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134 NE 102 St (11)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 March 314 19 61 Owner's Name and Address.. A. C. Barrow N 134 Street 102 Registered Architect and /or Engineer Name and address of licensed contractor SQutheastern_..Natural Gas Co.. 2640 N,W. 29 Ave. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 134 102 St. State work to be done and purpose of building (by floors) ga.s___.Sy__s_t.eW,_.._r'ange., & 2 S. Heaters 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 $ 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, 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 inspe ion on the site of th work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ractors, on w3k to ,.e perf ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Disapproved (Signed) A/' • '.— Bui ding Inspec 1 r STATE OF FLORIDA, COUNTY OF DADE. J 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 true. (;' Permit No Y`' L Date — C I Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ANNING 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 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 // APPLICATION FOR PLUMBING PERMIT Owner's Name and Address Registered Architect and /or En Employing Plumber's Name Y Location and Legal Description Street and Number where work MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sut mitt e 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. Lot is to be performed —No No. Block State work to be performed and purpose of building (By Floors)____ New Building_____ -- Remodeling Addition________.____ Repairs No. of Stories Size Septic Tank — °! -------- --- --- --- - -- --Type of Tank___ 0 1 ' Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. (Signed)._ e 'L Date.... � ""-/ Street_ f r,L Street__ Subdivision Street Capacity Gals Feet of Drain Tile. n.-r - -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. Size of Soakage Pit (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 5988, 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. 1 C 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 Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOUTS BATH TUBS SHOWER• LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS A S CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK + - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST - - -- CHECK Permit No // APPLICATION FOR PLUMBING PERMIT Owner's Name and Address Registered Architect and /or En Employing Plumber's Name Y Location and Legal Description Street and Number where work MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sut mitt e 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. Lot is to be performed —No No. Block State work to be performed and purpose of building (By Floors)____ New Building_____ -- Remodeling Addition________.____ Repairs No. of Stories Size Septic Tank — °! -------- --- --- --- - -- --Type of Tank___ 0 1 ' Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. (Signed)._ e 'L Date.... � ""-/ Street_ f r,L Street__ Subdivision Street Capacity Gals Feet of Drain Tile. n.-r - -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. Size of Soakage Pit (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 5988, 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. 1 C 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 Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. Registered Architect and /or Engineer-_._- Employing Plumber's Name in e 1 't 14 V i Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building . Remodeling_ Size Septic Tank - _--_- -_Type of Feet of Drain Tile _ -- - -- _-- ._.___. -__ - -- .Dist. Feet of Tank or Drain Field from Well_ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby ade for the approval of the detailed statement of the plans and specifications herewith submttted/for the building or dun structure herein descri . This application is made in compliance and conformity with the Budding Ordinance of Mia Shores Village, Floridu and all provisions of a Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address. r i , N . No. _.— ND. i _.. A . - -- Streei ? S T Block Subdivision.-__.._. -_ Street. _Capacity Gals. Nature of Water Supply: City— Well. - -- _ - _--- - - - - -- - - - - -- ---- -- — -_ Size of Soakage Pit... ' .....__ ._.. _. ( S No. of Stories Amount of Permit S_. ) �� Plumb sector. The undersigned applicant for this building permit does hereby certify that he underst nd accepts his obligations as T.I, amp oyer 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 porn as art licensed by Miami Shores Village. STATE OF FLORIDA, s. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .sppeare 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 Lie therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of 51.00 will be made when such re- inspection is made necessary by improper notice for inspection, or f;.ul materials and /or workmanship. CLOUTS BATH Toe{ S H GWxR{ LAVA. TORI U SINK{ SLOP SINK{ LAUNDRY U RINAL{ 'rues URINALS CATCH FLOOR DRAIN DRINKING FOUNT•N1 y � Ill S TOT� ` CONTR. LIST / I / - —� 7S. ) c CHICK ! a o ?5 - 3 5 _ 7 .5 — �`..— SIPTIC TANK SIW[R CONN. DRAIN FIELD SOAKAGg PIT GRCmix TRAP SOLAR M{ATlR ow WILL SPRKLR. STITCH BWIM•O POOL CONTR. Lurr CHECK / � DO Permit No. Registered Architect and /or Engineer-_._- Employing Plumber's Name in e 1 't 14 V i Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building . Remodeling_ Size Septic Tank - _--_- -_Type of Feet of Drain Tile _ -- - -- _-- ._.___. -__ - -- .Dist. Feet of Tank or Drain Field from Well_ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby ade for the approval of the detailed statement of the plans and specifications herewith submttted/for the building or dun structure herein descri . This application is made in compliance and conformity with the Budding Ordinance of Mia Shores Village, Floridu and all provisions of a Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address. r i , N . No. _.— ND. i _.. A . - -- Streei ? S T Block Subdivision.-__.._. -_ Street. _Capacity Gals. Nature of Water Supply: City— Well. - -- _ - _--- - - - - -- - - - - -- ---- -- — -_ Size of Soakage Pit... ' .....__ ._.. _. ( S No. of Stories Amount of Permit S_. ) �� Plumb sector. The undersigned applicant for this building permit does hereby certify that he underst nd accepts his obligations as T.I, amp oyer 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 porn as art licensed by Miami Shores Village. STATE OF FLORIDA, s. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .sppeare 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 Lie therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of 51.00 will be made when such re- inspection is made necessary by improper notice for inspection, or f;.ul materials and /or workmanship. 1/ • 1, ' BUILDING ELECTRICAL PLUMBING PERMIT N° 8724 Work to be performed under this Permit - Owner of Building ..... Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE 194 Legal Lot Bl. Description Address of , Building '' ,/'r / 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 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. . / ,, . r f` ! Signed By • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations eertatning thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done lly either myself my agent, servant or erpployee. ICI' e0 / 1 7 /i :,e : / '� ! ( .> .-.. , . / '.--- CONTRACTOR OR BUILDER Of ` AUTHORITY y Subdi- vision Value of Project Contractor's License No. Amt. of Permit