Loading...
210 NE 102 St (5)MIAMI SHORES VILLAGE BUILDING DEPARTMENT . ,, 305- 795 -2204 Building Inspection Request Dat� Time Type Insp'n T ( nc` QOi € U u' '° Permit No. l Name Yili Address O' Company fC& W.Yrr) &CAS Phone # SQS 7 S O 9 S 1 For Inspector: E Approved Correction Re- Insp'n Fee Name & Date It 9 c/ 7-- S,. t`l 4° .Vya- ,z°G a/') 1' Z 1'- 79 i IAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT AP PLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement ur the plans and specifications herewith submitted for the build ine 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. _._...___. __........ t d ...� 2 8 , 19 80 2 n ' Date.. Owner's Name and Address . 2 11 0 �( Ft €3. _ No q rr?.. & .5.._.. Street..... .IS.Sa fj. ..e..!�0 Registered Architect and /or Engineer.... • s.IB.Ai L .YI N) Z C1.1) 11 Z- • £ A /Q.1 1 Name and address of licensed contractor ..At.11Akf1:4.6 c.1 5`g►Sa `Qt....N -V.?_ sh,..R \ ‘ -S • Location and legal description of lot to be built on: Lot 1 Block . P12-11.4A.6 Subdivision �,.Z.:_........_ — .._.._ Street and Number where work is to be done a 1.Q t._.�a .. .1'..= ...... �.._..__ State work to be done and purpose of building (by floors) ? 5 � qc1.\ ...._..__ and for no other purpose. New Building V Remodeling eling Addition Repair To be constructed of .RfaX :•. aind of foundation e� Estimate Total cost of improvements $ f?S?..Q Amount of Permit 3. l Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot lfaxirnum 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 understa of Labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled C and has complied ssith the rovisions thereof, and will require similar compliance From all in the work to be performed under this permit; and will post or cruse to be posted for ins or notices as arc required by the Act. The undersigned agrees to employ only such su permit, as are licensed by Miami Shores Village. Remuks (Signed STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) Date No. of Stories vering n. Wane ors e ork ors Pe ntra f the to accepts his o aws of FI tors or sub - on the site rs, on wo an employer implement, yed by him ul)lic notice orme• under this Before me, the undersigned authority, a notary public, duly authorizcd 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. �j Permit No.._. 4 Date... to) •� r' Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member _ Member Member .. .. _....._. Member Council Approved Date Disapproved Date MUTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannir;; Board. A re•impcction fce of 51.00 will be charged when such re -ins, c tion is made necessary by Improper notice for inspection or faulty materials and /or workmanship. Date tat i4 Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL. _OWNER'S..CERTIFICATION I certify that I am the legal owner of the property described as t.or I i6loce. a5 0Aza / Sup. , located at Ic) ' e. 10 2 s �-- In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until`,a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an appr ed barrier pvior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. CLOSrrs BATH TUBS SHOWER[ LAVA• TORIES SINK• SLOP SINKS LAUNDRY Toss URINALS CATCH eASIN FLOOR DRINKING DRAIN FOUNT'Ne 1 TOT, -i. FItTI RES CONTR. LI'T j CHECK JT _ AO T SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR H DEEP WELL K BPRLR. S SWIN•O POOL � w � — H i L w CHECK 1 Penni: No. .3d -. — :eppllc :.rum is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.na...d for the building or other rtructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mi; ••f Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulaticr.'. of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at building during progress of work. 'Avner's Name and Address Ale.11.&&12 2 _..,..__.._. No.g _ Street_.$.1Kfi511. - '6L. O• .egist [red Architect and /or Engineer ,LO AC►s,►tvt E . 1 tog L imploying Plumber's Name QU) Location and Legal Description Lot. 1 Block 3 S Subdivision.._.1ik24141-3e..__ ._. Street and Number where work is to be performed —No 2 I O �C1?. -- Street 40 2. 4T •. State work to be perform d and purpose of building (By Floors) SW.s` 'artle4S'!► __ 0l _..__ tls.a4 %%"` New Building .............. Remodeling__ _ — ....._._ Addition.____.... Repairs No of Stones Size Septic Tank_ - - -- •----- ....----------- . - - - - -- - Type of Tank Feet of Drain Tile.__.___ __ — ._.__—Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well..___ .-- _- ._- .•-- -. - - -_ -- _--- __ - - -- .•Size of Soakage Pit Amount of Permit $ 4 •0 O The undersigned applicant for this building permit does hereby certify that he understands and accept under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Flori 1.lied with the provisions thereof, and will require similar compliance from all contractors or sub -contr performed under this permit; and will post or cause to be posted' for inspection on the site of the required by the Act. The undersigned agrees to employ only such sub - contractors, on work t licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Si s ULLI - - -- / (Signed ).-- Date.. _ ... I_L/ 14/13 . Capacity ^ eels Street..... 's obligatio s manent employed 1 uch publ; rformed 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 therein by him stated are true. Notary Public, State of Florida Plumbing Inspector n ass rum ment anti it him I: •AI notice h 4 Ins . �Lril n Plumber. labor ro b +s ar • br • STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclorowledgments, periorr; ; , ppear.c. acts NOTE: A re- inspection fee of ;1.00 will be made when such re- inspection is made necessary by improper notice fa inspection. 4tr faulty materials and /or workmanship.