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POOL APPSt I BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is herby made for the approval of the detailed state :ne m ue one plans and specifications herewith submitted for the build • ing or other structure u•rein described. This application is madc in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and nil 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. 213 .... _ _... ».__.... »... ,19.111 Owner's Name and Address . A r � », � / � . ' Y y �...._ Registered Architect and /or Engineer.... ...r1 .P...1S �wl`:Fil.. k.65Ce • v :,. re,•• •n•nnnncem•c•n. uExKH �. Name and address of licensed contractor .. .....N . z. S... 5 1 �• ( 11.11411.1. .. T F4 R .,.I. -C. GUc,4 DC) Location and legal description of lot to be built on: Lot'1..a1+.. yS 1 4.0T... S....... Block Subdivision..... Street and Number where work is to be done 1 .ZSi _ ..__ .... ».» .»».._ State work to be done and purpose of building (by floors) . }. l.EY>GA[ll.!`tL *'OL...10-212 New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ 1 o Q. - Amount of 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 per:nit dots hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5 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 in on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s nisei s, on wor)r to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Disapproved .... (Signed) MIAMI SHORES VILLAGE Building Inspector Date Chairman Member Member .. .. »....._......_..._.�...._ Council Approved Date and for no other purpose. Repairs No. of Stories Roof vering 6 � Permit $ .. peared PLANNING BOARD DATE ..o'I1.4 J —O! SE llt�llZ � STATE OF FLORIDA, COUNTY OF DADE. ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally op- Read, Sworn to and Subscribed before me. Member Member Member 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.. Notary Public, State of Florida My Commission Expires Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after appmval has been obtained from the I'l. Board. A rc•in.pr•tion fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. Perini. No. ..M5.®.ta ..— 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 $. STATE OF FLORIDA, u . COUNTY OF DADE. • / MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Capacity Date ..._ T . . _ . 2 , . 1 9 1 5 :11 pllr.ltu, is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.r,...1 for the building or other ;tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mir• • ! Shores Village, Florida, dnd 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 Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and spec fications must be kept at •�uilding during progress of work. q `.)wner's Name and Address ( _( 1(z `@t L! SZYYQ - No.-1_ E 1 Street_. ... .egist Bred Architect and /or Engu D oeer '.15 .E 2 1 ? :mploying Plumber's Name J. IPA �IuC JON �I A N O. �S� r � ., � i � : 8 treet.....f ,t ..M I A ALI Location and Legal Description Lot_ 1 E q LOT R Block Subdivl on__ BIA.:Y eLP66t Street and Number where work is to be performed —No. 1 7 - 2 -6 - " 6 _ Q.( p — . - __._ Street State work to be performed and purpose of building (By Floors) 1 • New Building ... -.---- --- .•- ... ..... .......... Remodeling__— - -- - -._ -- Addition.- -_....._ Repairs No of Stones .... (Signed) L - - -' - My Commission Expires Notary Public, State of Florida Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n ;>loyer of lobo) under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent Cum lement, and lids • - (7z 1 111•d with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in ' e 'AI rk a b� performed under this permit; and will post or cause to be posted for inspection on the site of the work such publ; notice x no icer cs a� required by the Act. The undersigned agrees to employ only such sub - contractors, . to be perrormed this ,> :rl.tlii, + ar . licensed by Miami Shores Village. Mast.% Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per;ot.4l : ppearxm, 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 be has carefully read the foregoing application, and that he did sign the same, and tint all acts therein by him stated are true. NOTE: A re- inspection fee of ;1.00 will be made when mach re-Impend= is made•necessary by Improper notice for inspection, tlr toull) materials and /or workmanship. CLO•lT• BATH TUB[ SHOWIR• LAVA• Tomas SINK• SLOP SINK[ LAUNDR Twos URINALS CATCH OA•IN FLOOR DRAIN DRINKING FOU NT'Na TOT..L 'Mil R[• CONTR. LI'T — CHECK SEPTIC TANK SEWIR CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR H MCP WILL SPRKLR. 6 SWIM•O POOL _ — I -- _— NTR Co. LIST — CNtCK I a...-..w Perini. No. ..M5.®.ta ..— 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 $. STATE OF FLORIDA, u . COUNTY OF DADE. • / MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Capacity Date ..._ T . . _ . 2 , . 1 9 1 5 :11 pllr.ltu, is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.r,...1 for the building or other ;tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mir• • ! Shores Village, Florida, dnd 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 Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and spec fications must be kept at •�uilding during progress of work. q `.)wner's Name and Address ( _( 1(z `@t L! SZYYQ - No.-1_ E 1 Street_. ... .egist Bred Architect and /or Engu D oeer '.15 .E 2 1 ? :mploying Plumber's Name J. IPA �IuC JON �I A N O. �S� r � ., � i � : 8 treet.....f ,t ..M I A ALI Location and Legal Description Lot_ 1 E q LOT R Block Subdivl on__ BIA.:Y eLP66t Street and Number where work is to be performed —No. 1 7 - 2 -6 - " 6 _ Q.( p — . - __._ Street State work to be performed and purpose of building (By Floors) 1 • New Building ... -.---- --- .•- ... ..... .......... Remodeling__— - -- - -._ -- Addition.- -_....._ Repairs No of Stones .... (Signed) L - - -' - My Commission Expires Notary Public, State of Florida Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n ;>loyer of lobo) under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent Cum lement, and lids • - (7z 1 111•d with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in ' e 'AI rk a b� performed under this permit; and will post or cause to be posted for inspection on the site of the work such publ; notice x no icer cs a� required by the Act. The undersigned agrees to employ only such sub - contractors, . to be perrormed this ,> :rl.tlii, + ar . licensed by Miami Shores Village. Mast.% Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per;ot.4l : ppearxm, 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 be has carefully read the foregoing application, and that he did sign the same, and tint all acts therein by him stated are true. NOTE: A re- inspection fee of ;1.00 will be made when mach re-Impend= is made•necessary by Improper notice for inspection, tlr toull) materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT l APPLICATION FOR ELECTRICAL PERMIT Permit No I Date `0 - Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fits :ida, 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 M e2 No l a al 1 A.., Ir Street l Registered Architect and /or Engineer Employing Electriciah's Name....l>. ArNb ZZ-O C let T"'L p C No .. ?© 6 C 44- Street I a ? Tew Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 1 j E Street / / O19 ( c■ vie f State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.....4-• C tete C vlil w► Repairs No. of Stories Serviu Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) M.t. Electrical 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 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ' Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. se. 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•T•S FIXTURES NO LAMPS MEMO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CLISY a CNECK ENT. SW. GIST. CA.. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 NP MOTORS 1.5 NP NEON TRANS. RADIO TOTAL CONTR. LIST CNECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT l APPLICATION FOR ELECTRICAL PERMIT Permit No I Date `0 - Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fits :ida, 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 M e2 No l a al 1 A.., Ir Street l Registered Architect and /or Engineer Employing Electriciah's Name....l>. ArNb ZZ-O C let T"'L p C No .. ?© 6 C 44- Street I a ? Tew Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 1 j E Street / / O19 ( c■ vie f State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.....4-• C tete C vlil w► Repairs No. of Stories Serviu Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) M.t. Electrical 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 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ' Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. se. 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. Owner's Name and Address. Disapproved ___ ( Signed) _ _ _ Chairman Member Member _ Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. 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. 51)VP Date Building Inspector Registered Architect and /or Engineer... Name and address of licensed contractor. Location and legal description of lot to be bu• on: f� Lot_2 _.. W.0F� Block . / _ Subdivision. _ .4✓ Y / t Z Street and Number where work is to be done State work to be done and purpose of building (by floors)_ s L � e• and for no other purpose. New Building Remodeling .. Addition Repairs__ No. of Stones.. To be constructed of r�' "M' Kind of foundation___ E^ o 1 o/of Covering__ Estimated Total cost of improvements $ 3 20 ' Amount of Permit $ i17_V 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 an specifications fin said buildin . 11 notices with reference to the building and its construction may be sent to � lv - ? °o w. -. 77 T 7-_- The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec :ion 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all co ctors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for insper.n on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco .ctors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks _ __ _. _ __. (Signed STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, .. 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 therein by him stated are - Permit No._130 3 Date _._LO 1 � Rea Swom'and Sub•ribed before me. PLANNING BOARD__ Date No _Date /45/` �� _// '' / , 19a'J Ngo{lbbbficSgt1, •4frtafii a 8 {W1 to me well known, same, and that all facts My Comriii440 b yfl k_6s_ Ov.6 {6 DATE Member Member - -- Member . _._ _.. .__. Disapproved .__.... Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 1