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620 NE 101 StPermit No R C7 3 Size Septic Teak_ .— .------------ - - - - -- Type of Tank— AQSOUne of Permit $ - - -- -- (Signed)- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Feet of Drain Tile._ -___ ___ - - - - -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.- __— __.___.___• _ _ - -___ — -• -Size of Soakage Pit Date..., - .,!! _ ... /2.. 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 .X a G No Street_.�^�L Registered Architect and /or Engineer �' °* �' , 1 . E mploying Plumbers Name 4 .' l ` NO„ .. «m.n....m.,,,,.._ Street..... .....�,.; , . Location and Legal Description Lot ._, / • `/' Block Subdivision `' Street and Number where work is to be performed —No %' (4) Street _. �_? ' Li .2 - !./ State work to be performed and purpose of building (By Floors) % 4 . f y ' N B - Remodeling Addition Repairs No. of Stories Capacity Gals umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation has an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 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. (Signed) Muter Plumber. STATE OF FLORIDA, se. 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 deposes and says that he is the..___ ....................... _ .. _ ._.._ _.. of the above described construction, that he has carefully reed 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 whon mat re-insp.cdon 1. made.neoessary by improper notice for inspection, or faulty materials and/or workmanship. INN CLO SETS BATH TUBE SHOWER/ LAVA- ToRic/ SINKS SLOP SINK/ LAUNDRY Tu// URINAL{ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N/ TOTAL FIATUR[/ CONTK. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POO - ! \ / � ✓/'; CONTR. LIST CHECK Permit No R C7 3 Size Septic Teak_ .— .------------ - - - - -- Type of Tank— AQSOUne of Permit $ - - -- -- (Signed)- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Feet of Drain Tile._ -___ ___ - - - - -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.- __— __.___.___• _ _ - -___ — -• -Size of Soakage Pit Date..., - .,!! _ ... /2.. 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 .X a G No Street_.�^�L Registered Architect and /or Engineer �' °* �' , 1 . E mploying Plumbers Name 4 .' l ` NO„ .. «m.n....m.,,,,.._ Street..... .....�,.; , . Location and Legal Description Lot ._, / • `/' Block Subdivision `' Street and Number where work is to be performed —No %' (4) Street _. �_? ' Li .2 - !./ State work to be performed and purpose of building (By Floors) % 4 . f y ' N B - Remodeling Addition Repairs No. of Stories Capacity Gals umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation has an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 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. (Signed) Muter Plumber. STATE OF FLORIDA, se. 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 deposes and says that he is the..___ ....................... _ .. _ ._.._ _.. of the above described construction, that he has carefully reed 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 whon mat re-insp.cdon 1. made.neoessary by improper notice for inspection, or faulty materials and/or workmanship. INN be sent to. Disapproved �. (Signed) : MIAMI SHORES VILLA3E Date_- _...___. - t ` Bt1ild Inspector 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 r iii ;g . �. � � :a��: .._ No. ... :. .__. Street& / _.... _ Registered Architect and/or Engineer.. :, t F4 ( 7, Name and address of licensed contrpctor.. ....i?_.c .c..2.... . .. Location and legal description of lot to be built on: Lot. ;.5 : f ' ! ' 2 "4( 131ock / a 3 Subdivision. ... /'' Cy ' f Z : ) - ' ' Street and Number where work is to be done 6 _2._0 ..es G2.. . - .Z. A 1 D _ 17 State work to be done and purpoe building (by floors) �` - - ;%; �..e 1 f i.f `% ,......._ _.. ..._.._�.. Z 3� .. Z.� � - L and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of undation ,. Roof Go, vering Estimated Total cost of improvements $ 2 ©« Amount of Permit $. • t — v Zone cubage required plan Cubage Distance to next newest 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 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 ell 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 agree:; to employ only such subcontractors, on wo.k to be performed under this pennit, as are licensed by Miami Shores Village. z - ' Remarks._._ (Signed) .'. ' ` STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administet oaths mid taker 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, e.,td that he did sign the same, raid that all facts therein by him stated are true. Permit No..___1 1 Date � � Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires PLANNIVG BOARD DATE Chairman Member Member Member Member ...... Member Council Approved Date D•isapprov Date NOTE: A charge of $1.00 will be made for making corrections or changes to Ghis application niter approval has been obtained from the Planning Board. A re pcc•tion fee of $1.00 will be charged when such re- inspcction is made neses:.nry by improper notice for inspection or faulty materials and /or workmanship. ELECTRICAL INSPECTION DEPARTMENT / APPLICATION FOR ELECTRICAL PERMIT Permit No d.. -`� / 88. MIAMI SHORES VILLAGE (Signed) r\ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu.ida, 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. Owner's Name and Address �/ ��� � ���� �� No Street /:% Registered Architect and /or Engineer ..l:.L/ Employing Electriciafi' N s Name b ' l No 6 � '' Street "�' 0 /I p � A_E% i 5 O.i C 4 Location and Legal Description Lot . �_��y ...........¢ ,,.�!, r. Block I.. , ;` Subdivision. . _... Street and Number where work is to be performed —No ... <... • Street ....���f� n ; State work to be performed and purpose of building (By Floors)..., :. e ^; :' c-` " New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Underground Type of Installation— Conduit Tubing... ... .. ........ B.X.L Metal Moulding j _... Amount of Permit 3/..... (Signed) \ Electrical I . ' ector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as 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 ernpl 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 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. STATE OF FLORIDA, COUNTY OP 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 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 *iien such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LICHT 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 , i ' 7 1 //' 4 ' - ' CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP ' NEON TRANS. RADIO TOTAL CONTR. LIST CHECK • ELECTRICAL INSPECTION DEPARTMENT / APPLICATION FOR ELECTRICAL PERMIT Permit No d.. -`� / 88. MIAMI SHORES VILLAGE (Signed) r\ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu.ida, 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. Owner's Name and Address �/ ��� � ���� �� No Street /:% Registered Architect and /or Engineer ..l:.L/ Employing Electriciafi' N s Name b ' l No 6 � '' Street "�' 0 /I p � A_E% i 5 O.i C 4 Location and Legal Description Lot . �_��y ...........¢ ,,.�!, r. Block I.. , ;` Subdivision. . _... Street and Number where work is to be performed —No ... <... • Street ....���f� n ; State work to be performed and purpose of building (By Floors)..., :. e ^; :' c-` " New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses . Underground Type of Installation— Conduit Tubing... ... .. ........ B.X.L Metal Moulding j _... Amount of Permit 3/..... (Signed) \ Electrical I . ' ector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as 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 ernpl 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 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. STATE OF FLORIDA, COUNTY OP 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 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 *iien such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.