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479 NE 102 St (3)OWNER'S r.'- .1E , A. 7. Aliens PRESENT ADDRESS 479 I. F. lC2nd St. LICENSE NO. , PHONE NO. '_ JOB LOCATION (ST. OR AVE.) 4 79 No E. 102nd St. LOT 97 ''_ IJ s 93 BLOCK 92 SUBDIVISION GENERAL CONTRACTOR Johnson Const. Co. ADDRESS 605 N. 11. 134th St. PHONE NO. J �2.G,oc( LICENSE NO. 134 BUILDING PERMIT NO. 3950 DATE 7-5-56 PERMIT FEE $ 9.00 BUILDER'S BOND NO. 1990 DATE 7 -5 -56 ZONE P EQUI REM ENTS CU. FT. PLAN CUBE 50()3',05 CU. EST. COST $ 4800. :o,JJ 6k5, o„/ • /f �.3zdac E L./!. Liu e., Tax 2501.52 7c' 4-2 7A //7 Y. C 7 � '';mwj `' 3C. '2.. C.. . 7.. 7... DRAWINGS, SPECIFICATIONS, RESTRICTIONS AN BE CHECKED BY "' DATE 7 ^5 ®56 NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION Built UT) —rNiERIOR CONSTRUCTION REPAIRS DESCR IPTION ALTERATION DESCRIPTION Game Room "- Path Ad .ion_ ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE-SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY I TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION PERMIT NO. DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS 7• FS�- Q --4 3 °.' 1.1 S 2. SEWER FRAMING r • - ,. Y;O 6 � $ $ GAS $ $ $ $ FINAL Pao 6d - -aaJ e4 L - ',4 1 7. J . BY RE-INSPECT BY CLEAN -UP 7- /4 CC .,S /� /J ' y4Z6 " ROUGHING r L CONTRACTOR • � "'E !P/\ J r� L i f , , , / ,. PHONE DATE 7- - .- 2..,. PERMIT NO. Co 7 1 / FEE $ �/ NEW BLDG. f ALTERATION 1 ADDITION X REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK $ $ SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSPECTIONS DATE BYY RE-INSPECT BY RE-INSPECT BY ROUGHING 7- /4 CC .,S /� /J ' y4Z6 " ROUGHING GAS H. W. HEATER CONN SEWER ® RANGE CONN. SEPTIC TANK SOLAR HEATER FIXTURES & FINAL FIXTURES --99 Pl - ti ° 4.4.9 rz/i, , s3( -' CONTRACTOR 7 ' -C.- -- = + -x 7 PHONE 9' yr" d4.442( PERMIT NO. 4 6f/l DATE 11-7,--4"6, r FEE $ 6 NEW BLDG. X I ALTERATION l ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE " ROUGHING /jo - / PQ_ H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 4.i - -•" " 4 BUILD I SPEGTIO T 44 j 7 - / % - a g �� ■ PLUMBING PE$.MITS & INSPECTIONS ELECTRICAL PERMIT, fk_MSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building " 0 0 MIAMI SHORES VILLAGE. FLORIDA PERMIT N° Architect Contractor or Builder Legal Lot Description Address of Building 11 Bl CONTI1CTOR OR BUILDER BY Work to be performed under this Permit Subdi- vision Value of Project $ */ Signed.{ �• _ . / . Amount of Permit $ 7 This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described 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. 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 pertaining thereto and in s t conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I ass responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 6 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building i Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE'. 1 195 m. ❑ PERMIT N? 4033 Contractor's 71°. License No. =J ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER B1 BY Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described 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 th . statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY e BUILDING ELECTRICAL PLUMBING HOOFING Owner of Building f 1 MIAMI SHORES VILLAGE. FLORIDA sr� ❑ DATE 195?0. PERMIT N° 3969 Contractors License No. ❑ Work to be performed under this Permit Architect .,ontractor :r Builder Legal Lot Description Bl Address of wilding I CONTRACTOR OR BUILDER - BY Subdi- vision Value of Project $ it Amount of j Permit $ T This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described 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, irawings, 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 *rough knowledge of the ordinances and regulations Pertaining to the work covered hereby whether shown on the plans or drawings cr in the, statements or specifications and that he assumes responsibility for work lone by his agents, servants or employees. Signed 3 '' ,BY INSPECTOR '" •• In consideration of the issuance to me of this permit I agree to perform the work coveted 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 ac- cepting this permit I assume responsibility for all work done by either, nmyself, my agent, servant or employee. ) 41' AUTHORITY BUILDING ELECTRICAL PLUMBING HOOFING Owner of Building architect contractor �r Builder regal Jescription address of wilding Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 4068 Work to be performed under this Permit BI Signed. d Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, dawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ,ertaining 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 one by his agents, servants or employees. • BY DATE Contractor's License No. Amount of Permit $ 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- opting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY u 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. Owner's Name and Address. /J Registered Architect and /or Engineer ' 1-i f■- ' O i2 Name and address of licensed contractor e 1-4 Ai a a .sa • ^) S T �"' Location and legal description of lot to be bui on: Lot 'z Z { 14) 1 / Z z 3 7 Z Subdivision ! S (4 State work to be done and purpose of building (by floors) c Disapproved Date (Signed) /c 0 S Date 7 ` _ , 19 No Street N /0 L L boa �.�. i3`r/ Notary Public, State of Florida Street and Number where work is to b done /+ r t. e.. y 7 N mop t T e o ,J A and for no other purpose. New Building Remodeling Addition '.< Repairs No. of , Stories To be constructed of C S Kind of foundation C-° < R 7 Roof Covering 7 'e a J e„..._ Estimated Total cost of improvements $ WO a Amount of Permit $ 7 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_- .... s, _ j..e.4.4+? - 5- _a. -_4.) Co ,.) S 7 cu - 4> o 4. ---- 4J - t..J . i 3. ( �` 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 oythe site of the work such public notice a� or notices as are required by the Act. The undersigned agrees to employ only su contra 4 wor to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signe dr° 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. Date Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires PLANNING 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. r ▪ 3 ‘/7.q e 1 1, 2 e • 1' f ( ‘.(. /1 . . • ecs, E 1, ,.., I eV' 41-1(aZ--/-4- 1 • - 6 cr " „ , e 7 2 4L LJ� 4/41A, cl re. P.- e- < E c s r e) a ft:7 BOO K4300 PAGE 331. MIAMI SHORES VILLAGE Florida In consideration of the issuance by MIAMI. SHORES VILLAGE to the undersigned of a permit to construct improvements upon the property herei.nafter referred to, the undersigned hereby agree that no part of the premises will be used for rental purposes, or for an.y purpose which is i.n violation of any of the.ordinances of Miami. Shores Village. It is further agreed that if the premises are used for a purpose contrary to the terms of said ordinances that an injunction may be applied for and granted forthwith and without: notice to us, or those claiming under us. The said property is described as follows STATE OF FLORIDA ) ) SS: COUNTY OF DADE ) 1 951. Lot 22 west half of lot 23 Block 92 Miami Shores subdivision section 4 P. B. 155:Page 14. 479 N. E. 102nd Street Before me, the subscriber, a Notary Public in and for said State and County personally appeared the persons who signed the above agreement, who are well known to me and kn.own to me to be the persons described in said agreement and each of said subscribers ackn.owledged to and before me that _he___ executed the same freely and voluntarily for the purposes therein expressed. (N.R WITNESS my hand and seal this v -- day of State of Florida, County of Dade. This instr ment was filed for record the..._� _da o 1956 at /G:f� and duly recorded in E. B. LEATHERMAN Cle k Circuit Court .• V.• Q •s ° �d i o • he'n° (�� �- �v a 1 0 a ° : .tary Public, Stage of Florida _t__�L°rg.,e : ; My Commission wxp�.r 3° tlarg� f �A` ; ` ^ ' 4` C'O^n = ° °• :11;4; a a of onda at Q ED ,. �Iofa "ry Public, �► 195$. y L ^ : ' MY Cora-mission Ext?+res Oct. 25, �c; ;)z;c-, i • 1.3y FOR RC�) ( JUL o 2 N1 9 16 Li:.:.ATEL CLii.C7.CT. DADE CO. Ft. A. NATE OF mr_tnimA tousTY OF DAM This ifiEittMeint o Bled IrktnE tr ga. day of J ! L 1956 and duly relic book _ ............. Record ■ crified, E. B. LEAtffl1MAN. CittIc CiII 0,11:1 Permit No a / 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. l -7 Owner's Name and Address � �_� — ___ -__ No._ -- --- ___ - -_ Street Alt /0 �s Registered Architect and /or Engineer Employing Plumber's Name 14_ I. ° i_L.L ilia __ _ _ No. _ — ilia ___— Street__ J1.lXJ_E_ Subdivision. Street 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 Floors)_ __________ New Building Remodeling -- Addition_ Size Septic Tank ____- Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Repairs No. of Stories. Type of Tank__ Capacity Gals __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Sed) - -- -- ( Signed) ____ Date i 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 5986, 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 .e performed under this permit, as are licensed by Miami Shores Village. /a.szcocik 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 lumber. 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 worlmranship. CLOUTS BATH TUBS S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING DRINK 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 a / 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. l -7 Owner's Name and Address � �_� — ___ -__ No._ -- --- ___ - -_ Street Alt /0 �s Registered Architect and /or Engineer Employing Plumber's Name 14_ I. ° i_L.L ilia __ _ _ No. _ — ilia ___— Street__ J1.lXJ_E_ Subdivision. Street 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 Floors)_ __________ New Building Remodeling -- Addition_ Size Septic Tank ____- Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Repairs No. of Stories. Type of Tank__ Capacity Gals __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Sed) - -- -- ( Signed) ____ Date i 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 5986, 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 .e performed under this permit, as are licensed by Miami Shores Village. /a.szcocik 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 lumber. 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 worlmranship. Sc =weA..„ L1me, T® g room m k Permit No Disapproved Dat ( Signed) ' /6 Building I ; .ector 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 7/1 ,19 Owner's Name and Address._.. Arthur. . F.... Mille= No 479 StreetNE._102...St.. Registered Architect and /or Engineer Name and address of licensed contractor Lang RQQ ing.__anid..Tile Co_._,____Inc..,__430 R.. ..W._..79.th._.St. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) w F ie and for no other purpose. New Building Remodeling. Addition X Repairs No. of Stories To be constructed of Kind of foundation Roof Covering__.graYel._ built ...up Estimated Total cost of improvements $ 105..00 .Amount of Permit $ 5_.DO 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 5968, 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 cinder 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. Lang Roof ng and Tile Co., Inc. 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 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. `' 3 ) Date "7' Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING 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 $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 I Date 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. ,Q Owner's Name and Address k9-k1+1/ _g �_ _- _____ -____ No._ —' 7° __ Street_ ( ) 1 ) sP` Registered Architect and /or Engineer Employing Plumber's Name. 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 Floors)_ Size Septic Tank Feet of Drain Tile_ Nature of Water •upply• City — Well I • Amount of Permit $ J _ - - -- - - - -- -- - - - -- - - -- (Signed)--- ---- My Commission Expires MIAMI SHORES VILAG PLUMBING INSPECTION DEPARTMEN%' APPLICATION FOR PLUMBING Block— (Signed ). Subdivision Street New Building — Remodeling_ _______ Addition____ ' Repairs No. of Stories _ Type of Tank___ Capacity Gals. Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his •bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and leas 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 j • e performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 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 read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Plumb : Inspector. Master umber. 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 worlananship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT NS TOTAL FIXTURES CONTR. LIST CHECK r SEPTIC TANK SEWER CONN. DRAIN FI SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST `� CHECK Permit No I Date 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. ,Q Owner's Name and Address k9-k1+1/ _g �_ _- _____ -____ No._ —' 7° __ Street_ ( ) 1 ) sP` Registered Architect and /or Engineer Employing Plumber's Name. 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 Floors)_ Size Septic Tank Feet of Drain Tile_ Nature of Water •upply• City — Well I • Amount of Permit $ J _ - - -- - - - -- -- - - - -- - - -- (Signed)--- ---- My Commission Expires MIAMI SHORES VILAG PLUMBING INSPECTION DEPARTMEN%' APPLICATION FOR PLUMBING Block— (Signed ). Subdivision Street New Building — Remodeling_ _______ Addition____ ' Repairs No. of Stories _ Type of Tank___ Capacity Gals. Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his •bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and leas 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 j • e performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 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 read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Plumb : Inspector. Master umber. 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 worlananship. ) SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET. RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST 3 ...c CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1.8 HP N EON TRANS. RADIO TOTAL CONTR. LIST �y 6'''' CHECK • y / 1 1 J Permit No 4, MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PLICATION FOR ELECTRICAL PERMIT Date Yf f 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. Owner's Name and Address. Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Block j Subdivision Street and Number where work is to be performed —No ' 9 .... .( ° Str? — et i State work to be performed and purpose of building (By oors) e New Building Remodeling Addition Repairs No. of Stories Overhead Service Underground Size Feeders Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. as. Conduit..,! (Signed) No ' Street No / O 7 -) / 1 Streit ( '� Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding /.-,/ (Signed) ` /2 The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. Elect cartnspe2ter.' ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. 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 when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Qdb