivision �G / Street and Number where work is to be performed —No 1 Street /_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. ..Size of Soakage Pit. (Signed) 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 the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed) ____ Date , , No. , Street c u� '' Street__ may/ — — Notary Public, State of Florida / STATE OF FLORIDA, 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. 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.