699 NE 92 St (3)HUILDING ❑
t:LECTRICAL ❑
PLUMBING E
GOOFING ❑
MIAMI SHORES VILLAGE. FLORI
PERMIT N? 5210
Owner of
Building r "
Architect
Contractor
or Builder > • ' r c_
Legal Lot 11/
Description I Bl.
Address of
Building
This permit is granted to the contractor or builder named above to construct the building or to install the equipmen
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be pc
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authoritie
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A furl
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough '
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifi?dtlon am
done by his agents, servants or employees. ,
CONTRACTOR OR BUILDER BY
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
Signed.
INSPECTOR /'
In consideration of the issuance to me of this permit I agree to perform the work covered he under in compile'
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper ai:
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
r
Cog
Mc:
Owner of
Building
BUILDING
ELECTRICAL
PLUMBING
ROOFING
❑ Work to be performed under this Permt
Architect
Contractor
or Builder
CONTRACTOR OR BUILDER BY
bA
MIAMI SHORES VILLAGE, FLORIbATE 1954_
'tractor's
' Ilse ?
❑ PERMIT N9 2595 c° , n� N
Lict
0-C)
Legal Lot Subdi_
Description _ Bl. vision
Address of Value of
Building *-! - Project $
t or device described in the application
arformed in compliance with any plans
This permit is granted to the contractor or builder named above to construct the building or to install the equipmens• This Permit may be revoked at any
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be poles.- condition upon which this permit is
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authoritidedge of the ordinances and regulations
time if the work 1s not done in compliance with such ordinances or if the plans are changed without authorization. A fort that be assumes responsibility for work
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough know;
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and .L.
done by his agents, servants or employees.
Amount of
11 Permit $
Signed. BY_
INSPECTOR ice with all ordinances and regulations
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliarthoritfes of Miami Shores Village. In ac"
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
3"1 2.72 flt - r
BUILDING
ELECTRICAL
PLUMBING
ROOFING
❑
❑
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description Bl
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT NO 2578
tez .--- -
DATE ' 195'`"
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construc 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
cti
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS ��-
INSPECTION _
TIME READY 6 / 7
REMARKS: 4J
INSPECTOR I
N? 5831
DATE 3 2
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORI
PERMIT N? 6818 Co=
Lic
❑ Work to be performed under this Permit
Bl.
This permit is granted to the contractor or builder named above to construct the building or to install the equipmel .
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be r
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authoriti,
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A fur
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough k
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specification
done by his agents, servants or employees.
i
INSPECTOR
Signed.
In consideration of the issuance to me of this permit I agree to perform the work covered he ;'under in compli'
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications su)mit d to the proper a.
cepting this permit I assume responsibility for all work done by either, myself, my aqt t, sery or employee.
CONTRACTOR OR BUILDER BY
Subdi-
vision
Value of
Project $
Permit No.___r_ -_
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 _L L L.//•r>____ No. --._______ __ Street
Registered Architect and /or Enginee + ---------- , - , - p _ � �----- -_ - - -- —
Employing Plumber's Name �f � ..__CS�t� _________ No.-- _- _-- .______ Street_________ ...... ____ __ --
Location and Legal Description Lot2L_`_ _4.-_ _1 — Block e Z Subdivision__
Street and Number where work is to be performed —No ‘ .f__9 Street '' 7i -?1
State work to be performed and purpose of building (By Floors) _ —___ __________
New Building Remodeling_--__ _-_ Addition.__- ____._............ Repairs
Size Septic Tank _ Type of Tank
Feet of Drain Tile.__
Nature of Water Sukply: City-Well.____ e. ___________________ —___ Size of Soakage Pit .itractor s
• ense No.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Dist. Feet of Tank or Drain Field from Well-.
( Signed) _
Capaci•
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e
performed under this permit; and will post or cause to be posted' for inspection on the site of the work sucl
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perk
licensed by Miami Shores Village. 441 e a
( Signed)- -
Date / //7
No. of Stories.
DATE
19
STATE OF FLORIDA, 1 "Amount of
COUNTY OF DADE. // t j - 1 Permit $
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknet or device described in the application
.erformed in compliance with any plans
—.as. This Permit may be revoked at any
they condition upon which this permit is
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the •ledge of the ordinances and regulations
of the above described construction, that he has carefully read the foregoing application, and that he did d that he assumes responsibility for work
therein by him stated are true.
My Commission Expires Notary Public,
.nce with all ordinances and reguiationa
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made.neeessary by impropeithorities of Miami Shores Village. In ac-
materials and /or workmanship.
AUTHORITY
CLOSETS
BATH
TUBS
SHOWER.
LAVA-
TORIES
SINKS
SLOP
SINK$
LAUNDRY
T uns
URINAL{
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
TOTAL
Lt{T
CLIST
1
�
�
i
�r�
/
^_
CHECK
i 6 e )
�, °'
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
'lageoar
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
't -_r`„ ,2
`; t
CONTR.
CHECK
- --
/ 6 t
r . ,ti
n A
Permit No.___r_ -_
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 _L L L.//•r>____ No. --._______ __ Street
Registered Architect and /or Enginee + ---------- , - , - p _ � �----- -_ - - -- —
Employing Plumber's Name �f � ..__CS�t� _________ No.-- _- _-- .______ Street_________ ...... ____ __ --
Location and Legal Description Lot2L_`_ _4.-_ _1 — Block e Z Subdivision__
Street and Number where work is to be performed —No ‘ .f__9 Street '' 7i -?1
State work to be performed and purpose of building (By Floors) _ —___ __________
New Building Remodeling_--__ _-_ Addition.__- ____._............ Repairs
Size Septic Tank _ Type of Tank
Feet of Drain Tile.__
Nature of Water Sukply: City-Well.____ e. ___________________ —___ Size of Soakage Pit .itractor s
• ense No.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Dist. Feet of Tank or Drain Field from Well-.
( Signed) _
Capaci•
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e
performed under this permit; and will post or cause to be posted' for inspection on the site of the work sucl
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perk
licensed by Miami Shores Village. 441 e a
( Signed)- -
Date / //7
No. of Stories.
DATE
19
STATE OF FLORIDA, 1 "Amount of
COUNTY OF DADE. // t j - 1 Permit $
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknet or device described in the application
.erformed in compliance with any plans
—.as. This Permit may be revoked at any
they condition upon which this permit is
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the •ledge of the ordinances and regulations
of the above described construction, that he has carefully read the foregoing application, and that he did d that he assumes responsibility for work
therein by him stated are true.
My Commission Expires Notary Public,
.nce with all ordinances and reguiationa
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made.neeessary by impropeithorities of Miami Shores Village. In ac-
materials and /or workmanship.
AUTHORITY
6 0 0
7--ce-i •
J._ au.th
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
Registered Architect and /or
Employing Plumber's Name_
Location and Legal Description Lot- _-- ---- �____ -_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)_ _________
New Building __ Remodeling _ Addition._
Size Septic Tank _____ ------- _-- ______ -- ----- -- - -____ -- --Type of Tank— Capacity Gals.
Feet of Drain Tile__
Nature of Water Supply: City —Well.
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_ No. Street -
I P _ - _ No. -- . •'� 4 Street.' -
Block Subdivision
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Amount of Permit $ 3 = e...>--e_.: - - - - -- -- — — -- ( Signed)- - - - �� e_ -e�`a t�..
Plu .ing Inspector.-
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a • n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup ement, 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 a
required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed r this permit, as
licensed by Miami Shores Village.
Date �" w
Street
Repairs - No. of Stories.
My Commission Expires Notary Public, State of Florida
ber.
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
INK
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
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
U / t J
CONTR.
LI
/
—_ _
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.
Owner's Name and Address
Registered Architect and /or
Employing Plumber's Name_
Location and Legal Description Lot- _-- ---- �____ -_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)_ _________
New Building __ Remodeling _ Addition._
Size Septic Tank _____ ------- _-- ______ -- ----- -- - -____ -- --Type of Tank— Capacity Gals.
Feet of Drain Tile__
Nature of Water Supply: City —Well.
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_ No. Street -
I P _ - _ No. -- . •'� 4 Street.' -
Block Subdivision
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Amount of Permit $ 3 = e...>--e_.: - - - - -- -- — — -- ( Signed)- - - - �� e_ -e�`a t�..
Plu .ing Inspector.-
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a • n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup ement, 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 a
required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed r this permit, as
licensed by Miami Shores Village.
Date �" w
Street
Repairs - No. of Stories.
My Commission Expires Notary Public, State of Florida
ber.
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.
INSPECTOR
MII SHORES VILLAGE, FLA.
IOB
ADDRESS e
INSPECTION
TIME READY
REMARKS:
N° 5825
DATE
b) S7
Permit No 4 �� _.
Application is hereby made for the approval of the detailed statement of
structure herein described. This application is made in compliance and corr_'
and all provisions of the Laws cf the State of Florida, all ordinances of Miaxr'
of Miami Shores Village shs l be complied with, whether herein specifsv
building during progress of work.
Owner's Name and Address- ..- __----- - - -__- �.
Registered Architect and /or Engineer- _____. _ —_.__
Employing Plum'oei s Name J Ant a xi � 7 c 4 " - d - No.__.__.__ Street. — ' t---CC
Location and Legal Description Lot..__.. - - - - -- _ ._._____ Block_ .__.. ��_``�pp.. __ _ _. Subdivision -
Street and Number where work is to be performed —No. 1__. _. Street. A, ? SZ,
State work to be performed and purpose of building (By Fknon)_— _._._ -.___ C:3..111) ✓ Ami:Et..c.v -_ -- ._._..32
New Building ___ _- Remodeling___.._. _ _ __ Addition.
Siza Septic Tank ...... __.__________._--.— _-_-Type of Tank
Feet of Drain Tile._.___ _______ .__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.__ _ _ _ - _____-_____.__-- .-Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, I es.
COUNTY OF DADE.
',MIAMI SHORES VI: _i4,LL:
PLUMBING INSPECTION DEPARTMi'. : < - '
APPLICATION FOR PLUMBING
,inns and speci. :.;.... :;v s herewith submitted for the building or other
•'y with the ` :•n;a.ag Ordinance of Miami Shores Village Florida,
Vivat . a.iu all rules and regulations of the Building Division
. A cop; at• approved plans and specifications must be kept at
(Styled)
Date
No._.. _ - -- C..! - - - -. Street. , t'` A' 7"?'
Repairs No. of Stories.
Capacity Gals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts � s obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida 'ermanent 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 - site of the wo ch public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contra on work j- rfoed • er permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to T. 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 hi i 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 by improper notice for inspection, or faulty
materials and /or workmanship.
aster Plumber.
CLOSETS
BATH
TUaa
SHOWERS
LAVA-
TORIES
S
S
SLOP
Sims
LAUNDRY
Tuna
U RINALS
CATCH
SASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DELP
WELL
SPRKLR.
SYSTEM
sWIM'O
POOL
/
CONTR.
LIST
CHECK
b) S7
Permit No 4 �� _.
Application is hereby made for the approval of the detailed statement of
structure herein described. This application is made in compliance and corr_'
and all provisions of the Laws cf the State of Florida, all ordinances of Miaxr'
of Miami Shores Village shs l be complied with, whether herein specifsv
building during progress of work.
Owner's Name and Address- ..- __----- - - -__- �.
Registered Architect and /or Engineer- _____. _ —_.__
Employing Plum'oei s Name J Ant a xi � 7 c 4 " - d - No.__.__.__ Street. — ' t---CC
Location and Legal Description Lot..__.. - - - - -- _ ._._____ Block_ .__.. ��_``�pp.. __ _ _. Subdivision -
Street and Number where work is to be performed —No. 1__. _. Street. A, ? SZ,
State work to be performed and purpose of building (By Fknon)_— _._._ -.___ C:3..111) ✓ Ami:Et..c.v -_ -- ._._..32
New Building ___ _- Remodeling___.._. _ _ __ Addition.
Siza Septic Tank ...... __.__________._--.— _-_-Type of Tank
Feet of Drain Tile._.___ _______ .__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.__ _ _ _ - _____-_____.__-- .-Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, I es.
COUNTY OF DADE.
',MIAMI SHORES VI: _i4,LL:
PLUMBING INSPECTION DEPARTMi'. : < - '
APPLICATION FOR PLUMBING
,inns and speci. :.;.... :;v s herewith submitted for the building or other
•'y with the ` :•n;a.ag Ordinance of Miami Shores Village Florida,
Vivat . a.iu all rules and regulations of the Building Division
. A cop; at• approved plans and specifications must be kept at
(Styled)
Date
No._.. _ - -- C..! - - - -. Street. , t'` A' 7"?'
Repairs No. of Stories.
Capacity Gals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts � s obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida 'ermanent 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 - site of the wo ch public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contra on work j- rfoed • er permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to T. 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 hi i 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 by improper notice for inspection, or faulty
materials and /or workmanship.
aster Plumber.
Date 3" / - 73 Job Address Or? NE C i V A ST Tax Folio / Pi /' /
Legal Descriptiog/
Owner / Lessee / Tenant
Contracting Co. G-om.5. s7Ade PGI 18 /AJG- zve• Address 414t5/ f /7'/015-
Qualifier 71 Z5 _TV)/ SS# Phone f�9v /3�f0
! 4�rith9 ( oUf 5)
Municipal # Competency #00 / /SA Y Ins.Co
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICALCRUMBIlb MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
State #,17
Square Ft. Estimated Cost(value) J OU."'"
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
Signature of
Date: _
Rs& / • /1 cAr
Notary as tc Owner and /or Condo President
My Commission ,Expires:
** *
PEES: PERMIT ` % P.80 RADON C.C.P. 5 NOTARY TOTAL DUEL
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Ealg
PoN S►' 1 I7 t/
Address ( 30 v OPT EG -A £INE
G Fak Sio i6
above -named contractor to do the work stated.
owner and /or Condo President
* * *
Zoning Buildin
Mechanical 1umbin
Master Permit # ,� 2Y
Phone B
Sign ture of Contractor or,bwner- guilder
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * * **
Fire Other
Electrical
Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIN))
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, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
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 I°P
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
•
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
•'
,SPECIAL PURPOSE
SWIMMING POOL
OUTLETS CbMfERCIAL
WATER SERVICE
SIGN TUBES •.-
_
SEWER CONNECTIONS
SIGN TRANSFORMERS T
UTILITY -SEWER
SIGN TIME CLOCK
•
UTILITY -WATER
FIXTURES
;
j
•
''
SEPTIC TANK
ANTENNA
;..'
RELAY
'TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES.
VIOLATION; ...•; • .
;
PUMP & 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
i
f_
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
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