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600 NE 101 St (8)S p 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. ?.- --�� 11 -- II Date _ ...._....�..__ ? 3 __.._... ..197 Owner's Name and Address ... I.!.... AI NE... FAR 1 SS_ No..6.0.0 ....__. Street.NE.....1. ( - ST, Registered Architect and /or Engineer . TAM, C R.C etG( IUP SON c!` ROU("_. - f =! C) i, tt :T ._ Name and address of licensed contrgctor — Location and legal description of lot to be built on: LOT d- ��,4of T Block I 3 Subdivision M I Si-IORE� SECT� I 4 _ 1 - 4 t -- 0 - .g - - - L - OT .. i� Street and Number where work is to be done.. . o.Q.... NLE r l.P.l... 5'7%. _._ . _.�.....__ State work to be done and purpose of building (by floors) 5 GU./ M M! J G POO Li. .PATA.D i ... * Ph ? _ ,. 1 fl 2-4-c) - - _.....- - New Building Remodeling Addition SPOOL) Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Q Bbp Amount of Permit $. Zone cubage required .Plan Cubage Distance to next nearest building.. Size of Building Lot Maxirnum 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.__ .__ -._.__ (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 state fq jrue >0 - /' Z , Permit No.__..__ __ Date �� Read, Sworn to and Subscribed before me. and for no other purpose. to me well known, Disapproved /7 Date. (Signed) . Buildi Inspector My Commission Expires Notary Public, State of Florida NINC BOARD DATE Chairman Member Member 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 fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty 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. • Date......_... .. _ _ Owners Name and Address j'„ R:2' 15 5 ... N0.660 Street.' e • 1 ST. Registered Architect and /or Engineer l C'Caa e"4". -• I _ - _ _ Name and address of licensed contractor I . /• .60 I CD v ~ • K"• 7 7 ��. Location and legal description of lot to be built on: Lot / if Block /In 3 Subdivision /°:1P' 5 Street and Number where work is to be done. .. tee) Co 4/• Car • /GP/ .i _.- State work to be 1&one and purpose of building (by floors) //45::&76••• .2 ...__. 41: and for no other purpose. New Building Remodeling Addition � Repairs No. of Stories To be constructed o Nl �1N Kind of foundation ... 4X�..g r � l Roof Covering Estimated Total cos R p�rove ents $ /6470 4° 7 Amount of Permit S. - Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot ?s 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 Libor 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 inspects on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontr , : •r on ork to be performed under this pertnit, 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& / �f Permit No. _w_ -� / ` L Date Disapproved ( Signed) 1 '� ..._ Building I , Sworn to and Subscribed before me. Notary Public, State of Florida My Commiss . Expires to me well known, PLANNIN BOARD DATE Chairman Member Member 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 niter approval has hecn obtained from the Planning Board. A rc- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No Size Septic Tank_._ Feet of Drain Tile Nature of Water Supply Amount of Permit $ /3_, r 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. Owners Name and Address No Registered Architect and /or E Employing Plumber's Name Location and Legal Descrip>fon Lot Street and Number where work is to be performed —No Street.. ..._..._._ State work to be performed and purpose of building (By Floors)_____ _ - - -- — — —. New Building - - - -._ __ -- _.. Remodeling____- -.__ -___ —_ Addition. -.___ _.__.. -.. Repairs- No. of Stories . . . ... ......... ,.,,.. No,•.,,,,•11111.• t Bloc11 flist. Feet of Tank or Drain Field from Well W ( t( ._Z_ ° Size of Soakage Pit. (Signed (Sim) Date.-_ 7 . street-6 ot /"' 4 . / J ,g3 Subdivision_ _____ . — ._ — _ S ` _Type of Tangy !° - 2 S Capacity Gals. - -- - -- - -- 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 5988, Compiled General Laws of Florida Pennane 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 subcontractors, on work to be perform under thli permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, f 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 swan, upon oath deposes and says that he is the ___.._. - - --- -• __ -- -- - - ... - -_ _ of the above described construction, that be has carefully read the foregoing application, and that be did dips the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Flcdda NOTE: A re- inspection fee of $1.00 will be roads what such r►isgpaotbu ie esads•asomm ry by improper nodose for inspection, or faulty materials and /or workmanship. CLOSETS BATH T SHOWER[ LAVA. TOR1[/ SINK[ SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE[ CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H[AT[R DEEP WELL . SYSTEM SWIM'O POOL CLNTR. LIST / I CHECK Permit No Size Septic Tank_._ Feet of Drain Tile Nature of Water Supply Amount of Permit $ /3_, r 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. Owners Name and Address No Registered Architect and /or E Employing Plumber's Name Location and Legal Descrip>fon Lot Street and Number where work is to be performed —No Street.. ..._..._._ State work to be performed and purpose of building (By Floors)_____ _ - - -- — — —. New Building - - - -._ __ -- _.. Remodeling____- -.__ -___ —_ Addition. -.___ _.__.. -.. Repairs- No. of Stories . . . ... ......... ,.,,.. No,•.,,,,•11111.• t Bloc11 flist. Feet of Tank or Drain Field from Well W ( t( ._Z_ ° Size of Soakage Pit. (Signed (Sim) Date.-_ 7 . street-6 ot /"' 4 . / J ,g3 Subdivision_ _____ . — ._ — _ S ` _Type of Tangy !° - 2 S Capacity Gals. - -- - -- - -- 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 5988, Compiled General Laws of Florida Pennane 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 subcontractors, on work to be perform under thli permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, f 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 swan, upon oath deposes and says that he is the ___.._. - - --- -• __ -- -- - - ... - -_ _ of the above described construction, that be has carefully read the foregoing application, and that be did dips the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Flcdda NOTE: A re- inspection fee of $1.00 will be roads what such r►isgpaotbu ie esads•asomm ry by improper nodose for inspection, or faulty materials and /or workmanship. 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 the work. Owner's Name and Address oTa7 51 Registered Architect and /or Engineer Meie.4 //?A/ .' Gro e_) 1103 1uf 11 S Si' ,e i#? m Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT L A � /f � /�y��/ � Date / � (4f �! /19� ed V A � / i /v i(j No. 6 VO Street /() l Ol J Location and legal description lot to be built on: 0_ �/ Lo lock /o3 Subdivision * ✓ [1 /�' !r/ Il Street and Number where work is to be done g OQ N � /or; Sta rk to be done and purpose of building (by floors), state exterior colors (submit samples) .". P4+14 fo d I WANS 4 i .6 / and for no other purpose. New Building Remodeling Addition Repairs (/ No. of Stories 'Ib be constructed of Kind of foundation +.� Roof Covering Estimated Total cost of improvements S _S Amount of Permit 5 ,456 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 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 obligatons 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 emplo ' only such subcontractors. on work to 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 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. Date fY 9 Date Read, Sworn to and Subscribed before me. /0/ °2 Permit No. Disapproved (Signed) " V Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Notary Public, State of Florida i� ° b /' /- /J/ 7