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ROOFING PERMITSApplication is hereby made for the approyal 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 Registered Architect and /or Engineer pp Name and address of licensed contractor C J !?rrVm _QWN & Location and legal description of lot to be built on: Lot Brock Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) _/?E — lroa F Permit No. Disapproved ( Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT V 1. i- i-,,vi RE/A/01-0 Date ? — I 1 4 , 2 ' V .,190 No l O Street NE Co. fa Alt X0/ Chairman Member Member Council Approved Date Disapproved Read, Sworn to and Subscribed before me. Notary Public, State of Florida PLAN ING BOARD DATE tc - - 3a1 NW ?1 ST> ./_ /An( NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for - materials and /or workmanship. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories / To be constructed of Kind of foundation Roof Covering S f j/a % LE 711,E Estimated Total cost of improvements $ d >< / G Amount of Permit $ 00 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 arid- 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 5968, Compiled General Laws of Florida, Pennanent 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 bcontrac on w o be performed un. - ms's permit, as are licensed by Miami Shores Village. Remarks (Signed) j -! ' 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 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. Building Inspector My Commission Expires Member Member Member Date been obtained from inspection or faulty BUILDING ❑ ELECTRICAL ❑ PERMIT N? 11159 PLUMBING ROOFING P .'........' Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE 3 Bl. Signed. Subdi- vision CONTRACTOR OR BUILDER BY Value of Project $ Contrac$or s License!No IW , J .► Amt. of Permit $ This permit is gra nted to tbe ntrador or builder named above to construct the building or to install the equipment or device de 'bed 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. IN§PEgTOR In consideration of the issuance to me of this permit I agree/to Vrform 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,iither, myself, my agent, servant or employee. Owner's Name and Address A • J. Troy, Location and legal description of lot to be built on: Lot Block Subdivision State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. ss. 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. • Registered Architect and /or Engineer Giffen Industrie s Name and address of licensed contractor Date--- April -- -18th 19 51 No 10516 Street N.E. 4th Ave, Inc,, P.O. Box 6331, Coral G Street and Number where work is to be done 488 N. E.__ 101st Street, Miami Shores RN- roofing - new construction and for no other purpose. New Building ' X Remodeling Addition To be constructed of Kind of foundation Roof Covering Tile Estimated Total cost of improvements $___ $998.00 Amount of Permit $ $5. 00 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 Giffen Industries, inc . Bqx 6331, Coral Gables, Florida 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 Repairs No. of Stories One (Signed) GIFFEN INDUSTRIES, INC, ompson, .ect.- yeas. 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 Date Disapproved Date (Signed) Building Inspector Chairman Member Member Council Approved Date Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Notary Public, State of Florida My Commission Expires Member Member Member 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/ Owner's Name and Address ) 1* Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No f State work to be performed and purpose of building (By Floors) • Size Septic Tank Feet of Drain Tile Nature of Water Suppl 1. SS. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. r; *,./' No Street 2 No Block 913 Subdivision r Street- - 6 r- toot 4 'i* , New Building ✓ Remodeling Addition 0 ' Dist. Feet of Tank or Drain Field from Well Type of Tank Capacity Gals Size of Soakage Pit osi Date - /x Street l Repairs No. of Stories l Amount of Permit $___ ( Signed) 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 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 publiy notice or notices as are required by the Act. The undersigned agree . o employ only such sub - contractors, on oik be performed under this permit, as are licensed by Miami Shores Village. w 0 •y 4. (Signed) "" " ... ,_. " if ` '�rlr# t 1 4r g Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 Before me, the undersign ority, a notaryy authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being m /firs uly sworn, upon oath deposes and says that he is the of the above described construct' n, tJllat he has carefully read the fo regoing application, and that he did sign the same, and that all facts therein By him stated are true. 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST v ` / CHECK ff,, ♦ V G 02. / ,( / J — O / . /_, 7 I� SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SW IM'G POOL .t1 U Pit�1 fipe% � a f y fi g. E, CONTR. LIST / /4,-4/ i 1 CHECK /I b, - A / a T V / Permit No /1/ Owner's Name and Address ) 1* Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No f State work to be performed and purpose of building (By Floors) • Size Septic Tank Feet of Drain Tile Nature of Water Suppl 1. SS. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. r; *,./' No Street 2 No Block 913 Subdivision r Street- - 6 r- toot 4 'i* , New Building ✓ Remodeling Addition 0 ' Dist. Feet of Tank or Drain Field from Well Type of Tank Capacity Gals Size of Soakage Pit osi Date - /x Street l Repairs No. of Stories l Amount of Permit $___ ( Signed) 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 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 publiy notice or notices as are required by the Act. The undersigned agree . o employ only such sub - contractors, on oik be performed under this permit, as are licensed by Miami Shores Village. w 0 •y 4. (Signed) "" " ... ,_. " if ` '�rlr# t 1 4r g Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 Before me, the undersign ority, a notaryy authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being m /firs uly sworn, upon oath deposes and says that he is the of the above described construct' n, tJllat he has carefully read the fo regoing application, and that he did sign the same, and that all facts therein By him stated are true. 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. 4 r /7