PLUMBING PERMITPermit No _ 6, e7 Date.
Application is hereby made for the approval of the detailed statement of the plans t.nd 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 En
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)__..---- • - - - -.
New Building _- Remodeling____ ____._._ Addition__
d`S _ No.._.if" v °
^Street
ear °
Employing Plumber's Namo.. -� V A76....- , ; 1,„ 8
Location and Legal Description Lot Block Subdivision.._ _
Set and Number where work is to be performed-No / ° Street 4" - ✓ -
Sine Septic Tank ----------- -.. - -- - - - - -- •_Typla of Tank__
Feat of Drain Tile.___ _ -_ - __ —Dist. Feet of Tank or Drain Field from Well..._
Nature of Water Supply: City- Well.-__— ______.. - - -- - ______Size of Soakage Pit
(Signed)_
Notary Public, State of Florida
Repairs No. of Stories
Capacity Cals ..__...__._.__._ ...._
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 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require aimilar compliance from all contracteas 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 ,ork s pub .or .,notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work be under ,r� s ,permit, as are
licensed by Miami Shores Village. � - ��/ —
er lutfther.
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 s w o r n , upon oath d e p o s e s and says that he is the ..---- .. ...... ......... .. .... .. ....._ _..
of the above described construction, that be has carefully read the forego applicelion, and that he did sign the same, and that all facts
therein by hits stated are true.
NOTE: A re- inspection fee of $1." will be made when suctia re4nspoc&1aa is mad- rneoessary by improper notice for Inspection. or faulty
materials and /cr workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA•
TORIES
SINKS
SLOP
SINK[
LAUNDRY
TUNIS
URINALIS
CATCH
BASIN
F LOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
F IXTURES
CONTR.
LIST
s.
CHICK
...a SEPTIC
TANK
SEWL
CON =.
DRAI
FI ELD
- OAKAOE
P11
GREASE
TRAP
SOLAR
N EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CL
CHOCK
l �
.
C
Permit No _ 6, e7 Date.
Application is hereby made for the approval of the detailed statement of the plans t.nd 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 En
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)__..---- • - - - -.
New Building _- Remodeling____ ____._._ Addition__
d`S _ No.._.if" v °
^Street
ear °
Employing Plumber's Namo.. -� V A76....- , ; 1,„ 8
Location and Legal Description Lot Block Subdivision.._ _
Set and Number where work is to be performed-No / ° Street 4" - ✓ -
Sine Septic Tank ----------- -.. - -- - - - - -- •_Typla of Tank__
Feat of Drain Tile.___ _ -_ - __ —Dist. Feet of Tank or Drain Field from Well..._
Nature of Water Supply: City- Well.-__— ______.. - - -- - ______Size of Soakage Pit
(Signed)_
Notary Public, State of Florida
Repairs No. of Stories
Capacity Cals ..__...__._.__._ ...._
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 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require aimilar compliance from all contracteas 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 ,ork s pub .or .,notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work be under ,r� s ,permit, as are
licensed by Miami Shores Village. � - ��/ —
er lutfther.
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 s w o r n , upon oath d e p o s e s and says that he is the ..---- .. ...... ......... .. .... .. ....._ _..
of the above described construction, that be has carefully read the forego applicelion, and that he did sign the same, and that all facts
therein by hits stated are true.
NOTE: A re- inspection fee of $1." will be made when suctia re4nspoc&1aa is mad- rneoessary by improper notice for Inspection. or faulty
materials and /cr workmanship.
Permit No
Date 42r i 1 2 2..2_1-97° —
Application i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di•' sion
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_ J. SE9ad22g _ -- -- 1250 NE 93 Stag
Registered Architect and /or Engineer - . -- -- -------- —
Employing Plumber's Name _ -- _ Brooks Sprinkler Co. — — - N NU 54th S figh .
Location and Legal Description Lot... --.__ __ _ -- —_ -- _ _ _Block_ _— __ _ _.--- ____ -- Subdivision... ..
Street and Number where work is to be performed —No __1250 N.E. 93rd 0 3tree t Street_
State w o r k to be performed and purpose of building (By Floors). _ _ _ - _ -__ --
New Building --_ -- _ _ - -- -__ -- Remodeling —____ _ -- -- - _ _ Addition_-_- Repairs.
Sfao Septic Tank__ _ __ _ __ _ _-
Feet of Drain Tile..- . - ___ -- _ - - -- - -- - _. -Dist. Feet of Tank or Drain Field from Well -. - -_ -_ .. -- -
Nature of Water Supply- City —Well. Uc 11 __ __ . _ _ __ _ Si of Soakage Pit
Amount of Permit $ Q 0 00
STATE OF FLORIDA,
COUNTY OF DADE. 1
My Commission Expires
?MAW SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Capacity Gals.
(Signed) -'
No. of Stories .
Lmb-n In.pe o.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e- nployer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled Genera.. Laws of Florida Permanent Supplement, anal 1 as om
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the work to be
perfformed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or no ices as are
regt lred by the Act. The undersigned agrees to employ only such subcontractors, on work i to4 perf•. - ed r der this per nit, as are
licensed by Miami Shores Village.
( Signed) —. C ,�
Co A,r c ud9 _
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer; oaths and take acknowledge ents, personall appeared
to me well known, and who, being by me first duly sworn upon oath deposes and says th it he is the
of the above described construction, that he has carefully read the foregoing applicat.on, and that he did sign the same, and that all 'acts
therein by hum stated are true.
Notary Public, State of Florida -
NOTE: A re- inspection fee of $1.00 will be made when rich re-inspection kJ made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWER.
LAVA-
TORIES
SINKS
SLOP
SINK°
LAUNDRY
TUBE
URI NA L.3
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU'JT'NS
TOTAL
F XTURES
coma.
LIST
CHECK
e
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WE.L
SPRKLR
SYSTEK.
SW IN'G
POOL
CONTR.
Q. ;OT
XX
XX
--
CN2CK
Permit No
Date 42r i 1 2 2..2_1-97° —
Application i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di•' sion
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_ J. SE9ad22g _ -- -- 1250 NE 93 Stag
Registered Architect and /or Engineer - . -- -- -------- —
Employing Plumber's Name _ -- _ Brooks Sprinkler Co. — — - N NU 54th S figh .
Location and Legal Description Lot... --.__ __ _ -- —_ -- _ _ _Block_ _— __ _ _.--- ____ -- Subdivision... ..
Street and Number where work is to be performed —No __1250 N.E. 93rd 0 3tree t Street_
State w o r k to be performed and purpose of building (By Floors). _ _ _ - _ -__ --
New Building --_ -- _ _ - -- -__ -- Remodeling —____ _ -- -- - _ _ Addition_-_- Repairs.
Sfao Septic Tank__ _ __ _ __ _ _-
Feet of Drain Tile..- . - ___ -- _ - - -- - -- - _. -Dist. Feet of Tank or Drain Field from Well -. - -_ -_ .. -- -
Nature of Water Supply- City —Well. Uc 11 __ __ . _ _ __ _ Si of Soakage Pit
Amount of Permit $ Q 0 00
STATE OF FLORIDA,
COUNTY OF DADE. 1
My Commission Expires
?MAW SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Capacity Gals.
(Signed) -'
No. of Stories .
Lmb-n In.pe o.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e- nployer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled Genera.. Laws of Florida Permanent Supplement, anal 1 as om
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the work to be
perfformed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or no ices as are
regt lred by the Act. The undersigned agrees to employ only such subcontractors, on work i to4 perf•. - ed r der this per nit, as are
licensed by Miami Shores Village.
( Signed) —. C ,�
Co A,r c ud9 _
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer; oaths and take acknowledge ents, personall appeared
to me well known, and who, being by me first duly sworn upon oath deposes and says th it he is the
of the above described construction, that he has carefully read the foregoing applicat.on, and that he did sign the same, and that all 'acts
therein by hum stated are true.
Notary Public, State of Florida -
NOTE: A re- inspection fee of $1.00 will be made when rich re-inspection kJ made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No 1.
Amount of Permit $
� Aft D 6L_AI
Size Septic Tank Type . ; Tim??
Nature of Water Supply: City—WeIL
PAPAW SH ARMS VILLAGE
PLUMBING INSPkC TO ON DF PARTMENT
APPLICATION Q PLJMEI G PERMIT
Owner's Name and Address
Registered Architect and /or EnSineer
Employ/nil Plumber's Name k.tJ2NtK WIG Li. I IQI l.LI NG
Location and Legal Description Lot
Street and Number where work L to be performed—.`<o 0
State work to be performed and purpose of building (By F'looas) __._..
New Building..___ -- •----- ......._.. Remodeling Ad alma
STATE OF FLORIDA,
COUNTY OF DADE.
Before roe, the undersigned authority, a nutari �eblfs, duly a>a irac l to !1 7, g f1. 0.✓i -a.�4&.
Application is hereby made for the approval of the detal]ed statement of the plane and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance end ounfomeity v'ith the Building Ordinance of Miami Shores Village, Florida,
and a l provisions of the Laws of the State of Florida, all ordinances o Iy ream Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein std or aot. A copy of approved plans and specifications must be kept at
building during progress of work.
Feet of Drain Tile — _fl st. Fest of 'II Drain ITield fermis Well Size of Sealer a Pit
Ns 12 50 6 street.._1 a� erikeet
C Street... -..._. _... MI / A M I
Repairs No. of Stories ..........
le el
to me well known, and who, being by me first duly try, u oath &pewee ems] Gays that he is the •__ - -,
of the above described construction, that he has dilly mead fabg foregeg licaeion, and that be
therein by hire stated areit8ub4Y PUBLIC STATE OF FLORIDA
619 COOISSIOi: EXP. OCT 28,1987
3O42E0 THRII 6fi1ERA! T dS IIHtt_
My Commission Expires
Date ..._.. ".
3a d) sir ? A �. 464. • •; .'3;tg
Subdivision
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that Ilse und and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, `. - ing Section 5968, Compiled Genera Laws of Florida Permanent Supplement, and haw com-
plied with the provisions thereof, and will require cianiler compliance from nHl contracteas or sub-contractors employed by him in the worn to be
performed under this permit; and will post or cause to be posted' foe inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agresn to employ only such Bub - contractors, on work to be performed under this permit, as are
Leeriest by Miami Shores Village.
Muter Plumber.
ster oaths and take aclmowledgments, personally appeared
gn the same, and that all facts
Stets of Floe4ejA
•
NOTE: A re- inspection fee of $1.(10 will be nub mio<. ae :s rosk by improper nod. for inspection, or feu*
materials and /or workmanship.
CLOSETS
BATH
Tuns
SHOWERS
LAVA•
TORIQS
SIN
SLOP
OINKS
LAUNDRY
Tu o
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHHcIc
• .�
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GRGAGE
TRAP
GOLAR
HEATER
DEEP
WEL%
LISPRGLC.
SYSTEM
eWIN•O
POOL.
CONYR 9 . !
LINT
CHECK
Y
,--
.
Permit No 1.
Amount of Permit $
� Aft D 6L_AI
Size Septic Tank Type . ; Tim??
Nature of Water Supply: City—WeIL
PAPAW SH ARMS VILLAGE
PLUMBING INSPkC TO ON DF PARTMENT
APPLICATION Q PLJMEI G PERMIT
Owner's Name and Address
Registered Architect and /or EnSineer
Employ/nil Plumber's Name k.tJ2NtK WIG Li. I IQI l.LI NG
Location and Legal Description Lot
Street and Number where work L to be performed—.`<o 0
State work to be performed and purpose of building (By F'looas) __._..
New Building..___ -- •----- ......._.. Remodeling Ad alma
STATE OF FLORIDA,
COUNTY OF DADE.
Before roe, the undersigned authority, a nutari �eblfs, duly a>a irac l to !1 7, g f1. 0.✓i -a.�4&.
Application is hereby made for the approval of the detal]ed statement of the plane and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance end ounfomeity v'ith the Building Ordinance of Miami Shores Village, Florida,
and a l provisions of the Laws of the State of Florida, all ordinances o Iy ream Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein std or aot. A copy of approved plans and specifications must be kept at
building during progress of work.
Feet of Drain Tile — _fl st. Fest of 'II Drain ITield fermis Well Size of Sealer a Pit
Ns 12 50 6 street.._1 a� erikeet
C Street... -..._. _... MI / A M I
Repairs No. of Stories ..........
le el
to me well known, and who, being by me first duly try, u oath &pewee ems] Gays that he is the •__ - -,
of the above described construction, that he has dilly mead fabg foregeg licaeion, and that be
therein by hire stated areit8ub4Y PUBLIC STATE OF FLORIDA
619 COOISSIOi: EXP. OCT 28,1987
3O42E0 THRII 6fi1ERA! T dS IIHtt_
My Commission Expires
Date ..._.. ".
3a d) sir ? A �. 464. • •; .'3;tg
Subdivision
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that Ilse und and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, `. - ing Section 5968, Compiled Genera Laws of Florida Permanent Supplement, and haw com-
plied with the provisions thereof, and will require cianiler compliance from nHl contracteas or sub-contractors employed by him in the worn to be
performed under this permit; and will post or cause to be posted' foe inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agresn to employ only such Bub - contractors, on work to be performed under this permit, as are
Leeriest by Miami Shores Village.
Muter Plumber.
ster oaths and take aclmowledgments, personally appeared
gn the same, and that all facts
Stets of Floe4ejA
•
NOTE: A re- inspection fee of $1.(10 will be nub mio<. ae :s rosk by improper nod. for inspection, or feu*
materials and /or workmanship.
Pezrnit No
Application is hereby made for the approval of the detailed statement of the play s 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 r._ _f; % No.__ Street_
;Registered Architect and /or Engineer — __—
Employing Plumber's Name d_ g_' :Lif.
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 ... _______ Remodeling___ -__ _ -___ —_ Addition
- -- ----------- ---- --- - - - - -- -- Amount of of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION [EPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank ------------------------- - - - - -- Type of Tank
Feat of Drain Tile_ ...... _ ............... ------ - - -- -- -Dist. Feet of Tank or Drain Field Eton. Well
Na^_ure of Water Supply: City- Well. _ Size of Soakage Pit
( Signed)-
Date._ -_ -.. -.- - -. __=
Street
--- 3
Block_ — 9- subdivisionAer .•-- -�.
Street
Repairs No. of Stories
Capacity Gals.
My Commission Expires Notary Public, State of Florida
--
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he uni erstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, 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
remtaed by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licen3ed by Miami Shores Village.
(Signed). __. " G �- ` � !Z1
, Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administ.:r oaths and take acknowledgments, personally appeared
to well known, and who, being by me first duly sworn, upon oath deposes and says t:►at 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: re- inspection fee of $1.00 will be made when such re- inspection is mad.rnecessary by improper notice for inspection, or faulty
materials aqd /or workmanship.
CLOSETS
BATH
TUBS
S
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUGS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
c.
C7 iECK
_
�
��.�
,
.r y am_: '
e% _
S
��
�:
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
,.5 1*R
HEATER
DEEP
WELL
SPRKL R.
SYSTEM
SWIM'G
POOL
CeuTR.
LIST
i
/
- --
CHECK
/ , )
,i
Pezrnit No
Application is hereby made for the approval of the detailed statement of the play s 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 r._ _f; % No.__ Street_
;Registered Architect and /or Engineer — __—
Employing Plumber's Name d_ g_' :Lif.
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 ... _______ Remodeling___ -__ _ -___ —_ Addition
- -- ----------- ---- --- - - - - -- -- Amount of of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION [EPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank ------------------------- - - - - -- Type of Tank
Feat of Drain Tile_ ...... _ ............... ------ - - -- -- -Dist. Feet of Tank or Drain Field Eton. Well
Na^_ure of Water Supply: City- Well. _ Size of Soakage Pit
( Signed)-
Date._ -_ -.. -.- - -. __=
Street
--- 3
Block_ — 9- subdivisionAer .•-- -�.
Street
Repairs No. of Stories
Capacity Gals.
My Commission Expires Notary Public, State of Florida
--
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he uni erstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, 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
remtaed by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licen3ed by Miami Shores Village.
(Signed). __. " G �- ` � !Z1
, Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administ.:r oaths and take acknowledgments, personally appeared
to well known, and who, being by me first duly sworn, upon oath deposes and says t:►at 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: re- inspection fee of $1.00 will be made when such re- inspection is mad.rnecessary by improper notice for inspection, or faulty
materials aqd /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE. FLORIDA
0
❑ DATF ✓ — 195
C2 PERMIT N° 2304 Contractor's
License No.
❑
❑ Work to be performed under this Permit
Legal Lot
Description
Address of
Building
Bl.
Subdi-
vision.
Value of
Protect $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the buildi :.g or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understand. ng that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by tl a proper municipal authorities. This Permit may be revoked at any
time if the vrork 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 assume s the respo: sibility 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 st rtements or specifications and that he assumes responsibility for work
done k his agents, servants or employees.
Signed. BY
INSPECTO 3
:r: consideration of the issuance to me of this permit I agree to perform the work c< vered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specificatior s 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, SE rvant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
B
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
j� / a 2 5 7 Q��2C>O i
Date �a'�� � � Job Address p � � ��'°• ��� ,_4 Tax Folio g
/
Legal Description (9 g i° /,/e-0.
t ALT - D Owner / °°tom / eaant o c° �"Y Master Permit 42,/u
Owner's Address / Or 7" Phone 7S ' -- ee4 ).t
Contracting Co. P 10 L/ r, 6.4sf w , Acdress [O no '0 s-- E `
Qualifier ' ':� ; - '_ ► ;� .. � 4_./� SS# - / Phone
�� is
State # Municipal # Competency # 61(O *.Y ns.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Add : -ess
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
Notary as to Owner and /or Condo President
My Commission Expires:
Square Ft. Estimated Cost(value) ``'
ROOFING PAVING FENCE SIGN
WORK DESCRIPTION�.� � .� ` �� I
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO NAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN.rS 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 cnd 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 certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo President Signature of Contractor or Owner- Builder
Date: Date
Notary as to Contractor or Owner- Builder
My Commission Expires:
** * * * * * * * * * * * * * * * **
FEES: PERMIT , c e t RADON C . C . F . 6 J 19 ROTARY TOTAL DUE F/ �0
APPROVED: Fire Other
Zoning Building Electrical
Mechanical Plumbing � `` /f Engineering
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No..___. -.___ Date. - . _QM /J.2L1.99
Application is hereby made for the approval of the detailed statement of the plans acrd specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity wit:i 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 berdn specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address Patrick Frase No
Registered Architect and /or Engineer
Employing Plumber's Name 5,,t t
Location and Legal Description Lot
Street and Number where work is to be performed —No 1 7 5 () N_ F_ 9 R rl S t r P P r Street.
State work to be performed and purpose of building (By Floors) —..— T)n m e c r i r
New Building__—_ -_ _ Remodeling — Addition__ __, —. —_ ..- Repairs.._ No. of Stories .. . ........ .. ....
Size Septic Tapir
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $
STATE OF FLORIDA. I
COUNTY OF DADE.
My Commission Expires
Type of Tank
t)ist. Feet of Tank or Drain Field from Well
Size of Soakage Pit_
Blodr Subdivkdon_ — _.
(Signed)
•
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 haws of Florida Permanent Supplement, and liar 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 s(e of the work such public notice or notices a err
required by die 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.
(Signed)
Before me, the undersigned au ty, a notary public, duly authorized to administer laths and take acknowledgments, personally appeared
Cl
to me well known, and who, being by me first duly sworn, upon oath deposes and that he is the _`e"4 !r `�-
of the above described rkikupecesms,AlstAhe ham carefully read the foregoing ticks, and thet 6e-did dips the same, and that all facts
cberesntb6o 'bti'sikd,$&$rplll =1
T;�.;: :2s'u �. -..•J idtD:A.`tg ;�J3Sa3C lJikiB7.;xVJX7, 114.
Master Plumber.
NOTE: A re- inspection fee of BIRO will be made wham such tu-lupsatiaaa is mada•timmisary by improper notice for 6ugpectkm or faulty
materials and /or workmanship.
CLOEETa
BATH
TU••
sNOWIRn
LAVA.
TOPICS
sINKn
SLOP
sINKE
LAUNDRY
Tun•
tJ PINAU CATCH
I •ASIN
FLOOR
DRAIN
ORINKI NO
FOUNT' NS
TOTAL
PUMAS,
CONTR.
LIST
CHICK
��
SEPTIC
TANK
SEWER
CONN.
DRAIN
F IELD
SOAKAGE
PIT
G
TRAP
SOLAR
I'I[ATIIR
D[v
WELL
soRKLP.
MM
I SW IN•O
POOL
"Propane
Gag Li r/.
To Pool
Heater
come.
LIST
■
CN[CK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No..___. -.___ Date. - . _QM /J.2L1.99
Application is hereby made for the approval of the detailed statement of the plans acrd specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity wit:i 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 berdn specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address Patrick Frase No
Registered Architect and /or Engineer
Employing Plumber's Name 5,,t t
Location and Legal Description Lot
Street and Number where work is to be performed —No 1 7 5 () N_ F_ 9 R rl S t r P P r Street.
State work to be performed and purpose of building (By Floors) —..— T)n m e c r i r
New Building__—_ -_ _ Remodeling — Addition__ __, —. —_ ..- Repairs.._ No. of Stories .. . ........ .. ....
Size Septic Tapir
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $
STATE OF FLORIDA. I
COUNTY OF DADE.
My Commission Expires
Type of Tank
t)ist. Feet of Tank or Drain Field from Well
Size of Soakage Pit_
Blodr Subdivkdon_ — _.
(Signed)
•
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 haws of Florida Permanent Supplement, and liar 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 s(e of the work such public notice or notices a err
required by die 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.
(Signed)
Before me, the undersigned au ty, a notary public, duly authorized to administer laths and take acknowledgments, personally appeared
Cl
to me well known, and who, being by me first duly sworn, upon oath deposes and that he is the _`e"4 !r `�-
of the above described rkikupecesms,AlstAhe ham carefully read the foregoing ticks, and thet 6e-did dips the same, and that all facts
cberesntb6o 'bti'sikd,$&$rplll =1
T;�.;: :2s'u �. -..•J idtD:A.`tg ;�J3Sa3C lJikiB7.;xVJX7, 114.
Master Plumber.
NOTE: A re- inspection fee of BIRO will be made wham such tu-lupsatiaaa is mada•timmisary by improper notice for 6ugpectkm or faulty
materials and /or workmanship.
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TI� IrIS Tf . iIATION TO BE INSTALLED AND MAINTAINED IN
ACCORDANCE WITH N.F.P.A. 058 (1986 EDITION) AND ALL
iT ER : STATE CODES.
`.S ° roe, . i+nk
fp_ - 9L
DATE
Date - -
R, p! :'cation is hereby _ni,' - for the approval of the detailed statement of the plans an.I specifications herewith submitted for the building or other
strict -x2 herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions cf the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Mil +rri Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
bz +1Pain; during progress of work. 6� , f � )
C a ¢ °W r's Name and Address / No. �._ Street
Registered Architect and /or Engine r_.______�._ T _____— p
Employing Plumber's Name ... t2nxu/ ', _ C ._ ?� 1 - -- -_ -- 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_.____ — Repairs No. of Stories.
Sire eeptic Tank
Feet of Drain' -Me.-
STA11: OF FLOITE➢A, as.
COUNTY OF DADE.
2
1
Naitee of Water Supply: City —Well
MIAMI SHORES V:LLAGE
PLUMBING INSPECTION DEPA1TMENT
APPLICATION FOR PLUMBIN3 PERMIT
T o e T
Block
(Sigatc )
Subdivision - - - - —
Street
Capacity Gals.
et. -Feet oTank or Drain Field from Well
Size of Soakago Pit
k
Aarles•.rat of Pe mit $- -- - -- — - -- (Signed)_ - —
__ Plumbing Inspector.
I ite undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatt;4ns as an employer of labor
under- the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permane 'Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp ed by him in the work to be
perfforred under this permit; and will post or cause to be posted' for inspection on the site of the work such `public notice otices e
re a -,4 by the Act. The undersigned agrees to employ only such sub - contractors, cn w; s''be perform re
lice need ed Yifflosni Shares 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 hinn stated are true.
My Commission Expires Notary Public, State of Florida
c(e4
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is mach; necessary by improper notice for inspection, or faulty
mater els and /or worlmoanship.
CL0.7CrD
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
RINALS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
C®:VT_a.
LILT
CR W .;:i
=7.---,'"'
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR. SWIM•G
SYSTEM POOL
CC :17n.
LIST
I
_
Date - -
R, p! :'cation is hereby _ni,' - for the approval of the detailed statement of the plans an.I specifications herewith submitted for the building or other
strict -x2 herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions cf the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Mil +rri Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
bz +1Pain; during progress of work. 6� , f � )
C a ¢ °W r's Name and Address / No. �._ Street
Registered Architect and /or Engine r_.______�._ T _____— p
Employing Plumber's Name ... t2nxu/ ', _ C ._ ?� 1 - -- -_ -- 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_.____ — Repairs No. of Stories.
Sire eeptic Tank
Feet of Drain' -Me.-
STA11: OF FLOITE➢A, as.
COUNTY OF DADE.
2
1
Naitee of Water Supply: City —Well
MIAMI SHORES V:LLAGE
PLUMBING INSPECTION DEPA1TMENT
APPLICATION FOR PLUMBIN3 PERMIT
T o e T
Block
(Sigatc )
Subdivision - - - - —
Street
Capacity Gals.
et. -Feet oTank or Drain Field from Well
Size of Soakago Pit
k
Aarles•.rat of Pe mit $- -- - -- — - -- (Signed)_ - —
__ Plumbing Inspector.
I ite undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatt;4ns as an employer of labor
under- the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permane 'Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp ed by him in the work to be
perfforred under this permit; and will post or cause to be posted' for inspection on the site of the work such `public notice otices e
re a -,4 by the Act. The undersigned agrees to employ only such sub - contractors, cn w; s''be perform re
lice need ed Yifflosni Shares 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 hinn stated are true.
My Commission Expires Notary Public, State of Florida
c(e4
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is mach; necessary by improper notice for inspection, or faulty
mater els and /or worlmoanship.