1241 NE 91 Terr (6)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
0
BI
N9 7611
Work to be performed under this Permit --
Value of
Project $
DATE 19
Contractor's
License No.
Subdi-
vision
Amount 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 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 and that he assumes respon-
sibility 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 as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY ABBOT .
—�
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
Tomas
SINKS
SINKS
SLOP
LAUNDRY
Tuns
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT •NS
TOTAL
FIXTUREI
—
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
M
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or °diet
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 Divisior
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._ ......z Street
Registered Architect and /or Engineer ___ ...,.r...:
Employing Plumber's Name. ____. _._ ____ . _ No Street•_
Location and Legal Description Lot -. _ ___ Block_______...._______ _ .__.. Subdivision
Street and Number where work is to be performed —No. l_, _ W __. _ _ Street. if ,C / • 7-- eft. —
State work to be performed and purpose of building (By Floors)_
New Building Remodeling ___ Addition__.______..____. _. _._ Repairs
Size Septic Tank
Feet of Drain T;le
Nature of Water Supply: City —Well.
Amount of Permit $-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
Dist. Feet of Tank or Drain Field from Well
__ -- _ --
_ Size Size of Soakage Pit__
Capacity Gals.
(Signed) saw=
(Signed).
Date ' jr J"
No of Stories
Plumbing
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al, employer of Izb,r
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, a r d h ,s „i-
plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the arc -k D 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 novices us are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this r' rmit, as are
licensed by Miami Shores Village.
caster Plumber.
STATE OF FLORIDA, I ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare
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 tat.
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 Lill
materials and /or workmanship.
Permit No ____
( _�1 - - - - --
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 Plumber's Name ..,I -53.P `!1///0
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
Amount of Permit ..... _ - -� - -_ _ _ - _- (Signed) _
STATE OF FLORIDA,
COUNTY OF DADE. 1
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed).
Date.... -_1 _ _= --
Street
No. __ -•- 4 .6 ___ -- Street__ _/Y 16
Block_ Subdivision_ ___ _.___ ___---_------- - ___—
r
Street__.4(/ 7/ I E h?
%b' A 9f _,/2/9/ /A/
Repairs - -. No. of Stories
_ Type of Tank___ Capacity Gals.
_________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 as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has ccnn-
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.
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
P1Gmbing Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW WC
POOL
CONTR.
LIST
2*
CHECK
Permit No ____
( _�1 - - - - --
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 Plumber's Name ..,I -53.P `!1///0
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
Amount of Permit ..... _ - -� - -_ _ _ - _- (Signed) _
STATE OF FLORIDA,
COUNTY OF DADE. 1
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed).
Date.... -_1 _ _= --
Street
No. __ -•- 4 .6 ___ -- Street__ _/Y 16
Block_ Subdivision_ ___ _.___ ___---_------- - ___—
r
Street__.4(/ 7/ I E h?
%b' A 9f _,/2/9/ /A/
Repairs - -. No. of Stories
_ Type of Tank___ Capacity Gals.
_________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 as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has ccnn-
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.
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
P1Gmbing Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty
materials and /or workmanship.
-
CONTR.
LINT
; GAYH
(';t_! ''''"'l TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
AS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
--
_
- --
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
NEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CottfR.
LIST
CH3CK
cal:nit No._.__......
Application is hc7aby nude €oz 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 ell 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.
O mar's Name and Address_._. J el_ ._ .1? No._ 0' - Y / .- ? ' Street- ?/ .ji
Registered Architect and /or Engineer __ ____________._.— ___.____ __—
Employing Plumber's Name R LE 04 K .4: /c• _ - o e .__ Street- -___
Location and Legal Description Lot_____ __ _ _ Block- Subdivision
T �,
Street and Number where work is to be performed— No.___ J / k �j� _ ` . Street..._ . , p 2 1 .�
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 $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date A tea
Repairs No. of Stories
Type of Tank_.._ Capacity Gals.
t. Feet of Tank or Drain Field from Well
.Size of Soakage Pit
(Signed) - _
(Signed)._
Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli Lions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma nt 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 per under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, l
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.
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.
Date f d(e Job Address
Legal Description
for 3 / /3/ etle / nc allDe grated: Yes No
Owner/Lessee / Tei3knt 1 j /L S / t7 7/1 Master Permit # f 3 kf7
Owner's Address
WORK DESCRIPTION
Signature
y Commissio
FEES: PERMIT
PERMIT APPLICATION ION FOR MIAMI SHORES VILLAGE
ak Folio
`d"t( Nc mi l/
Contracting Co. 6 /5 Poon Address Ad / Op k 6 / u l 4
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurat
laws regulating construction and zoning. Furthermore, I authorize the above-
RADON
APPROVED:
Zoning Building
Mechanical Plumbing
-r
Phone 2 70 0 7 73
24 - ►J d 2 2 hone q 1 o ono
Qualifier r � � 1 S/5 SS#
State MCP C-A ( o J Municipal #
Architect/Engineer P Address
Bonding Company Address
Mortgagor Address
Competency # 16'
'
�i3�s S c-J 77 A,j.
Permit Type (circle one): BUILDING ELECTRICA PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. Estimated Cost (value)
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 m this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING an• CHANICAL WORK.
•
i r
. • 1 d/or Condo Presid
own
r Condo President D
KENNETH SHERMo DA
NOTARY PUBLIC, fires May 24,199
My Commission Exp
Commission # CC 467719
d that
ed con
11w
ctor
0/J
tur- of Co : ac
• k '11
•d•the
er- uilder
. /: ti th - - 3 , :
My Comm' stop Expires May FIMAN
24, 1999 c or r i 4 • �r it DA Da
Cm fgTY
"o
Commission # CC 467719
C.C.F. ° 0 NOTARY BOND
Electrical
be done in compliance with all applicable
orrc stated.
TOTAL DUE
// e)
ate
Engineering