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802 NE 100 StSize Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $ a -t MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No... /.r1 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 specificatbns must be kept at building during progress of work. Owners Name and Address D T14 7_0114_ _ No. � Street_.' 4^ l 00 S -,.. Registered Architect and /or Engineer r J • �, / C'S i Emp1oyin Plumber's Name U 12 C lq `7 . l9 P©°'S..s . , Na.,j. V.�.� ��........ Street.) . J Location and Legal Description Lott' 611 ' /D Blork /G 9' Street and Number where work is to be performed —No Street..l -d. / S State work to be performed and purpose of building (By Floors)__ — _.-__ _— _._-- _------ .....__._.- -.. - -- _.... -•• - •..•_ New Building..__ _— _..---- ........_.. Remodeling -- ._. --- Addition Type of Tanir — nist. Feet of Tank or Drain Field from Well Size of Soakage Pit. 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 Pennanent 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. under this permit, as are licensed by Miami Shores Village. Repairs_ No. of Stories • g - 77 Date..._.._ CL _ r _� 7 7 - STATE OF FLORIDA, f u. 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 dep oses and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. M Commission Expir Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of SIAO will be made whs. Bath rkespeotion ie snad .neoemery by improper notice for lospection, w faulty materials and /or worlomanship. CLC•rra BATH TU • $MOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tune URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'S/ TOTAL FIKTURCS CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER Our WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST Rpif4Si r- CHECK Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $ a -t MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No... /.r1 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 specificatbns must be kept at building during progress of work. Owners Name and Address D T14 7_0114_ _ No. � Street_.' 4^ l 00 S -,.. Registered Architect and /or Engineer r J • �, / C'S i Emp1oyin Plumber's Name U 12 C lq `7 . l9 P©°'S..s . , Na.,j. V.�.� ��........ Street.) . J Location and Legal Description Lott' 611 ' /D Blork /G 9' Street and Number where work is to be performed —No Street..l -d. / S State work to be performed and purpose of building (By Floors)__ — _.-__ _— _._-- _------ .....__._.- -.. - -- _.... -•• - •..•_ New Building..__ _— _..---- ........_.. Remodeling -- ._. --- Addition Type of Tanir — nist. Feet of Tank or Drain Field from Well Size of Soakage Pit. 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 Pennanent 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. under this permit, as are licensed by Miami Shores Village. Repairs_ No. of Stories • g - 77 Date..._.._ CL _ r _� 7 7 - STATE OF FLORIDA, f u. 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 dep oses and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. M Commission Expir Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of SIAO will be made whs. Bath rkespeotion ie snad .neoemery by improper notice for lospection, w faulty materials and /or worlomanship. Permit No..... /. /2-1 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. h %qok) Owner's Name and Address Registered Architect and /or Engineer S ri Employing Electrician's Name Location and Legal Description Lot _ Block Subdivision /UD sr Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground on P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OP FLORIDA, COUNTY OF DADE. s '' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 74/17 MIAMI SHORES VILLAGE (4/Q( g -- e, No Repairs No. of Stories (Signed) .......... (Signed) Date Pox 6 Street No k0 diE Street /ad zr-.' mi. "; 33 } 2 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. Master Electrician. 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. C oq � to q � 1 (uJ � ' e'�` (fir � 2( O. � /693ago 33/69 SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST l CHECK ENT. SW. DIST. CAB . SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1.S HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No..... /. /2-1 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. h %qok) Owner's Name and Address Registered Architect and /or Engineer S ri Employing Electrician's Name Location and Legal Description Lot _ Block Subdivision /UD sr Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground on P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OP FLORIDA, COUNTY OF DADE. s '' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 74/17 MIAMI SHORES VILLAGE (4/Q( g -- e, No Repairs No. of Stories (Signed) .......... (Signed) Date Pox 6 Street No k0 diE Street /ad zr-.' mi. "; 33 } 2 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. Master Electrician. 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. C oq � to q � 1 (uJ � ' e'�` (fir � 2( O. � /693ago 33/69 (Signed) Street and Number where work is to be done 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 .. 2 7„ ..... , 1 97 2 Owner's Name and Address ....1;? .. ._. No. ... 2....... Street JI r ,1(.S./ Registered Architect and /or Engineer ..... ....> 2.4_ V � . / _ Name and address of licensed contractor .11f.�c- la-.l.a Pco .. c /j" X G-` / 0 a S. Location ad al description of lot to be built on: � / in °f- Lot i t p� i' Block Subdivision. ..... C - � G _ � � .._._.:.._.... State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 61-0-0, 0 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 such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)- 7 o - ,Z 9(-°/«' 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 U - r .7 re true. y -7 Permit No..__._. ".r.(l/ Date _... - 7.7_ Read, Sworn to and Subscribed before me. Disapproved Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Mcrnbcr 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.