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1460 NE 101 St (3)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Address of Building B • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Work to be performed under this Permi Architect Contractor or Builder Legal Lot Description Bl N° 4192 DATE Contractor's License No. i°a Subdi- vision Value of I Amount of $ .. I Project $ I 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 assumes respon- sibility for work done by his agents, servants or employees. Signed• e f 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 ac cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 4Y007 '3 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. Owner's Name and Address %WIT t Registered Architect and /or Engineer 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 k 'rC 0 0-.. k • t O C State work to be done and purpose of building (by floors) A Q V( l_ t cJ � 2 . RE (kOU E 4 t t) kIN D G' 1 Z B l>' S c-ecT C PcD IZ _ � c K ..-- ! `a c Dc c - 1 nl S?o c rrt1 • ikN ! O l (;t C - - � i M (Nog_ f& t--z PiNt eS ' and for no other purpose. New Building Remodeling.__ Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering V.E. PcNCs "CO Nati Estimated Total cost of improvements $ 4C)(91 cry 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 suc subcontractors, o work be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 Disapproved (Signed) Date Date Building Inspector NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 81.00 will be charged materials and /or workmanship. (4 Chainnan Member Member Council Approved Lt t'l) t✓ 1211 N -e. (00 , Read, Sworn to and Subscribed before me. PLAN BOARD DATE Date Date ()ME M , //�t 190 No. __l' 0 Street__W_E' \ to me well known, Notary Public, State of Florida My Commission Expires 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 �_ Ci-nerr3 BATH TUBS SHOWERf LAVA- TORIES SINKS SLOP 81NKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NB TOTAL FIXTURES CONTR. Lt BT — w— V CHICK — 1 _— � SEPTIC TANK SEWER CONN. DRAIN. FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G P001. COMIC LIST - CH&CK Registered Architect and/or En ' eer_____ " 1 i Employing Plumber's Name__ .. _ GAO Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 0 Dare Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s bmitted for the bulking 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. _ t Owner's Name and Address V It-- Cr_1_1 -14 _>� No 7(a 0 No.143 < __ _..._— _.. -__ Street__ 4 Location and Legal Description Lot_ ' y REAM?' Subdivisio Street and Number where work is to be performed —No 1 0 1� C� Street ` 0 S State work to be performed and purpose of building (By Floors)-__ s -.Tro. New Building Remodeling_ 4/ Addition Repairs Size Septic Tank .___- ._Type of Tank___ Feet of Drain ................. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._ __ _ _ _ ___Size of Soakage Pit (Signed)- (Signed). Capacity Gals 14 ci (03 Street_.. L- 1 o CI No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennaneupplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp • ed 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 die 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. STATE OF FLORIDA, t :as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 /or workmanship.