65 NE 92 St (12)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 s.ecified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or E gineee
Employing Plumber's Name___. U
Location and Legal Description Lot__�G
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Amount of Permit $
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
30
■
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
therein by him stateiitrielizue. UBLIC, STATE OF FLORIDA AT LARGE
MY COMMISSION EXPIRES SEPT. 18, 1970
__________ _____________SOUDED_THROUrili_ER P - - X l I E 9T E L H O R 9 T
My Commission Expires
3 (t) _ tv Street
No.- - -
.0 — — Block__ -- S divisioni'yY _ - - -_ • - --
Street 4__
Addition_
Re . airs No. of Stories -
(Signed) _
No Street_
g Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennan. • 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) (4.
�
Date
STATE OF FLORIDA, }
as.
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 applic on, and tha di fl sign the same, and that all facts
otary 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
SINKS
SLOP
SINKS
LAUNDRY
Tt es
1 _/E V
1.
1'
l vv H
IN
FLOOR
DRAIN
DRINKING
FOUNT'N5
TOTAL
FIXTURES
CONTR.
LIST LIST
a _
J
3
/ 1
t
e
1
`
CHECK
- - --
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
/
5�AA
EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
I
1
-
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 s.ecified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or E gineee
Employing Plumber's Name___. U
Location and Legal Description Lot__�G
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Amount of Permit $
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
30
■
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
therein by him stateiitrielizue. UBLIC, STATE OF FLORIDA AT LARGE
MY COMMISSION EXPIRES SEPT. 18, 1970
__________ _____________SOUDED_THROUrili_ER P - - X l I E 9T E L H O R 9 T
My Commission Expires
3 (t) _ tv Street
No.- - -
.0 — — Block__ -- S divisioni'yY _ - - -_ • - --
Street 4__
Addition_
Re . airs No. of Stories -
(Signed) _
No Street_
g Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennan. • 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) (4.
�
Date
STATE OF FLORIDA, }
as.
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 applic on, and tha di fl sign the same, and that all facts
otary 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.
CONTR.
LIST
CLoarts I
-I
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK! NO
FOUNT' NS
TOTAL
FI %TURFS
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'
POOL
CON : R.
LIST
CHECK
lI
/1-7-:_;:(/-a-3,Le '4"
I P °`)
Penal. Pvr_._...._... ..I._ _.
Sirs Septic Tank_ 8 0
Feet of Drain Tile_ 6 0 r /to Ll
Nature of Water Supply: City— Well
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Date__
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su th ding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and ail 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.___/ k. -s / L_.__. __ No. __
Employi S/ - ..NL5r - Street
Registered n g Arc s anN d /or E -•- _ - -- _.____ __..___._ —_ - -
No.11 / / /', e ��
bea o.(�d--- 610_11.14
(Signed
fitted for the bull
eet_.____D. 4 C i9
Location and Legal Description Lot / Bloek
Street and Number where work is to be performed —No &L� 4L 9� Street
State work to be performed and purpose of building (By Floors)_
New Building -- - -__ -• l - - -• -- -- - - - - -- Remodeling_ __ -_ _- _ -__ -- Addition_--- -__ -._ Repairs No. of Stories _.
Subdivision
; Type of Tank__ p(ff C,fl _atif Capacity Gals.
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 obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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 k to be performed under this permit, as are
licensed by Miami Shores Village
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No /_ ( z 3
Registered Architect and /or Engineer
op
J
Amount of Permit $ O
STATE OF FLORIDA, 1
j Is.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address - _ -- c_ 2 mac`- - -_ ___74_Sµ No. -- 6 ____ -- Street_
Employing Plumber's Name a- 4- " '`L __- 1. .e 1 Pr' tr isiQ1 _ ---- -_ /V0 a _ Street N
Location and Legal Description Lot__-__--_ -- _- _______-__ _____ Block__
Street and Number where work is to be performed —No.__ ( ; C _____ / Z - V I T Street
State work to be performed and purpose of building (By Floors) f-'- ' '' il, .r
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
Nature of Wt City —Well. Size of Soakage Pit
® s
(Signed) .....
Date _ - 9 - _
Subdivision
ti L(e_ ,
s 7 � —
? - ---- j -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o..!ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has •om-
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 .erforme 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
TUBE
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
Copra.
LINT
✓
✓
_ --
CHECK
Permit No /_ ( z 3
Registered Architect and /or Engineer
op
J
Amount of Permit $ O
STATE OF FLORIDA, 1
j Is.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address - _ -- c_ 2 mac`- - -_ ___74_Sµ No. -- 6 ____ -- Street_
Employing Plumber's Name a- 4- " '`L __- 1. .e 1 Pr' tr isiQ1 _ ---- -_ /V0 a _ Street N
Location and Legal Description Lot__-__--_ -- _- _______-__ _____ Block__
Street and Number where work is to be performed —No.__ ( ; C _____ / Z - V I T Street
State work to be performed and purpose of building (By Floors) f-'- ' '' il, .r
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
Nature of Wt City —Well. Size of Soakage Pit
® s
(Signed) .....
Date _ - 9 - _
Subdivision
ti L(e_ ,
s 7 � —
? - ---- j -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o..!ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has •om-
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 .erforme 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 APPLICATION FOR MIAMI SHORES VILLAGE
Date 3 -28 -00 Job Address 65 N.E. 92nd Street
Tax Folio
Legal Description Historically Designated: Yes No
`x
" Owner/Lessee / Tenant Paul Smith Master Permit #
owner's Address 65 N.E. 92nd Street, Miami, F1 33138
Contracting Co. Coastal Plumbing Co. of Miami
ier Robert E. Br i ncef i e l d ss# Phone 305- 651 -4429
Swett CFCO -19042 Municipal #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL LUMBING %MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Replace existing electric water heater
Square Ft. Estimated Cost (value) $200.00
a ature o owner
u.�
6
d/or Condo President
Date
Notary as to Owner and/or ondo President Date
My Commission Expires:
. 141,2„_ Patricia Stover
,a MY COMMISSION # CC839914 EXPIRES
June 28, 2003
BONDED THRU TROY FAIN INSURANCE INC
APPROVED:
Zoning
Mechanical Plumbing
ov
Phone 305- 758 -2411
Address 285 N.E. 185th Street, Miami, F1 33179
Competency# 6264 Ins. C0 Collinsworth, Alter,
et al
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR E IPROVEMENTS 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
la . - . ating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of Contractor or Owne ilder D e
Notary as to Contractor or Owner- Builder
My Commission Expires:
rTy ,; Patricia Stover
MY COMMISSION # CC839914 EXPIRES
June 28, 2003
' ............ BONDED THRU TROY FAIN INSURANCE, INC
Date
FEES: PERMIT 6 RADON C.C.F. ' GAO NOTARY BOND
TOTAL DUE
Building Electrical
Engineering