1053 NE 91 Terr (11)Permit No Date__..
Application is hereby made for the approval of the detailed statement of the plan° and specifications herewith su 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.
Owne3 a Name and Address l J'
Registered Architect d( E c �*r p-+
Lonajegai gin 1wu s Nam .�-- � 5/ {. Ri0..... -.- �J ...... itrM t...L. . ,2 /\ p p r . •••
ption Blo '
/ Subdivlslon mil l;
Street and Number where work is to be performed —No. !' / CS 3 Street..: 7.0 .9/ 76 -vi
State work to be performed and purpose of building (By Floors)__.-._ _ ��-N._ _b4fM.hi.e? - -
New Building..-_._— _.._-........._.. Remodeling___ —. ___ Addition.. _ _
Size Septic Tank__ -Type of T'=k Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well .. •— _--- _ -._.. _
Nature of Water Supply: City —WeIL Size of Soakage Pit-
� '
Amount of Permit `'
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed
The undersigned applicant for this building permit dog,, �s: FLA. N9
under the Florida Workmen's Compensation Act, being See As: pRES VILLAGE,
pried with the provisions thereof, and will require similar a MIAMI SHORES
performed under this permit; and will post or cause to be p t.
required by the Act. The undersigned agrees to employ a
licsed by Miami Shares Village. fy f
IOB r - - -G/
ADDRESS � / '' ,r, .
STATE OF FLORIDA, R' �9
COUNT DADS.
INSPECT'
vi G % 'S
Before me, the undersigned authority. a notary public, L., r�� ---
t TIME REA
to me well known, and who, being by me first duly sworn, upo> ARKS:
of the above described construction, that be has carefully re'. REM
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be mode when S
onteeials and/or warioneosbip.
INSPECTO
Pao ftr StreeteLe 7/
Repairs
No. of Stories
DATE
78'75
CLOSETS
BATH
TUBS
S SRS
LAVA.
TORIES
a INKe
SLOP
SINKS
LAUNDRY
TUBS
UR
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT' NS
TOTAL
FIRTURQS
CONTR.
LIST
CHECK
-
SEPTIC
TANK
SEWER
CONK.
DRAIN
F IELo
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
BPRKLR.
SYSTEM
SW IM'0
POOL
COMM.
CHICK
Permit No Date__..
Application is hereby made for the approval of the detailed statement of the plan° and specifications herewith su 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.
Owne3 a Name and Address l J'
Registered Architect d( E c �*r p-+
Lonajegai gin 1wu s Nam .�-- � 5/ {. Ri0..... -.- �J ...... itrM t...L. . ,2 /\ p p r . •••
ption Blo '
/ Subdivlslon mil l;
Street and Number where work is to be performed —No. !' / CS 3 Street..: 7.0 .9/ 76 -vi
State work to be performed and purpose of building (By Floors)__.-._ _ ��-N._ _b4fM.hi.e? - -
New Building..-_._— _.._-........._.. Remodeling___ —. ___ Addition.. _ _
Size Septic Tank__ -Type of T'=k Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well .. •— _--- _ -._.. _
Nature of Water Supply: City —WeIL Size of Soakage Pit-
� '
Amount of Permit `'
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed
The undersigned applicant for this building permit dog,, �s: FLA. N9
under the Florida Workmen's Compensation Act, being See As: pRES VILLAGE,
pried with the provisions thereof, and will require similar a MIAMI SHORES
performed under this permit; and will post or cause to be p t.
required by the Act. The undersigned agrees to employ a
licsed by Miami Shares Village. fy f
IOB r - - -G/
ADDRESS � / '' ,r, .
STATE OF FLORIDA, R' �9
COUNT DADS.
INSPECT'
vi G % 'S
Before me, the undersigned authority. a notary public, L., r�� ---
t TIME REA
to me well known, and who, being by me first duly sworn, upo> ARKS:
of the above described construction, that be has carefully re'. REM
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be mode when S
onteeials and/or warioneosbip.
INSPECTO
Pao ftr StreeteLe 7/
Repairs
No. of Stories
DATE
78'75