423 NE 92 St (11)BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING P ERMIT N° 8865 Contractor's
ROOFING ❑ License No.
Date 19 4('
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder ►'
r
Legal Lat �� Subdi-
Description 1 1 vision
Sq Ft
Address of r Value of 11 Amount of
Building ` ; Project $ 11 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed• ' ' ' j (INSPECTOR) BY
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, xlrawings, 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.
1
CONTRACTOR or BUILDER
BY AUTHORITY
Permit No. 2)76'7
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 7 / 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. ,
Owner's Name and Address ■ No ��- Street / r
Registered Architect and /or Engineer
Employing Plumber's Name / , No. Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No q .- Street
State work to be performed and purpose of building (By Floors) _e
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
Nature of Water Supply: City —Well
Amount of Permit $__ a
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
(Signed) °
mbing Inspector.
The undersigned applicant for this building permit does hereby certify that he (ndefstands and accepts his obligation /an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene, Laws of Florida Permanent Stipp ement, 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.
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
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
Permit No. 2)76'7
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 7 / 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. ,
Owner's Name and Address ■ No ��- Street / r
Registered Architect and /or Engineer
Employing Plumber's Name / , No. Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No q .- Street
State work to be performed and purpose of building (By Floors) _e
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
Nature of Water Supply: City —Well
Amount of Permit $__ a
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
(Signed) °
mbing Inspector.
The undersigned applicant for this building permit does hereby certify that he (ndefstands and accepts his obligation /an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene, Laws of Florida Permanent Stipp ement, 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.
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
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._ -_f1 `
State work to be performed and purpose of building (By Floors )________ _
New Building-- _--- _- _------------ -- - --_ -- Remodeling---_-_---- -_________ Addition. -.
STATE OF FLORIDA,
COUNTY OF DADE.
Amount of Permit $
1ozMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)-a1,
(Signed)._
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__ - 4 _ kP Katie (ilt__ No..M.0L3 Street__ #'( 7°1 's r
Registered Architect and /or Engineer - - - - - - -_ _--- _�--- ___- - - - - -- _-- ---- ___ - . -
Employing Plumber's Namelltt U o L/ A& -aZF is Zi¢/Yf No._ /i/0 C _ 0 Street -_M / / //Pi
Location and Legal Description Block Subdivision
Street and Number where work is to be performed —No yni ? yZ 2k 45 ? Street
Repairs
SIzo Septic Tank_.--- ____ -_ __ -- _ Type of Tank
Feet of Drain Tile _S ---f -_ ‘IQX Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._____— _____ ___Size of Soakage Pit
Capacity Gals.
ci
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub - contractors, on w. I to be . erforri}e/3 user this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commissio Expir Notary Public, State of Florida
_Lao
god 3t,7
No. of Stories
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 /ar workmanship.
CLO °QT°
BATH
TUBS
SHOWER°
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LI °T
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._ -_f1 `
State work to be performed and purpose of building (By Floors )________ _
New Building-- _--- _- _------------ -- - --_ -- Remodeling---_-_---- -_________ Addition. -.
STATE OF FLORIDA,
COUNTY OF DADE.
Amount of Permit $
1ozMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)-a1,
(Signed)._
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__ - 4 _ kP Katie (ilt__ No..M.0L3 Street__ #'( 7°1 's r
Registered Architect and /or Engineer - - - - - - -_ _--- _�--- ___- - - - - -- _-- ---- ___ - . -
Employing Plumber's Namelltt U o L/ A& -aZF is Zi¢/Yf No._ /i/0 C _ 0 Street -_M / / //Pi
Location and Legal Description Block Subdivision
Street and Number where work is to be performed —No yni ? yZ 2k 45 ? Street
Repairs
SIzo Septic Tank_.--- ____ -_ __ -- _ Type of Tank
Feet of Drain Tile _S ---f -_ ‘IQX Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._____— _____ ___Size of Soakage Pit
Capacity Gals.
ci
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub - contractors, on w. I to be . erforri}e/3 user this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commissio Expir Notary Public, State of Florida
_Lao
god 3t,7
No. of Stories
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 /ar workmanship.
Permit No..46. aZ
Amount of Permit $ � t O
STATE OF FLORIDA, I
COUNTY OF DADE. 1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
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.
Owmers Name and Address Mildred Tillman N 423 NE 92
Registered Architect and /or Engineer
Employing Plumboes Name 00 G . Lloyd Septic Tao Ser Na, 80 NW 111„ „ s 33168
Location and Legal Description Lot. Block. Subdivldon._______.-__.___.
Street and Number where work is to be performed —No 423 NE 92 Stre Street.
_._ m l Sh
State work to be performed and purpose of building (By Floors)__.
street_N. Shores
New Building. _ _._------- ........_.. Remodeling — Addition.. ___ ....._.. - -- Repairs No. of Stories.. .
Size Septic Tank__ Type of Tank_____
Feet of Drain Tile . 125 s g . f t . nt.r_ Feet of Tank or Drain Field from Well..._-_-.._.._. ________
Nature of Water Supply: City -Well. Size of Soakage Pit.
(signed) ` 14400 wo y
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 Iii 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 arr
required by the Act. The undersigned agrees to employ only such sub - contractors, on � to be performed under this permit. as are
licensed by Miami Shores Village.
Muter 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 oses 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 Coma luion Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when mob srispeetloa Y meda•atos eery by Momper notice for Inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
84°"411 84°"411
LAVA.
TONICS
tINSIN"
SLOP
SINK[ •
LAUNDRY
Tuna
URINAL.
CATCH
BASIN
FLOOR
DRAIN
RI
DNKING
FOUNT' NS
TOTAL
PIIITUR[a
CONT I.
LIST
-.—
CHECK
SEPTIC
TANK
((MLR
CONN.
DRAIN
FIELD
SCAKAOC
PIT
G •
TRAP
SOLAR
H [AT[R
Dear
WCLL
SPRKLR.
SYSTEM
SW 114'0
POOL
Ceara.
- -- --
LIST
CHICK
.---
Permit No..46. aZ
Amount of Permit $ � t O
STATE OF FLORIDA, I
COUNTY OF DADE. 1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
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.
Owmers Name and Address Mildred Tillman N 423 NE 92
Registered Architect and /or Engineer
Employing Plumboes Name 00 G . Lloyd Septic Tao Ser Na, 80 NW 111„ „ s 33168
Location and Legal Description Lot. Block. Subdivldon._______.-__.___.
Street and Number where work is to be performed —No 423 NE 92 Stre Street.
_._ m l Sh
State work to be performed and purpose of building (By Floors)__.
street_N. Shores
New Building. _ _._------- ........_.. Remodeling — Addition.. ___ ....._.. - -- Repairs No. of Stories.. .
Size Septic Tank__ Type of Tank_____
Feet of Drain Tile . 125 s g . f t . nt.r_ Feet of Tank or Drain Field from Well..._-_-.._.._. ________
Nature of Water Supply: City -Well. Size of Soakage Pit.
(signed) ` 14400 wo y
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 Iii 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 arr
required by the Act. The undersigned agrees to employ only such sub - contractors, on � to be performed under this permit. as are
licensed by Miami Shores Village.
Muter 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 oses 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 Coma luion Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when mob srispeetloa Y meda•atos eery by Momper notice for Inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
Fl
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 9707
Work to be performed under this Permit
Owner of
Building
Bl.
Subdi-
vision
Value of
Project $
DATF. 195 .
Contractor's
License No
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A 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 • 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.
BY AUTHORITY
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING I� I, D
PERMIT APPLICAfrIeM
FBC 2001 ��=�
Permit Type (circle): Building Electrical lumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) $ 4* �, - �i:� Phone #
Owner's Address 9 Z �� Apr' /T_ i e
City /' 4 State f // Zip �f / .
Tenant/Lessee Name c'' � iel ,, ,011 ''�GI� Phone #
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Address //9 did
a,./
Contractor's Company Name
City 71�6/
Qualifier
State Certificate or Registration No.
�c d® o C) y —
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work: ❑Addition ❑Alters ion
Describe Work: '17P VAL -
Total Fee Now Due $
Submittal Fee $
Gam'
Notary $ CC)
Scanning $ S • 0
Code Enforcement $
(Continued on opposite side)
Permit Fee $
Training/Education Fee $
Radon $
Miami Shores Village
Building Department
410
NO
11,5.00
o �(1
Structural Plan Review. $
92- ri 2,
County Miami -Dade
Permit No.9
Master Permit No.
Zip
Zip
Phone # 5/ 70 °
Certificate of Competency No.
Square Footage Of Work:
❑New E Repair/Replace El Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zoning
CCF $ • CO /CC
Technology Fee $
Bond $ )L.)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
The f. :oiigis
day of
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY P
Sign:
Print:
Chc 05/13/03
LIC:
My Commission Expires:
APPLICATION APPROVED B
ed before me this
, 20 , by
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
PHEN E. COCKING
MY COMMISSION # DD 031747
txrmt: June w, 2uu5
Signature
Contractor
The foregoing instriunentiy s acknowledged before me this,
day of 9 0 , , by
who is personally know o e or who has produced
i dentification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission E
•qc R
**** ************************** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Plumbing Permit
Phone: 305- 795 -2204 Permit Number: PL2005 -2
Printed: 1/10/2005
Applicant: MARCELLA WALTERMAN
Owner: WALTERMAN MARCELLA
JOB ADDRESS: 423 NE 92 ST
Contractor MR C'S SEPTIC TANK
Local Phone: 305 - 651 - 7859
Parcel # 1132060140240
Signed:
Contractor's Address: P 0 BOX 693239
Page 1 of 1
Legal Description: 6 53 42 MIAMI SHORES SEC 2 PB 10 -37 LOT 15 & 16, BLK 50 LOT SIZE
Fees: Description Amount
FEE2005 -267 Building Fee $175.00
FEE2005 -268 CCF $1.20
FEE2005 -269 Notary Fee $5.00
FEE2005 -270 Training and Education Fee $0.40
FEE2005 -271 Technology Fee $4.37
FEE2005 -272 Scanning Fee $3.00
FEE2005 -273 Builders Bond $300.00
Total Fees: $488.97
Total Fees: $488.97
Total Receipts: $488.97
Permit Status: APPROVED Permit Expiration: 7/3/2005 Construction Value: $2,000.00
Work: TO REPLACE DRAINFIELD
(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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
4
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1/10/2005
Applicant: MARCELLA WALTERMAN
Owner: WALTERMAN MARCELLA
JOB ADDRESS: 423 NE 92 ST
Contractor MR C'S SEPTIC TANK
Local Phone: 305 - 651 -7859
Parcel # 1132060140240
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2005 -2
Contractor's Address: P 0 BOX 693239
Page 1 of 1
Legal Description: 6 53 42 MIAMI SHORES SEC 2 PB 10 -37 LOT 15 & 16 BLK 50 LOT SIZE
Fees: Description Amount
FEE2005 -267 Building Fee $175.00
FEE2005 -268 CCF $1.20
FEE2005 -269 Notary Fee $5.00
FEE2005 -270 Training and Education Fee $0.40
FEE2005 -271 Technology Fee $4.37
FEE2005 -272 Scanning Fee $3.00
FEE2005 -273 Builders Bond $300.00
Total Fees: $488.97
Total Fees: $488.97
Total Receipts: $488.97
Permit Status: APPROVED Permit Expiration: 7/3/2005 Construction Value: $2,000.00
Work: TO REPLACE DRAINFIELD
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
t DING • TRICAL
- • PLUMBING
•
Architect
Contractor
or Builder
• Owner of
Building
Legal Lot ;, � Bl. ,
Description
Bu of Building (=if' i t ( - , ,,p., Z ,- CI
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above asses theA spor}9ibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or 3wivg in #�krties s-Ar specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. �'y ,� w
Signed. f`yy eAf N ' r ' By
I'l
R
In consideration of the issuance to me of this permit I agree to perform the work coved hereunder in compliance with all'prdinances'8nd regufs ions
pertaining thereto and in stria ,conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit rsspnie xes ronsibility ,-for all work done by either myself, my agent, servant or employee.
CONTRACTOR ORL
MIAMI SHORES VILLAGE, FLORIDA
DATE /I'
PERMIT N° 4857
Work to be performed under this Permit
Subdi-
vision % '`
Value of
Project
( BY
Contractor's
License No.
Amt. of
Permit
AUTHORITY
194 ,:
•
Permit No <
Application is hereby m e 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 I _._ __ _
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Feet of Drain Tile
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or Engineer .'
Employing Plumber's Name ,_r_ /- --&- ='_ L� .'' _r_h_ . No.__ _. Street__.6 % __. � � 4 AV
Location and Legal Description Lot.../.Z_/ / Block_____. __Q t 4 1 °,__ ' f 22a___,1 / _'
Street__ _L
Street and Number where work is to be performed —No
Size Septic Tank Type of Tank 1__._?dc�_
i� - -- _i_ J,�_ = - - -�.
(Signed)
No l/
•
( Signed)
Capacity Gals
Date --
Street AZ/ `
State work to be performed and purpose of building (By Floors)____ '- t19_ V='__fly = �_�
New Building Remodeling Addition Repairs No. of Stories
•
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 'Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master 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.
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 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
OOOO
/
.
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
I,
CONTR.
LIST
)
/
CHECK
•
Permit No <
Application is hereby m e 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 I _._ __ _
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Feet of Drain Tile
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or Engineer .'
Employing Plumber's Name ,_r_ /- --&- ='_ L� .'' _r_h_ . No.__ _. Street__.6 % __. � � 4 AV
Location and Legal Description Lot.../.Z_/ / Block_____. __Q t 4 1 °,__ ' f 22a___,1 / _'
Street__ _L
Street and Number where work is to be performed —No
Size Septic Tank Type of Tank 1__._?dc�_
i� - -- _i_ J,�_ = - - -�.
(Signed)
No l/
•
( Signed)
Capacity Gals
Date --
Street AZ/ `
State work to be performed and purpose of building (By Floors)____ '- t19_ V='__fly = �_�
New Building Remodeling Addition Repairs No. of Stories
•
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 'Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master 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.
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 faulty
materials and /or workmanship.
J DECK FINAL b 4/
Passed
W Inspector
Comments
t/
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
inspection Number: INSP -25
' ermit'Number: BPP- 1 -06 -59
Inspection Date: 08/18/2006
Inspector: Grande, Claudio
Owner: LLC, 423 SHORES
Job Address: 423 92 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: VAN KIRK & SONS INC
e Comme
Friday, August 18, 2006
AUG 2 2 RECD
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Deck
Work Classification: New
Block:
Phone Number (786)326 -2747
Parcel Number 1132060140240
Lot:
Phone: (954)925 -9292
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