321 NE 93 St (5)MIAMI SHORES VILLAGE
UILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
e
Date 1 __ Tim
e Insp'n
))
Pdrmit
Na
Address 3�
Comp.# el
341-i- 3a S 9 I a a—
For Inspector:Y /-S l0c)\ - Nar 1Date
Phone #
v ` „
4 .l
41, .s
Approved
Correction
Re- Insp'n Fee
DI
A
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 3 / 0)' Time
Type Insp'n
Permit No.
Name ► V "LNJ�S� �s
Address
Comp
Phone #
For Inspect: )Z c1 O Ai& Di
7
Approved L�V
rye
Correction ❑
Re- Insp'n Fee ❑
Type Insp'�
4< Permit No.
Name i
Address
Compant�.
Phone #
Date
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
z. a ,200,2 c(
a riv - P' -- Lok7A5-6
For Inspector: ' JO Nam
Approved ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n
Permit No. P .)
Name 2//a-T"-eA
Address
X 1356
Company .���� / . 1/04.
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
For Inspector:
Approved `
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Re- Insp'n Fee ❑
Time
Date
Legal Description
Owner/Lessee/Tenet J4
Contracting Co. d4 4 CD WT c(V0d /•VA Address 2 S'et), 7C17'4C
Qualifiers riZ a/#/if �� f1 ' , ij SS # Z o - 9 / 2 Z
State # (,i_c2 3 Municipal #
Owner's Address
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION:
Square Ft.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Job Address 1 �� C�
Tax Folio
Historically Designated:
Competency #
Estimated Cost (value) o2, D
WARNING TO Ow) (: 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 LillilDER OR ANY 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 all disciplines.
OWNERS 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. Furthermo re, I authorize the above named contractor to do the work stated.
(//e
SignatuiVof owner and/or Condo President
s / /
,.. rhr,
Notary as to Owner and/or Condo P - sid t
My Commission Expires�p Barbara Ann Fugaui
• MY Commission DD063828
„p Expires March 29, 2006
FEES: PERMIT 1 Ib �
RADON
APPROVED:
Zoning Building
Mechanical Plumbing
3/
Date
Yes
Master Permit # '� 0
Phone
Ins. Co.
Signature of Contractor or Owner Builder
Notary as to Cot actor or Owner Builder Date
My Commission Expi "''''' Marilyn Gerardi
(`C 884326
• . ?„ ?s : Th:
• mal AUJnr:ur F :an :iinR- T
NOTARY
TOTAL DUE
Electrical
Structural Engineer
No t
9-1/
IhC
"¢CC D4d
BOND
'EM
:TH 1t8
UNIT
FEE
ITEM
SNITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
GET
LIGHT 'OUTLETS .
CENTRAL HEATING
ISHWASHER
RECEPTACLES
A/C (WIND)
iS?OSAL
SERVICE TEMPORARY
A/C (CENTRAL)
LINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
.00R DRAIN
SERVICE REPAIR/MIETER CHANGE
REFRIGERATION
TEASE TRAP
APPLIANCE CURETS
PROCESS AND PRESS PIPING
1TERCEPTOR
RANGE TOP
UNDERGROUND TANKS
AVATORY
OVEN
ABOVE GROUND TANKS
SUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
_OTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
AWER -
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
INK. POT /3 COMP.
MOTORS OVER 3- 5 FP
MECHANICAL VENTILATION
INK, RESIDENCE
MOTORS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
INK, SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
EMPORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
FINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
ATER CLOSET
MOTORS OVER 100 FP -
V'IWATIUN 1,.
REINSPECTION
.DIRECT WASTES
A/C WINDOW
ATER SUPPLY TO:
AIR CONO I T t'JtiERS .
A/C UNIT
STRIP ?EATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
•
HEATER -NEW INST.
-
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -tiO
SPECIAL PURPOSE
-�
SWIMMING Mom
'
CUTLETS COWERCIAL
WATER cERVICE
•
SIGN TUBES
FtTER CONNECTIONS
SIGN TRANSFORMERS
;ILITY -SEWER
'ILITY
SIGN TIME CLOCK
-WATER
FIXTURES
:PTIC TANK
ANTENNA
:LAY
TELEVISION OUTLETS
RAINFIELO. 4' TILE/RES.
VIOLATION
JW & ABANDON SEPTIC TANK
REINSPECTION
IAKAGE PIT CU. FT.
1TCH BASIN
ISCHARGE WELL
D ESTIC WELL
lEA DRAIN
CF INLET
)LAR WATER HEATER
IRE STANDPIPE
laL PIPING
•
\WN SPRINKLER SYSTEM
AS RANGE
'—"—
:TER SET (GAS)
S PIPING
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
B
ELECTRICAL
PLUMBING
Owner of
Building
Legal - Lot
Description
Architect
Contractor .�
or Builder rve =
°a�Ca- = :.=-- �;,r:i -: , ■emua+�-�i
MIAMI SHORES VILLAGE,- FLORIDA ;
DATE
PERMIT N° 10823
Work to be performed under this Permit
11/ _ref- 1, C
BI.
Contractor's
License No.
•
Subdi-
vision
Address of b., Value of Amt. of
Building _` ..,/, _ > Pr oject $ Permit $ .
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device ductilied in the.app&ieaeion
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in comPHaece 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 ttmy
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 reutattions
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility or wrrk
done by his agents, servants or employees.
Signed.
s re c'roti BY
;
la consideration of the issuance to me of this permit I agre % t perform the work covered hereunder in compliance with �nnd s
pertaining thereto and in strict Conformity with the plans, drawings; . ate is o specifications submitted to the proper authorities'of �utioaes V
In accepting this pert I for all work lf, any agent, servant or emp yee.
PLUMING
Architect
Owner of —
Building )
OtiNTRAtTOR OR BUILDER
P410,1011 SHORE.S VILLAGE, moRIDA
DATF
PERMIT ' N? 10636
*.".
Contractor's
License No
Work to be performed under this Permit
C.7ontractor lir
or Builder ‘ 0
-v--
Lega Lot $ f 11 Bl.
A ' Subdi-
Description. '
' A-, , ....n.- „, , l t ,>
Des i,.r,_, '''' •`-- t
Address of ,..„. .1.ralue of Amt. of
Permit I "'` ..191.0
Building
0- ..... • • A Project $
...0.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in she applicaHDA
herefor in strict compilance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with in pleas,
rattl
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authoritie.s. This Parnit may be et 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 'permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances old
pertaining to the work covered hereby whether shown on the plans of drawings or in the statements or specifications and that he senumes remoseiblitV or work
done by his agents, servants or employees.
Signed•'i '. — -.. INSPECTOR" - -.('• BY ;./ A' 4.,,ii . - "
TOR"
In conaideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliand wait all
ertaining thereto and in strict conformity with the plans, drawings, stateinents or specifications submitted to the proper authorities Miami Village.
accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY
1 u
32/ 93 4,-
AUTHORITY
14,AL IA 4.
o f
n•
Atect
_infractor
Builder
•f :oodr4--,
MIAMI SHORES VILLAGE, FLORIDA
DATF' +C.''
PERMIT N? 10932
Work to be performed under this Permit
Subdi-
vision
Contractor's
License No.
`ems Lot BL
)escription
1.ddr of f Value of Amt. of
Attldin 9 _ 1 � • � 6 4/ Project $ 11 Permit $ L 4� ,. '
Thi® intuit is granted to the contractor or builder named above to construct the building or to install the equipment or device describgdln the application
-refo* In strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in complianise wilds any plans,
swings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ne if -the weak is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition u which this permit is
`anted ki the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances anti dons
'- • to the work covered hereby whether shown on the plans of drawings or in the statements or specificacions and that he assumes responsibdity for work
one by • agents, servants or employees. + r
Signed • r l' ' '� "gy' '" •
INSPECTOR
1* conadderation of the issuance to me of this permit I agree to : perform the work covered hereunder in compliance with all ordinances and regulations
gtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
Al accepting this -permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
C .( t i ‘
CTOR OR BUILDER
BUILDING
ELECTRICAL PERMIT N? 15780
PLUMBING
ROOFING LI Work to be ed under this Permit
Architect
Contractor
or Builder
Legal
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
Owner of
Building reeD6R12.
Lot /6 L it)
0 3, 1/
$ = j AO tr if! P
CONTRAC R OR BUILDER (
BL
This permit is granted to the contractor or builder named above to construct the b
herefor in strict compliance with all ordinances pertaining thereto and with the underst
drawings, statements or specifications that may have been submitted to and approved by
time if the work is not done in compliance with such ordinances or if the lans are chang
granted is the understanding that the contractor or builder named above ssumes the re
pertaining to the work covered hereby whether shown on the plans or d win or in
done by his agents, servants or employees.
Signed•
In consideration of the issuance totne of this permit I agree to p
pertaining thereto and in strict conformit with the plans, drawings, state
In ac pting this permit I assume respons "ty for all work done by
•
Subdi-
vision
Value of
Project
INSP CTOR
DATE
Contractor's
License No
((AL" Amt. of
" Permit
$ 40
form the work covered hereunder in compliance with nances
ents or specifications submitted to the proper authorities of Miami
e , myself, my agent, servant or employee.
94,4
AUTHORITY
16 1954,
ing or to install the equipment or device described in t 'canon
ng that the work will be performed in compliance with a
proper municipal authorities. This Permit may be revoked at y
thout authorization. A further condition up cle which this permit is
bility for a thorough knowledge of the ordinances and re lations
tements or $ ications d that he assumes respon or work
ik MK .01
an regulations
Sh es Village.
Permit No.
Amount of Permit $_
Application is he y made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein escribed. 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. ! ..- 9d tit .. ..... h I9 . . No._ _ _ / Street II 4 3
Registered Architect and /or Engi . / -- - - -- -
Employing Plumber's Name - -l er t � __ � . . ' e "' hi/e No._ 37D Street_ _J"' We " i Ale--
2 La % / 9 1 .�G _._---.-_ - - -- -
Location and Legal Description Lot f Bloc Subdivision -.__. ...__. -
Street and Number where work is to be performed —No p!, ' / Street. -!VE _.__ Se'.
State work to be performed and purpose of building (By Floor) 2d'° "'o ? k u l i t e r __._.. _ i tirt 6 er
New Building Remodeling.____ - _.-- ...... Addition._._ ____._.___ Repairs.
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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
ing Ins 'to
The undersigned applicant for this building permit does hereby cer lfy that he understan. ' and accepts his obllga'ions as al. employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and ?•;:'. n-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wo -k io 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, ,1 work to be performed under jis I •rniit, as ars
licensed by Miami Shores Village.
Capacity Gals.
No. of Stories
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oatt:a 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 Lel
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
swill
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIKTURtI
CoNTR.
LIST
—� -- —
CHICK
SOLAR
MIAMI
Du►
WELL
$PRKLR.
S
\ SY
\�L�+ l --1-
x�
SWIM 'O
L
Poet.
.
SIPTI:
TANK
SEWER
CONN.
DRAIN
PIILD
SOAKAGI
PIT
GRFASt
TRAP
CONTR.
LIST
CHICK
�—
Permit No.
Amount of Permit $_
Application is he y made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein escribed. 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. ! ..- 9d tit .. ..... h I9 . . No._ _ _ / Street II 4 3
Registered Architect and /or Engi . / -- - - -- -
Employing Plumber's Name - -l er t � __ � . . ' e "' hi/e No._ 37D Street_ _J"' We " i Ale--
2 La % / 9 1 .�G _._---.-_ - - -- -
Location and Legal Description Lot f Bloc Subdivision -.__. ...__. -
Street and Number where work is to be performed —No p!, ' / Street. -!VE _.__ Se'.
State work to be performed and purpose of building (By Floor) 2d'° "'o ? k u l i t e r __._.. _ i tirt 6 er
New Building Remodeling.____ - _.-- ...... Addition._._ ____._.___ Repairs.
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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
ing Ins 'to
The undersigned applicant for this building permit does hereby cer lfy that he understan. ' and accepts his obllga'ions as al. employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and ?•;:'. n-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wo -k io 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, ,1 work to be performed under jis I •rniit, as ars
licensed by Miami Shores Village.
Capacity Gals.
No. of Stories
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oatt:a 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 Lel
materials and /or workmanship.
M
Permit No
JJJCCC �e
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. 9 /Jet 7;'
Owner's Name and Address_ _e_l,_G'F L' 2 T` .G �,'� No. -f .7 -3-3 r tl • t. Street- ---J`
Registered Architect and/or Engineer / /
� SS O e /Zs-
Employing Plumber's Name p q
Location and Legal Description Lot /f____ ).' /1 Block Subdivision � ' /
Street and Number where work is to be performed —No _ � _.7 ilk Street
State work to be performed and purpose of building (By Floors) / >17 f'y _ f
rm
New Building Y Remodeling Addition Repairs No. of Stories
Amount of Permit $ • 0 0
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No. ! S?_Q 22- ? )' Street 7/ -sf
Date
Size Septic Tank_2' 0 C4 AL. ---Type of Tank Capacity Gals
Feet of Drain Tile 1" DRAI / VS -- -Dist. Feet of Tank or Drain Field from WeIL
W _Ii°
Nature of Water Supply: City —
__ Size of Soakage Pit
(Signed
The undersigned applicant for this building permit does hereby certify that ." derstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled - eral 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.
(Signed) l!`" '
Notary Public, State of Florida
Plumbing Inspector.
aster Plumber.
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT 'NS
�"}�
rr�
�
TOTAL
FI %TURFS
CONTR.
LIST
` ,�
e
/
, i S�
/
�� J C
I.
t I
1.JC O
:IC
/
1, S
/
, 50
1
CHECK
25°
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
,t1
e Q . � .. .� .t r,.p`
Qlr/t
/
CONTR.
LIST
,
/
_
CHECK
2.00
( o
S
M
Permit No
JJJCCC �e
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. 9 /Jet 7;'
Owner's Name and Address_ _e_l,_G'F L' 2 T` .G �,'� No. -f .7 -3-3 r tl • t. Street- ---J`
Registered Architect and/or Engineer / /
� SS O e /Zs-
Employing Plumber's Name p q
Location and Legal Description Lot /f____ ).' /1 Block Subdivision � ' /
Street and Number where work is to be performed —No _ � _.7 ilk Street
State work to be performed and purpose of building (By Floors) / >17 f'y _ f
rm
New Building Y Remodeling Addition Repairs No. of Stories
Amount of Permit $ • 0 0
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No. ! S?_Q 22- ? )' Street 7/ -sf
Date
Size Septic Tank_2' 0 C4 AL. ---Type of Tank Capacity Gals
Feet of Drain Tile 1" DRAI / VS -- -Dist. Feet of Tank or Drain Field from WeIL
W _Ii°
Nature of Water Supply: City —
__ Size of Soakage Pit
(Signed
The undersigned applicant for this building permit does hereby certify that ." derstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled - eral 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.
(Signed) l!`" '
Notary Public, State of Florida
Plumbing Inspector.
aster Plumber.
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.
Permit No. _ / Of 3 2-
Owner's Name and Address
Nature
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
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.
' a .sG No � 4
New Building ✓ Remodeling. Addition_
Block__
Street_. : '�
No C / 4 / 1 -t 2 / Street__
Repairs No. of Stories
My Commission Expires Notary Public, State of Florida
Date "' 1 7 $ J
Registered Architect and /or Engin
Employing Plumber's Name__ tl
Location and Legal .Description Lot
Street and Number where work is to be perforrned —No. C 1-
State work to be peyformed and purpose of building (By Floors)
Subdivision
Street_�� �---�
Size Septic Tankl. e� Type of Tank_ Capacity Gals.__ O
Feet of Drain Tile__ 700 — Dist. Feet of Tank or Drain Field from Well_ -
of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $ Q (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 Workrnen'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.
`7713'fertaltsci
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.
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
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
—J -
--.42—
Permit No. _ / Of 3 2-
Owner's Name and Address
Nature
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
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.
' a .sG No � 4
New Building ✓ Remodeling. Addition_
Block__
Street_. : '�
No C / 4 / 1 -t 2 / Street__
Repairs No. of Stories
My Commission Expires Notary Public, State of Florida
Date "' 1 7 $ J
Registered Architect and /or Engin
Employing Plumber's Name__ tl
Location and Legal .Description Lot
Street and Number where work is to be perforrned —No. C 1-
State work to be peyformed and purpose of building (By Floors)
Subdivision
Street_�� �---�
Size Septic Tankl. e� Type of Tank_ Capacity Gals.__ O
Feet of Drain Tile__ 700 — Dist. Feet of Tank or Drain Field from Well_ -
of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $ Q (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 Workrnen'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.
`7713'fertaltsci
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.
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING ❑ PERMIT Np 8923 Contractor's g,t
ROOFING
License No.
❑
0
Owner of t fr 1
Building . r 1 � - 67
Architect
Contractor
or Builde , • - ' • ' r t : r !3 N i' % • Y' 7 r
Legal Lat
Description
1 BI
Address of 3 t _ c(
Building 3
This permit is granted to the contractor or builde- 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 s:tch 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 hether shown on the plans or drwwings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or emjloyees. / , f1
Signed •! ' ' ' ` { _ CTOR) BY
In consideration of the issuance to me of this permit I agree to pre form the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, state ents or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done bye' er, myself, my agent, servant or employee.
f
CONTRACTOR or BUILDER
Work to be performed under this Permit
Olt
BY
Date
19_ /
Subdi-
vision
Sq. Ft. tC+�
Value of 11 Amount of +
Project $ Permit $ �d
AUTHORITY
Permit No.
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 prove sped Ica Ions mu Tie cc t7t - at�
building during progress of work. 2
Owners Name and Address _271el
Location and Legal Description
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..
Nature of Water Supply: City —Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date I I L /__ 1�/
Street _a
Registered Architect and /or En ineer — �`
�__L 5 Street___ �!
Employing Plumber's Name _ -- - -S� � � - --- No.---- - - - - -- j
,.— Block Subdivision.
� iN
�� C� 7 a
. ) Street - -- .C� }
- 437A c- hLCC'
Repairs Ll No. of Stories.
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
_______Size of Soakage Pit
(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 Laws of Florida Permanent Supplement, and 11as com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em • loyea y 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 s publi • notice or notices as are
required by tEe Act. The undersigned agrees to employ only such sub- contractors, rk to be .erform under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
/4/ P pie A/ PM -
19(7
(Si'' ) -- tf ` ''
aster Plumber
STATE OF FLORIDA, 1 as.
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to adminis r 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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
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
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 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 prove sped Ica Ions mu Tie cc t7t - at�
building during progress of work. 2
Owners Name and Address _271el
Location and Legal Description
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..
Nature of Water Supply: City —Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date I I L /__ 1�/
Street _a
Registered Architect and /or En ineer — �`
�__L 5 Street___ �!
Employing Plumber's Name _ -- - -S� � � - --- No.---- - - - - -- j
,.— Block Subdivision.
� iN
�� C� 7 a
. ) Street - -- .C� }
- 437A c- hLCC'
Repairs Ll No. of Stories.
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
_______Size of Soakage Pit
(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 Laws of Florida Permanent Supplement, and 11as com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em • loyea y 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 s publi • notice or notices as are
required by tEe Act. The undersigned agrees to employ only such sub- contractors, rk to be .erform under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
/4/ P pie A/ PM -
19(7
(Si'' ) -- tf ` ''
aster Plumber
STATE OF FLORIDA, 1 as.
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to adminis r 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.