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374 NE 100 St (8)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. Zone cubage required •4DQ f T i O f4 — MIAMI SHORES VILLAGE peared Disapproved _ -r.. Date .._....... _. (Signed) Building Inspector./ Addition Date ..._ ..._....._..... Owner's Name and Address //e. ...a .-. No... X . Street- Ls2A_.rSt'_. 0 Registered Architect and /or Engineer 1 i�l v ��- /� . ,, ... .... .......... ,....� . . J ? ? .. Name and address of licensed contractor ,9 4 TiQ,� -,�Q ��" 0 �.- ,.,,_, � / ..,,4. ,r. ....t....... ......... .. Location and legal description of lot to be built on: y g Lot 3 Block / Subdivision..l1� / `� �f _- ..... Street and Number where work is to be done 3 . 7 ' 1 / A 4..... _ /'e) e .. C State work to be done and purpose of building (by floors) /— - P 'o 8.9 -rer and for no other purpose. New Building Remodeling Repairs No. of Stories ....V _. To be constructed of Cw 4 Kind of foundation Roof Covering S' ‹r.- .e2o4_ ✓..- Estimated Total cost of improvements $ ` ®e Amount of Permit $. ©E "-(: Ilan Cubage 4? 3 7 • 0 7 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 pennit 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks ( Si g nea 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- 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 `f- Permit No. Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member \1crr,bcr 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 the Planning A re- inspection fee of $1.00 will be charged when such re - inspection is made necessary by improper notice materials anti/or workmanship. Date has been obtained from for inspection a faulty het T ht = ir=o /.s `c . zg. G 39 9'6 441 488 cr-o. Fi BUILDING • ELECTRICAL PLUMBING Owner of Building Contractor or Builder Legal Description ACTOR OR B D R MIAMI SHORES VILLAGE, FLORIDA DATE 17y a 194 PERMIT N° 4748 Contractor's License No /0 Work to be performed under this Permit Architect 4i a Lot 1 3% 6 Bl. tit ) Address of Value of Amt. of Building t 7 / / / ( - Project • 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil 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. ter+ • tirr i t I �(� lgned NSPECTOR In consideration of the issuance to me of thi perm agree to perform the work covered hereunder fn compliance with,411,Ardinances andIeidielons pertaining thereto and in nformity with the plans, • awings, statements or pecifications submitted to the proper autho of Miami Shores Village. In acceptingfk}is perm assume e onsibility •r a work done by ei yself m agent, s4 v.. or e ' •loyee. r Subdi- vision Ss� By ".71 AUTHORITY BUILDING - ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA / DATE f y 194L. ERMIT N° 4748 Work to be performed under this Permit 10 4 Architect Contractor f �'��"! or Builder "..... '' Legal Lot Bl. Description 7 �� : i Subdi- vision 10 s Address of Building 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 appli- cation herefor m strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil 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. Value of Project Signed • s / INSPECTOR In consideration of the issuance to me of this permit I agree to perform the wo k covered hereunder ifi compliance with all ordinances and regulations pertaining thereto and in formity with the plans, drawings, statements or .ecifications submitted to the proper authorities of Miami Shores Village. In accepting Perini " : nsibility r all work done by ei self, y .gent, s . or eloyee. Contractor's �/ License No / 1: ''• 0 Amt. of Permit By dt< AUTHORITY Owner's Name and Address New Building Remodeling Amount of Permit $ STATE OF FLORIDA, } is. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C5C4t, /t1/9 -2 7'� L No. __. Size Septic Tan1L_ _------- - - - -- -- - - - -- Try 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 (Signed)_ ( Signed Date 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. Street_._ Registered Architect and /or Engineer JONES 11 L VTMBIN-'L Employing Plumber's Name 9336 Iii. w. 7ilrh A.ve itJ -- m• -, 8treeL..a.... Location and Legal Description Lot_ Block . Subdivision _- .- ______.__ Street and Number where work is to be performed —No r r ___1121p....._ street State work to be performed and purpose of building (By Floors) ._.._...____...._...___.__._._ Repairs No. of Stories Capacity Gals.. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perini ent 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. 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. My Commission Expo Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is mede.neoessary by improper notice for inspection, or faulty materials and /ar workmanship. CLOSETS BATH TUE• SHOWER• LAVA• TORIES SINKS SLOP SINK/ LAUNDRY Tugs URINALS BASIN FLOOR DRAIN DRINKING F OUNT'NB TOTAL FIXTURES / CONTR. LIST CHICK / SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. S SWIM'O POOL CL IT LuT CHICK Owner's Name and Address New Building Remodeling Amount of Permit $ STATE OF FLORIDA, } is. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C5C4t, /t1/9 -2 7'� L No. __. Size Septic Tan1L_ _------- - - - -- -- - - - -- Try 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 (Signed)_ ( Signed Date 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. Street_._ Registered Architect and /or Engineer JONES 11 L VTMBIN-'L Employing Plumber's Name 9336 Iii. w. 7ilrh A.ve itJ -- m• -, 8treeL..a.... Location and Legal Description Lot_ Block . Subdivision _- .- ______.__ Street and Number where work is to be performed —No r r ___1121p....._ street State work to be performed and purpose of building (By Floors) ._.._...____...._...___.__._._ Repairs No. of Stories Capacity Gals.. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perini ent 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. 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. My Commission Expo Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is mede.neoessary by improper notice for inspection, or faulty materials and /ar workmanship.