590 NE 102 StApplication 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
Registered Architect and /or Engineer
Name and address of licensed contractor_
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Building Inspector
BUILDING INSPECTION DEPARTMENT
i-/9,47/3 s
Date
No Street__
Location and legal description of lot to be built on:
Lot Block — ,v Subdivisi n
Street and Numbei>where work is to be done V ./V,,&— /® "f _
State work to be done and purpose of building (by floors). ri __ dte
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 $_ _____ ref
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, 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 employ only such subconttors, on work ,to - performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
19��
17? 1
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.
No 14 (d V Date r"' q
7 4 7 Read, Sworn to and Subscribed before me.
Disapproved ate
I kf/ yj/11 - Notary Public, State of Florida
(Signed)
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. _..__3 b �.
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 kit..-_
Registered Architect and /or Engineer.
Employing Plumber's Name Rose
Location and Legal Description Block_
Street and Number where work is to be performed —No 590 Street N •E•
State work to be performed and purpose of building (By Floors)
New B Remodeling_.___ _ Addition..______.__..___ __.... Repairs No. of Stories
Amount of Permit $
My Commission Expires
Hoefle Const.
Septic Tank Co., Inc. No- 2552
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
12/1.1/62
Street
Street_____ ' L r rd Ave. , Hialeah
Subdivision.
102nd St.
i-r ecast 700 Gal.
Capacity Gals.- ___.-_-
Size Septic Tank_ 700 G ?1` _ Type of Tank
Feet of Drain Tile._32 t __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.______ _ _ _ _— ___- _.__________._Size of Soakage Pit
( Signed) _.
(Si -
PlupibingT►spector.
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 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
requitod 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.
61-)-1
STATE OF FLORIDA, 1
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
Master Plumber.
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
PIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTN.
LIST
CHECK
Permit No. _..__3 b �.
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 kit..-_
Registered Architect and /or Engineer.
Employing Plumber's Name Rose
Location and Legal Description Block_
Street and Number where work is to be performed —No 590 Street N •E•
State work to be performed and purpose of building (By Floors)
New B Remodeling_.___ _ Addition..______.__..___ __.... Repairs No. of Stories
Amount of Permit $
My Commission Expires
Hoefle Const.
Septic Tank Co., Inc. No- 2552
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
12/1.1/62
Street
Street_____ ' L r rd Ave. , Hialeah
Subdivision.
102nd St.
i-r ecast 700 Gal.
Capacity Gals.- ___.-_-
Size Septic Tank_ 700 G ?1` _ Type of Tank
Feet of Drain Tile._32 t __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.______ _ _ _ _— ___- _.__________._Size of Soakage Pit
( Signed) _.
(Si -
PlupibingT►spector.
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 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
requitod 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.
61-)-1
STATE OF FLORIDA, 1
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
Master Plumber.
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.