521 NE 94 St (6)Type Insp'n c
Permit No.
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-
Building Inspection Request
15 / 2 C Time
Name A )
i >A J
003- 1-5)-
Address5o)' • ` r,-� yik
Company l t v
Phone # O-S - � S 3 0 q
-S 7 qb7
O O
For Inspector: 1 � i �& Dat
Date
lb
Legal Description k l / 1 7 6 L 6 G 5-5 Historically Designated: Yes
Owner /Lessee/Tenet ('1�"\ t t, L f.6/ ' 1 f`'L l '''Master Permit #
Owner's Address
Contracting Co.
Qualifier
State #
• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
110050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
2 N > t �u S Ms I ns 06 c t rr a��
Job Address ( r Tax Folio 1
5 2.( f t r e 9 L(s A S icac.5
r
<)s u s V� oz,
E r
Municipal # /2
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: / "e / ci' `, 6q5 1-5 c 6 <. L' 1 c
9 z ( �� S / )Q—k) tv 4—C /.\/ V 6 F /ti l e Y , ( 0 i2 f 0 F Pup/)
Square Ft. Estimated Cost (value)
00
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 ANY 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 all disciplines.
OWNERS 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.
,"VeSuS Ve 6 A Wvc
SiknatTre,6f owner and/or Condo President
to
• . My Commission Expres 1 2008
- Commission 11 DD084905
, ,, Bonded By National Notary Assn.
Not. 'tc ' o Owner and/or Co
My Commission Expires
Mechanical
FEES: PERMIT
�APRbVEi3:
Zoning Building
LUIS MONTERO
RADON
-� . 6 0 / o f c# aT1
Plumbing
Phone - F0 3 -- 78 3 7 7 7
Address (S LA., D t Kt � 1
/v 44 /t4l (' Q4C(/ tq.
SS# Phone 3 OS 970 17 83
Competency # _ / (0 02
Date Signature of Contrac
.�• Y14('''''s 1..,..;S MONTERO
.S No -y Pi,51.c state of Florida
Notary as '• ►tl 1 ractor or Owner; =,. ., My Cunmission Expies,taPt,g006
i My Comm: Sion Expires s ` ` Cornrn,asinn a! DD084905
0 I % ;; ;;, Bonded l.? National Notary Assn.
Owner Builder
!U 42003
Ins. Co. ' --- 7 4
6
v3
Date
NOTARY BOND
TOTAL DUES D• v
Electrical
Structural Engineer
ATLAS:
M 4
SCALE:
NTS
DRAWN BY:
LM
I N.
1
•
TIE IN TO CAS MAIN,
N. R/W
CONSRUCTION NOTES:
15' ALLEY co
S. R/W
I. ALL CAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS.
2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE
APPRORIATE GOVERNMENTAL AGENCY.
3. ALL DISTRUDED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR
CONDITION, UNLESS OTHERWISE SPECIFIED.
(ASPHALT)
2" BSE GAS MAIN
15'
DRAIN FIELD.
SCEPTIC TANK
NE 94TH STREET
(SOD)
12
L,
NEW 1/2" P.E.
(521)
TECO
PROPOSED NEW 1/2" PLASTIC SERVICE TO:
521 NE 94TH STREET. MIAMI SHORES FLA.
PROPOSED GAS RISER
48 HOURS BEFORE DIGGING
CALL SUNSHINE 1- 800 -432 -4770
DATE:
6/1/31
SHEET:
1/1
JO:
824
I N.
1
CONSR UCTION NOTES:
N. R/W
15' ALLEY
S.R/W
SCEPTIC TANK
1. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS.
2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE
APPRORIATE GOVERNMENTAL AGENCY.
3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR
CONDITION, UNLESS OTHERWISE SPECIFIED.
ATLAS:
M 4
SCALE:
NTS
DRAWN BY:
LM
7'IE IN TO GAS MAIN,-
(ASPHALT)
DRAIN FIELD.
NE 94TH STREET
TECO
12'
PROPOSED NEW 1/2" PLASTIC SERVICE TO:
521 NE 94TH STREET. MIAMI SHORES FLA.
2" BSE GAS MAIN
NEW 1/2" P.E.
(SOD)
(521)
PROPOSED GAS RISER
48 HOURS BEFORE DIGGING
CALL SUNSHINE 1- 800 -432 -4770
DATE:
6/1/31
SHEET:
1/1
JO:
824
15'
IN.
1
CONSRUCTION NOTES:
1. ALL CAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES GAS STANDARDS.
2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE
APPRORIATE GOVERNMENTAL AGENCY.
3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR
CONDITION, UNLESS OTHERWISE SPECIFIED.
ATLAS:
M 4
SCALE:
NTS
DRAWN BY:
LM
N. R/W
15' ALLEY
S.R/W
TIE IN TO CAS MAIN,-
(ASPHALT)
DRAIN FIELD.
SCEPTIC TANK
12'
NE 94TH STREET
TECO
PROPOSED NEW 1/2" PLASTIC SERVICE TO:
521 NE 94TH STREET. MIAMI SHORES FLA.
0 2" BSE GAS MAIN
1
3'
1 -1
NEW 1/2" P.E.
(SOD)
(521)
PROPOSED CAS RISER
48 HOURS BEFORE DICCINC
CALL SUNSHINE 1- 800 -432 -4770
DATE:
6/1/31
SHEET:
1/1
JO:
824
15'
r r-'-i...:.,,1
II
I!
a
10
n
9
u
8
ie
7
� �
of
6
u
5
u
4
u
3
50'
2
545
1
0.
4200 S.W. b3rd AVE.
RT. 4, BOX 400
PHONE 4e -3716
LOTS 16 as 17
SUBDIVISION- MIAMI. SHORES, SECT, a
According to the Plat thereof as recorded in Plat Book No. 10 at Page No.37
Public Records of DADE County, Florida.
Date March 16-1049 For Mr. W.
LOCATION SKETCH
LOT DETAILS
NEIL R. SUTTON
REGISTERED LAND SURVEYOR
MIAMI , FLORIDA
SURVEY OF
ALLEY- 15'
N. E 95 80
18
11
N. E. 94 75'
N. E, 94
Scale I _ 2oo
20
11
?_44
L
BLOCK 55
r
20 N.W. 6th ST.
PHONE 9-4926
Scale I" = 30'
I HEREBY CERTIFY that the attached sketch represents a recent survey made
under my direction, and is true and correct to the best of my knowledge and
belief. That there are no encroachments or im vementss exceAt as shown.
/4
Registered Land Surveyor
Certificate No. 531 State of Florida
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date . z - 6 Y' 9 9 Job Address
- / N e 75( sr Tax Folio //" 20 - b / o d
Legal Description /o 41/7 6 l aci -- f /y/ qiei /4 4-45. Historically Designated: Yes No '✓
Owner/Lessee / Tenant (/ Cf Z / �bf Q7 / d Master Permit #
Owner's Address -C 2-/ ./l/ ?Y r 7 Phone
Contracting Co. C, )L6r Gam/ ved-t; / urn I is. i Address /636 D f 37 ' 7
ss# h 32� - 7f��
Qualifier C,4,- cat' /2/ v
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address ,1
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 3 8 6 iN,4 . /
Square Ft. Estimated Cost (value)
rand
Signature er and/or Condo President
/L 7 0 - ,533 - s7 6 73_ a
Notary as to Owner and/or Condo President
My Commission Exp
/
FEES: PERMIT` .
- o 9 g
Date
RADON
Date
oa OFFICIAL NOTARY SEAL
P7^ ;O EfICOYEN �
NOTARY PU‘,LIC STATE OF FLORIDA \
COMMISSION NO. CC763518
MY COMMISSION EXP. JULY 29, 2002
APPROVED:
Building
Plumbing
Notary as to
y Commis
Electrical
I, (,
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.
Signature of Contractor or Owner- Builder
z - ° '• 7
C.C.F. NOTARY BOND 300
Date
0Z - v-itry
1 4Y S on Exp iresPEDR O ER AL
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC763518
MY COMMISSION EXP. JULY 29, 2002
D-
�O
TOTAL DUE 3 3 S ^
Engineering
CONSTRUCTION PERMIT FOR:
[ , ] New System [ * ] Existing System
[ ] Repair [ ] Abandonment
APPLICANT:
PROPERTY STREET ADDRESS:
LOT:
PROPERTY ID #:
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6,
FAC. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER
PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. DEPARTMENT OF HEALTH APPROVAL OF SYSTEM DOES
NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL
FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
SYSTEM DESIGN AND SPECIFICATIONS
T [
A [
N [
K
D
R
A
I
N
F
I
E
L
D
0
T
E
R
STATE OF FLORIDA PERMIT #
DEPARTMENT OF HEALTH DATE PAID
ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $
CONSTRUCTION PERMIT RECEIPT # -L
Authority: Chapter 381, FS &
BLOCK:
SUBDIVISION:
]'[GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ 1
] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:( )
J GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS)
(J
] GALLONS PER-DOSE DOSING TANK CAPACITY
'
] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
[ ] SQUARE FEET SYSTEM
TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND ( )
CONFIGURATION: [ ] TRENCH [ ] BED [ ]
1
LOCATION OF BENCHMARK:
ELEVATION OF PROPOSED SYSTEM SITE [ ' , '] [INCHES /FT] [ABOVE/BELOW] BENCHMARK /' tEFERENCE POINT
BOTTOM OF DRAINFIELD TO BE [ r ][INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT
FILL REQUIRED: ( ) INCHES EXCAVATION REQUIRED: [ - -.] INCHES
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED:
OH 4016, 10/96 (Replaces HRS -H Form 4016 (page 1) which may be used)
(Stock Number: 5744 -001- 4016 -0)
Chapter 10D -6, FAC
[ ] Holding Tank [ ] Temporary /Experimental
( ] Other(Specify)
AGENT:
[SECTION /TOWNSHIP /RANGE /PARCEL NUMBER]
[OR TAX ID NUMBER]
TITLE:
TITLE:
DOSE .RATE
(
]
PER 24 HRS NO.
OF
EXPIRATION DATE:
PUMPS:
Page 1 of 2
INSTRUCTIONS:
PERMIT NUMBER: Permit tracking number by County Health Department.
APPLICATION FOR: Check type of permit; if "Other" specify type in blank.
APPLICANT: Property owner's full name.
TELEPHONE: Telephone number for applicant or agent.
AGENT: Property owner's legally authorized representative.
MAILING ADDRESS: P.O. box or street mailing address for applicant or agent.
LOT, BLOCK, SUBDIVISION or
PROPERTY ID #: 27 character ID number for property. (Health Department may require property appraiser ID# or
section /township /range /parcel number.)
SYSTEM DESIGN AND
SPECIFICATIONS:
TANK: Minimum specifications from Chapter 10D -6, FAC.
DRAINFIELD: Minimum specifications from Chapter 10D -6, FAC.
OTHER: Other specifications, such as operating permit requirements, low - volume flush toilets, variance provisos.
SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed.
APPROVED BY: County Health Department personnel reviewing and approving permit.
DATE ISSUED: Date permit i; issued by County Health Department.
EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the
date issued.
•
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number % /CO:56 5
Scale: Each block represents 5 feet and 1 inch = 50 feet.
1 1 1 1 1 1 1 1 1 1 1 1 1!' 1 1 11
11 1 IIII!
I' ) I I I f 1 I II _I__
111 1 I 11 1 1 1 1 )_ 1 1 1 1 1 1 1 1 I I
!I I I a '' 1 1 1' 1
I!1 II 1
11
11
1 III
I1 9
I I I II. - 111111 I _ 1 III X11- ,
I_I I I I I
I l l I 1 1 1 1 1 11 1�
Notes: /f 1 C
ave y crA P4���. 4 6
Site Plan submitted by:
Plan Approved
By
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015, 10/96 (Replaces HRS-H Forth 4015 which may be used)
(Stock Number: 5744 -002. 4015.6)
PART II - SITE PLAN-
1 1 1 1 1 I III 1 I I 1 i-
1 1 1 r'���
Signature
Not Approved
County Health Department
_i 1 1
1 1
1 1
.r $. 4
Title
Date g 7
Page 2 of 3
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA, I µ
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Bloch
(Signed)-
Date.
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building f k
g d uring progress o work.
n e
7
�J - / o m P No.___ � 1 1 Street.._ 9. J
Owner's Name and Address /'._!li
Registered Architect and /or Engineer
Employing Plumber's Name. _ die 1 /l rvl( 8fleet...a,
Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)___..___ .....
_...
New Building Remodeling___ _ _ -•_ -- Addition .___ - -_ Repairs
Capacity Gab
Size Septic Tank_ .— •------- - - - - -- — - - -- __..ype of Tank__
Feet of Drain Tile.__ — ---• —_ _Dist. Feet of Tank or Drain Field from Well ..._.--- -. - - -_
Nature of Water Supply: City —Well .-_—..-_____-_- --_Size of Soakage Pit
9/ch z=--
O KA
No. of Stories
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 has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract mployed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspecti• : . the site of the w uch public notice or notices as are
required by the Act. The undersigned agrees to employ only such su • tract• on work to perfo . under this permit, xs are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to 'ster 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 be did sign the same, and that all fads
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when arch rs4napeetbn is mede'neoswry by improper notice for inspection, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUB[
""
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tull*
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N•
TOTAL
FIXTURE[
—
CONTR.
LIST
CHECK
•
SEPTIC
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DIW
WILL
SPRKLR.
SYSTEM
SWIM•0
P001.
CONTR.
LIST
TANK
�—
CHECK
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA, I µ
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Bloch
(Signed)-
Date.
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building f k
g d uring progress o work.
n e
7
�J - / o m P No.___ � 1 1 Street.._ 9. J
Owner's Name and Address /'._!li
Registered Architect and /or Engineer
Employing Plumber's Name. _ die 1 /l rvl( 8fleet...a,
Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)___..___ .....
_...
New Building Remodeling___ _ _ -•_ -- Addition .___ - -_ Repairs
Capacity Gab
Size Septic Tank_ .— •------- - - - - -- — - - -- __..ype of Tank__
Feet of Drain Tile.__ — ---• —_ _Dist. Feet of Tank or Drain Field from Well ..._.--- -. - - -_
Nature of Water Supply: City —Well .-_—..-_____-_- --_Size of Soakage Pit
9/ch z=--
O KA
No. of Stories
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 has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract mployed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspecti• : . the site of the w uch public notice or notices as are
required by the Act. The undersigned agrees to employ only such su • tract• on work to perfo . under this permit, xs are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to 'ster 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 be did sign the same, and that all fads
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when arch rs4napeetbn is mede'neoswry by improper notice for inspection, or faulty
materials and/or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor
or Builder `•/
//1
MIAMI SHORES VILLAGE, FLORIDA
DATE ��
PERMIT N? 7809
Work to be performed under this Permit
Architect
- - Lt." fr
Bl.
Legal Lot
Description
Address of / 1,„ ' Value of Amt. of
Building / :� / Project 1 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 appli-
cation 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 respon-
sibility for work done by his agents, servants or employees.
Subdi-
vision
194*
Contractor's
License No.
Signed: i't. f By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ord and regulations
pi aining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoO*s of Miami Shgies �lilltge 9
accepting this permit I assume responsibility fora .work done by either 6 r ,self, my agent, servant or employee. Uv vv
t s.
CONTRACTOR OR BUILDER BY ,---) AUTHORITY
/ .. l i t - s _-4
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor �``.�
or Builder / 4 c
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE / 194
Contractor's
License No
CONTRACTOR OR BUILD
PERMIT N? 7802
Work to be performed under this Permit -?"—?'
(t)
Bl.
6
Subdi-
vision
Value of
Project
This permit is granted to e contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation 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 respon-
sibility for work done by his agents, servants or employees. f
Signed. ��' d . By ) 'I
INSP CTOR
In consideration of the issuance to me of this permit I agree to perform the ,ork covered hereunder in compliance wit1 rdi nces art/ I bons
pertaining thereto and in strict�alaaty^�rit3a. the plans, drawings, statements or specifications submitted to the proper authoritiofpMiami Shores Village.
In accepting this permit I me responsibility fora .3york done by either myself, my agent, servant or employee.
Amt. o
Permit
Permit No.7 ro
Amount of Permit $ 7 i 2
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
7
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address No S0 Ji
Regi Architect and/or Engineer ., ,.
I
I r Street
Location and Legal Description Lot j ‘ 4 / -) 4ilock -.5
(Signed
Street
1
Subdivision
7; .,
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply. City -'Well Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that 4 understands and accepts his obltions 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)
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 fo regoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
/
SHOWERS
/
LAVA
TORIES
�
2
SINKS
/
f
..i -
SLOP
SINKS
LAUNDRY
TUBS
/
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
Flt(TURES
--
CONTR.
LIST
CHECK
/, 73
7
7 )
./' ; u
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
•
CHECK
Permit No.7 ro
Amount of Permit $ 7 i 2
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
7
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address No S0 Ji
Regi Architect and/or Engineer ., ,.
I
I r Street
Location and Legal Description Lot j ‘ 4 / -) 4ilock -.5
(Signed
Street
1
Subdivision
7; .,
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply. City -'Well Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that 4 understands and accepts his obltions 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)
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 fo regoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
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.
Size Septic Tank L AI
� _
Feet of Drain Tile__ 1 (
Nature of Water Supply: City —Well
Amount of Permit $ L•
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
ss.
My Commission Expires
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. 7 0 f Date
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 wo .. }^ ,
Owner's Name and Address .. /.1c.LL
No Street
er 1
/ % /lien ( < t. No •
Registered Architect and /or En
Employing Plumber's Name
Location and Legal Description Lot / C y / Block__`)
�r.
( Signed)
State work to be performed and purpose of building (By Floors)
New Building Y Remodeling Addition Repairs No of Stories
Type of Tank y l i Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
( t.
// ♦9f ' Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that his understands and acceptstitis 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) -,G-
,.
Street
%1s_tu_
Street
Sub iv'sion__1
I _
l
clu g
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
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TAN
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LI ST
CHECK
f
Size Septic Tank L AI
� _
Feet of Drain Tile__ 1 (
Nature of Water Supply: City —Well
Amount of Permit $ L•
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
ss.
My Commission Expires
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. 7 0 f Date
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 wo .. }^ ,
Owner's Name and Address .. /.1c.LL
No Street
er 1
/ % /lien ( < t. No •
Registered Architect and /or En
Employing Plumber's Name
Location and Legal Description Lot / C y / Block__`)
�r.
( Signed)
State work to be performed and purpose of building (By Floors)
New Building Y Remodeling Addition Repairs No of Stories
Type of Tank y l i Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
( t.
// ♦9f ' Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that his understands and acceptstitis 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) -,G-
,.
Street
%1s_tu_
Street
Sub iv'sion__1
I _
l
clu g
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
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.
Pennit 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 -
.�' lam - -- - - /G� �.. No. -- (c> � --- - - - -__ street_
Registered Architect and /or Engineer ____ __-
Employing Plumber's Name _04rti•fr __ a. __ 4711/4 No.-__.._ Street_ _ _ 1 ,L�? to
Location and Legal Description Lot. _.___.____— ._._____ __.__ _ Block_ Subdivision
Street and Number where work is to be performed- No.____ _ _ ___ _. —___ Street
State work to be performed and purpose of building (By Floors) _
New Building _ -- Remodeling
Size Septic Tank
Feet of Drain Tile - --
Nature of Water Supply: City-Well.
Amount of Permit $_ i
STATE OF FLORIDA, ,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Addition ___ Repairs No. of Stories..
_Type of Tank
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed) _
( Signed )-„ - �!c
Capacity Gals.
J'lumbing 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.
My Commission Expires Notary Public, State of Florida
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
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NG
TOTAL
FIXTURES
CONTR.
LIST
-
CHECK
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR
LIST
V
CHECK
Pennit 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 -
.�' lam - -- - - /G� �.. No. -- (c> � --- - - - -__ street_
Registered Architect and /or Engineer ____ __-
Employing Plumber's Name _04rti•fr __ a. __ 4711/4 No.-__.._ Street_ _ _ 1 ,L�? to
Location and Legal Description Lot. _.___.____— ._._____ __.__ _ Block_ Subdivision
Street and Number where work is to be performed- No.____ _ _ ___ _. —___ Street
State work to be performed and purpose of building (By Floors) _
New Building _ -- Remodeling
Size Septic Tank
Feet of Drain Tile - --
Nature of Water Supply: City-Well.
Amount of Permit $_ i
STATE OF FLORIDA, ,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Addition ___ Repairs No. of Stories..
_Type of Tank
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed) _
( Signed )-„ - �!c
Capacity Gals.
J'lumbing 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.
My Commission Expires Notary Public, State of Florida
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of -
Building
Architect
Contractor
or Builder ,
Legal
Description
MIAMI SHORES VILLAGE, FLORIDA .-.
❑ DATE `f '" e, 1 #-- 19
❑ PERMI Na 6329 Contractor's , r i I
❑ License No. '1
E Work to be performed under this Permit ___t =- > Y { ` :, 'i.....C4...■
CONTRACTOR OR BUILDER
Lot
II B1
cc
Subdi-
vision
Address of ..., _ ,-) r:
Value of I Amount of r ,
Building �i ( \ . \ 4„ ' 1 i 1 --- Project $ I Permit $ or
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 whether 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 * ,, A ,- .:;�_ , , .*-- ks j er INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance withf all ordincmcatled regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for sill work done by either, myself, my agent, servant or employee.
Ai
BY AUTHORITY ABBOT
lUILDING
- LECTRICAL
'LUMBING
)weer of
3uilding
,. !
architect
ontractor
)r Builder
, .
.ega1 Lot
)escription
iddress of ))
iuilding / ) / 1
Work to be performed under this Permit
MIAMI SHORES VILLAGE, FLORIDA
DATE / t/ _ 194
CONTKACTOR OR BUILDER
PERMIT N? 8628
1
Bl. I
vision
Value of
Project
,
Contractor's
License No
Amt. of "
Permit 1.._
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 appli-
ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
•lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t 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
ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
^gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the s tements or specifications and that he assumes respon-
;bility for work done by his agents, servants or employees.
Signed. .i. -e r•-41E B
` INSP CTOR
In consideration of the issuance to me of this permit I agree to perform the 'work covered hereunder in compliance with all orciieljces and regulations
ertaining thereto and in strict conformity with the Mans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
i ac ting,thrs enni I me responsibility f�o a work done by either myself, my agent, servant or employee.
BY AUTHORITY