725 NE 93 St (7)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 of approved plans and specifications must be kept at
building during progress of work. p / /� J �,� A / (�gr
3
Owner's Name and Address i e14 ( / 5 No. 716 / `t ' �' Street 1. 6 r
Registered Architect and /or Engineer
Employing Plumber's Namtini __B A7CXI 5 __ _ ____ i .._ ensio Street
Location and Legal Description Lot Block Subdivision `
Street and Number where work is to be performed —No. 7 Ai/ E' Street / j �?L
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank
60 Type of Tank J C/ J Capacity Gals
Feet of Drain Tileg-Z El !f K Dist. Feet of Tank or Drain Field from Well
Amount of Permit $
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size of Soakage Pit
(Signed) (t.,K
✓
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts Iigations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ianent 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 f the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on site
to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
W
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
ss.
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
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 of approved plans and specifications must be kept at
building during progress of work. p / /� J �,� A / (�gr
3
Owner's Name and Address i e14 ( / 5 No. 716 / `t ' �' Street 1. 6 r
Registered Architect and /or Engineer
Employing Plumber's Namtini __B A7CXI 5 __ _ ____ i .._ ensio Street
Location and Legal Description Lot Block Subdivision `
Street and Number where work is to be performed —No. 7 Ai/ E' Street / j �?L
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank
60 Type of Tank J C/ J Capacity Gals
Feet of Drain Tileg-Z El !f K Dist. Feet of Tank or Drain Field from Well
Amount of Permit $
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size of Soakage Pit
(Signed) (t.,K
✓
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts Iigations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ianent 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 f the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on site
to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
W
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
ss.
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
Nature of Water Supply: City—Well
Amount of Permit $- --------- - - - - -- t -� - / -- — (Signed)_
STATE OF FLORIDA,
COUNTY OF DADE. j
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed) -- ___ -- _
Date._._ \ `_i
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 1_________
Registered Architect and /or Engineer_ —
Employing Plumber's Name (Q.- \ No.rLa - — Street
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 1 Street
State work to be performed and purpose of building (By Floors) _
New Building ____ Remodeling Addition_____ ____ Repairs No. of Stories.
No._ a -- 5 ___.______ -- Street
Subdi vision ____ __---- ..... _____________
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
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, 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
SHOWER!
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
UR
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FI %TURES
CONTR.
LIST
\
`
CHECK
SEPTIC
TANK
SEWER
CONN.
---v-
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit No
Nature of Water Supply: City—Well
Amount of Permit $- --------- - - - - -- t -� - / -- — (Signed)_
STATE OF FLORIDA,
COUNTY OF DADE. j
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed) -- ___ -- _
Date._._ \ `_i
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 1_________
Registered Architect and /or Engineer_ —
Employing Plumber's Name (Q.- \ No.rLa - — Street
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 1 Street
State work to be performed and purpose of building (By Floors) _
New Building ____ Remodeling Addition_____ ____ Repairs No. of Stories.
No._ a -- 5 ___.______ -- Street
Subdi vision ____ __---- ..... _____________
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
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, 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.
ey--
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
/ (OWNER TO RETAIN COPY)
Date 6/ /Y /9/ Job Address ?o) S -'�� 'v(c f7 Tax Folio // j #6 // /ego 6
Legal Description2 9V 1 A0 / � ,o,, Master Permit # ( 5/53
/ Lessee / Tenant F4"4'° .4f/94.6
Owner's Address S 9_ti r Phone
WORK DESCRIPTION / /.�✓1
Square Ft. o�
q Estimated Cost
D. q
AL 4 4 -4
Nota ���. as i o Owner and /or Condo President
My •(•mmission Expires:
* . * . *
* * *
Fire
Date:
Other
Building Electrical
Contracting Co. / Address
Qualifier SS# ( Phone s ? - 71/e.
State# Competency# Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
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 or Owner and /or Condo President Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner - Builder
My Commission Expires:
* * * * * * *
PERMIT FEE: APPROVED:
1)5,o06 Zoning
11
Mechanical Plumbinga � �( r�gineering
v
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications g
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.
_ _ 1 f y
Ownei s Name and Address N T - • • ` - ' ° t No._. � Street____i`?_ C `3 J -
Registered Architect and /or Engineer_---- .-__-- --_ - __------ ---- -..-- _ --.__
Employing Plumber's Name €O S it�z.�y>f!!S p J. �-c .__ No...
Location and Legal Description Lot• -._---_ ........ __._________. ___________— Block_ Subdivision
Street and Number where work is to be performed —No as N 4 1 Street 3 S
State work to be performed and purpose of building (By Floors)_
New Building __ _-_ Remodelin - g `�(,_
Size Septic Tank
Feet of Drain Tile
Nature of Water Suppl
Amount of Permit $
V__7
- -- -- - -- My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING '' ►
` 11 :1
Date 11..L.X i _ - ___1 D " herewititted for the buildin or other
No. of Stories.
Type of Tank__ Capacity Gals
.......... __ .... _-_-_--_Dist. Feet of Tank or Drain Field from Well
Well.______ Size of Soakage Pit
(Signed)_
Plum • `• : I nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin • , Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors ei + oyed 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.
r
( Signed
Master Plumber.
STATE OF FLORIDA, 1
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 swom, 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 workmanship.
CLOSETS
BATH
TUBE
TUBS
-
LAVA-
TORIE8
-�'
S INKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK NG
FOUNT / NS
TOTAL
FI %TURES
CONTR.
LIST
--Y._
^
t �
- -_
CHECK
SEPTIC
TANK
SEWER
CONK•
DRAIN
FI Kim
SOAKAGE
PIT
GREASE
TRAP
EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
•
/
~ -
v
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications g
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.
_ _ 1 f y
Ownei s Name and Address N T - • • ` - ' ° t No._. � Street____i`?_ C `3 J -
Registered Architect and /or Engineer_---- .-__-- --_ - __------ ---- -..-- _ --.__
Employing Plumber's Name €O S it�z.�y>f!!S p J. �-c .__ No...
Location and Legal Description Lot• -._---_ ........ __._________. ___________— Block_ Subdivision
Street and Number where work is to be performed —No as N 4 1 Street 3 S
State work to be performed and purpose of building (By Floors)_
New Building __ _-_ Remodelin - g `�(,_
Size Septic Tank
Feet of Drain Tile
Nature of Water Suppl
Amount of Permit $
V__7
- -- -- - -- My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING '' ►
` 11 :1
Date 11..L.X i _ - ___1 D " herewititted for the buildin or other
No. of Stories.
Type of Tank__ Capacity Gals
.......... __ .... _-_-_--_Dist. Feet of Tank or Drain Field from Well
Well.______ Size of Soakage Pit
(Signed)_
Plum • `• : I nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin • , Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors ei + oyed 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.
r
( Signed
Master Plumber.
STATE OF FLORIDA, 1
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 swom, 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 workmanship.
Permit Na
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 v '
Registered Architect and /or Engine
Employing Plumber's Name
Size Septic Tank ........
_ -- -�v
Feet of Drain Tile__
Nature of Water Supply: City —Well.
Amount of Permit $_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
1/40 Y1
__ No Street
Type of Tank.
Street._
Location and Legal Description Lot_ Subdivision
Street and Number where work is to be performed —No.__ _ " ?,Sheet_
State work to be performed and purpose of building (By Floors) New Building ___ . Remodeling_____________.___ Addition_.._____.__..___ _...._ Repairs No. of Stories
Capacity Gals.
. 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 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)._
Master Plumber.
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, es.
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
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.
CLOWNS
BUBS ATH
T
SHOW HR6
LAVA• TORItB
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
...
SEPTIC
WANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
L1r(
CHECK
-
Permit Na
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 v '
Registered Architect and /or Engine
Employing Plumber's Name
Size Septic Tank ........
_ -- -�v
Feet of Drain Tile__
Nature of Water Supply: City —Well.
Amount of Permit $_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
1/40 Y1
__ No Street
Type of Tank.
Street._
Location and Legal Description Lot_ Subdivision
Street and Number where work is to be performed —No.__ _ " ?,Sheet_
State work to be performed and purpose of building (By Floors) New Building ___ . Remodeling_____________.___ Addition_.._____.__..___ _...._ Repairs No. of Stories
Capacity Gals.
. 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 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)._
Master Plumber.
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, es.
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
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Date F- 4- 4S
Job Address 0. S /4 6 90 S TIZEer Tax Folio
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant -v e_ y ,.I 6 r o u9 h Master Permit # 4 / 3 3
Owner's Address 1 a S • nI : & • ` f3 - T R F(-7: i Phone 75 or - 4— ( D- 1
7 L A -.
/
Contracting Co. 0 y' / w._ J / /y Address q )-ii SL'/oo 2 c,
Qualifier 05, / N 0 47 ss# Phone L5 J - / - 873
State # L ('0 O Lf3 Ur U 3 Municipal # Competency # / 9 ZL _2 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): UII:DING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION PI. (A-k4/b( y QFQ L( C 7- / LL , L ✓ Du.
Square Ft Estimated Cost (value) /L5?d
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
• laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
//946
Notary as to Owner and/or Condo President Date
My Commiss' . u .. _ es:
FEES: PERMIT
, P� OFFICIAL NOTARY SEAL
O �
REGINA RUSSELL
0 COMMISSON NUM$ER
cri ' I CC650664
et"' FLQ�\ PAY JUNE COMMISSI8 EXPIRES
OF
RADON
APPROVED:
Zoning Building
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
C.C.F.
Notary as to Contracts or Owner - Builder
My Commission Expires:
No
TOTAL DUE 6, (.
3 a—
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 of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address_._ ______— _________ -- No. — a �------ .---- _ -__ -- Street C A 3. -....
Registered Architect and /or
Employing Plumber's Name._ No. _ a5 Street •
Amount of Permit $_ __- ��___-
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Si ..z
Dat \ \_�`3? � 4 � ° L` 1
Location and Legal Description Lot ___. _ .___.__._.__ ___ Block
Street and Number where work is to be performed —No \ s Street.
State work to be performed and purpose of building (By Fl ours)___ _._____________.___
New Building _. Remodeling_ __ __ _ —_ Addition______._ Repairs No. of Stories.
Subdivision ....... _____...... _______________
c3
My Commissio Expires Notary Public, State of Florida
Size Septic Tank _- -___ -- _ -_ -- -Type of Tank___ Capacity Gals. -
Feet of Drain Tile -- __Dist. Feet of Tank or Drain Field from Well_ _________________
Nature of Water Supply: City — Well._____— _____________— _____Size of Soakage Pit
Plumbing spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e oyer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplemen , 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 pennit, as are
licensed by Miami Shores Village.
( Signed) — _ .
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.
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
TUBE
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
SW I M 'Gs
POOL
CONTR.
LIST
\
- -.—
CHECK
3 a—
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 of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address_._ ______— _________ -- No. — a �------ .---- _ -__ -- Street C A 3. -....
Registered Architect and /or
Employing Plumber's Name._ No. _ a5 Street •
Amount of Permit $_ __- ��___-
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Si ..z
Dat \ \_�`3? � 4 � ° L` 1
Location and Legal Description Lot ___. _ .___.__._.__ ___ Block
Street and Number where work is to be performed —No \ s Street.
State work to be performed and purpose of building (By Fl ours)___ _._____________.___
New Building _. Remodeling_ __ __ _ —_ Addition______._ Repairs No. of Stories.
Subdivision ....... _____...... _______________
c3
My Commissio Expires Notary Public, State of Florida
Size Septic Tank _- -___ -- _ -_ -- -Type of Tank___ Capacity Gals. -
Feet of Drain Tile -- __Dist. Feet of Tank or Drain Field from Well_ _________________
Nature of Water Supply: City — Well._____— _____________— _____Size of Soakage Pit
Plumbing spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e oyer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplemen , 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 pennit, as are
licensed by Miami Shores Village.
( Signed) — _ .
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.
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 APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY) 22
Date Vd /9/ Job Address r A� li
,9 ' 7 . S t- - Tax Foo /✓off /y(ff399
r Q s
Legal Description? - i" 3Q 6
Z. EN " �7 'J Master Permit # #,J/ �d
C / Lessee / Tenant rC -i- " d a /J4D
Owner's Address 72 ' ?2
Contracting Co.
Qualifier ��(,r/ i4 ;- ie
State# Competency# Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL
WORK DESCRIPTION
Square Ft. Estimated Cost of 5 / - O,
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.
SS Phone
Signature of Owner and /or Condo President Signature of Contractor or Owner - Builder
Date:
eeM ' 4/
No, ary as to Owner and/of Cpndo President Notary as to Contractor or Owner- Builder
My Commission Expires:�f //6j92 My Commission Expires:
* . * * * * * * * * * * * * *
PERMIT FEE: APPROVED: Fire Other
Zoning Building _ Electrical
Mechanical Plumbi
Address
Date:
Phone
p - 7 , 7f7
ING MECHANICAL PAVING FENCE SIGN
11� S
�&, E ngineering