PLUMBINGBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 9334
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
BY
DATE 195
Contractor's
License No
Amt. of
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 specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: / BY
INSPFCTOR
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 ;hereto 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.
AUTHORITY
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 he kept at
building during progress of work
Owner's Name and Address __ . -__ ___
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
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
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
v.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/
No. _/.` f..
No.
Block 1 `�
Addition Repairs _
Nature of Water Supply: City —Well Size of Soakage Pit
( Signed)
Date.
Street
Type of Tank Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
No. of Stories _....
My Commission Expires Notary Public, State of Florida
r
Street -
Subdivision'_:`.._
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 5960, 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 hint in the work to he
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)
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to inc 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.
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
/ (
// I
CHECK
—7—
SEPTIC
TANK
._
SEWER
CO
—
DRAIN
FIELD
—__
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
_
SWIM•G
POOL
,
CONTR.
LIST
/_
/f /
—
_
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 herein specified or not. A copy of approved plans and specifications must he kept at
building during progress of work
Owner's Name and Address __ . -__ ___
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
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
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
v.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/
No. _/.` f..
No.
Block 1 `�
Addition Repairs _
Nature of Water Supply: City —Well Size of Soakage Pit
( Signed)
Date.
Street
Type of Tank Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
No. of Stories _....
My Commission Expires Notary Public, State of Florida
r
Street -
Subdivision'_:`.._
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 5960, 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 hint in the work to he
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)
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to inc 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.
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.
ivy
4
Permit No 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 Divisior
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.- Street
Registered Architect and /or Engineer - -_...
Employing Plumber's Name
State work to be performed and purpose of building (By Floors)_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No Street
Location and Legal Description Lot--- - - - - -- _ -- .---- __- __ -___ Block__ _ ... _.___.__ - -- •___ - Subdivision - ------ _- - -_ -
Street and Number where work is to be performed —No. - _ ___ _ Street
New Building _._. . ................ . Remodeling Addition____.. ... ____ -- _ - -_. Repairs
Size Septic Tank. ._ Type of Tank___ Capacity Gals.
Feet of Drain T;le ...... - -__ __ __ _ _ _______ _ ___ __._-_Dist. Feet of Tank or Drain Field from Well ----- _ - -_ -• ---- • -_ -• --
Nature of Water Supply: City —Well. __________ ... ......... - -_: ____ Size of Soakage Pit__ ..__..
Amount of Permit $_
(Signed)_
No. of Stories
; fir
_____ ____ (Signed)- — __ µ ___ .._
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as all employer of loner
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and h:.::. ,..n-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort: .o 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 notice a.; are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this ' as an
licensed by Miami Shores Village.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare
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 tac•
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 foul
materials and /or workmanship.
CLOSETS
BATH
TUBS
S NOWERa
LAVA.
TORIES
NKS
SINKS
SLOP
SINKS
LAUNDRY
Tues
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT' NS
TOTAL
FIKTUREI
CONTR.
LIST
—s
— T
CHECK
SEP rIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 0
POOL
L
L
CON 4R.
I
CHECK
/
! � ' - '
Permit No 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 Divisior
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.- Street
Registered Architect and /or Engineer - -_...
Employing Plumber's Name
State work to be performed and purpose of building (By Floors)_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No Street
Location and Legal Description Lot--- - - - - -- _ -- .---- __- __ -___ Block__ _ ... _.___.__ - -- •___ - Subdivision - ------ _- - -_ -
Street and Number where work is to be performed —No. - _ ___ _ Street
New Building _._. . ................ . Remodeling Addition____.. ... ____ -- _ - -_. Repairs
Size Septic Tank. ._ Type of Tank___ Capacity Gals.
Feet of Drain T;le ...... - -__ __ __ _ _ _______ _ ___ __._-_Dist. Feet of Tank or Drain Field from Well ----- _ - -_ -• ---- • -_ -• --
Nature of Water Supply: City —Well. __________ ... ......... - -_: ____ Size of Soakage Pit__ ..__..
Amount of Permit $_
(Signed)_
No. of Stories
; fir
_____ ____ (Signed)- — __ µ ___ .._
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as all employer of loner
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and h:.::. ,..n-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort: .o 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 notice a.; are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this ' as an
licensed by Miami Shores Village.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare
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 tac•
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 foul
materials and /or workmanship.
-J=
N/
BUILDING ❑ DATE � 195
ELECTRICAL ❑ PERMIT N° 14036 Contractor's
PLUMBING "r1' License No.
ROOFING ❑ Work to be performed under this Permit__
Owner of
Building
Architect
Contractor
or Builder
Legal Lot II BL
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of
Project $
Amt. of
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 regulatior
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 wo
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 red nes
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores ge '
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING L1
ELECTRICAL ❑
PLUMBING La
ROOFING L]
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 14679
Wort: to be performed under this Permit
Subdi-
vision
Value of
Prcjcct $
DATE 195_
Contractor's
License No.
This permit is granted to the contractor or builder named above to constrict the building or to install the equipment or device described in the application
hercior in strict compliance with all ordinances pertaining thereto and v:ith the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and appro\ ed by the proper municipal authorities. This Permit may be revoked at any
time it 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 etnpioyecs.
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 confori.iity 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.
BY AUTHORITY
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
PLICATION FOR PLUMBING PERMIT
Permit No zi— i - D ° Date..._.1 e r..
Application is hereby made for the approval e 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 shell 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 Nnmo and Address IlUke - /11
Registered Architect and/ca Engineer
No // 3 / Street.. , d / . . -
A _ '�__'�� r---�—
rerlizrp / ! °� 1 1 ( 1 !/ L
Na......1. ........o.... ltrs�,s..i:..... �5. .... G(. , 3 .
1 tlon Lot l3 /�a Subdivlsion.,�o�yreff O'ZL woe/ e
Street and Number where work is to be performed —No 1/31 A1. P7' st , , I r ( A74 . _ ,S A r' A -e S
State work to be performed and purpose of budding (By Floors) __ael .I Y_.�
. .k is r /
' f Pf Y ! 23 ko o , fi-
New Building..__ _.___.._.. .... ...._.. Remodeling___-.. -__ Addition.. _ ._.. — Repairs No. of Stories
Size Septic Tank__ Type of Tank---.
Feet of Drain Tile tip Feet of Tank or Drain Field from Well..._._---- _______
Nature of Water Supply: City —WeIL Size of Soakage Pit.
Amount of Permit $ (sue) -_ ,. 4 - ---- Y
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 Ilea com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn 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 Err
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this pennit, as are
licensed by Miami Shores Village.
My Commission Expires
(Signed)
ec- x/044
‘70z--
Master Plumber.
STATE OF FLORIDA. 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmwwledgments, 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 hire stated are true.
Notary Publio, State of Florida
NOTE: A re fee of *1.00 will be suede whoa snob eeelupeotlan fe mede.naosesery by improper notice far inspection„ at ferry
materials and /or wor msanahip.
CLOSETS
BATH
TUBS
e'HOWERa
LAVA
TORTE/
SLOP BLOT
SINKS
LAUNDR
Tuns
URINALS
CATCH
DRA
FLOOR
DRAIN
DRINK No
FOUNT'N•
TOTAL
FIYTweet)
Comm. I S
LIST
L
-
CHECK
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
MUTER
DEEP
WELL
SPRKLR.
s
SWING
POOL
CoNrTR.
LIST
CHECK
9
,--
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
PLICATION FOR PLUMBING PERMIT
Permit No zi— i - D ° Date..._.1 e r..
Application is hereby made for the approval e 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 shell 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 Nnmo and Address IlUke - /11
Registered Architect and/ca Engineer
No // 3 / Street.. , d / . . -
A _ '�__'�� r---�—
rerlizrp / ! °� 1 1 ( 1 !/ L
Na......1. ........o.... ltrs�,s..i:..... �5. .... G(. , 3 .
1 tlon Lot l3 /�a Subdivlsion.,�o�yreff O'ZL woe/ e
Street and Number where work is to be performed —No 1/31 A1. P7' st , , I r ( A74 . _ ,S A r' A -e S
State work to be performed and purpose of budding (By Floors) __ael .I Y_.�
. .k is r /
' f Pf Y ! 23 ko o , fi-
New Building..__ _.___.._.. .... ...._.. Remodeling___-.. -__ Addition.. _ ._.. — Repairs No. of Stories
Size Septic Tank__ Type of Tank---.
Feet of Drain Tile tip Feet of Tank or Drain Field from Well..._._---- _______
Nature of Water Supply: City —WeIL Size of Soakage Pit.
Amount of Permit $ (sue) -_ ,. 4 - ---- Y
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 Ilea com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn 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 Err
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this pennit, as are
licensed by Miami Shores Village.
My Commission Expires
(Signed)
ec- x/044
‘70z--
Master Plumber.
STATE OF FLORIDA. 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmwwledgments, 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 hire stated are true.
Notary Publio, State of Florida
NOTE: A re fee of *1.00 will be suede whoa snob eeelupeotlan fe mede.naosesery by improper notice far inspection„ at ferry
materials and /or wor msanahip.
Permit No.
Street and Number where work is to be performed — No.
Street
State work to be performed and purpose of building (By Floors)
New Building
Amount of Permit $
A 00
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 uilding during the progress of work.
Owner's Name and Address vAA � �" vio No. ) 3 Street A f 6
Registered Architect and /or Engineer
�•r
pip Ap.�� No. 6 -4-1 " Street NA Ave,
Location and Legal Description Lot Block /f' Subdivisio4.l, ,t' 7 '
(Sign
(Signed)
Date
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 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 complied with the provisions
thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor 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 require •- Act. The undersigned agrees to employ
only such sub - contractors, on work to be performed under this permit, as are licensed by Mia s 'Shores
STATE OF ' LORIDA,
COUNTY OF DADE.
ss.
J.21'
/ 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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $25.00 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
FOUNTAINS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G.
POOL
CONTR.
LIST
CHECK
Permit No.
Street and Number where work is to be performed — No.
Street
State work to be performed and purpose of building (By Floors)
New Building
Amount of Permit $
A 00
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 uilding during the progress of work.
Owner's Name and Address vAA � �" vio No. ) 3 Street A f 6
Registered Architect and /or Engineer
�•r
pip Ap.�� No. 6 -4-1 " Street NA Ave,
Location and Legal Description Lot Block /f' Subdivisio4.l, ,t' 7 '
(Sign
(Signed)
Date
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 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 complied with the provisions
thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor 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 require •- Act. The undersigned agrees to employ
only such sub - contractors, on work to be performed under this permit, as are licensed by Mia s 'Shores
STATE OF ' LORIDA,
COUNTY OF DADE.
ss.
J.21'
/ 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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials
and/or workmanship.
l
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date , .:2 /2000JobAddress 1131 N.E. 97th Street Tax Folio
Legal Description See Attached Historically Designated: Yes No
Owner/Lessee / Tenant John B. & Yvonne A. Moody Master Permit #
Owner's Address 1131 N.E. 97th Street, Miami Shores, Fl 33138 Phone 305 -255 -5315
Contracting Co. Custom Pools Address 13250 S.w. 131 Stre t, # 100
Qualifier John M. Pieklo SS# Phone 305 - 255 -5315
State # CPC- 056434 Municipal # Competency # Ins. Co.
Architect/Engineer Kenneth R. Pfeiffer, P.E. Address 9395 S.W. 77th Avprn 1P # 1042
Bonding Company N/A Address
Mortgagor N/A Address
Permit Type (circle one): BUILDING ELECTRICAL(LUMBIN(N MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Swimming Pool Piping
Square Ft. Estimated Cost (value) $500.00
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 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 k stated.
004.
4.1.r v JULIETI'E COLLADO
MY COMMISSION # CC 897197
447E EXPIRES: Dec 20,2003
1�pp3•MUTARY
4 Semi= &
�• Fla. Notary ON..,•" Co.
Not s • Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
RADON
Signature of owner and/or Con o President Date
� - ►l -co
•
.
,/
;�
Sign 7o f Contractor or Owner- Builder
q 1 ah,Q •
tary
My
to Contractor or Owner- Builder
ommission Expires:
, LI
JUETTE COLLADO
MY COMMISSION # CC 897197
EXPIRES: Dec 20, 2003
1.E00.3- NOTARY Fla. Notary Service & Bonding Co
C.C.F. NOTARY BOND
TOTAL DUE
Date
n -co
Date
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
Lot 5, Block 180, of T TRACT 181B, S. 51 OF
'IMAGE 186 C, TRACT 181A AND TRACT 181B, OF THE
REVD PLAT OF MIAMI MORNS, SEC», accca to the
Plat thereot as rea nded in Plat Book 43, Page 51, of the Public
Records of Nfiami Dade County, F
CUSTOM POOLS
Project Name Moody
Tree Review
lb
BY
CERTIFIED GUNf1E COMPANY. rC • ,coRPORATED IN FLORIDA AUGUST. 1116(
This review was accompl l tc herd by
Dated 2 () V
1Z:ViFWW
C46
TREE SURVEY
Address 1131 N.E. 97th Street, Miami Shores, Fl 33138
® There Arc no trees on the .cubjrcts
property that conflicts with the
construction of the swimming pool And
deck.
❑ There A re conf1ictes between the
construction of the swimming pool And /or
deck. However, all 'trees that conflict
with the construction are less than
eighteen (18) inches in diametier.
❑ There are trees greater than eighteen
(18) inches in diameter that conflict
with the construction of the swimming
pool. However, this /thee tree (s) is /Are
of the fo1 1 owi ng spec ies that do not
require permit for removal
❑ Fi cus
❑ Fruit tree
❑ Austral i An Pine
❑ BraziliAn Pepper
❑ MalAle:uca
❑ Bi scchof i a
❑ Earl ex+ Acacia
❑ Norfolk 1 sl and Pine
❑ Schcfcl era
2165 SOUTH OIxJE HIGHWAY • MIA, , FLORIDA 33156 • (305! 255.53'5
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I..egal Description:
Poverty Adds=
1131 N.E. 97 Street
Mini Shires, Florida 33138
Paned: 0093
Food zon,r, X
Date of fieldwiodc: 06/1199
Completion dates
Sitrey =tuber G- 20377
— ._
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•
Int 5, Block 180, of REVISED PLAT TRACT MB, S. 34 OF
TRACT IMP C, TRACT 181A AND TRACT 181.11, OF THE
REVD PLAT OF MEAIO SHORES, SECA according to the
Plat there' ; as recorded in P1aa Book 43, Page Sl, of for Politic
Records of )1 Dade County, Florida
Certified to:
John Bernard Moody and Yvonne Arm Moody; Sunset Title,
First Amite Ti&lr Ins reatx Company Chase Manhattan Mortgage
Carpe, its successon and/at assigns.
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Date 08/02/2000
OWNER'S SWIMMING POOL CERTIFICATION
Miami -Dade County Building Department
Attention Building Official:
I certify that I am the legal owner of the property described as Lot: SEE ATTACHED
, located at 1131 N.E. 97th Street, Miami Shores, Fl 33138
In accordance with Section 33 -12(e) and (f), Code of Metropolitan Dade County, I certify
that I understand and agree that the swimming pool to be constructed at the above address cannot
be used or filled with water until a separate permit has been obtained for an approved SAFETY
BARRIER, INCLUDING A SPRING -LOCK SELF - CLOSING GATE, (double gates must
be constructed to the standard described in memorandum dated October 12, 1994 in order to
meet this requirement), equipped with A SAFE LOCK (no padlocks are permitted on pedestrian
gates; padlocks are required on non - pedestrian gate leaves of double gates) and utilized when the
pool is not in use and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for
obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool.
I have read and understood the reverse side of this form.
Legal Owner
NOTE: IF AT THE TIME OF FINAL, THE ABOVE REQUIREMENT HAS NOT BEEN
MET, THE OWNER WILL BE CITED WITH A ZONING VIOLATION
"k if ^ ,aw3p.+.p. - r+• .-v ..,�... -. �.....V� • .. .. ., ..• 4-•
Sec 33 -12 Fences and Safety Barriers for Swimming Pools
(a) Required for final inspection of pool. No final inspection for a swimming pool shall be given by the
Building and Zoning Department, unless there has been erected a safety barrier as hereinafter provided. No pool
shall be filled with water unless a final inspection has been made and approved, except for testing purposes as may
be approved by the Building and Zoning Department.
(b) Types permitted. The safety barrier shall take the form of a screened -in patio, a wooden fence, a wire
fence, a rock wall, a concrete block wall or other materials, so as to enable the owner to blend the same with the style
of architecture planned or in existence on the property.
(c) Height. The minimum height of the safety barrier shall be not less than four feet (4' -0 ").
(d) Location of barrier. The safety barrier shall be erected either around the swimming pool or around the
premises or a portion thereof on which the swimming pool is erected. In either event, it shall enclose the area
entirely, prohibiting unrestrained admittance to the enclosed area. Pools located in enclosed structures or on the
roofs of buildings shall . not require the installation of ban as required herein.
(e) Gates. Gates shall be of the spring -lock type, so that they shall automatically be in a closed and fastened
position at all times. Gates shall also be equipped with a safe lock and shall be locked when the swimming pool is
not in use.
(f) Permits. Before any work is commenced, permits shall be secured for all swimming pools and for safety
barriers. Plans shall contain all details necessary to show compliance with the terms and conditions of this chapter.
No swimming pool permits shall be issued unless simultaneously therewith a permit is secured for the erection of the
required safety barrier, provided however, that in lieu of the permit for a safety barrier, a written statement from the
owner certifying that he understands and agrees that the pool cannot be used or filled with water until a permit has
been obtained for such barrier erected, inspected and approved will be acceptable. This certification, however, will
not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the
pool. If the premises are already enclosed, as hereinbefore provided, permit for the safety barrier shall not be
required if, upon inspection of the premises, the existing barrier and gates are proven to be satisfactory.
(g) Wooden fences. In the wooden type, the boards, pickets, louvers, or other such members, shall be spaced,
constructed and erected so as to make the fence non - climbable and impenetrable.
(h) Walls. Walls, whether of the rock or block type, shall be so erected to make them non - climbable.
(i) Wire fences. Wire fences shall be the two inch chain link or diamond weave non - climbable type, or an
approved equal with top rail. They shall be of a heavy, galvanized material.
(j) Refusal of permits. It.shall be within the discretion of the Director to refuse approval of a barrier which, in
his opinion, does not furnish the safety requirements of this section, i.e., that is high enough and so constructed to
keep the children of pre - school age from getting over or through it.
(k) Maintenance. It shall be the responsibility of the owner and/or occupant of the premises upon which the
swimming pool is hereafter erected to maintain and keep in proper and safe condition the safety barrier required and
erected in accordance with this chapter.
(Ord. No. 57 -19 8 5, (CC), 10- 22 -57; Ord. No. 64 -53, 5 1, 10- 23 -64; Ord. No. 74 -33, 85 1, 2, 5 -7 -74)
OWNER'S SWIMMING POOL CERTIFICATION
Date 08/02/2000
Miami -Dade County Building Department
Attention Building Official:
I certify that I am the legal owner of the property described as Lot: SEE ATTACHED
, located at 1131 N.E. 97th Street, Miami Shores, Fl 33138
In accordance with Section 33 -12(e) and (f), Code of Metropolitan Dade County, I certify
that I understand and agree that the swimming pool to be constructed at the above address cannot
be used or filled with water until a separate permit has been obtained for an approved SAFETY
BARRIER, INCLUDING A SPRING -LOCK SELF - CLOSING GATE, (double gates must
be constructed to the standard described in memorandum dated October 12, 1994 in order to
meet this requirement), equipped with A SAFE LOCK (no padlocks are permitted on pedestrian
gates; padlocks are required on non - pedestrian gate leaves of double gates) and utilized when the
pool is not in use and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for
obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool.
I have read and understood the reverse side of this form.
Legal Owner
NOTE: IF AT THE TIME OF FINAL, THE ABOVE REQUIREMENT HAS NOT BEEN
MET, THE OWNER WILL BE CITED WITH A ZONING VIOLATION
•• • .. ays +. . .. w
Sec 33 -12 Fences and Safety Barriers for Swimming Pools
(a) Required for final inspection of pool. No final inspection for a swimming pool shall be given by the
Building and Zoning Department, unless there has been erected a safety barrier as hereinafter provided. No pool
shall be filled with water unless a final inspection has been made and approved, except for testing purposes as may
be approved by the Building and Zoning Department.
(b) Types permitted. The safety barrier shall take the form of a screened -in patio, a wooden fence, a wire
fence, a rock wall, a concrete block wall or other materials, so as to enable the owner to blenci the same with the style
of architecture planned or in existence on the property.
(c) Height. The minimum height of the safety barrier shall be not less than four feet (4' -0 ").
(d) Location of barrier. The safety barrier shall be erected either around the swimming pool or around the
premises or a portion thereof on which the swimming pool is erected. In either event, it shall enclose the area
entirely, prohibiting unrestrained admittance to the enclosed area. Pools located in enclosed structures or on the
roofs of buildings shall not require the installation of ban as required herein.
(e) Gates. Gates shall be of the spring -lock type, so that they shall automatically be in a closed and fastened
position at all times. Gates shall also be equipped with a safe lock and shall be locked when the swimming pool is
not in use.
(f) Permits. Before any work is commenced, permits shall be secured for all swimming pools and for safety
barriers. Plans shall contain all details necessary to show compliance with the terms and conditions of this chapter.
No swimming pool permits shall be issued unless simultaneously therewith a permit is secured for the erection of the
required safety barrier, provided however, that in lieu of the permit for a safety barrier, a written statement from the
owner certifying that he understands and agrees that the pool cannot be used or filled with water until a permit has
been obtained for such barrier erected, inspected and approved will be acceptable. This certification, however, will
not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the
pool. If the premises are already enclosed, as hereinbefore provided, permit for the safety barrier shall not be
required if, upon inspection of the premises, the existing barrier and gates are proven to be satisfactory.
(g) Wooden fences. In the wooden type, the boards, pickets, louvers, or other such members, shall be spaced,
constructed and erected so as to make the fence non- climbable and impenetrable.
(h) Walls. Walls, whether of the rock or block type, shall be so erected to make them non - climbable.
(i) Wire fences. Wire fences shall be the two inch chain link or diamond weave non - climbable type, or an
approved equal with top rail. They shall be of a heavy, galvanized material.
(j) Refusal of permits. It.shall be within the discretion of the Director to refuse approval of a barrier which, in
his opinion, does not furnish the safety requirements of this section, i.e., that is high enough and so constructed to
keep the children of pre - school age from getting over or through it.
(k) Maintenance. It shall be the responsibility of the owner and/or occupant of the premises upon which the
swimming pool is hereafter erected to maintain and'keep in proper and safe condition the safety barrier required and
erected in accordance with this chapter.
(Ord. No. 57 -19 8 5, (CC), 10- 22 -57; Ord. No. 64 -53, 6 1, 10- 23 -64; Ord. No. 74 -33, 66 1, 2, 5 -7 -74)
PERMIT NO.
ADDRESS: •
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT -
SECTION
BY
DATE
ZONING*
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Sub4ect to compliancy with aft Fedetai, State,
County. Vintage Mee and cegulatlons. Mtge asunaes
no responsibility for accurecy ofloc resutts (roar
these plans
Z. Th1s copy of plans moat be avalfabt* or'
buRding site or no Inspection wall ba eondocted.
JOB ADDRESS )/ 3 e • ?7 Sr
APPLICANT e (C� T6 I ,e2-94T ,®a
PHONE f# - ®w Y(! ' ac• fi ®® ®,
APPUCATION #
SHEET OF
MISCELLANEOUS
• CRITIQUE SHEETA t 3v �,r®°
&af. 3 2 - a
gJ �
2 ®N,J6 o COMMENTS C c70 Ancx
9' ad . cqQ [e 15 Ffr Co,/ ;t i' r irk
DATE
,zGP/6/ C'n eCS? S',
° #/6 5 ,- cios e � G�' � �✓�
<` Q/Addf l
INITIALS