1205 NE 91 Terr (4)Permit No - 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. �i
Owner's Name and Address- ____X_C' ___Xf21
Registered Architect and /or Engineer _--- �• - -_�
Employing Plumber's Name.A. Q._ _ c___At _ No t� ✓ � %,%y
DDom�++ --
Location and Legal Description Lot 126
Street and Number where work is to be performed —No 5 C2V T 0-3 ()Once Street
State work to be performed and purpose of building (By Floors )_.__ Prccetaf►,o.1c f � - _- _er��/
New Building —_ —_ Remodeling________________ - -._ Addition Repairs v
Size Septic Tank____ -___ -- / 1 0S 0 - _-_:'! - -_Type of Tank_—_ —C Ci( __ _- -- -- __Capacity Gals
Feet of Drain - 30c) S ____-Dist. Feet of Tank or Drain Field from Well // ,
Nature of Water Supply: City — Well.____ _ .____________ _______ _____Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block 0
(Signed)-
No.__12.
/ Q .-- ------ _ -__._ Street - He_ __ /7c ' .._._.
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 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
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed u s 't, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, -, -- � • • •- . • bei�g r l s worn, upon oath deposes and says that he s
therein ti Y� u ll islt$r ll y read the foregoing application I
of the above d: ��''
.. � Y C omm Exp, Haw;
� Zs, PU Bonded B y Service his 1 , '
O° t1O vil.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improp
materials and /or workmanship.
Subdivision --------- ..__.--- --------
No. of Stories . . ... ......... . _
Master Plumber.
t all facts
ce for inspection, or faulty
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
I NALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL.
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
•��
CONTR.
LIST
/
- y
_ .
CHECK
Permit No - 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. �i
Owner's Name and Address- ____X_C' ___Xf21
Registered Architect and /or Engineer _--- �• - -_�
Employing Plumber's Name.A. Q._ _ c___At _ No t� ✓ � %,%y
DDom�++ --
Location and Legal Description Lot 126
Street and Number where work is to be performed —No 5 C2V T 0-3 ()Once Street
State work to be performed and purpose of building (By Floors )_.__ Prccetaf►,o.1c f � - _- _er��/
New Building —_ —_ Remodeling________________ - -._ Addition Repairs v
Size Septic Tank____ -___ -- / 1 0S 0 - _-_:'! - -_Type of Tank_—_ —C Ci( __ _- -- -- __Capacity Gals
Feet of Drain - 30c) S ____-Dist. Feet of Tank or Drain Field from Well // ,
Nature of Water Supply: City — Well.____ _ .____________ _______ _____Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block 0
(Signed)-
No.__12.
/ Q .-- ------ _ -__._ Street - He_ __ /7c ' .._._.
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 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
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed u s 't, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, -, -- � • • •- . • bei�g r l s worn, upon oath deposes and says that he s
therein ti Y� u ll islt$r ll y read the foregoing application I
of the above d: ��''
.. � Y C omm Exp, Haw;
� Zs, PU Bonded B y Service his 1 , '
O° t1O vil.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improp
materials and /or workmanship.
Subdivision --------- ..__.--- --------
No. of Stories . . ... ......... . _
Master Plumber.
t all facts
ce for inspection, or faulty
LIBT d���' /
CHECK
•
Permit No -k- f
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 AO II N - PtV ' L1 No Ow 431 - - _ -- Street. c 1 7 d x=`%6'4'- - ) <_(.
Registered Architect and /or Engineer__ . a /e.' CT" _ , - - c -.t.
Employing Plumber's Name __,� `
P Y�g ' �'�� �.� �cri; •� c71 : . 7-7;,,,..- - -_ No.-------- - - - - -- Street..------- --
Location and Legal Description Lot___— . ________ __ _ _____ _ ___-_ Block
Street and Number where work is to be performed —No .4 %'' ��� Street `// > d;/ �r 6
State work to be performed and purpose of building (By Floors)- _._54`_ —s ____'iIt__. __..12.:c.at. =, /(
New Building_--.--____ Remodeling Addition
Amount of Permit $ 12
STATE OF FLORIDA,
COUNTY OF DADE. J
My Commission Expires
- -__ —_- ___Type of Tank__��:..G
i
Repairs
(Signed)_
Date__
Size Septic /�`•�'
Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well._
Capacity Gals.
(Signed)____:_
Notary Public, State of Florida
Subdivision
No. of Stories
._Size of Soakage Pit
)JC, c3y _
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 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 to be performed under this permit, as are
licensed by Miami Shores Village.
v.
p p� Master Plumber.
DO -2 6 - j--
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.
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 worl®anship.
/13411:th
CLOSETS B
BATH S
SHERS I
LAVA- S
INKS L
SLOP L
LAUNDRY U
U C
CATCH F
FLOOR D
DRINKING T
TOTAL
CONTR.
LIST
CHECK
SEPTIC SEWER D
DRAIN S
SOAKAGE G
GREASE S
SOLAR D
DEEP S
SPRKLR. S
SWIM•G —
—
CONTR. C
C' c' ?
? {-,
•
Permit No -k- f
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 AO II N - PtV ' L1 No Ow 431 - - _ -- Street. c 1 7 d x=`%6'4'- - ) <_(.
Registered Architect and /or Engineer__ . a /e.' CT" _ , - - c -.t.
Employing Plumber's Name __,� `
P Y�g ' �'�� �.� �cri; •� c71 : . 7-7;,,,..- - -_ No.-------- - - - - -- Street..------- --
Location and Legal Description Lot___— . ________ __ _ _____ _ ___-_ Block
Street and Number where work is to be performed —No .4 %'' ��� Street `// > d;/ �r 6
State work to be performed and purpose of building (By Floors)- _._54`_ —s ____'iIt__. __..12.:c.at. =, /(
New Building_--.--____ Remodeling Addition
Amount of Permit $ 12
STATE OF FLORIDA,
COUNTY OF DADE. J
My Commission Expires
- -__ —_- ___Type of Tank__��:..G
i
Repairs
(Signed)_
Date__
Size Septic /�`•�'
Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well._
Capacity Gals.
(Signed)____:_
Notary Public, State of Florida
Subdivision
No. of Stories
._Size of Soakage Pit
)JC, c3y _
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 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 to be performed under this permit, as are
licensed by Miami Shores Village.
v.
p p� Master Plumber.
DO -2 6 - j--
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.
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 worl®anship.
/13411:th
APPLICATION FOR PLUMBING PERMIT
Q
Permit No 1404 I / J
Date ..._.._.._._..._..._..__....._ .__..._. _
Application is hereby nnnde 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 Q .l c-/
Employing Plumber's Name 6/-2 P i c 0J'I L i0 _61 tt Q /
Location and Legal Description Lot B10 SubdivWon._ _______
Street and Number where work is to be performed —No Street_. _ ...__.._._
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 $ )'
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
_Type of Tank
_Dist. Feet of Tank or Drain Field from Well. ___..
Size of Soakage Pit.
(signed)_!! ■ ` 3 li■)6 t iYY
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 Pennanent 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 orb- contr actor.on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
No. / �- ® 'r Street...i
Repairs No. of Stories ............
/'
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgnrents, personally appeared
to me well known, and who, being by me first duly swan, upon oath deposes and says that he is the ._._._
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are bus.
M Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of 11.00 will be made when gads raitsspecom !a aade.neoeaaary by Improper notion for inspection, or faulty
material and /a wcelomanahip.
2
Master Plumber.
CLOSETa
BATH
Tuns
SHOWER[
LAVA-
TORIES
S INKa
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT
TOTAL
Ft*TUR[[
Cowl!.
LIST
/
/
/
L
CHECK
t o ki
n
^ t 0
%. 11'0
SEPTIC
TANK
SEWER
Comm.
DRAIN
FIELD
SOAKAGE
PIT
GREASE'
TRAP
SOLAR
HATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM '0
POOL
Corm.
LIST
-
45.
CHECK
APPLICATION FOR PLUMBING PERMIT
Q
Permit No 1404 I / J
Date ..._.._.._._..._..._..__....._ .__..._. _
Application is hereby nnnde 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 Q .l c-/
Employing Plumber's Name 6/-2 P i c 0J'I L i0 _61 tt Q /
Location and Legal Description Lot B10 SubdivWon._ _______
Street and Number where work is to be performed —No Street_. _ ...__.._._
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 $ )'
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
_Type of Tank
_Dist. Feet of Tank or Drain Field from Well. ___..
Size of Soakage Pit.
(signed)_!! ■ ` 3 li■)6 t iYY
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 Pennanent 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 orb- contr actor.on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
No. / �- ® 'r Street...i
Repairs No. of Stories ............
/'
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgnrents, personally appeared
to me well known, and who, being by me first duly swan, upon oath deposes and says that he is the ._._._
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are bus.
M Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of 11.00 will be made when gads raitsspecom !a aade.neoeaaary by Improper notion for inspection, or faulty
material and /a wcelomanahip.
2
Master Plumber.
Location and Legal Description Lot____-.-_-______________
Street and Number where work is to be performed —No
Size Septic Tank - - - - - --
Feet of Drain Tile__ G
__
Nature of Water Supply: City —Well.
Amount of Permit $- 4_� =s'
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No i---3 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.
Owner's Name and Address______________ ...... - .--- - ..___ -.___ No.__/ _.G_ Street
Registered Architect and /or
cic
Employing Plumber's Name _4— No- Street__
Block
State work to be performed and purpose of building (By Floors)_._._____.___.
New Building Remodeling —_ —_____ Addition
— ____Type of Tank Capacity Gals.
"_ist. Feet of Tank or Drain Field from Well
-- ___ Size of Soakage Pit
(Signed)-
Subdivision
(Signed)
Street
Repairs No. of Stories ______________________
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 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
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.
'NA/L.44
c l j,1 aster Plumber.
My Commission Expires Notary Public, State of Florida
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 swom, 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.
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
O
LAVA-
TORIES
S6
INK
SLOP
SINKS
LAUNDRY
TUBE
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.1
LIST
G FIELD
__—
CHECK
Location and Legal Description Lot____-.-_-______________
Street and Number where work is to be performed —No
Size Septic Tank - - - - - --
Feet of Drain Tile__ G
__
Nature of Water Supply: City —Well.
Amount of Permit $- 4_� =s'
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No i---3 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.
Owner's Name and Address______________ ...... - .--- - ..___ -.___ No.__/ _.G_ Street
Registered Architect and /or
cic
Employing Plumber's Name _4— No- Street__
Block
State work to be performed and purpose of building (By Floors)_._._____.___.
New Building Remodeling —_ —_____ Addition
— ____Type of Tank Capacity Gals.
"_ist. Feet of Tank or Drain Field from Well
-- ___ Size of Soakage Pit
(Signed)-
Subdivision
(Signed)
Street
Repairs No. of Stories ______________________
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 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
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.
'NA/L.44
c l j,1 aster Plumber.
My Commission Expires Notary Public, State of Florida
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 swom, 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.
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.
Permit No
MIAMI SHORES VIL" .SAGE
PLUMBING INSPECTION DEPARTMEi I
APPLICATION FOR PLUMBING F' �r
Application is hereby made for the approval of the detailed statement of tivo 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 muss be kept at
building during progress of work. f �
Owner's Name and Address G� /1 L%_4_ Z' 1) ��' / r No. - /f g _ - -- Street � _ -- r ,
Registered Architect and /or Engineer_---__- ._—___ ____—__—
Employing Plumber's Name
Location and Legal Description Lot.____ __.______ ____ _ Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors
New Building Remodeling
Amount of Permit $
4 et, e Z-il'-
Addition--------•--- ------ - - - - -- Repairs No. of Stories - - - .. __...... .- z
( Signed)._
No. Street.
( Signed -
Date /'-
Street
Subdivision
Size Septic Tank__ . Type of Tank__ Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._____________ ______._________________._____ — Size of Soakage Pit
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent 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.
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.
My Commission Expires Notary Public, State of Florida
P bang Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
S INKS
SLOP
SINKS
LAUNDRY
Tuea
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
^ - --
CHECX
Permit No
MIAMI SHORES VIL" .SAGE
PLUMBING INSPECTION DEPARTMEi I
APPLICATION FOR PLUMBING F' �r
Application is hereby made for the approval of the detailed statement of tivo 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 muss be kept at
building during progress of work. f �
Owner's Name and Address G� /1 L%_4_ Z' 1) ��' / r No. - /f g _ - -- Street � _ -- r ,
Registered Architect and /or Engineer_---__- ._—___ ____—__—
Employing Plumber's Name
Location and Legal Description Lot.____ __.______ ____ _ Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors
New Building Remodeling
Amount of Permit $
4 et, e Z-il'-
Addition--------•--- ------ - - - - -- Repairs No. of Stories - - - .. __...... .- z
( Signed)._
No. Street.
( Signed -
Date /'-
Street
Subdivision
Size Septic Tank__ . Type of Tank__ Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._____________ ______._________________._____ — Size of Soakage Pit
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent 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.
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.
My Commission Expires Notary Public, State of Florida
P bang Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty
materials and/or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
MIAMI SHORES VILLAGE, FLORIDA
� r . a
❑ DATE .2 -' / 19 ` de
PERMIT 4136 Contractor's } P
License No.
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
B1
Signed:
•
Subdi-
vision
Address of Value of II Amount of
Building i Project $ I! Permit $
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 applica-
tion 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/Mt that assumes respon-
sibility for work done by his agents, servants or employees. - - f� i
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinat�iUas 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 as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY MOT
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
Address of
Building 1 `
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
PERMIT
ELECTRICAL cELECTRICAL o 8 0 81
PLUMBING ❑ N •
ROOFING ❑
So taco
Bl.
1 c
Work to be performed under this Permit , '.r a {f t•
tA. t, a..} c.. t....
Subdi-
vision
sq. Ft
Value of + F•
Project $ 7 I) (
DATF ! `` 195
Contractor's
License No.
`. • ter
Amt. of
Permit
$ .)
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 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 furl condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kno edge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications an that he assumes responsibility for work
done by his agents, servants or employees.
Signed • /'' A 1
A
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered heteunder 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
7
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date f( 3(Jk2JobAddress a/ 2- 0 J ' l 6,24 Tax Folio
Legal Description -40 25 . K -3 Historically Designated: Yes No
Owner/Lessee / Tenant
Owner's Address
Contracting Co. (1
Qualifier •Tt ' £ cam, o
State # Municipal # Competency # E/& 05 Ins. Co.
Architect/Engineer e a Op k 6 a 6 S 6(4 Address
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL Pg� MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 6/7> ' €� ` CP f , � )J/I 3'V I "67;t1
+0 t )l' eve q , (:
Square Ft. Estimated Cost (value) 4 900.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction zo g. Furthermore, I authorize the above -named contractor to do the work stated.
S
Notary
My Commission
FEES: PERMIT
APPROVED:
Zoning
Mechanical
jkl
er and/or • do President Date
Migdalia Diaz
Notary Public, State of Florida
� Commission No. CC 377938
1 40 0.0 My Conunission Expires 06/02/98
1-TOW-NOTARY - Fla. Notary Service & Bonding Ca
11111V f )1Y f 11111111111) 11 A N W$ 1111111 Y I N Y A
RADON
Address
C.C.F. NOTARY
4141
t i t er 4 e r ti
?a� -7\1-1
Address /b /D/ Gl/, jr /E t y.
SS# f40
Signature of Contractor or O- Builder
Electrical
Notary a : s si Contractor or Owner - Builder
on Expires:
r "Og Elizabeth A. Fischer - • <
• Notary Public, State of Florida
=t 4 Comatissioa No. CC 430942
OF woe My Commission Expires 01/02/99
1.100.3- NOTA1Y - P4 Nosey Service & keding Co.
• !! l!!!!!!!!!!! fll ifll !!!lllll!!f!!!!!!l!!!l!l!!!tl
BOND
TOTAL DUE
Date
Date
Engineering
NOTE:' CUSTOMER TO
PROVIDE TRENCH ALL TN IYAI'
FR OM RISER TO R /fY
N.E/ W
ATLAS :, z
SCALE:
NTS
DRAWN BY:
M. CHA MORRO
1. LOCATE AND PROTECT ALL UT/LIT /ES IN AREA OF
CONSTRUCTION. SUNSH /NE #1 -800-432-4770
2. RESTORE ALL AREAS TO PR /OR CONDITIONS.
3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL
GOVERMENT AND PGS STANDARDS.
01205)
LOT 25
PZK
•
•
•
PROP. E /M
& TRAN /FIT
EXIST/NC 2" SP 'VAIN
AKE. 9 /st TARR,
'Ff /PI KS GAS
PROP. 1/2" PL SERVICE LINE
PROP. 2'
PREFAB
S
1205 /ME 91st TERR. SHORE'S
SHEET
D4 rE/ 5 -13 -97
1 OF 1
JO M -87759
AFE: 0/0170000102
•
t
NOTL.' CUSTOAIKR TO
PRO VMS TRAM/Cif ALL TA/ IYA
FROM RISER TO RAY
N.P
ATLAS: 41-2
SCALE:
NTS
DRAWN BY:
M. CHAMORRO
1. LOCATE AND PROTECT ALL UTILITIES IN AREA OF
CONSTRUCTION. SUNSHINE #1 -800- 432 -4770
2. RESTORE ALL AREAS TO PRIOR CONDITIONS.
3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL
GOVERMENT AND PGS STANDARDS.
012052
L07' 25
BLK
PROP. E /M-
& TRAN/FIT
LXISTIN.G 2 " SP 1LIfUN
,'
PROP. 1/2 " PL SERVICE LINE
PROP. 2'
PREFAB
1117.h ,91s e TER1?.
P"OPZ 'S'" G'G�S
1205 11 91st TERR. rll /AIfL/I SHORES
Q
DATE 5 -13 -97
SHEET
1 OF 1
JO AI-87759
AFE: 010170000102
Permit No ........... Date e d
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 `� �_.. L� No._ �� Street. �.. ::. .._V d ..
� �; I A� NO,,. �..,.�.`...el.., =,,,�,,,,..,, 8tleet...g;6� ! •
Employing Plumber's Nam® ��. -�� �'.�. � --• -
Location and Legal Description Lot ,s `� ? d :.+3 r'''' e Subdivision. Pkit ..c '
Registered Architect and /or Engineer
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street and Number where work is to be perforned—No
State work to be performed and purpose of building (By Floor)_
New Building Remodeling_.__ ___-.__ Addition
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
(Signed)
Street---- - - - - -- _....- - ......... . . . ...... _. .....
..
Repairs No. of Stories
(l
( Signed
Capacity Gals..
Plum pe ttor.
o ttona as an employer of labor
nt Supplement, and has corn -
loyed by him in the work to be
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Per
plied with the provisions thereof, and will require similar ce npliance from all contractors or sub-contractors
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.
✓�Ya'>a .................
Muter Plumber.
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 constriction, 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
NOTE: A ro-inspection fen of $LOO will be made when such re-inspection is made by improper notice for inspection, or faulty
materials and /cr workmanship.
f
CLOSETS
BATH
TUBS
SHOWERS
LAVA•
TORIES
SIN
SLOP
LAUNDRY
TUSS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CoNTR.
LIST
CHICK
t�
SEPTIC
TANK
L SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
6 �••..
TRAP
SLLAR
HEATER
DEEP
WELL
BPRKLR.
SYSTEM
5WIM'O
POOL
CONTR.
-
P�
LIST
CHECK
Permit No ........... Date e d
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 `� �_.. L� No._ �� Street. �.. ::. .._V d ..
� �; I A� NO,,. �..,.�.`...el.., =,,,�,,,,..,, 8tleet...g;6� ! •
Employing Plumber's Nam® ��. -�� �'.�. � --• -
Location and Legal Description Lot ,s `� ? d :.+3 r'''' e Subdivision. Pkit ..c '
Registered Architect and /or Engineer
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street and Number where work is to be perforned—No
State work to be performed and purpose of building (By Floor)_
New Building Remodeling_.__ ___-.__ Addition
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
(Signed)
Street---- - - - - -- _....- - ......... . . . ...... _. .....
..
Repairs No. of Stories
(l
( Signed
Capacity Gals..
Plum pe ttor.
o ttona as an employer of labor
nt Supplement, and has corn -
loyed by him in the work to be
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Per
plied with the provisions thereof, and will require similar ce npliance from all contractors or sub-contractors
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.
✓�Ya'>a .................
Muter Plumber.
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 constriction, 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
NOTE: A ro-inspection fen of $LOO will be made when such re-inspection is made by improper notice for inspection, or faulty
materials and /cr workmanship.
f