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Size
- _ - - --
Description
„e' it °emen :
Disposition
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Pipe ('indicate `'p "'.
C'ocks Lube
Fittings
1
2"
CQp
JOB ORDER SHEET
Description: Irstn 1 $1, i7 ^' of 2" prin in
Eccat olf .t lay fnutb n1' 4rnci Strut at 1 1.7_ 4th+ Avenue o''C ' ;;.,,O. No. N- ^0091
Et. Of Risers Type Of Service A,P. . No. 59 - Q..2 ►+
fl SPECTOR"-S REPORT:
Residence Date Issued 1 -S -59
Woa Of Apt. Units
Commercial "T District Miami Shores
Date
Status OF
1rs Date* I€emar±cs:
:spec o:
M rrLc:.pal Permit:
Date Fsinspected Remarks: Ef
Approved By: Supt, Date Job Completed.
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SECTION
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DATE CO :
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COVER:
copies
Geis SYSTEM
564 N. E. 1750 STREET NORTH MIAMI, FLORIDA
r 1
4
55..4'
• r- F.X; GT. ?'' u .. . -0,
'1
..P ' LN rk . ' t;
k1.E. 4
SHEET
70'
74'
DATE
8` 5 C
of
4'
J. O. M - ^? ' -
A. F.E.58 - 2"
Amount of Permit $
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1
Permit No. .___ ° Date __ _. -
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept a'
building durng progress of work.
N
Owner's Name and A iv,_ r:
' r - .. - No. -
cldl ess _ , �'_= Street.
Registered Architect and /or neer
r 9 r
,
E mploying Plumbers Name J ._. _ ..=, 'i.� - _ ..,--4-,....- _- - -- . -- No _____ -_ n Street
6'
Location and Legal Description Lot_-- — r- . _Block_ _ __ _ - _ Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition___ Repairs 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)
v-0
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 5988, 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.
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized :o administer oaths and take acknowledgments, personally appeare
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 tau
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 foul
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT'NS
TOTAL
FIXTURE!
CONTR.
LIST
__
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEF'
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
,
Amount of Permit $
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1
Permit No. .___ ° Date __ _. -
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept a'
building durng progress of work.
N
Owner's Name and A iv,_ r:
' r - .. - No. -
cldl ess _ , �'_= Street.
Registered Architect and /or neer
r 9 r
,
E mploying Plumbers Name J ._. _ ..=, 'i.� - _ ..,--4-,....- _- - -- . -- No _____ -_ n Street
6'
Location and Legal Description Lot_-- — r- . _Block_ _ __ _ - _ Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition___ Repairs 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)
v-0
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 5988, 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.
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized :o administer oaths and take acknowledgments, personally appeare
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 tau
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 foul
materials and /or workmanship.
Permit No 7 -t Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ?_%_ ' CRS s:? Z " No._s.� ___ Street-- /XG -. .,1
Registered Architect and /or Engineer _--------- T_.___ -------•--___--
Employing Plumber's Name No..__---- _- __ -- -_ Street.. -
Location and Legal Description Bloc 1r Subdivision
Street and Number where work is to be performed— No..a... ________ Street •, Fe tee
State work tobe ) �. - < ' e ��, R_ dd� - - ; d;J
performed and purpose of building (By Floors _._._X - a. _..�:.- �___.._ �_�2 =,_ - .----- ......... ...... .. ..
New Building Remodeling.___ Addition____ Repairs No. of Stories_
Size Septic Tank. — Type of Tank__
Feet of Drain Tile.
MIAMI SHORES VILW.AGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING 1 .7 ;1.4111°
_-.Dist. Feet of Tank or Drain Field from Well
Capacity Gals.
Nature of Water Supply: City—Well. Size of Soakage Pit
.,
r ( C - -Cd L=? bC Cr — — - ��: /7n 4 , . �, _ .'�w
Amount of Permit $___ — ----- ---- --- --
----- --•- - - --- (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 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 inspectior• 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)- . w _. c?
STATE OF FLORIDA, as.
COUNTY OF DADE.
c
before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
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
6 1NK6
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N5
TOTAL
FI %TURES
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
Permit No 7 -t Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ?_%_ ' CRS s:? Z " No._s.� ___ Street-- /XG -. .,1
Registered Architect and /or Engineer _--------- T_.___ -------•--___--
Employing Plumber's Name No..__---- _- __ -- -_ Street.. -
Location and Legal Description Bloc 1r Subdivision
Street and Number where work is to be performed— No..a... ________ Street •, Fe tee
State work tobe ) �. - < ' e ��, R_ dd� - - ; d;J
performed and purpose of building (By Floors _._._X - a. _..�:.- �___.._ �_�2 =,_ - .----- ......... ...... .. ..
New Building Remodeling.___ Addition____ Repairs No. of Stories_
Size Septic Tank. — Type of Tank__
Feet of Drain Tile.
MIAMI SHORES VILW.AGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING 1 .7 ;1.4111°
_-.Dist. Feet of Tank or Drain Field from Well
Capacity Gals.
Nature of Water Supply: City—Well. Size of Soakage Pit
.,
r ( C - -Cd L=? bC Cr — — - ��: /7n 4 , . �, _ .'�w
Amount of Permit $___ — ----- ---- --- --
----- --•- - - --- (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 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 inspectior• 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)- . w _. c?
STATE OF FLORIDA, as.
COUNTY OF DADE.
c
before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
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.
ermit No _
Registered Architect and /or Engineer
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN
APPLICATION FOR PLUMBING ! ,i,A IT
State work to be performed and purpose of building (By Floors)
New Building _---------- ___ - -• - - -.___ Remodeling___- Addition__.
Date___/' / _C/
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.
Owners Name and Address_ Z, :.�Y�_ 1 :_- &ze -_ No.____ . - � Street q4'Z
-_ - --
No. _: t ,,i - _ L /4 . Street___ /
Location and Legal Description Lot ____..___._______.__________ Block Subdivision
Street and Number where work is to be performed— No.4'j'', / 4/1- =- ______. Street_ G. .i `)1i4f
Repairs No. of Stories.
Type of Tank__ Capacity Gals.
Size Septic Tank .......... - .....
Feet of Drain Tile_______ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
Amount of Permit $__
My Commission Expires
._Size of Soakage Pit
(Signed)_
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 'gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e9tployed 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 suc 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.
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described 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
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 worlananship.
CLOiITB
BATH
Tuns
SHOWERS
W
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tung
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
/
CF9��v
.)
Y'�
3
(. • F:
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
-
ermit No _
Registered Architect and /or Engineer
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN
APPLICATION FOR PLUMBING ! ,i,A IT
State work to be performed and purpose of building (By Floors)
New Building _---------- ___ - -• - - -.___ Remodeling___- Addition__.
Date___/' / _C/
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.
Owners Name and Address_ Z, :.�Y�_ 1 :_- &ze -_ No.____ . - � Street q4'Z
-_ - --
No. _: t ,,i - _ L /4 . Street___ /
Location and Legal Description Lot ____..___._______.__________ Block Subdivision
Street and Number where work is to be performed— No.4'j'', / 4/1- =- ______. Street_ G. .i `)1i4f
Repairs No. of Stories.
Type of Tank__ Capacity Gals.
Size Septic Tank .......... - .....
Feet of Drain Tile_______ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
Amount of Permit $__
My Commission Expires
._Size of Soakage Pit
(Signed)_
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 'gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e9tployed 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 suc 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.
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described 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
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 worlananship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE 195
El, PERMIT IN? 13226 Contractor's
❑ License No
❑ Work to be performed under this Permit_
Architect
Contractor
or Builder
Bl.
Subdi-
vision
Volt of
Project $
Amt. of
Permit $
irk"' �' .-' .'r } ... ate' ` t• - IP
CONTRACTOR OR BUILDER BY AUTHORITY
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved b', 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 responsibility for work
done by his agents, servants or employees.
Signed' l'44►`+wa•... d: .. BY
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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby male 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 confcrmity 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 Milani 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 / _l1. 2 6' S 3 6 .2 ,� 2 .S_ 5 '
- - - -- -- - .s? No .__--- -•-- - -- ----- - -- - -_ Street
Size Septic Tank
Feet of Drain Tile_
Nature of Water Supply: City —Well.
Amount of Permit S_
Registered Architect and /or
Employing Plumber's Name_ - - Engi in neer________._ ;�
/ _ ;.5tafe s _ G s _ �"" p.� 47. a
No. S treet_ —G .._ _1
Location and Legal Description Lot Black Subdivision
Street and Number where work is to be performed— No.___— ._— __....____ _ _ _ _.. Street 1(G` 5 J
State work to be performed and purpose of building (By Floors)______
New Building._____.__ .____ -.___- Remodeling__.._.__.__— _.____ Addition Repairs No. of Stories
Type of Tank__ Capacity Gals
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 5968, 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 inspectior, 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 und permit, as are
licensed by Miami Shores Village.
L.)
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.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspectiom is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SH OWERS
LAVA-
TORIES
INKS
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'Ns
/- Lac :le
r/e6lex?..-
TOTAL
FIXTURE6
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby male 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 confcrmity 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 Milani 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 / _l1. 2 6' S 3 6 .2 ,� 2 .S_ 5 '
- - - -- -- - .s? No .__--- -•-- - -- ----- - -- - -_ Street
Size Septic Tank
Feet of Drain Tile_
Nature of Water Supply: City —Well.
Amount of Permit S_
Registered Architect and /or
Employing Plumber's Name_ - - Engi in neer________._ ;�
/ _ ;.5tafe s _ G s _ �"" p.� 47. a
No. S treet_ —G .._ _1
Location and Legal Description Lot Black Subdivision
Street and Number where work is to be performed— No.___— ._— __....____ _ _ _ _.. Street 1(G` 5 J
State work to be performed and purpose of building (By Floors)______
New Building._____.__ .____ -.___- Remodeling__.._.__.__— _.____ Addition Repairs No. of Stories
Type of Tank__ Capacity Gals
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 5968, 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 inspectior, 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 und permit, as are
licensed by Miami Shores Village.
L.)
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.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspectiom is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT 272
1/
APPLICATION FOR PLUMBING PERMIT
t 31 :.:3 Rso._. L . Date -- - �� 3/
App;icauon is hereby na.de 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 urovisions 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 ,i ce No. _ Gee .k.E. Street. __._9.
Registered Architect and /or E ineer_________—_._ . y /
Employing Plumber's Name _ _, _?bra . No. / J 2 2L4 i street. _zeA
Location and Legal Description Lot__ _ ______ 131orti Subdivision
Street and Number where work is to be performed —No 3 44 /V../ Street e2_?_i
State work to be performed and purpose of building (By Floors) __
New Building
Size Septic Tank - .- _ -- --- —__ __
Feet of Drain Tile
_._ Remodeling_____ _____ Addition________._______ ___... Repairs No. of Stories.
_ Type of Tank Capacity Gals.
_ __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.-_____— ....... - ....... _•-.------ ...... ------- _.Sizca of Soakage Pit
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
Amount of Pewit $-- -_ -_ -. �.. (Si:gned) ___ L`c�/�'�
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 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
reu:dred 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 hire stated are true.
Notary Public, State of Florida
Master Plumber.
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
INKS
SINKS
SLOP
SINKS
LAUND.3Y
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
/FOOUNT'NS
L/ - AS
/py�
/ / A N6
`/..
-4
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
corm.
LIST
_
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT 272
1/
APPLICATION FOR PLUMBING PERMIT
t 31 :.:3 Rso._. L . Date -- - �� 3/
App;icauon is hereby na.de 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 urovisions 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 ,i ce No. _ Gee .k.E. Street. __._9.
Registered Architect and /or E ineer_________—_._ . y /
Employing Plumber's Name _ _, _?bra . No. / J 2 2L4 i street. _zeA
Location and Legal Description Lot__ _ ______ 131orti Subdivision
Street and Number where work is to be performed —No 3 44 /V../ Street e2_?_i
State work to be performed and purpose of building (By Floors) __
New Building
Size Septic Tank - .- _ -- --- —__ __
Feet of Drain Tile
_._ Remodeling_____ _____ Addition________._______ ___... Repairs No. of Stories.
_ Type of Tank Capacity Gals.
_ __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.-_____— ....... - ....... _•-.------ ...... ------- _.Sizca of Soakage Pit
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
Amount of Pewit $-- -_ -_ -. �.. (Si:gned) ___ L`c�/�'�
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 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
reu:dred 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 hire stated are true.
Notary Public, State of Florida
Master Plumber.
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.
Gge/ra
00
00
3 6.2_ A/t s'7, 5/
77?,
.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Dated-1 -ob Add ress /j /4 r
rr�� ,�
� Cj /!i / � � S.:; r Tax Folio
/13.W
Legal Description � G *. e/c / if �7flt e Permit #4
(OTArnfe)/ Lessee / Tenantej9c j/f y✓ X . C 727 S V
Owner's Address Z 4/4 77 Phone7r& - /,--/ 2 3
Contractin Co.
^ ' /
/ D ` C h 1 ` -'- '
c P h5 �� Address � � � �� p S �
Qualifier 2 6-z e'v , SS# - - Phone
State# Competency# WC Ins.Co.
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING
Signatur
Date:
Notary as t
My Commissf
* * yt
PERMIT FEE:
wner and /or Condo Presi
fir afen aresident
Tres * Apr il7, � 1 g e5
o BONDED TNRU NOTARY PUBLIC UNDERWRITER;
APPROVED: Fire
Building
Zoning
Address
Address
Address
ELECTRICAL PLUMBING
MECHANICAL PAVING
WORK DESCRIPTION /?/ST ./3/3 x EV 3� ��- �J) �,"
r a4-7
/ / �; ,-e � G
Square Ft. Estimated Cost 7,3
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
OWNER'S AFFIDAVIT: I 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 Contractor or Owner - Builder
Dai
Notary as to Contractor or Owner - Builder
My Co
+� � en Ems: G. CUBAS
* My EXPIRES * *
t..f ;i 7, 1995
V BONDED eit941ARY PuBUC UNDERWRITERS
E1 ctrical
Mechanical Plumbirf ' 7 'Ck
0 •
n neering
FENCE
SIGN
*
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY •
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, -. 43,
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
O
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES-
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER ,
GENERATORS TRANSFORMERS
I
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
I
HEATER - REPLACE
a
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWlM1ING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELO, 4' TILE/RES.
VIOLATION
PUhP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS 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
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Budding Inspection Request
Date
Type Insp'n� 1
I
Permit No . 3
Namc
Address 3 62_ 1•E_, c s-i—
Company e Y1 l S
Phone #
Inspection Date 4 470
(al vAy
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTM
305- 795 -2204
Building Inspection Request
Date /H H2-0 3 Time
Type Insp'n 9
Permit No. P L 3 -
Name /..(9 0.1)
Address 569 9- • kiE a— ST
Company
Phone # DOS ' 3 - 3( 0 3
For Inspector:
Approved
Correction
Re- Insp'n Fee
I l I I II-D\ O a
13/
Total
Outlets
Cam` /tea
Ceiling
Bracket
Receptacle
Switch
Bell
Floods
/
Sign
Outlet
SERVICE
AMP.
Total Lights
/
Ceiling
Bracket
1-
Streamer
�
Display Case
Lot
`Vonn 63 (Rev.)
BUILDING DEPARTMENT
ELECTRICAL INSPECTION DIVISION
FLORIDA
M A Ali k;> 116 rte e
I hereby make application for an electrical permit to install or change electrical wiring in or on
the premises described below, and I agree to comply with all the rules and regulations governing
electrical installations in the City of Miami.
LEGAL DESCRIPTION:
Address r$
.Building Occupied as:
New Construction
ROUGH WIRING
Main Switch
EQUIPMENT
Stove
Receptacle
Size Service
Wires
Size Service
Conduit
Water Heater
No. Circuit
Spaceheater
Special Power or Heat Wiring for:
FIXTURES
Master
Electrician'
For
Application Received
Final OK No.
OK for
Block Subdivision
A/* Owne
Existing Structure
Occupant
Journeyman
r G' Phone( f 37 /ZElectrician
INSPECTION REPORT
Fee Paid
ROUGH WIRING
EQUIPMENT
Inspector
B
DAT E
MOTORS (List and Give H. P. of Each Motor)
W s - 4'
Addition to Existing Building
Ready
FIXTURES