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957 NE 99 St (14)MIAMI SHORES VILLAGE, FLA. Nt.' 8525 JOB si ADDRESS ` ; • INSPECTION cb' � a TIME READY / ' 1x -4 ` REMARKS: °ECTOR DATE CERTIFICATE OF OCCUPANCY • MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 1840 , 1 Miami Shores Village, Fla , r. v ="t O ' . I:2 ' 3' s Owner, Agent or Tenant of Building )L4 � X,, Lot - 14 Block /7 b Subdivision ) - -S ,_ ,, ,, ". Street Address vs �r -E • �� Approved use by occupancy Remarks- A This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. ' r U BUILDING DIVISION OWNER'S NAME Frank Anderson PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 957 N.E. 99th Street LOT cam �° BLOCK / 7 O SUBDIVISION ` GENERAL CONTRACTOR owner ADDRESS - PHONE NO. LICENSE NO. BUILDING PERMIT NO. 14815 DATE PERMIT FEE S 6.00 BUILDER•S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE I6/1 CU. FT. EST. COST S DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCRIPTION maid's room and bath C '' ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO) C. : I ISSUED ) ; '. .. / .1 72'; ' BY C " ') TO , ,i - " - BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION % yC b G FEE TEMPORARY SERVICE BEAMS & LINTELS 6- ?2 -5 F'• * ;I cJ, _ $ SEWER FRAMING 7-6-5'5 a- -, , $ S GAS S $ S FINAL 6 , ' O ° DATE BY i RE- INSPECT BY RE- INSPECT CLEAN -UP )1 .'.)'h'- \ . r `)° Sti" `, � CONTRACTOR \:p P . -. , `- - PHONE PERMIT NO. ,,i ` `< �\ DATE FEE $ NEW BLDG. ( ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK cJ, _ $ SEWER S S SOLAR HEATER $ S GAS S $ S S INSPECTIONS DATE BY i RE- INSPECT BY RE- INSPECT BY � ROUGHING g°, (c ROUGHING GAS gyp /'--- ,�... - o H. W. HEATER CONN SEWER RANG} CON N. SEPTIC TANK SOLAR HEATER / . FIXTURES 1 I .)' , t ' ti � ` ~� CONTRACTOR t��; ^ PHONE PERMIT NO. J � � .f ) / DATE � '� � l � _ FEE S / ` NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS $ FIXTURES S S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING k9 gyp /'--- ,�... H. W. HEATER CONN RANG} CON N. FIXTURES & FINAL /Q�■-' � ` ~� BUILbING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY Ea.,-z, OW(IER•S NAME ,'/ )V' ( TYPE C� S PRESENT ADDRESS �j^ � 54.7 , 95 �/ ROOF CONSTRUCTION t 4) (_� e .47 LICENSE NO. I PHONE NO. REPAIRS JOB •LOCATION (ST. OR AVE.) LOT BLOCK SUBMITTED TO PLANNING BOARD APPROVED SUBDIVISION ,4-7 .• I 1 Al.: 9 57, 7 ki7� z/ ��,,�� BW 1 a 0 ; , 44, e E GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. 6 c.4) - 1 E,Je_ - aU /G..Dc?& I 7 �pr� `— BUILDER BOND BUILDING PERMIT NO. 79 1 7 DATE / ® ° PERMIT FEE $ �� NO. DATE ZONE /00(9/72 p se-.) REQUIREMENTS CU. FT. PLAN CUBE hh di 01,�!! y/ Cu. FT. EST. et:, ® COST S e -- DRAWINGS. SPECIFICATIONS RESTRICTIONS AND CUBE CHECKED BY: DATE BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE NEW CONSTRUCTION TYPE C� S 1 STORIES ® = ROOF CONSTRUCTION t 4) (_� e .47 INTERIOR CONSTRUCTION / .6e0 o,0 ��� /�J_-� REPAIRS DESCRIPTION ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFr) TO VILLAGF COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO, S%. ( I ISSUED ` 2'i -1 .V ��,,�� BW L TO -F • ld I /J 4 i DRAWINGS. SPECIFICATIONS RESTRICTIONS AND CUBE CHECKED BY: DATE BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION $ SEPTIC TANK ROOF TEMPORARY SERVICE $ BEAMS & LINTELS $ TUB & TOP OUT POOL SOLAR HEATER $ FRAMING $ GAS AIR COND. MOTORS $ FINAL $ FIXTURES CLEAN UP • $ SLAB S SOLAR HEATER SLAB I SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER $ TUB & TOP OUT $ SOLAR HEATER $ RANGE CONN. $ GAS SEWER MOTORS $ $ FIXTURES S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT H. W. HEATER CONN $ RANGE CONN. I SEWER MOTORS $ FIXTURES SEPTIC TANK $ S SOLAR HEATER I FIXTURES GAS CONTRACTOR ,[, J. 5 C e' P✓4 ' . PHONE C ' �f /8- - K PERMIT NO. f a J — I DATE �- FEE $ NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. I $ MOTORS $ FIXTURES $ S INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT BY TFMP. SERVICE ROUGHING I I H. W. HEATER CONN I RANGE CONN. I FIXTURES & FINAL I *brawl •..- 44-d 02., �a(= BUILDING INSPECTIONS CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS DATE I ALTERATION I ADDITION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE $ REPAIRS BY BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building --I ❑ PERMIT N? 14838 ❑ Work to be performed under this Permit MIAMI SHORES VILLAGE, FLORIDA DATE ... r / 195 ... Contractor's License No Architect Contractor or Builder Legal Lot Description Address of Building / °a 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 and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER BL Subdi- vision Value of Project $ Signed BY `' ECTOR BY Amt. of 2 y 'I ' Permit $ 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 submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE k. { 195 ELECTRICAL ❑ PERMIT N? 14 815 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner of Building �.. ..... Architect Contractor or Builder .f Legal Lot I 131. Description I Address of > . Building CONTRACTOR OR BUILDER Subdi- vision Value of Project $ Amt. of Permit BY AUTHORITY f J mai 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 and that he assumes responsibility for work done by his agents, servants or employees. Signed BY 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 submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. MIAMI SHORES VILLAGE. FLORIDA BUILDING ELECTRICAL ❑ PERMIT NO 7927 PLUMBING ❑ { , ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building a OR BUILDER r DATE Contractor's License No = 7 Work to be performed under this Permit ( /,' f 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 fora thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or ip,the statementsAr speci ' ions and that he assumes responsibility for work done by his agents, servants or employees. f Signed BY 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,fn strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this penile I assume responsibility for--‘11 work d,ne by either, myself, my agent, servant or employee. BY AUTHORITY 195 '' i 41V 1 / ; ' ' CI---- 23 • = • 12 eD e.. :-...----■ i / CP7,4142 . r `� I P_, ( -( / ) ' n Lot ,r ; , r-. r -. J . , / .. , . ! Bl. ;> ,%'1 i Subdi- vision Sq. Ft d f , • Amt. of Permit $ r ) K;...... - f f ' / • .. yt r ' 7 , 1r ! i Value of Project $ r ;, - f t I t ..+•■ MIAMI SHORES VILLAGE. FLORIDA BUILDING ELECTRICAL ❑ PERMIT NO 7927 PLUMBING ❑ { , ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building a OR BUILDER r DATE Contractor's License No = 7 Work to be performed under this Permit ( /,' f 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 fora thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or ip,the statementsAr speci ' ions and that he assumes responsibility for work done by his agents, servants or employees. f Signed BY 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,fn strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this penile I assume responsibility for--‘11 work d,ne by either, myself, my agent, servant or employee. BY AUTHORITY 195 '' Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ° P E R M I T N• o PLUMBING ❑ 8025 ROOFING ❑ ❑ Work to be performed under this Permit / -- Bl. I ,: Subdi- vision DATE J 1 - i 195_ Contractor's License No Sq. Ft Value of Project $ Amt. of Permit $ f 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 and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY 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 submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 7 BUILDING ❑ ELECTRICAL ❑ DAT)' 1 95 PLUMBING PERMIT N? 8 0 14 Contractor's License No ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ Work to be performed under this 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 and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY 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 submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACR OR 8IIILDER BY AUTHORITY Bl. Subdi- vision sq. Ft Value of Project $ Amt. of Permit $ 7 Owner's Name and Address Registered Architect and /or Engineer Street and Number where work is to be done Disapproved _. (Signed) ... 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 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. O � ^ ft � Date 0t Name and address of licensed contractorO -E Lot Location and 1 al description of lot to be bu .. __ Block il on: Li / Subdivision /1i6 9 °}' � 5'a"-' /4^-7 , Fidv j' State work to be done and purpose of building (by floors).. /001 - 0.tiree._.4,. a—aNa S'ywny No. Erb be sent to t" 9/ 57 ,c_r��_!r1l►2t___ 2_ 3?1I. �'�._ 16 p ,19 v _ _. Street _i 16". / 9 N s g t and for no other purpose. New Building Remodeling Addition Repairs No, of Stories / To be constructed of.. 6 Kind of foundation Q ICit(E.. Roof Covering __.7_.(!Z.- ��t / 1.2 /� Estimated Total cost of improvements $ ?_ 0 Amount of Permit $ LIB Zone cubage required f 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 referee to the building and its construction may . ( //.i./.. may 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 i . - ction on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such .contractors, on work to � 'e rmed n { this permit, as are licensed by Miami Shores Village. j w.. Remarks (Sign 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 7 7„z7 Date Read, Sworn to and Subscribed before me. Date Notary Public, State of Florida ilding Inspector 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 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. I0ei=i1/2 0 'L.' o r-/ EL i ge 01),4 C._ ‘Te77, ,76!yr • • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT /APPLICATION FOR ELECTRICAL PERMIT 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 Amount of Permit $ Es. P No. PI /Y E- r.7 e' Street Registered Architect and /or Engineer / � ` r ' Employing Electrician's Name 1. ems � .... 74 e t- / No. f30 T` 4tStreee 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 (Signed) (Signed) �f � rr i Date ? Repairs No. of Stories Service Underground Feeders Conduit Main Sw Amps Main Fuses Amps Undergroro und Type of Installation — Conduit Tubing B.X.L Metal Moulding T(4 d `-') 1 e L a ti e nn° ' d. 7% Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F rida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ntractors 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, o work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, } COUNTY OP 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, 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-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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'7's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HE ATER STRIP HEATER TOTAL CONTR. LIST / / 3 CHECK ENT. SW. DIET. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1. 1 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK • • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT /APPLICATION FOR ELECTRICAL PERMIT 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 Amount of Permit $ Es. P No. PI /Y E- r.7 e' Street Registered Architect and /or Engineer / � ` r ' Employing Electrician's Name 1. ems � .... 74 e t- / No. f30 T` 4tStreee 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 (Signed) (Signed) �f � rr i Date ? Repairs No. of Stories Service Underground Feeders Conduit Main Sw Amps Main Fuses Amps Undergroro und Type of Installation — Conduit Tubing B.X.L Metal Moulding T(4 d `-') 1 e L a ti e nn° ' d. 7% Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F rida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ntractors 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, o work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, } COUNTY OP 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, 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-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. Disapproved ,\� / Date (Signed) l� Y 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 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�7 Al rl S D- , 19 � Owner's Name and Address.... r �� �.. --.. No. p _� � Street � �� �'► t Skkl?,e S , Registered Architect and /or Engineer (9 C'+/ ' (S _. — Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 9 ') A O s? 7 State work to be done and purpose of building (by floors) 2 ooF 2(L 1 ° — I O ® / and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering v - � 0 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 C neral Laws of Florida, Permanent Sup dement, and has complied with the provisions thereof, and will require similar compliance from contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted f. Inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only sue • subcontrac s, on work to J i rfor . under this permit, as are licensed by Miami Shores Village. Remarks (Sign 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 o (Li Date I / I O ' : Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspecto My Commission Expires P 'ANNING 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 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. Permit No. ___1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /f r. !- Date , s 1 �•" 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. (I f Owner's Name and Address r• � /` . =• --= - . - - -x -- - - - -- No. � � Street -- - -- Registered Architect and /or Engineer Employing Plumber's Name No / ' ' � Street } t • t' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 'i ") 7-Street State work to be performed and purpose of building (By F rs) _______ �� ' ' New Building Remodeling Addition _.___ V 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. __ / -S r ''✓C✓ — Size of Soakage Pit Amount of Permit $ ss. My Commission Expires ( Signed) Plumbing Inspector. The undersigned applicant or this building permit does hereby certify that he understands and accepts his obligations as an employer of Iabor 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) /; Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, I 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 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. NOT 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 nd /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST / CHECK CO \ r ..c.•• _ SWIM'G POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM CONTR. LIST /, • CHECK , an Permit No. ___1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /f r. !- Date , s 1 �•" 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. (I f Owner's Name and Address r• � /` . =• --= - . - - -x -- - - - -- No. � � Street -- - -- Registered Architect and /or Engineer Employing Plumber's Name No / ' ' � Street } t • t' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 'i ") 7-Street State work to be performed and purpose of building (By F rs) _______ �� ' ' New Building Remodeling Addition _.___ V 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. __ / -S r ''✓C✓ — Size of Soakage Pit Amount of Permit $ ss. My Commission Expires ( Signed) Plumbing Inspector. The undersigned applicant or this building permit does hereby certify that he understands and accepts his obligations as an employer of Iabor 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) /; Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, I 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 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. NOT 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 nd /or workmanship. ~