1286 NE 95 St (10)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Build -ng Inspection Request
k `
Date
Type Insp'n q\ w bl vu ?)
Permit No. Q L ZGoL1
Name
Address
\ % % 4) t qS S±
Company
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
❑
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Build g Inspection Request
Date
co
Type Insp'n ( 1 ) \L�) vlD 8- �
Permit No. Y/ 7CC l 25 j
Name ` V2C 0
Address t \ 7.. S? V� ` 1
- 5±
Company O
Phone #
Inspection Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT (6
305- 795 -2204 "11
Building Inspection Request
Date0 1Z
Typelnsp'n nnO r .
Permit No. 'P I , 6`t 22:5-4- Name C
Address ( 2_6( 'v LU
Company
Phone # '
Inspection Date • :AltA
Approved
Correction ❑
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT %
305- 795 -2204
Building Inspection Request
Datel
Type Insp'n nro i A) V 1 ( .
Permit No. PI (A- 5
Name c c
Address 6J 1\ J � 9 .4!
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee ❑
BUILDING
F v LECTRICAL
NUMBING
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 2396
Work to be performed under this Permit
Owner of
Building
DATE 1941_
Contractor's
License No. '-
Architect
Contractor
or Builder
Legal Lot BI.
Description
Address of
Building
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
'le 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
=pon 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.
Subdi-
vision
Value of
Project
Amt. of 1 e,
Permit
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 regula-
- ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
illage. In accepting this permit I assume responsibility for all work done by either myself, my agent) servant or employee.
BY AUTHORITY
�� r
Permit No..
Size Sapijc Tank C,/
Feet of Drain Tile_
STATE OF FLORIDA,
COUNTY OF DADE.
Amount of Permit E
MIAMI SHORES VILLAGE
My Commission Expires
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 V;.11age 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 {frllezr!y L tV7 Noll 1 6
Registered Architect and /or E i ______�
Employing Plumber's Name .� �'`�- ��' ti: u_ '�
.l .__ _ No._ 1 ' Stret2 —79-474.-.7"--- !�
Location and Legal Description Lot_ __ —__– " –. t
Block Subdivisio ,.[_..__
a
-y r if Street t
Street and Number where work is to be performed—No Y . _ _ — __ ______________
State work to be performed and purpose of building (By Floors)
New Building __________________________ Remodeling Addition Repairs No. of Stories
`4 f Tank
Dist. Feet of Tank or Drain Field from Well_
Nature of Water Supply: City —Well .Size of Soakage Pit
Date –
_Capacit Gals i.7
(Signed)
P umbrng Inspectgr.
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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) " = w 3'° ‘011P0
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 be 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
s t e __- A
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
T UBS
URINAL6
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
CONTR.
LIST
CHECK
1
Permit No..
Size Sapijc Tank C,/
Feet of Drain Tile_
STATE OF FLORIDA,
COUNTY OF DADE.
Amount of Permit E
MIAMI SHORES VILLAGE
My Commission Expires
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 V;.11age 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 {frllezr!y L tV7 Noll 1 6
Registered Architect and /or E i ______�
Employing Plumber's Name .� �'`�- ��' ti: u_ '�
.l .__ _ No._ 1 ' Stret2 —79-474.-.7"--- !�
Location and Legal Description Lot_ __ —__– " –. t
Block Subdivisio ,.[_..__
a
-y r if Street t
Street and Number where work is to be performed—No Y . _ _ — __ ______________
State work to be performed and purpose of building (By Floors)
New Building __________________________ Remodeling Addition Repairs No. of Stories
`4 f Tank
Dist. Feet of Tank or Drain Field from Well_
Nature of Water Supply: City —Well .Size of Soakage Pit
Date –
_Capacit Gals i.7
(Signed)
P umbrng Inspectgr.
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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) " = w 3'° ‘011P0
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 be 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
s t e __- A
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.
New Building_
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
I J
Permit No 0 / L.
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.
rt
p
Owner's Name and Address /1/ a�' r , I No . _ -_- Street- LYu s___
7
Registered Architect and /or Engineer
�/ t /
Location and Legal Description Lot 7_: ` Z Block �s Subdivision__ _'_'__�__ _•�__ : s' ••`
r ,_
Street and Number were work is to be performed —No. Street • �_ "d�-
State work to be peeormed and purpose of building (By Floors)
Remodeling Addition Repairs
Size Septic Tank _____. 7 __ r C. . R ' - Type w- _- ----- - -- - -- - =- T e of Tank . -- -7' - - - --
Feet of Drain Tile ___ -_l 4 ____ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit .
f
r
Amount of Permit -- ------- _ —__ -- k / `_ Z � _''! r
— _— — — — -- (Signed) - -- ---t-
Plu mg 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 under signed agrees to employ only such sub - contractors, on work to be performed. under this f zmit, as are
licensed by Miami Shores Village. J =7'' a . I (t ,
/,
(Signed) _'_ -- ! - Z., is L; .....,4",..4-.4.... l :
Master Plumber.
Capacity
Date
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application. and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
No. of Stories
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
New Building_
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
I J
Permit No 0 / L.
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.
rt
p
Owner's Name and Address /1/ a�' r , I No . _ -_- Street- LYu s___
7
Registered Architect and /or Engineer
�/ t /
Location and Legal Description Lot 7_: ` Z Block �s Subdivision__ _'_'__�__ _•�__ : s' ••`
r ,_
Street and Number were work is to be performed —No. Street • �_ "d�-
State work to be peeormed and purpose of building (By Floors)
Remodeling Addition Repairs
Size Septic Tank _____. 7 __ r C. . R ' - Type w- _- ----- - -- - -- - =- T e of Tank . -- -7' - - - --
Feet of Drain Tile ___ -_l 4 ____ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit .
f
r
Amount of Permit -- ------- _ —__ -- k / `_ Z � _''! r
— _— — — — -- (Signed) - -- ---t-
Plu mg 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 under signed agrees to employ only such sub - contractors, on work to be performed. under this f zmit, as are
licensed by Miami Shores Village. J =7'' a . I (t ,
/,
(Signed) _'_ -- ! - Z., is L; .....,4",..4-.4.... l :
Master Plumber.
Capacity
Date
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application. and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
No. of Stories
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
7 3 G
JOB:
BUILDING
•
ELECTRICAL :
PLUMBING
'74„ 7
/ as-
tr
d' 4
Inspector's Report:
The following is ready for Inspection:
--)
) I A / 5 f>
•
• WORK ��
•
• DONE BY:
: REQUESTED WILL BE READY
•
•
•
•
)1,rrt
7 -441 X
ti
co O
JOB: �` ',��.. r, �. 7
BUILDING
ELECTRICAL
PLUMBING ;
Inspector's Report:
• • •
•
•
WORK
DONE BY:
The following is ready for Inspection:
AD:
REQUESTED
•
6 •
•
•
•
•
•
•
•
•
•
•
:
: WILL BE READY
JOB:
'••
BUILDING
ELECTRICAL
PLUMBING
Inspector's Report:
• •
• •
•
•
. •
• • : REQUESTED
: WILL BE READY
• •
• m
• •
• •
• •
• ▪ •
• •
•
AD:
WORK 2
DONE BY:/(
The following is ready for InspJetion:
c •
"
/7 • ,
P fv
t.€ , •
47/
•
Permit No
Owner's Name and Address
APPLICATION FOR PLUMBING PERMIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Date_ ._______
47
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
S t
5-
Registered Architect and /or E i er _____ �_______ te r . i ` w �„ �_ � ;
,a • Em to in Plumber's Narne ' ,� { _ "' No._ Street_ . _
P Y g — -- - -- j–1 —=
Location and Legal Description Lot__ _ B oci$ Subdivisj, _.
Street and Number where work is to be performed —No /. _ E' �__ �_ __ Street
State work to be performed and purpose of building (By Floors)
New Building —____. — Remodeling Addition Repairs
No. of Stories
Size &epic Tank,..,. -.,--s __ :4 'v_ l'4f jpkf Tank .
Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from Well__
Amount of Permit $_
plied with the provisions thereof,
performed under this permit; and
required by the Act. The under
licensed by Miami Shores Village.
ss.
My Commission Expires
(Signed
�l MI ` r
_Capacity Gals.__
Nature of Water Supply: City —Well. Size of Soakage Pit _____ __ ____
__________�_�
_(Signed)
–T P lum ing Inspect° .
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-
and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
will post or cause to be posted for inspection on the site of the work such public notice or notices as are
signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer
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.
oaths and take acknowledgments, personally
Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWEF
CONN
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No
Owner's Name and Address
APPLICATION FOR PLUMBING PERMIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Date_ ._______
47
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
S t
5-
Registered Architect and /or E i er _____ �_______ te r . i ` w �„ �_ � ;
,a • Em to in Plumber's Narne ' ,� { _ "' No._ Street_ . _
P Y g — -- - -- j–1 —=
Location and Legal Description Lot__ _ B oci$ Subdivisj, _.
Street and Number where work is to be performed —No /. _ E' �__ �_ __ Street
State work to be performed and purpose of building (By Floors)
New Building —____. — Remodeling Addition Repairs
No. of Stories
Size &epic Tank,..,. -.,--s __ :4 'v_ l'4f jpkf Tank .
Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from Well__
Amount of Permit $_
plied with the provisions thereof,
performed under this permit; and
required by the Act. The under
licensed by Miami Shores Village.
ss.
My Commission Expires
(Signed
�l MI ` r
_Capacity Gals.__
Nature of Water Supply: City —Well. Size of Soakage Pit _____ __ ____
__________�_�
_(Signed)
–T P lum ing Inspect° .
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-
and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
will post or cause to be posted for inspection on the site of the work such public notice or notices as are
signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer
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.
oaths and take acknowledgments, personally
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.
-ermtt 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 :Enginger
•r 3 LICATION FOR PLUMBING PERMIT
Employing Plumber's Name —
C tr s /
fi L LA G E
Location and Legal Description Lot �C Block S?
Street and Number where work is to be performed— No._____1 _S_"'!_____ !:
• r
State work to be performed and purpose of building (By Floors) _ _
New Building_____+!' _____.________ Remodeling __ Addition epatrs No. of Stories
Type of Tank
Feet of Drain Tile___________________ Dist. Feet of Tank or Drain Field from Well_____ ___— _____________W
Nature of Water Supply: City —Well —__ _______________.Size of Soakage Pit
Size Septic Tank
Amount of Permit $
„a
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 Workmerl'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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. 1 ss '
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
-r.�iwG INSPECTION DEPARTMENT
rezex,„ , Nre-
Street__
_Capacity Gals
Date _._d- / - L___/
(Signed) – – F – – – -- '
Notary Public. State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH I
TUBS SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR. IST
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
-ermtt 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 :Enginger
•r 3 LICATION FOR PLUMBING PERMIT
Employing Plumber's Name —
C tr s /
fi L LA G E
Location and Legal Description Lot �C Block S?
Street and Number where work is to be performed— No._____1 _S_"'!_____ !:
• r
State work to be performed and purpose of building (By Floors) _ _
New Building_____+!' _____.________ Remodeling __ Addition epatrs No. of Stories
Type of Tank
Feet of Drain Tile___________________ Dist. Feet of Tank or Drain Field from Well_____ ___— _____________W
Nature of Water Supply: City —Well —__ _______________.Size of Soakage Pit
Size Septic Tank
Amount of Permit $
„a
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 Workmerl'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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. 1 ss '
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
-r.�iwG INSPECTION DEPARTMENT
rezex,„ , Nre-
Street__
_Capacity Gals
Date _._d- / - L___/
(Signed) – – F – – – -- '
Notary Public. State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
e 0
(
1.*
v`t e
MIAMI SHORES VILLAOE
PLUMBINE INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. Date_
Application is hereby made for the approval of the detailed ,s'eptement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in cotiipliaiz&e and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all otdinances 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.
v f I
Owner's Name and Address _ C/'t ?_�___�.__ r`'� No Street_ _!_tl rj
Amount of Permit
SS.
(Signed)
Registered Architect and /or Engineer ____�______��_._ ,:..__ _______________ _�� _
,.
Employing Plumbs is Name _ ____ __:_!' _�__� _. _�_t l . 4_� = W ' No. Street_ !� �L _`_ _ _ c L •
Location and Legal Description Lot___ _ I Block
Street and Number where work is to be performed —No 1 � __ ' ________ Street i__12
State work to be performed and purpose of building (By Floors)
New Building —_____ Remodeling Addition Repairs No. of Stories
t~ 7 7
Size Septic Tank__ _ _!__ f_ �'___ _1 't _ _______ Type of Tank .__ . Capacity Gals 1_
Feet of Drain Tile___ 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. ■r'
f
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, arid 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'N5
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.
L IST
\
/`
X
/
CHECK
MIAMI SHORES VILLAOE
PLUMBINE INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. Date_
Application is hereby made for the approval of the detailed ,s'eptement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in cotiipliaiz&e and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all otdinances 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.
v f I
Owner's Name and Address _ C/'t ?_�___�.__ r`'� No Street_ _!_tl rj
Amount of Permit
SS.
(Signed)
Registered Architect and /or Engineer ____�______��_._ ,:..__ _______________ _�� _
,.
Employing Plumbs is Name _ ____ __:_!' _�__� _. _�_t l . 4_� = W ' No. Street_ !� �L _`_ _ _ c L •
Location and Legal Description Lot___ _ I Block
Street and Number where work is to be performed —No 1 � __ ' ________ Street i__12
State work to be performed and purpose of building (By Floors)
New Building —_____ Remodeling Addition Repairs No. of Stories
t~ 7 7
Size Septic Tank__ _ _!__ f_ �'___ _1 't _ _______ Type of Tank .__ . Capacity Gals 1_
Feet of Drain Tile___ 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. ■r'
f
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, arid 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. -
APPLICATION FOR PLUMBING PERMIT
1
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 Sho res 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. ��/
.A Owner's Name and Address ___ – k1 �N6 `
1_t_
Amount of Permit
Registered Architect and /or Enginger
Employing Plumber's Name - / x � d H - . N - Street
Location and Legal Description Lot____ _ ______ —_ —__ ____Block__ __S___ _____ __ —__ Subdivision_
Street and Number where work is to be performed —No / P h • � __ — ______ Street____
State work to be performed and purpose of building (By Floors) _./Z:_. f.�L�_A__ Iy` '
New Building_._________________ Remodeling Addition
Size Septic Tank Type of Tank
Feet of Drain Dist. Feet of Tank or Drain Field from Well
Nature of Water: Supply: City — Well. —_ _ Size of Soakage Pit
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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miarni Shores Village.
(Signed) - -_– X ' t T = R► ' ` ,
Master Plumber.
My Commission Expires
MIAMI SHORES VI LLAG E
PLUMBING INSPECTION DEPARTMENT
L ' l
(Signed) , -,..- -- '...` C . - – -- – --I - -_e_
Plumbing Inspector.
Date ___ / - f L
epairs No. of Stories ------
_2_.
Street__
_Capacity Gals._____________ --
STATE OF FLORIDA,
COUNTY OF :DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him seated 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
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
' )
A
/
/
!/
/ / /
I 7-
CHECK
SEPTIC,
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
IST
LIST
CHECK
Permit No. -
APPLICATION FOR PLUMBING PERMIT
1
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 Sho res 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. ��/
.A Owner's Name and Address ___ – k1 �N6 `
1_t_
Amount of Permit
Registered Architect and /or Enginger
Employing Plumber's Name - / x � d H - . N - Street
Location and Legal Description Lot____ _ ______ —_ —__ ____Block__ __S___ _____ __ —__ Subdivision_
Street and Number where work is to be performed —No / P h • � __ — ______ Street____
State work to be performed and purpose of building (By Floors) _./Z:_. f.�L�_A__ Iy` '
New Building_._________________ Remodeling Addition
Size Septic Tank Type of Tank
Feet of Drain Dist. Feet of Tank or Drain Field from Well
Nature of Water: Supply: City — Well. —_ _ Size of Soakage Pit
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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miarni Shores Village.
(Signed) - -_– X ' t T = R► ' ` ,
Master Plumber.
My Commission Expires
MIAMI SHORES VI LLAG E
PLUMBING INSPECTION DEPARTMENT
L ' l
(Signed) , -,..- -- '...` C . - – -- – --I - -_e_
Plumbing Inspector.
Date ___ / - f L
epairs No. of Stories ------
_2_.
Street__
_Capacity Gals._____________ --
STATE OF FLORIDA,
COUNTY OF :DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him seated 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 No. a
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.
7
Owner's Name and Address 111.14___� _P_� ___.___ No._ _._ 1___4 __ _4_ Street___N.__ e 5
Registered Architect and /or Engineer__-------------- - - - -__ -------- - - - --
Employing Plumber's Name C 0 ■ K! L C '1■14 N 4'C 41 2_6 -1 Street__ kh.191R_CAM-
Location and Legal .Description Lot._
_
7 N
Street and Number where work is to be performed—No- AY 2�2.� — ____W. Street____ _ ., 9 S '7.
State work to be performed and purpose of building (By Floors)
New Building — ..____ Remodeling _________ Addition
Size Septic Tank ........... ----------
Amount of Permit 8 —_ --
Type of Tank
(S ►ed)- �
(Signed
Date —1 AN a Ra lc 1? .
Block Subdivision
Repairs No. of Stories .. ............ ........
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 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ti. is as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and lias 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 rmit, as are
licensed by Miami Shores Village. `
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Connnission Expires Notary Public, State of Florida
aster ' 1 her.
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
S
SLOP
SINKS
LAUNDRY
TUBE
URINALS
R INALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
:;EWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LW
_
-
CHECK
Permit No. a
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.
7
Owner's Name and Address 111.14___� _P_� ___.___ No._ _._ 1___4 __ _4_ Street___N.__ e 5
Registered Architect and /or Engineer__-------------- - - - -__ -------- - - - --
Employing Plumber's Name C 0 ■ K! L C '1■14 N 4'C 41 2_6 -1 Street__ kh.191R_CAM-
Location and Legal .Description Lot._
_
7 N
Street and Number where work is to be performed—No- AY 2�2.� — ____W. Street____ _ ., 9 S '7.
State work to be performed and purpose of building (By Floors)
New Building — ..____ Remodeling _________ Addition
Size Septic Tank ........... ----------
Amount of Permit 8 —_ --
Type of Tank
(S ►ed)- �
(Signed
Date —1 AN a Ra lc 1? .
Block Subdivision
Repairs No. of Stories .. ............ ........
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 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ti. is as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and lias 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 rmit, as are
licensed by Miami Shores Village. `
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Connnission Expires Notary Public, State of Florida
aster ' 1 her.
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
4 .'
Architect
Contractor
or Builder t "
Legal Lot
Description
MIAMI SHORES VILLAGE,,FE
PERMIT N° 2320
Work to be performed under this Permit
Bl.
Address of f` i , -'' {�'' Value of
Building },r Project
This permit is granted. to the contractor or builder named above to construct the building or tc
application herefor in strict compliance with all ordinances pertaining thereto and with the understan
with any plans, drawings, statements or specifications that may have been submitted to and approved
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are
upon which this permit is granted is the understanding that the contractor or builder named above ass
the ordinances and regulations pertaining to the work covered hereby whether shown on the plaits or'
that he assumes responsibility for work done by his agents, servants or employees
Signed.
INSPL
In consideration of the issuance to me of this permit I agree to perform the work covered hereu.
tions pertaining thereto and in strict conformity with the plans, drawings, statemggnn'ts or specifications s
Village. In accepting this permit I assume responsibility for all work done by teifher myself, my agent,'
1
CONTRACTOR OR BUILDER BY
Subdi-
vision
BUILDING
ELECTRICAL
PLUMBING
/.
Owner of
Building / 4 ,-
Work to he performed under this Pe iif'
MIAMI SHORES VILLAGE, FLC
Q -ORIDA
DATE
PERMIT N° 2307
Subdi-
vision
Contractor's
License NQ / /r
194/
Architect
Contractor,
or Builder
Legal .., j
Description r•
Address of Value of �. -•
Project
Building / l ' il e. _r , ..
Permit
the equipment or device describ d
with any plans, drawings, staLtements or specifications that may have been submitted to and d.
/ Thi n''' s P rmit
e in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understan,
This pertnit is granted to the contractor or builder named ab ve to construct the buildtng or tc %. , .
e ompliance
I. be revoked at any time if the work is not done in compliance with such ordinances or if t e plans t work will be performeudrti
upon which this permit is granted is the understanding that the contractor or builder named abov7Y the proper:Ounnsiicbiipliatlyafuutrhourtihtiuersu.
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans.or changed without authorization. A f h
that he assumes responsibili for work done by his agents, servants or employees.
nowledge of
f s �• in the.S eneat� specification and
i Signed
/� j ,. �, . ".
In consideration of the issuance to me of this permit I agree to perform the work copWered her c B
tions pertaining thereto and in strict conformity with the plans, drawings, statements oyspecification OR
Village. In acceptinf is permit I assume responsibility for all work done by eithe yself ty apron er in compliance with all ordinances and regula-
Ai,' ubmitted to the proper authorities of Miami Shores
.. ervant or em ee.
CONTRA OR OR BUILDER BY to Ale
AUTHORITY
Date /6
** *
/ Lessee / Tenant
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Mechanical
Job Address /221c /{E. 7-Tax Folio // 2-10‘ 1 9PS O '
Legal Descriptio114 0 7
Owner's Address /Mc it)E 9.5- y� S
Contracting Co.__ ' 1 ( � Address /4 ,V /3U S/
Qualifier. /?&I5& l l�Lt>1) SS# " ( - / / Phone $9/W
State # / /'' Municipal # Competency 4kG V6 2 Ins.Co. ,9v-f'2
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL / ROOFING PAVING PENCE SIGN
WORK DESCRIPTION J ' 57 X 'c' 1 /4"...,2eA4i4g //fin/ /C W�1
Square Ft. Estimated Cost(value) 103
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 stat
Signature of owner and /or Condo President
Date: Date:
Notary as to Owner and /or Condo President
My Commission Expires:
FEES: PERMIT 34) po RADON C.C.F. f5 ✓ �
Master Permit #
Signature of Contractor or Owner- Builder
or or YQNDOEASMilder
MY COMMISSION f CC 299639
_ !a? EXPIMS: May 28 1997
iii,:Z: -` Bonded mni Notary Pubic UndenMlYrs
Notary as to Co
My Commission E
APPROVED: Fire
Zoning Building
lb
Phone
* * * * * * **
NOTARY TOTAL DUE
Other
Electrical
ngineering
KITCHEN IN BACK
EAST SIDE OF HOUSE
F t ^L_J
� l
1,
-"'-�� ��
r O,OUD
( 1
1,
' BTU COOK TOP
�
21 FT • / �� /
1/2 COPPER
TUBING ' �� `
/ 2 nn # ~—~^' N /
L I ' LP TANK Llitt,A 1
ACME GAS CORP.
[1491 N.E. 130 ST. t 1 FT 1/2 COP.TUBET286 NE 95 ST. 1
t NO. MIAMI, FL. t !MIAMI SHORES
33136 891-8393
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7 Job Address i Z g 4 OE 9 .4 o Tax Folio
Legal 'pfion Historically Designated: Yes No
I,
Owner/Lessee / Tenant -0 /� f 1et� VOM (r) Master Permit #
Owner's Address _/L ' (o or 9 S Phone
Contracting Co. f/2.,.,
Qualifier d
State # C F C 6 5 s co7 <Municipal #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENC SIGN
WORK DESCRIPTION i. /4. ./i l � �, iE .O't � S at/4'
d /
r
Square Ft. Estimated Cost (value) 3 ,066
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 performe• • meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRIC , PLUMBING, ' IGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do tJe work st ted.
n i
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT 1,42 RADON
APPROVED:
Zoning Building
Mechanical
Competency #
C.C.F.
S ignature of Contract
NOTARY
Address / Z l 3 c r /J
SS# - Phone 29 2— C
Ins. Co. a
or Owner- Builder
Notary as to Contractor or Owner- Builder
M' o r§,n tiVIERE NOTARY SEAL
ei SANDRA M MONTIEL
2 w. x COMMISSION NUMBER
' . � Q CC401261
� MY COMMISSION .EXP.
F O B DL A4l3 . 17 199t3
Electrical
BOND
TOTAL DUE
// Dat
2 / /9?
Plumbin Engineering
ITEM
BATH TUB
UNIT
.1
FEE
ITEM
SWITCH OUTLETS
LIGHT OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
CENTRAL HEATING
UNIT
FEE
BIDET
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/MIETER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
. 7
OVEN
WATER HEATER
ABOVE GROUND TANKS
U.F. PRESSURE VESSELS
LAUNDRY TRAY
CLOTHES WASHER
MJTCRS 0- 1 FP
STEAM BOILERS
SHOWER
MOTCRS OVER 1- 3 If
HOT WATER BOILERS
SINK, POT/3 COMP.
MDTCRS OVER 3- 5 IP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
M13TCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MDTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTCRS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
J
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS CDM1€RCIAL
WATER SERVICE
SIGN TUBES
I
SEWER CONNECTIONS
SIGN TRANSFORMERS
1
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
F I XTI,RES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECT ION
.
SOAKAGE PIT CU. FT.
CATCH BASIN
l
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
-
ROOF INLET
SOLAR MATER HEATER
FIRE STANDPIPE
POOL PIPING
!AWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
3AS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
4
,1
(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
ELECTRICAL
MECHANICAL
Date '/a ' /99 Job Address 1 Z e6 /v. C> 9� s Tax Folio
fr mi Shvres, �
Legal Description Historically Designated: Yes ' No
Owner/Lessee / Tenant P� ae/
! , �� eQ??/ Z°X! &Lrri6 Master Permit # (4 5
Owner's Address / oZ 8 (p A) C °/5 --S / 1'?/7'/ • .SAC O re' S
Contracting Co. ti rrf� _ 's LGti.Jr, l %'1 f /Pr l' Address 1021 5IQJ 13 )40e-rIc(o, 3 3) #9
Qualifier V to r z , / ncZ, , SS# . - [ 7 J05 /(0Ga (o — 4(0 74
State # Municipal # Competency # 1l0 `T) 3 Ins. Co.A -i Z5. d)nsdian15,
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING
i2Gev
WORK DESCRIPTION .� S 1 (,� i f ! I 6 . 1 Gt. �R-�C11l ,SPrr r) t(0 skirl
Square Ft. Estimated Cost (value) 806
I _ °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.
Notary /'. to Owner and/or Condo President
My •mmrssion Expires:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
ELECTRICAL LUMBIN( MECHANICAL ROOFING PAVING FENCE SIGN
: I certify r . t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
g. Furth ore, I authorize the above -named contractor to do the work s ed.
APPROVED:
Zoning " Building
Mechanical
Plumbing
4,SkY Pp DELfINA C. SANTANA
i ,�, 6 MIS
COMMISSION # CC 657646
EXPIRES AUG U
NDw C co INC. 2001
l�r X
r r F, nT nor
FEES: PERMIT /O � °RADON
Date
H 3 2e)6, -- 0 t -- +,Za
Phone
e of Contractor or Owner - Builder
3 834/7
nab
Notary as to Contractor or Owner - Builder
My Commission Expires: (, . �J_ 2 Oav
�D n!e .S-4-77'74011
O U B ELENA TRAVIESO
2 \CPC : ( COMMISSION NUMBER
N 'qPa Q CC563582
- 1 o 7 ' As � MY COMMISSION EXPIRES
C.C.F. 7% NOTARY4) OFF \ND JUNE 29,2000
Electrical
.3 00-
TOTAL DUE
8 -� -q9
Date
8 -299
Date
l_hOGL) /I
Structural Engineer
ITEM
BATH TUB
UNIT
FEE
ITEM
SW OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIOET
LIGHT OUTLETS '
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WINO)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
OR INKING FOUNTAIN
SERVICE SIZE IN ARS
DUCT WORK
FLOOR GRAIN
SERVICE REPAIRAVER CHAIM
REFRIGERATION
gF.ASE TRAP
APPLIANCE OUTLETS
PROCESS MO PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSU E VESSELS
CLOTHES WASHER
MOTCRS 0- 1 If
STEAM BOILERS
SHOWER
MJTCRS OVER 1- 3 If
HOT WATER BOILERS
SINK, POT /3 CDR .
MOTCRS OVER 3- 5 If
MECHANICAL VENTILATION
SINK. RESIDENCE
MOTORS OVER 5- 8 If
TRANSPORTING ASSE1BLIES
SINK. SLOP
IrDTCRS OVER 8- 10 If
ELEVATORS/ESCALATCRS
TEMPORARY WATER CLOSET
/DTCRS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 If
COOLING TOWERS
WATER CLOSET
MOTCCIS OVER 100 If
V IOLAT ION •
INDIRECT WASTES
A/C WINDOW
REINS?ECTION
WATER S(PPLY TO:
AIR CONDITIONERS
.
A/C UN IT
STRIP HEATER
F IRE SPRINKLER
GENERATORS TRANSFORMERS
'
HEATER -NEW I HST .
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
`
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING P001.
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CDNNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOP(
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA •
RELAY
TELEVISION OUTLETS
ORAINFIELO, 4' TILE/RES.
VIOLATION
PUP & ABANDON SEPT TAO(
RE INSPECTION
SOAKAGE PIT at. 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 ADDENDUM TO BUILDING PERMIT APPLICATION
APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
'OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
a _ ti
V - '•v ••a
//k7e
y Zo, , ,d 5
��. • mow% xaaal7e AMU Nods
El Partial tit Floor r E lectrical Plan
F..- 2 Second Floor Electrical Plan
E -3 Electrical Schedules and Riser Diagrams
Amy,' //e ''"
# Zoe e --$
•a+aus a►o1.1at: and Notes
E 1 Partial ‘rIrst Floor Electrical Plan
L-2 Second Floor Electrical Plan
E -3 Electrical Schedules and Riser Diagrams
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
3550
305- 795 -2204 dirt
Buii4ing inspection Request
Date
�a 1. � e o�vy� ii rr--cc
Type Insp'n Q v`''I- 1 YJJ
Permit No. Z? 01 — /1 V q
Name
/2;$6 sA/F R' m 57-
Company
Phone #
Inspection Date CC) 1 L k'
Approved V
Correction ❑
Re- Insp'n Fee ❑
tJAA b,e-
W\J
kub
AEC 1 NNED
BUILDING
PERMIT APPLICATION
FBC 2001
Owner's Name (Fee Simple Titleholder) I r ' . [) 1. U d Phone #
Owner's Address . �l 4 l v 95 S
City f 1 A l 1 Ba rues State
Permit Type (circle):. Building Elect
Tenant/Lessee Name
Job Address (where the work is being done) 1 .:?b e t C ' 5 31
City Miami Shores Village County Miami -Dade Zip 331 3g
Is Building Historically Designated YES NO
Contractor's Company Name �S arz 1<
Contractor's Address !0 bb ( mil s r
City 1.1.11 ( State
QUalifier J ;14 r "SSr
Type of Work:
Describe Work:
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
DAddition ❑Alteration ❑New
plumbing -ED( Sto. p - rnl.
Total Fee Now Due $
Permit No. Pi °3'I 25
Makter Permit No. Po) -- 1
Alai 4u*
Zip 3 9 ( 3 E
Phone #
Zip
Technology Fee $
Bond $
Mechanical Roofing
3 %? — 787
Phone # 3 o _ l k-lq eL< '
Architect/Engineer's Name (if applicable) (Q) L4-k) Ri-e 4 k( Phone # fr CS (, ?
I $ Value of Work For 'this Permit TS) • OD Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
cldi /^ * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** **
Submittal Fee $ c 4 0 Permit Fee $ / -1 CCF $
Notary $ Training/Education Fee $ , I LO . 1 S .
Scanning $ Radon $
Code Enforcement 5 Structural Plan Review. $
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 attachmen Also, . certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occur en days after the building permit is issued. In the (• •sence of such posted notice, the
inspection will not spproved and ' n on fee will be charged.
onally kno
As identificatio
Signature
NOTARY P
Sign:
Print:
My Commission
Chc 10/14/03
Owner o
The foregoing instrument was ackn
day of I ✓ _ 20 G
who is p
Tres:
APPLICATION APPROVED B
t
wledged before me this
ced
/(
Signature
Co . tractor
The foregoing instrument was as . owledged before me this
day of i11i 4 ) , 20 by
who is pers ally known to
who did take an oath. as idenca
NOTARY PUB
Sign:
t:
Nofar
has produced
• n `d who did take an oath
►N ...� . „ _!�r�/ r%.
ublic, State of Florida - 4s•• il
r ,
r mmln. No. Dn 182405 My Col ssion Expires: ay 4, 2007 ' Y comm , ° Flo; �r,.:
exp.
May
HMA
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
* * * * * * * * * * * * * * * * * * * * * * * * * * ** ** ** * ** ****************74************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
r`
Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Printed: 9/23/2004
Applicant: ROBERT BARRIS
Owner: BARRIS ROBERT
JOB ADDRESS: 1286 NE 95 ST
Contractor ESSIG POOLS
Local Phone: 305 - 949 -0000
Parcel # 1132060144050
Signed: (INSPECTOR)
Plumbing Permit
Phone: 305 - 795 -2204 Permit Number: PL2004 -257
Contractor's Address: 1800 N. E. 151 ST.
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 3 & 4 BLK 85 LOT SIZE IRREGULAR
Fees: Description Amount
FEE2004 -9572 Building Fee $150.00
FEE2004 -9573 Training and Education Fee $0.20
FEE2004 -9574 CCF $0.60
FEE2004 -9575 Technology Fee $3.75
Total Fees: $154.55
Total Fees: $154.55
Total Receipts: $O� 00
10q-Ss
Permit Status: APPROVED Permit Expiration: 2/23/2005 Construction Value: $1,000.00
Work: PLUMBING FOR POOL
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: