27 NE 94 St (10)Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/13/2003
Applicant: LUIS JOSE
Owner: OROPESA
JOB ADDRESS: 27
Contractor DIAL PLUMBING
Local Phone:
Parcel # 1132060130540
Fees:
FEE2003 -3067
Permit Status: APPLIED
Work: INSTALLATION OF
Sign
In conside = ion .f the issuance to m
conformity with the plans, drawings, sti
done by either myself, my agent, serve
NE 94
Description
Building Fee
Total Fees:
Legal Description:
Signed: (Contractor or Builder)
Plumbing Permit
Permit Number: PL2003 -130
OROPESA
LUIS JOSE
ST
Contractor's Address:
MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 4 LOT SIZE 100.000
Amount
$225.00
$225.00
Dial Plumbing Corp.
Pk. 305 - 221 -8569
`9940 S.W. 22tut Street
Miami, 5L 33165
PAY TO THE
RDER OF
1 -83
First Union National Bank
8rstunlon.com
0r9. 003 R/T 067006432
DATE
FOR
11'00633611'"':06 70064 3 21:2 L6730 234? 5
6336
83843/670
BRANCH 13093
DOLLARS U
.... ,,,,
Ir •t . ,...
reP
BY:
Page 1 of 1
Total Fees: $225.00
Total Receipts: $0.00
CONTRA
R
j jc:
Nam
Home Telephone
Business Telephone
License No.
il z l 1 i S\
Address
' \ () \V°
( k) p2,4
Telephone
Cl�/_ (`k
Q V/ `►
Fax
Fax
Qualifier Name
rtv‘c
1— ��N��17U<<� a�
PROPERTY OWNER
Name
j jc:
__p
Agress
el -',(5
Home Telephone
Business Telephone
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
/
Repair
Alteration Interior
e/
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step I. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
\ `Nit.
City
Folio Number Description of Work �\\�� � 1 �'� TC\..
Lot Block
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet Units Floors
Proposed Use of Property __ Ly��,� Value of Work QstQ Bldg Value
Job Address:
Tenant Information
z (3\\ S�
Address
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
J
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Tax Assessed/Appraised Value
State
PERMIT APPLICATION
_- --
Master Permit No. 1 P O D ?^ IO 6 6
Subsidiary Permit No. Z 2 D 3- /3O
Zip
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2 '
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Env Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my hoe or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochur! at Village Hall on Construction Lien Law and
Choosing a Contractor. /
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Owner a Signat 4; Contr t /Qualifier
Noz-v.k.A
Print Name Print Name
Sworn to and subscribed before me this day of Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida
SEAL: SEAL:
PERMIT APPLICATION
Y OF MIAMI -DADE
Personally known OR, Produced Identification Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE.
Service Repair
QTY.
A/C Central 1 -3 Ton
"
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16 -20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
4
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Q,
Service, Number of Amps
Water Heater New
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QTY.
Bath Tub
"
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
'Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap -Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
4
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Q,
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
MECHANICAL
TYPE
QTY. TYPE
QTY. TYPE
QTY. TYPE
QTY.
Minimum Fee
A/C Central, Tons
A/C Wall/Win. Tons
Air Handler, Tons
Barbecue
Bath Fan - Vented, #
Condensate Drain
Cooling Tower
Dryer Vents, Number of
Ductwork, Cost of
Fire Sprinkler System
Fireplaces, Number of
Generator
Heating Strips, each
Paint Booth
Piping, Flammable Liquid
Process/Pressure Piping
Pressure Vessel
Refrigeration, Tons
Vent Hood, Cost
Ventilation, Cost
Periodic Inspections
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$
$z cO O
(sq.ft. = x/1000
x4.60)
$ (4.005 /sq.ft.)
$ (4.0I /sq.ft.)
SECTION
Zoning
Electrical
Mechanical
Plumbing
4x
Fire
Public Works
Structural
Building Official
BY
DATE
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $(D
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
DEVELOPMENT ORDER
CASE # PZ03- 0320 -11
APPLICANT: Marcos and Leah Santos
SITE ADDRESS: 27 N.E. 94 Street
iuvni Sli�re� Vi��cr�e
Whereas, the applicant has filed an application for site plan approval before
the Planning and Zoning Board on the following described property:
Lots 15 and 16 of Block 4 of " MIAMI SHORES SECTION ONE
AMENDED" Plat Book 10, Page 70 of the public records of Miami -
Dade County, Florida
The applicant sought approval as follows: site plan — garage enclosure.
Whereas, a public hearing was held on March 20, 2003, and the Board, after
having considered the application and after hearing testimony and reviewing
the evidence entered, finds:
1. The application was made in a manner consistent with the
requirements of the Land Development Code of Miami Shores
Village
The conditions on the property and the representations made at the
hearing merit consideration and are consistent with the requirements
of the Land Development Code.
The Board requires that all further development of the property shall be
performed in a manner consistent with the site plan, the drawings, and
conditions agreed upon at the hearing. The applicant must satisfy all
applicable Miami Shores Village codes, Miami -Dade County Codes, and the
applicable building and life safety codes required for development. Action
taken today does not constitute a final development order and one or more
concurrency determinations will subsequently be required. In addition, the
following terms and conditions are imposed: compliance with Dade County
and FEMA flood requirements.
Passed and adopted this 20
Board as follows:
Member Crutchfield
Member Sastre
Member Abramitis
day of March, 2003 by the Planning and Zoning
Yes
Yes
Yes
V
3 t 1 641
Passed
pec •1�, - • is
,
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -8518
Inspection Date: 07/10/2006
Inspector: Devaney, Michael
t
Owner: SANTOS, MARCOS AND LEA '
Job Address: 27 94 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: DIAL PLUMBING
Building Department Comments
Monday, July 10, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
cL
c
Block:
Permit Number: PL2003 -130
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)759 -8255
Parcel Number 1132060130540
Lot:
Page 2 of 2
Permit Receipt
Permit Number: PL2003 -130
Invoice Number: PL -2 -06 -23701
Applicant: MARCOS SANTOS
Company Name:
Date
02/01/2006
Payment Type CheckNum
Check CC
Amount
$225.00
Total Payment: $225.00
Wednesday, February 1, 2006 Page 1 of 1
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description.
Address of
Fl
i PERMIT N° 10421
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No _
Work to be performed under this Permit
,r
Bi.
Building , J' ; s>
This permit is granted to the contractor or uilder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. ) _ /
Signed: .- s+"". BY
INSPECTOR —
In consideration of the issuance to me of this permit I agree. t'perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings; statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my a e t, servant or employee.
' t CONTRAC T lS�)I BX
Subdi-
vision
Value of
Project $
Amt. of
Permit
S
AUTHORITY
MIAMI SHORES VILLAGE, FLA. No 5765
JOB WA-Ts &71/ ‘fe,
ADDRESS °? 7 if + g 9 51 ,
INSPECTION f"°//4Ak. 2 L , r. T IQI C—
TIME READY 4- ,2-a1- & y I
REMARKS:
\ . r ,'�// /„
INSPECTOR
DATE
BUILDING MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL
PLUMBING 0 PERMIT N? 8347
ROOFING El
0
Owner of
Building 4 1.
Architect
Contractor
or Builder
Legal Lot
Description 11 BI.
Address of 7 .* 1 .
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 applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whethe5 shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees".
)
Signed• -1 (INSPECTOR) BY
In consideration of the issuance to me of this permit I agre o perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawin tatements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work don .y either, myself, my agent, servant or employee.
CONTRACTOR or BUILDER
1
Date
Contractor's
License No.
Work to be performed under this Permit
•
e
Sq. Ft.
Value of 1 Amount of
Project $ 11 Permit $
BY AUTHORITY
(8,
Subdi-
vision
0 / L 7 - -.-
IC Date ! ' �
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building SA _then
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
Permit No / s�
Registered Architect and /or Engineer ,
Employing Plumber's Name No._s.%/�_.2 Street
Location and Legal Description Lot__. _ i /c Block
Street and Number where work is to be performed- No. __.z 7 __ 4
State work to be performed and purpose of building (By Floors)
New Building r Remodeling Addition Repairs No. of Stories
Size Septic Tank 2X G -_ If
Feet of Drain Tile
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank f__�11
Dist. Feet of Tank or Drain Field from Well
is+" No Street
(Signed)
Subdivision
Street .9
Capacity Gals .__Q
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed) 1
Master Plumber
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
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
$PRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
•
CHECK
/
I�
l
0 / L 7 - -.-
IC Date ! ' �
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building SA _then
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
Permit No / s�
Registered Architect and /or Engineer ,
Employing Plumber's Name No._s.%/�_.2 Street
Location and Legal Description Lot__. _ i /c Block
Street and Number where work is to be performed- No. __.z 7 __ 4
State work to be performed and purpose of building (By Floors)
New Building r Remodeling Addition Repairs No. of Stories
Size Septic Tank 2X G -_ If
Feet of Drain Tile
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank f__�11
Dist. Feet of Tank or Drain Field from Well
is+" No Street
(Signed)
Subdivision
Street .9
Capacity Gals .__Q
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed) 1
Master Plumber
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
„ci h n
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Li PERMIT N° 10433
Work to be performed under this Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: BY - - - -- -- =
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Bl.
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No
Amt. of
Permit $
BY AUTHORITY
Permit No. /.0 '
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. (o nrirq e7o` i" — alrrl. a,. I es
Owner's Name and Address n-' f ell/ No Street
Registered Architect and /or Engineer . t�& t c , � / lrl? 1. �/
Employing Plumber's Name le11� L� A— No.___ �,/ Street / p
Location and Legal Description Lot _ 5 /6 r•( _ Block x� � /24 Subd %/Y, 6h P e e ' — S�', /
Street and Number where work is to be performed —No 7 S!_Y_t Street 'J' ) -1'. ee 7 '
State work to bed L e performed and purpose of building (By Floors) & 5 H e a ew Building ) Remodeling Addition Repairs
Amount of Permit $____`
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank Type of Tank_ Capacity Gals
Feet of Drain Ti Dist. Feet of Tank or Drain Field from Well
Nature of W er Supply: City —Well. Size of Soakage Pit
( 4 f ,
( Signed
)_ry_ -rte
•
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Date // pew em 6 er - /9.3'O
My Commission Expires Notary Public, State of Florida
o. of Stories
Plumbing Inspector
7
( Signed) _______ ___IJfE
Master Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE. 1
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
(110.51:
I' eli 1C
V /
TOTAL
FIXTURES
CL
Q
/
/
2
/
CHECK
L`'
7 f•-•
2,,,,),-
nt
. , J .
I7.7
.f
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
telN`7 '
(Eiec7:./c
/
/ a7
/
"o/
,' see
/re
CONTR.
LIST
/
CHECK
4,,..5.'..13
4 �
Permit No. /.0 '
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. (o nrirq e7o` i" — alrrl. a,. I es
Owner's Name and Address n-' f ell/ No Street
Registered Architect and /or Engineer . t�& t c , � / lrl? 1. �/
Employing Plumber's Name le11� L� A— No.___ �,/ Street / p
Location and Legal Description Lot _ 5 /6 r•( _ Block x� � /24 Subd %/Y, 6h P e e ' — S�', /
Street and Number where work is to be performed —No 7 S!_Y_t Street 'J' ) -1'. ee 7 '
State work to bed L e performed and purpose of building (By Floors) & 5 H e a ew Building ) Remodeling Addition Repairs
Amount of Permit $____`
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank Type of Tank_ Capacity Gals
Feet of Drain Ti Dist. Feet of Tank or Drain Field from Well
Nature of W er Supply: City —Well. Size of Soakage Pit
( 4 f ,
( Signed
)_ry_ -rte
•
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Date // pew em 6 er - /9.3'O
My Commission Expires Notary Public, State of Florida
o. of Stories
Plumbing Inspector
7
( Signed) _______ ___IJfE
Master Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE. 1
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
A
r.
Permit No . cr3 D3
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address /7/ ' Kul i `t)
Registered Architect and /or Engineer
Pl bees a
` at login$ to
$
/1 t3dn and gal Irkst ip n Lt.
Amount of Permit $
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)._ .
New Building.._..._ _ -- •-- .......... -.. Remodeling____. _ ._— Addition.
No a ^ 7
Size Septic Tank_.. Type of Tank_
Feet of Drain Tile 3 00 4 _Dist Feet of Tank or Drain Field from Well..._._ -. —_ _- ._....—
Nature of Water Supply: City —Wells Size of Soakage Pit.
(Signed _ VP
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 5988, Compiled General Laws of Florida Permanent Supplement, and li i' 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 es an.
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perform cL under this permit, as are
licensed by Miami Shores Village.
(Signed)
Repairs No. of Stories......
Street.
Date.
Street .A) /ff ..d . ..
Subdivision 'AL,r,-' f _,AP
Plumbing Inspector.
Master Plumber.
/76 EP.5
STATE OF FLORIDA.
COUNTY OF DADE. i
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackmowledgments, 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 be did dgn the ame, 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 whew anti re-Ismeetioe r mode. mammy by Improper notice kw Inspection, or faulty
materials and /or workmanship.
CLOERa
BATH
Tu..
""g"
LAVA•
Tomas
SINK[
BLOT
$,NKS
LAUNDR
Tuns
URINAL/
CATCH
imam
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
Comm
LIST
CHECK
•—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
MEATIER
Dig.
WELL
a
SYSTEM
sw IM'O
POOL
CoNTR.
LIST
,--
CHICK
Permit No . cr3 D3
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address /7/ ' Kul i `t)
Registered Architect and /or Engineer
Pl bees a
` at login$ to
$
/1 t3dn and gal Irkst ip n Lt.
Amount of Permit $
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)._ .
New Building.._..._ _ -- •-- .......... -.. Remodeling____. _ ._— Addition.
No a ^ 7
Size Septic Tank_.. Type of Tank_
Feet of Drain Tile 3 00 4 _Dist Feet of Tank or Drain Field from Well..._._ -. —_ _- ._....—
Nature of Water Supply: City —Wells Size of Soakage Pit.
(Signed _ VP
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 5988, Compiled General Laws of Florida Permanent Supplement, and li i' 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 es an.
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perform cL under this permit, as are
licensed by Miami Shores Village.
(Signed)
Repairs No. of Stories......
Street.
Date.
Street .A) /ff ..d . ..
Subdivision 'AL,r,-' f _,AP
Plumbing Inspector.
Master Plumber.
/76 EP.5
STATE OF FLORIDA.
COUNTY OF DADE. i
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackmowledgments, 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 be did dgn the ame, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re inspection fee of $1.00 will be made whew anti re-Ismeetioe r mode. mammy by Improper notice kw Inspection, or faulty
materials and /or workmanship.
Date
Type Insp'n
Permit No.
N
Address
Company
Approved
Correction
Re- Insp'n Fee
3(01$
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
0
Time
n -
Phone # � 0 -g - ,� q-
/ 3 e -- 8c
D
For Inspector Na
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
B ilding Inspection Request
Dat \,\A *0 3 Time
Type Insp'n
Permit No. P 0 -- 3 " / c� g
Name
Address r- '7 / ,f , C • l '(- \ `-
Company (+
Phone # S — --2_,S 7 ^ cress
For Inspector: l V/ =N ame & Date
Approved
Correction
Re- Insp'n Fee
o
3 (0(0a
F
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date L\ o 2, Time
Type,Insp'n
Permit No. 1.) 3
Name { - 7 ( it 17--i
•
Address '7
Phone #
Approved
Correction
Company - 7 - z_.<1\x , 3
For Inspectorq
Re-Insp'n Fee
-- 3 c) s
P Name & Date
3 7c •
•.1
MIAMI SHORES VILLAGE
BUILDING DEPARTMEN
305- 795 -2204
Bu }lding Inspection Request
D
Type Insp'n -�
Permit No. 2 0 03 -
Name
Address 21 c ,
Company
Phone #
For Inspector: 461
Approved
Correction
Re- Insp'n F
Ti pie
i
) ? d3 dame & Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Reque
Date 4 /3 03 Time
Type Insp'n 1 � ^
Permit No. P � .2 b13-/&
Name �" D pe_s i ,
Address o� /Y Z gfr
Company 7,/4j 7 /!J /14L y7
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Requ l
Date 7 '- 7 0 3 Time
Type Insp'n 1
Permit No. P2 - ,24 O 3 ^ / 3 C
Name Tlia,roos SQs4 ®S
Address 17 /�C. 9 �
Company f ' 46J (fXJ ?a40
Phone # ®S 7 . �' S
For Inspector:
Approved
Correction
Re- Insp'n Fee ❑
ate