511 NE 94 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date i/ /3 ` t' Job Address ) / /V / °, f .51 Tax Folio
Legal Description Historically Designated: Yes No
/ Tenant 6 / G (epo
Owner's Address .52 / ,(% g‘4/0
Contracting Co. e V
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL pbU�BING) MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 441 ("k1 J 7s7 1 /i• V 44,6e've".) ,d o' '
Square Ft. 4✓`4- '' 4076 ow 75-w ( Estimated Cost (value) /aa
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Si
Notary as t
My Co
FEES: PERMIT
and/or C do President b t
C/6 7k _ 4/-3o -
// -3
ar ororoi rmntinri. S to
pares: GLADYS J VILLA
? 11.11Y PUBLIC SPATE OF FLORIDA
COMMISSION NO. CC7144103
MY COMMISSION EXP. MAR. 1 002
scion E
RADON
APPROVED:
Zoning Building
Mechanical Plumbing
Address
Signature of Contractor or Owner- Builder Date
0 J
Notary as to Contractor or Owner- Builder Date
My Commission Expires:
C.C.F. / {o D NOTARY S
Phone 2 ' 3
Electrical
Master Permit # `"T 15 K5
BOND 0
Structural Engineer
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of. Miami Shores Village shall be complied with, whether berdn specified or not. A copy of approved plans and specifications must be kept at
Owner's Name and Address r n aaa �
> F€- LA 1 I CX �r'S N Street c1 Pei/ ce .te o X01 pie
building during progress of work.
W 1 it( a u fe i p 0 ( j s y2 f e . _35b
Registered Architect and /or En' L !/��
Employing Plumber's Name - re)"9 �1
.b/ .. Ala,...,- ar-J-T "" ill sz -C7
Y)eseti
Location and Legal p n Ie -
3 /�'�
lion Lot -,— 1 (/ c4 1 rs loc .SS Subdivision ��/1 ! 5i[BreS Sea ' 51-
Street and Number where work is to be performed -No s / / E
2es S
State work to be pesf�rmed and purpose of building (By Fkro:s)___ -.- - 4._— f- _t, �._..— I - Fca -c,( 1
�� Remodeling____ __ .__ Addition...- _- _-- .___.... Repairs No. of Stories....
New Building_. - - -._
Size Septic Tank_._ _Type of Tanir
Feet of Drain Tile.
Nature of Water Suppl
Amount of Permit $ 1
___Dist. Feet of Tank or Drain Field from Well ..- __________ ..
Well. ( '_ Size of Soakage Pit
C (-o S WOLS Lf2 r
— !s (ILtx'cs`s...P.,0,r- 1 -
c
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(SI
The undersigned applicant for this building permit does hereby certify that he understands
under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws
plied with the provisions thereof, and will require similar compliance from all contractors or
performed under this permit; and will post or cause to be posted' for inspection on the site
required by the Act. The undersigned agrees to employ only such sub- contractors, on
licensed by Miami Shores Village.
Date _ _ _ L46 /0__
Street.._(..( _ sr -
and accepts hi
/°f Florida/Pert
drb -contr Mors em
>f the ork sue
k to
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Lemon Ar L . a .
to me well known, and who, being by me first duly sworn, upon oath deposes and says t .t he is the._ PI u m l / 215 _ '2/1- cl.c.roe ..._..
of the above described construction, that he has carefully read the foregoing . • I • fion, and that did sign fhe same, and that all facts
therein by him stated are AT" v; }i'P LIC. ST AI t+FIL[1R111n AY LlallFg
VY CPGt.T 51t1N [Yr14IS JAN.; 02i 1993
Myo "missioo t':Irplr«
Plumbing Inspector.
mployer of labor
and hay corn -
the wore to be
notices as arr
permit, as are
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made whoa snob misapscdoa Y taads•aoosseary by eiotioe far lo'cpoct cn or faulty
materials and /or workmanship.
CLOSETS
BATH
Tull[
SHOW[Ra
LAVA•
TORIES
SINKS
SLOP
$INKS
LAUNDRY
Tull[
URINALS
CATCH
SAWN
FLOOR
DRAIN
DRINKING
FOUNT•N•
7-5-
,. Asiive
4
e
idR SN FJf1
/IITUR[[
CONTR.
LI[T
3
3 .
CHECK
11)
%N'�!
` "
+
SEPTIC
TANK
S[W[R
CONN.
DRAIN
'limo
SOAKAGE
PIT
G
TRAP
Q �^r��
�9 C DEEP
HEATER WELL
a
ST[TEM
SWING
POOL
f+_°qY
'7
CONTK.
LIFT
I
/
I - - �
Q
M
'
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of. Miami Shores Village shall be complied with, whether berdn specified or not. A copy of approved plans and specifications must be kept at
Owner's Name and Address r n aaa �
> F€- LA 1 I CX �r'S N Street c1 Pei/ ce .te o X01 pie
building during progress of work.
W 1 it( a u fe i p 0 ( j s y2 f e . _35b
Registered Architect and /or En' L !/��
Employing Plumber's Name - re)"9 �1
.b/ .. Ala,...,- ar-J-T "" ill sz -C7
Y)eseti
Location and Legal p n Ie -
3 /�'�
lion Lot -,— 1 (/ c4 1 rs loc .SS Subdivision ��/1 ! 5i[BreS Sea ' 51-
Street and Number where work is to be performed -No s / / E
2es S
State work to be pesf�rmed and purpose of building (By Fkro:s)___ -.- - 4._— f- _t, �._..— I - Fca -c,( 1
�� Remodeling____ __ .__ Addition...- _- _-- .___.... Repairs No. of Stories....
New Building_. - - -._
Size Septic Tank_._ _Type of Tanir
Feet of Drain Tile.
Nature of Water Suppl
Amount of Permit $ 1
___Dist. Feet of Tank or Drain Field from Well ..- __________ ..
Well. ( '_ Size of Soakage Pit
C (-o S WOLS Lf2 r
— !s (ILtx'cs`s...P.,0,r- 1 -
c
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(SI
The undersigned applicant for this building permit does hereby certify that he understands
under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws
plied with the provisions thereof, and will require similar compliance from all contractors or
performed under this permit; and will post or cause to be posted' for inspection on the site
required by the Act. The undersigned agrees to employ only such sub- contractors, on
licensed by Miami Shores Village.
Date _ _ _ L46 /0__
Street.._(..( _ sr -
and accepts hi
/°f Florida/Pert
drb -contr Mors em
>f the ork sue
k to
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Lemon Ar L . a .
to me well known, and who, being by me first duly sworn, upon oath deposes and says t .t he is the._ PI u m l / 215 _ '2/1- cl.c.roe ..._..
of the above described construction, that he has carefully read the foregoing . • I • fion, and that did sign fhe same, and that all facts
therein by him stated are AT" v; }i'P LIC. ST AI t+FIL[1R111n AY LlallFg
VY CPGt.T 51t1N [Yr14IS JAN.; 02i 1993
Myo "missioo t':Irplr«
Plumbing Inspector.
mployer of labor
and hay corn -
the wore to be
notices as arr
permit, as are
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made whoa snob misapscdoa Y taads•aoosseary by eiotioe far lo'cpoct cn or faulty
materials and /or workmanship.
No. 749007
BUILDING
Tie Beam
Framing
PLUMB!
Temporary Toilet
Septic Tank
ELECTR 1
Temporary Servic
Air Cond.
SPECIAL
Sidewalks and Clean-Up
THIS CARD MUST BE DISPLAYED ON FRONT OF JOB.
1lliami
choPeAl
BUILD
PERMIT
Yard Spaces
Sheathing
Slab
Rough
Fixtures
P ,
/1p y� r�
Ducts 0 —/ 0 .e 76
OwnerP.10, itSAVIN )WWC,1 tiro
Confractor'M SUMPIAS WC •
Lot Block
Subdivision
Address 311 NE 914. sy0
NOTICE: All Sub - Contractors Must Obtain
LICENSES and PERMITS Before Work is Started.
No Work on Sunday
No Work Before 7:30 A.M
No Night Work.
Foundation kh ffil c
Roofing
Rough
Fixtures
r
Pool door
Walls
,Final
. �- O � /;
Top Ouf ani fub 7
Mechanical
Slab
NOTICE TO BUILDER: Protect This Card and Return To wilding Department For Certificate of Occupancy