999 NE 94 St (5)FINAL GAS
I
l q 6S ,
1
Passed
47 1.
�• •ct Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -11325
Permit Number: PL -3 -06 -562
Inspection Date: 0711912006
Inspector: Desharnis, George
Owner: MARTINEZ, AURELIO PEDRO
Job Address: 999 94 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
L2
Contractor: CONSUMER GAS PLUMBING CORP.
Building Department Comments
Tuesday, July 18, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
t .------
Block:
Permit Type: Plumbing - Residential
Inspection Type: Press Test
Work Classification: Gas
Phone Number
Parcel Number 1132060350010
Lot:
Phone: 305 - 608 -5400
Page 2 of 2
FINAL GAS
t u e, CA`k 6, bacaUSQ
S - $0� -ZA2� Toay
lot WA
. 41140
to vTit6 p
3:Zo .
� D 6
Passed
Ins ect
,:
, C • e nts
6 7 ,ay
�
L /�
/
/ .,
t
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
. Number: INSP.-11'32
Inspection Date: 04/20/2006
Inspector: Levrack, James
Owner:
Job Address: 999 94 Street NE
Project: <NONE>
Building Department Comments
Contractor: CONSUMER GAS PLUMBING CORP.
Wednesday, April 19, 2006
MARTINEZ, AURELIO PEDRO
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone - (305)795 -2204 Fax: (305)756 -8972
Block:
•
r.
Permit Number: PL -3-06 -562
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Gas
Phone Number
Parcel Number 1132060350010
Lot:
Phone: 305 -608 -5400
Page 1 of 2
c ; 31 A-f--1 3, q 10(
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
Owner's Name (Feee
Owner's Address
City 14 c ,
Tenant/Lessee Name
it"---5 state
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
9- p
Contractor's Company Name CO S U en-2 t, Phone # .0 ° (p �' d
Contractor's dress ,...6 tia
City 1 State ,
Qualifier vt 7_ A-1 2-
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work: ❑Addition Alteration ❑New
Describe Work: /
U R AA-1 A-5 r it .e% lb 4, fl..
* * * * * * * * * * * * * * * * * * * ** * * * * ** s * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 1‘,5 CCF $ 0 OU CO /CC
Notary $ Training/Education Fee $ OP .2.0 Technology Fee $ q CO
Scanning $ 3• CC) Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ t - 8 0
(Continued on opposite side)
lVllami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305.1_7 56.8972
OFAVED
07
Tql qz-1
Phone #
Square Footage Of Work:
Permit No. t- (O
aster Permit No.
1�Titleholder) V2b M A�i v� e7/ Phone # Q� ° ?OT- ?5R8
` � l
k15 cl t-)' S�
Zip 3 I '3 t
Sa
Mechanical Roofing
County Miami -Dade Zip (1 g
NO
❑ Repair/Replace ❑ Demolition
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 pro • • bject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
occurs seven (7) days after the building permit is issued. the absence of such posted notice, the
and a reinspection fee will be charged.
NOTAR PUBLIC:
Sign:(
�r
Print: S \
My Commission Expires: a
* * * * * * * * * * * * * * * * * * * ** ** *d * **
APPLICATION APPROVED BY:
Chc 12/15/03
•
who is personally known to me or who has produced
As identification and who did take an oath.
Signature
O -r or A_
The foregoin instrumen ' was acknow : _ d bef�. e me this Z The foregoing instrument was acknow edged before me this ZS
day of VA 2000, by ' alb (boa Q �rL , day of c,eb , 20 by � 0t , zalo Cttn
CARi • A 1 Iri Print:
he COMMISSION CAS:
EXPIRES: MRu&. 31, VP
*' * * ** * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
My Commissio
State Certificate or Registration No. Certificate of Competency No.
************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
C
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLI • :
Sign.
* * * ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
dG Plans Examiner
Engineer
Zoning
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1
CLIENT INFORMATION:
Name: PEDRO MARTINEZ Folio:
Address: 999 NE 94th ST Total Gas Load : 120 BTUH
MIAMI SHORE Total Developed Length : 30'
FL 33138
Phone 1:305- 807 -2929
Phone 2:
CONSUMER GAS PLUMBING CORP.
The propane and natural gas pro
4510 SW 154PL MIAMI, FL 33185
305 - 207 - 6785 * 954 - 540 -8425
COMPANY INFORMATION:
Notary Public.
• •
• •
•
• •
•
• • •
••••
• •
••••
..
• • ••••
• • •
• ..
• • •
• •
• • •
.. • •
• •
•••• ••••
• •
••• •
.;CANKLE% §SVATE12444ATER
90,000 BTUH
S OV
3/4" GALV. PIPE STRAPPED
TO THE WALL
NATURAL GAS
INTEGRAL REGULATO
7 "WC
/ /7/
1/2" GALV. PIPE HANGED TO
THE CEILING
METER
15'
SOV
8'
/1/2" GALV. PIPE STRAPPED
TO THE WALL
DRYER
30,000 BTUH
Work Classification: Gas
Job Address: 999 94 Street NE
Miami Shores Village, FL 33138-
Comments:
NATURAL GAS LINE TO W /H, DRYER
Additional Information
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Issue Date: 318/2006 Expires: 03/07/2007
Owner's Name: AURELIO PEDRO MARTINEZ
Permit Type: Plumbing - Residential
Contractor(s) Phone Primary Contractor
CONSUMER GAS PLUMBING CORF 305 - 608 -5400 Yes
Type of Work: GAS
Additional Info:
Classification: Residential
Type of Piping:
Bond Return :
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, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
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. Futhermore, I authorize the above -named contractor to do the work
stated.
Permit Status: APPROVED
Permit Number: PL -3 -06 -562
Phone:
Parcel #: 1132060350010
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 1,000.00
Required Inspections
Press Test
ROW
Final
Fees Due Amount
CCF $0.60
Education Surcharge $0.20
Permit Fee - Additions /Alterations $160.00
Scanning Fee $3.00
Technology Fee $4.00
Total: $167.80
Invoice Number
PL - 3 - 06 - 24042
Total:
MAR 15 PAID
G +c-db Z 6U
Amt Due
$167.80
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
BUILDING ❑
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descriptic
Address
Building
❑ PERMIT No 9380
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 statatnents or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed [ -r - ..3Y
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinance d regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami S Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No
Work to be performed under this Permit
BY AUTHORITY
195.
1 1
' �`: t ,c
'C'
1 / 4 t '
r
i
n
Lot
Bl.
Subdi-
vision
f
S4. Ft
Amt. of
Permit
$ !r"'
4� :
Value of
Project
$
BUILDING ❑
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descriptic
Address
Building
❑ PERMIT No 9380
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 statatnents or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed [ -r - ..3Y
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinance d regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami S Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No
Work to be performed under this Permit
BY AUTHORITY
195.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date # .17Afil Job Address ,) y� Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee /Tenant i�id/ Master Permit # 7/Z
Contracting
to
y Commissio
FEES: PERMIT
APPROVED:
Zoning
Mechanical
Owner's Address ;��
Qualifier � ).�
State # Ce —„q Zy_C 3 Municipal #
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDIN ELECTRICAICPLUMBjOMECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION _ dl,, t�
. A ....
or Condo
Went
riU. SV
er
E e • ,iT �.
N ilA = p pC STATE Ot' FLORIDA
OMMLICION NO. CC724953
Y COMMISSION EXP. APR. 1 002
ignature of owner
Date
e
RADON
Building n n Electrical
Plumbing
Address
Phone fit' 7✓ /- �-5 /y/
SS# Phon Y 3f'�f
Competency #
Address
Address
Square Ft. Estimated Cost (value) r•,.
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
PU3LIC STA • FLORIDA
COMMIT ;ION NO. CC724953
MY COMMISSION EXP. APR.1 . CO2
My Co
C.C.F. • b 0 NOTARY �(J BOND
Ins. C
TOTAL DUE 7 l/ 6
Date
00
Structural Engineer
BUILDING INSPECT N DE RTMENT
N /itt
APPLICATION FOR ERMIT
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 the work.
Owner's Name and Address (a---ci K u K A s PC(
MIAMI SHORES VILLAGE
Registered Architect and /or Engineer
Name and address of licensed contractor C 6 U t , C- `K *CTI S
Location and legal description of lot to be built on:
Block Subdivision 1.vi �' f� Qi1f
Street and Number where work is to be done
State work to be done and purpose of building floors), s to exterior colors (submit samples) _i_ /9 .4-c- am N A�
O G-
C 0 / efric-- ,clkti
Lot
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roc& Covering
Estimated Total cost of improvements $ 2 •(5) ' 00 Amount of Permit $ o`''�j . ®r
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied 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 d mp . ly su subcontractors, on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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.
(Signed)
1 SS.
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.
Permit No. gQ Q 3
Disapproved D
Date
eovjo
No. 97f St
Read, Sworn to and Subscribed before me.
1 - -a/
Date 19
11 :0to (ISA ToE(ar Wpb
107i6 j - 00 /f
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
Permit No. l G $-4
Owner's Name and Address_
Registered Architect and /or Engineer
Employing Plumber's Name___ LA' 1'
Location and Legal Description Lot 1
ss.
MIAMI S'HORES 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.
Street and Number where work is to be performed —No
" t { r`LY ! °L' No f J 3 6 /✓ t J s Street l 7f/
Block Subdivisi
Street / / r
State work to be performed and purpose of building (By Floors)
New Building Remodeling ____ Addition Repairs
Size Septic Tank____ l �� // `�t `^ --"
Feet of Drain Tile 1t 1 Dist. Feet of Tank or Drain Field from Well
Type of Tank
Nature of Water Supply i We11 Size of Soakage Pit ? -
- 7_
Amount of Permit $ / () ( Signed)
3 r O Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands nd ce s bligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law of nd
Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or ub- 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 f 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.
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
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 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.
(Signed)
No. ?WC /I t.
Date f (" ' F ! ; s1 v
_Cai3acit' Gals
Street . " A "
No. of Stories
• s 'J Master Plumber.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
65
- .l
; / L
P 7
TOTAL
FIXTURES
TR.
C O N IS
/
/
/
, --1--
f y
CHECK
//...7c
p.7."
7:3
/I, rV
.7,3 .7,3
r 7 J.—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SWIM'G
POOL
CLIST
/
I
/
CHECK
A�
/+"'..�
/�
, J v
Permit No. l G $-4
Owner's Name and Address_
Registered Architect and /or Engineer
Employing Plumber's Name___ LA' 1'
Location and Legal Description Lot 1
ss.
MIAMI S'HORES 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.
Street and Number where work is to be performed —No
" t { r`LY ! °L' No f J 3 6 /✓ t J s Street l 7f/
Block Subdivisi
Street / / r
State work to be performed and purpose of building (By Floors)
New Building Remodeling ____ Addition Repairs
Size Septic Tank____ l �� // `�t `^ --"
Feet of Drain Tile 1t 1 Dist. Feet of Tank or Drain Field from Well
Type of Tank
Nature of Water Supply i We11 Size of Soakage Pit ? -
- 7_
Amount of Permit $ / () ( Signed)
3 r O Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands nd ce s bligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law of nd
Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or ub- 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 f 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.
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
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 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.
(Signed)
No. ?WC /I t.
Date f (" ' F ! ; s1 v
_Cai3acit' Gals
Street . " A "
No. of Stories
• s 'J Master Plumber.
Permit No 2.3 K
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING i - k.kiViIT
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 i _. _ No. ____9 __7-___-=L Street--)/ _-E
Registered Architect and /or Engineer _�__
Employing Plumber's Name____L__L._�___��5��� ...... No._.. _z '" Street____ J. _/
Amount of Permit $
Location and Legal Description Lot____._ ___ ._____ _ pp' ��Blair C!
Street and Number where work is to be performed —No. 9 L L__ —_____ Street E ? Z
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
Na f W Supply: C't W S' of akage Pit
r
Nature o Water
upP y � y— --
—
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn: ent 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)...
Date.._._ (76L '
Subdivision
My Commission Expires Notary Public, State of Florida
....... ..... ..... ----------- -
Plumbing Inspector.
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.
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
SHOW SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
IAS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
CHECIC
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
P001.
CoNTR.
LIST
_ —_
CHECK
2.
Permit No 2.3 K
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING i - k.kiViIT
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 i _. _ No. ____9 __7-___-=L Street--)/ _-E
Registered Architect and /or Engineer _�__
Employing Plumber's Name____L__L._�___��5��� ...... No._.. _z '" Street____ J. _/
Amount of Permit $
Location and Legal Description Lot____._ ___ ._____ _ pp' ��Blair C!
Street and Number where work is to be performed —No. 9 L L__ —_____ Street E ? Z
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
Na f W Supply: C't W S' of akage Pit
r
Nature o Water
upP y � y— --
—
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn: ent 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)...
Date.._._ (76L '
Subdivision
My Commission Expires Notary Public, State of Florida
....... ..... ..... ----------- -
Plumbing Inspector.
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.
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.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name &' /Q2
Location and Legal Description Lot_
Size Septic Tank----.
Feet of Drain Tile.
Amount of Permit $
STATE OF FLORIDA, l µ
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
ze-
_- -...Type of Tank—_
Block
91f
__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. ' — _._._..- .— _.__— . - - - - -- -Size of Soakage Pit
(Signed)._
( Signed) -eL ,1_- -.D=
Capacity Gals.
/2-/67&
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No. ..__._ LL 9 S treet.
7`
No ,...- .�s...m..,..,..
Street- .. err tth‘s •••••
A, Subdivlsion.._..__
Street.. /` - -_. Z -.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling__ __ — ..._ Addition... -... --. Repairs k 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 5968, 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.
Before me, the undersigned authority, a notary 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
•
Plumbing Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when Inch re-inspection Is made by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSITS
BATH
TUB•
SHOWERS
LAVA•
TORIES
SIN"
SLOP
SINKS
LAUNDRY
TUBS
URINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N•
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WILL
9
SYSTEM
ewowa
POOL
CONTR.
_
LIST
CHICK
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name &' /Q2
Location and Legal Description Lot_
Size Septic Tank----.
Feet of Drain Tile.
Amount of Permit $
STATE OF FLORIDA, l µ
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
ze-
_- -...Type of Tank—_
Block
91f
__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. ' — _._._..- .— _.__— . - - - - -- -Size of Soakage Pit
(Signed)._
( Signed) -eL ,1_- -.D=
Capacity Gals.
/2-/67&
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No. ..__._ LL 9 S treet.
7`
No ,...- .�s...m..,..,..
Street- .. err tth‘s •••••
A, Subdivlsion.._..__
Street.. /` - -_. Z -.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling__ __ — ..._ Addition... -... --. Repairs k 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 5968, 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.
Before me, the undersigned authority, a notary 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
•
Plumbing Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when Inch re-inspection Is made by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Descri
Address of
Building
Lot
CON F CTOR OR BUILDER
1
MIAMI SHORES VILLAGE, FLORIDA
DATE mie ' (,
PERMIT N° 10842
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
Contractor's
License No
y ologr
Amt. of ,� V
Permit
e. -446
This (ermit 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 t statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed• / A4V
f r BYj
INS EC
In consideration of the issuance to me of this permit I agree to. orm the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, st6t ents or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done 1' ether, myself, my agent, servant or employee.
AUTHORITY