1201 NE 96 St (4)l PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Dated ik / OCR Job Address f (' / /1� e .74 S'--/- Tax Folio
Legal Description P. 'rota/ Historically Designated: Yes No X
Owner/Lessee / Tenant CC%t vt
`ti . S G Master Permit # � 7 3
Owner's Address /a O / tiI , S4 rT
Contracting Co. / , hiu Lu � Address /Ira 5 't,t. w (
Qualifier P4810 446AlAJ ss#
State # jIA) J DOZ /3 J Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION u)6/-t. 9 ze t Lt./if
./`�
Square Ft. Estimated Cost (value)
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
struction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
/ 27,70'd -• ..-;---- :lure 0..
and/or Condo President tp r n
2c /��- &3- Ul O
,I caner /, 2 - 00 0
Notary to Owner and/or Condo Presi : .
My Commission Exp OFFI NOT ARYSFAL
GLADYS j VILLAR
NCrrARY PUBLIC ¶ ATh OP 1
COMMISSION NO. CC914:03
MY COMMISSION 'EXP. MAR.1 002
r
FEES: PERMT�') /) RADON
C.C.F.
ignature of Contractor or • a:1ttR r Date
Notary as to Contrac
My Commission Expire
APPROVED:
Zoning
Mechanical Plumbing 9 i Structural Engineer
Building Electrical
Phone 303 -'2,57-3
phoneyos 6 8 s 72
Ins. Co.
yob
2. t S'-f-
�- . • • F Guardia
* =J *MY Commission ¶ C750345
%., Dfpkes June 11, 2002
NOTARY BOND 3 V D 6
TOTAL DUE, 3
24 -2000
04990
Date
Date
Permit No i t
Owner's Name and Address
4
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.
S
Registered Architect and /or Engineer T `41 ✓5 5
,45 ,1
Date set - --
zt,
No ZD) Stree, g ` 1St . .
/ ,
Location an 1 Legal • � ption L otr2 w/ / / Blocjt v SubdivWon.1 c _ S /0/17
Street and Number where work is to be performed —No Street _ ., c -6 l --
State work to be performed and purpose of building (By Floors)_ _ 44 >�_�G- ��!sTl.-........_. _ ....
Amount of Permit $
(SI
New Building- -_..._ _ -- .-- ......... -.. Remodeling___._ _ _ .__ Addition... Repairs No. of Stories
Size Septic Tank_ Type 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 __. ..._- _- _-------- ..._. - -• - -- • -
( Signed )-
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 5988, Compiled General Laws of Florida Permanent Supplement, and hay mm-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worir 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, , • / work to be perf.., under this permit, as are
licensed by Miami Shores Village. , ./
STATE OF FLORIDA, � se.
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.0 #kL f l!M!
of the above described construction, that he has carefully read the foregoing lication, and that he did
therein by him stated a PUBLIC STATE Or mom
NV CORIIISSIOU EXP. AUG. 7,1990
My Commissio n� � p�aa t-fRS -roUu.
r
Notary RUbllo,
aster Plum
A v _I,n
the same, and that all facts
t
NOTE: A re- inspection fee of $1.00 will be soada whoa 'soh fa aaada•aaaassary by bapaupartaeuloe for hispectfras, or fealty
materials and/or wod®anahip.
CLosr ra
BATH
Tug[
a HOW[RS
LAVA-
TORIES
iINK•
SLOP
SINKS
LAUNDRY
TUB*
URINAL[
CATCH
BA[IN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
/IXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'0
POOL
Covert.
LIFT
CHECK
--
.--
Permit No i t
Owner's Name and Address
4
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.
S
Registered Architect and /or Engineer T `41 ✓5 5
,45 ,1
Date set - --
zt,
No ZD) Stree, g ` 1St . .
/ ,
Location an 1 Legal • � ption L otr2 w/ / / Blocjt v SubdivWon.1 c _ S /0/17
Street and Number where work is to be performed —No Street _ ., c -6 l --
State work to be performed and purpose of building (By Floors)_ _ 44 >�_�G- ��!sTl.-........_. _ ....
Amount of Permit $
(SI
New Building- -_..._ _ -- .-- ......... -.. Remodeling___._ _ _ .__ Addition... Repairs No. of Stories
Size Septic Tank_ Type 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 __. ..._- _- _-------- ..._. - -• - -- • -
( Signed )-
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 5988, Compiled General Laws of Florida Permanent Supplement, and hay mm-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worir 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, , • / work to be perf.., under this permit, as are
licensed by Miami Shores Village. , ./
STATE OF FLORIDA, � se.
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.0 #kL f l!M!
of the above described construction, that he has carefully read the foregoing lication, and that he did
therein by him stated a PUBLIC STATE Or mom
NV CORIIISSIOU EXP. AUG. 7,1990
My Commissio n� � p�aa t-fRS -roUu.
r
Notary RUbllo,
aster Plum
A v _I,n
the same, and that all facts
t
NOTE: A re- inspection fee of $1.00 will be soada whoa 'soh fa aaada•aaaassary by bapaupartaeuloe for hispectfras, or fealty
materials and/or wod®anahip.
Date /0/9,7r
Miami Shores Village
Building and Zoning Department
Attention: Building Official
SWIMMING POOL _OWNER' S. CERTIFICATION
I certify that I am the legal owner of the property described as
II 0 / iF q e , located at 1 vy! ( fit p ier° Q
33/
In accordance with Section 33- 12(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, 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.
/
Legal Owner
Note: This certification is to be submitted with a swimming pool
permit application in duplicate.
1tt t v 1rlvi w.w £ t 1 v
mat ai.NS �M i,. r• out
■t�s t 1*A menial 1l
Les - B9011 196i• 92Lb .3/V4 I
news (( +u+ 3 awp ^>�3
Nu m* $300011 $JNrr
•r
NMV1 0
"'vat Weld 'Syy1OM5 11N�'1YV ,.4
13"31:115 96 yN 1071
sr9)11N V1OIA 'SW
a
U1
;3
r
/ - 1 , d .5.. O "" 1 c!
1lNrIa7 lia•d LE /01 g E 'ON 1.1o1173s
S3 iO 45 11 01 logy '4'M # LI lo1
0
•
� w N
T
EXISTING
SCREEN ENCL. 8`( OTHERS
DEC - o - pAe.iN
RESIDENCE
moo - Co"
T
POOL PIPING PLA N SCA.LE: 4 ," k,_a.. Y - C�
4 �
MS. VIOLA N1C1tL.►!.
1201 NR 9G STRE-ET
MIAMI SNORCS, FI.oRtOo.
D R &wS
• J R
N ia� D•
W Pl. MR
JAM! RO0G•1111
Cons,ia.ng (igmser
MTt 0 07.Zg .1981
s;mM,•
M esaielut
1068 -$P7
:seati se. f0tr>�
Lc4 3 wa:rim
81.+t me w �,as
2.
Whet Oar
(AlIl0SQ Ie
clew*, $
lockup)
G1.Eed cosmic tie
NOTE:
Nee trdala. Meese cent. -6; TON. M ***Tart
"rate 4 Tell, eh" Oa VTOM
MOP .arta.ptpa O .l pIN1f,I01
GENERA. NOTES:
1. Fee flea le,Ns.lets damensaone. Not elan. StllU$dete peel leceuaa.
one swaag . debris see Sheet rte
*11 lw...aag poets shit Mee an rota or a.rintarbed seed. A0 nr0
one flees shill be owed or mate cone. Covent. shed Neva
co.wesswe swe.ph N 31,000 eel nista 211 eel,.
3. As reinfora.g stash 0.0 M intermediate .rode steel conferral" d.0
LS•t x A Steel soot* beet lapped one pieced an aaorda.ee
watt *he ALL ela.deres add $pacahesbas•
A - as peel pre:." sloe be PVC. Sched.40 aid bear the N. U. Of t>pororel.
- S. llacs u.th shell he to On wrier peal swap of 100 s ►It m.. tree of walled
doors rocs. Sfeeizt4S(3.eterwo,. ant.41 accedence was boa oteew.nei
.. 6. Dasposol of peattoter state comfort. le Sec.5004 01 Vet saw_ Saluda
"roofing shalt co.hme poodle, 01 0001 water 10 within tot saes one
such pending Shea nei artist bw awn tsar a WAIN.. Onetime*.
7. Grate of Owe Oren shill hwe a free area foarr name tee was of the
weber b.6
1. We wpei, end disposal shall Its installed an . we, 'ono thane n .a
cross coo.sctaoo taw o domestic tote woody ..web 4 1 1 10 1 111 1 8 1 011811/
2. Now one Ian sweater shalt hare remonsble scree. taw O free Ores 3
hens the ewe O1 the seetto. hat.
10. Connege Wet than home e 0.Ilnlaoa rote r1el * deeded 3 GPM- pew
KN. of falter ores. No bocs%osh Missive" •
11. Ala merOate ambit, p.pan, system. rer.lorceng stOOt. w9 "M
footaaae! on bane heront meta ports el 11011ers donne bawls one
their suntans shed be bowie, totemer and grandee le • comma
9'OU0d. The bombs, cad..aor shots not be s.011er IhenieNcopper.
12. No 0pea rasa" over pool wear.
r mesh net
CHAIN LINK FENCE
9S'
• Water level
•3m 4'.L so w.,
ANTFVO*Tee
TYPICAL POOL SECTION
yam .1 '
dece.c.steb resat
i fi.4 - 10/i0 mess
She. 3' /w'
NOTE'
.real of dote-4W
AIR
WATe.
1MTR: uSt Shwa
CONC 'T.ItC.P.sheStS the sow
AS 111 Pool.." uS( SAM(
*L -STttt- ARLIA AMA
*PACINOS At 10 M•IM POOL
8 %8'conc h
I/ 1 .5 coot •
DECK FOOTING B SLAB DETAIL
- 7•.co"
.a
Pia -ems .n tut -- - - a'- -
s , 0*.. USE 6 ~ de? TOM
The soil conditions at this site are adequate'
to support the design loa:1 of 2509 PJE.
Should other condition or ul :,te•rials be
encountered, the engineer ;hall be
notified before proceeding with the work.
L T o-
S PA P OOL DETAILS
G. ELEV. O tt
�3ee en.
FL. CRIT. es
-to = 2FT 1E
STAN COMM,
4 dr7teelr
Lair
Mate .toll*
plotter
to ,t>LT
POOL tail
Tel.
'd
Z50,o° ST
►"� slab
00 a1
KRIM AO UM?*
tsMltroeoe
JNCTO Ot
ELECTRICAL
St IIVL(ss Ames.
light niche
leeltea fan. as
Kroft bar*
TYPICAL WALL SECTION
-I
allow sects
AVM. =RR
KIPP
slum swum rota
we roc saes do PPS
IN MX MCA. Or ia0 ALL
Mrs. atlas, attlt0l, LTC. v/
vets GS.Cl Minn MIL=
or TRAtrab0 rat MLC. see
DIAGRAM to sots
( tv 4
ISOMETRIC A 44 \
o V
U
POOL O•T•
•00*. CAPACITY C4µ
FILTER a01•
Ft crearIOM *Mg ' 4I14
S ACK *9•SM ware GFOt
rummy nave dot.
P ua4• size II•P
root.- .u.REA tn.
MS. YIO.LA /VICKI-A.0
1ZO1 NR. 9G STRE.ET
MIAMI SHOR65, FCoR
14.45!
#o C►
26.1
2
t z
Yes
452
0RA,veN
J R
I JAMES R000ERti Nnswa*
Consuantg (elms, 11 anelta
SATs: err Z .08/ 1068 -SP7
>►• ••SEt'
STEPS 9 HANDRAIL DE TAI I.
v.. !Q A
M .RECAST 1
Stainless steel
Amami
LADDER DE T Ai L
IIM 77A M sot M.. C g414PS
%moo le 3 pf 3 1 etartt►Ad A
Hifi% 1 ,"61; A DIJLI,D1G
I v71111 y, I !Slid) UP!
)• FJ:! uio A;'.D . /.0N 13 . 1 NG
'.711 Lid') ;.-, :.:', I !STEC 1-1ELOW. ,
A'.;. '„Ot1;,11? J.1 iciUST CO1'111 1
I
A:0'0 1 Ttiff.s: Dote i
.;,.PA,!-;;;;C
( „
,..- --
)1 1 . ' , :t; 11
li ().:r ; , k „
lA1'-!LI
--; 1-1----- - • d
...... ,._.
(..1 P:
-- - --- ------ --.„-- ---------i.
VII..kACi1 ■:0!..11:',1;1. 1,
•
[
(a,, 1." TP.:-: SO:Ill; 1:1.01210A 31.11I.DING CODE AS ADOPTED 1
11`: 1'.. t.;111;11 krC.I.A IS REguifo.o. THF. MCII!(ECT, ;1iiI,LDER &
sin.) ;:tuiAciulri ,',:;F c':' '1' (, 1• 'I'. , 'T K 01' Ail NUILD•
7 ,r , ": ''.;:!.;;1.111V;:r)iV.: Ir.,../..I''.F.,‘i 0 11!0': S :Nr,;Iciay;;:o ia'1„ 4 ,1
11
Permit No. �___ Date ' '
Application is hereby made To`r 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 Street
Registered Architect and /or Engineer
Employing Plumber's Name ; - No Street
Location and Legal Description Lot Block Subdivision
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___ No. of Stories
Size Septic Tank Type of Tank________ Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ,
Size of Soakage Pit
Nature of Water Supply: City —Well.
Amount of Permit $_
Plumbing Inspector.
The undersigned app ant for this building permit does hereby certify that he understands and ccepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of lorida 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.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_ (Signed)
(Signed)
Street
:54,„
Public, State of Florida
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
G. C. 1,1eGaughan
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. Stat. of Florida at Largo,
My commission expires Sept. 29, 1952.
-- — 'ttsride�by x "mo c r ilsl io i ire5 -
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, r faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
/ G� �
Permit No. �___ Date ' '
Application is hereby made To`r 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 Street
Registered Architect and /or Engineer
Employing Plumber's Name ; - No Street
Location and Legal Description Lot Block Subdivision
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___ No. of Stories
Size Septic Tank Type of Tank________ Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ,
Size of Soakage Pit
Nature of Water Supply: City —Well.
Amount of Permit $_
Plumbing Inspector.
The undersigned app ant for this building permit does hereby certify that he understands and ccepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of lorida 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.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_ (Signed)
(Signed)
Street
:54,„
Public, State of Florida
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
G. C. 1,1eGaughan
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. Stat. of Florida at Largo,
My commission expires Sept. 29, 1952.
-- — 'ttsride�by x "mo c r ilsl io i ire5 -
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, r faulty
materials and /or workmanship.
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. - .- --..- ` /r
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 al
building during progress of work.
--
r {,r2
Owner's Name and Address '1 e L___,.
Registered Architect and /or Engineer „ „
Employing Plumber's Name a)27---e-e-e Street___L iL V
Subdivision
Street and Number where work is to be performed—No 1,°;'). ()io ...'.)- , Street '
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairsk
Type of Tank_
Dist. Feet of Tank or Drain Field from WeIL
Size of Soakage Pit
No. _ 0 ' 2/ .
(Signed)
Date 4- r � `�.
Street
�/ Vii*^. s
No. of Stories
I
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as arc
licensed by Miami Shores Village.
r
(Signed). ¢ t _ t
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 fat.
therein by him stated are true.
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 faul
materials and /or workmanship.
CLOSETS
BATH
TUBS
S
LAVA-
TORIES
SINKS
SLOP
SINKS
•
LAUNDRY
Toes
I NAS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTUREI
CONTR.
LISP
-- -
CHECK
1
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. - .- --..- ` /r
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 al
building during progress of work.
--
r {,r2
Owner's Name and Address '1 e L___,.
Registered Architect and /or Engineer „ „
Employing Plumber's Name a)27---e-e-e Street___L iL V
Subdivision
Street and Number where work is to be performed—No 1,°;'). ()io ...'.)- , Street '
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairsk
Type of Tank_
Dist. Feet of Tank or Drain Field from WeIL
Size of Soakage Pit
No. _ 0 ' 2/ .
(Signed)
Date 4- r � `�.
Street
�/ Vii*^. s
No. of Stories
I
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as arc
licensed by Miami Shores Village.
r
(Signed). ¢ t _ t
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 fat.
therein by him stated are true.
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 faul
materials and /or workmanship.
( f \
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewit}/ibmitted for the building or other
structure herein described. This application is made in compliance and confonnity with the Building Ordinance of Miami Sho; s 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 C e4
No. /
Registered Architect and /o /a Employing Plumber's Name
t`
�} f�i 4 .. / Street__
Location and Legal Description Lot
� 2 " L __1 „Block Subdivision_, � C, ✓ ��'
Street and Number where work is to be performed —No.- _/ _ _ t� ( /
f �� _} �.� Street__
Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
r
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
No Street
State work to be performed and purpose of building (By Floors)
New Building i/ Remodeling Addition Repairs
Size Septic Tank ' Type of Tank _C Cle1,.t
Capacity Gals,
/ Q
Feet of Drain Tile i 2 s r � " � Dist Feet of Tank or Drain Field from Well
O O Size of Soakage Pit
l
7.\\.
C (*/ /
Date ( / Yr
No. of Stories
e& ec7
( Signed)
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 cor,.-
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, work to be performed under this permit, as are
licensed by Miami Shores Village. /1 A
My Commission Expires Notary Public, State of Florida
Master Plum
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, r ersonally 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 T
BATH L
SHOWERS T
LAVA- S
SINKS S
SLOP L
LAUNDRY C
URINALS B
CATCH F
FLOOR D
DRINKING �
�" � C L
L T
TOTAL
CONTR.
CV O� \ /
/ /
CHECK `
` _ �
• S
SEPTIC S
SEWER D
DRAIN S
SOAKAGE G
GREASE S
SOLAR D
DEEP S
SPRKLR. S
SWIM'G
CONTR. /
/ '
'
CHECK /
�/)
eC
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewit}/ibmitted for the building or other
structure herein described. This application is made in compliance and confonnity with the Building Ordinance of Miami Sho; s 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 C e4
No. /
Registered Architect and /o /a Employing Plumber's Name
t`
�} f�i 4 .. / Street__
Location and Legal Description Lot
� 2 " L __1 „Block Subdivision_, � C, ✓ ��'
Street and Number where work is to be performed —No.- _/ _ _ t� ( /
f �� _} �.� Street__
Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
r
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
No Street
State work to be performed and purpose of building (By Floors)
New Building i/ Remodeling Addition Repairs
Size Septic Tank ' Type of Tank _C Cle1,.t
Capacity Gals,
/ Q
Feet of Drain Tile i 2 s r � " � Dist Feet of Tank or Drain Field from Well
O O Size of Soakage Pit
l
7.\\.
C (*/ /
Date ( / Yr
No. of Stories
e& ec7
( Signed)
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 cor,.-
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, work to be performed under this permit, as are
licensed by Miami Shores Village. /1 A
My Commission Expires Notary Public, State of Florida
Master Plum
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, r ersonally 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 $1.00 will be made when such re- inspection is made necessary by /improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Archit
Contractor
or Builde
Legal Lot
Description
Address of , 9
Building f7 1
g
This permit is gr
MIAMI SHORES VILLAGE, FLORIDA
DATE / if
Contractor's
License No.
PERMIT N° 7160
Work to
erformed u$ler this Permit
Amt. of /LC
ed to the contractor or buflder named above to construct the building or to install the equipment o 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 a ssumes t • : res. • . .ility for a thorough knowledge o th ..' ances and
regulations pertaining to the work covered hereby whether shown on the plans or win • . or ' statements or .. • • ications and a mes respon-
sibility for work done by his agents, servants or employees.
In wig eration of the issuance ip.me of this permit I agree to perf
pertain' . • th to and in strict o. • •. ity with the plans, drawings, sta
In ac •ptin is permit I ass •.nsibility for all work done by e
Signed.
Subdi-
vision
Value of
Project
BY
CTOR
194t
e work covered hereunder in compliance with all ordinances and regulations
ecifications ubmitted to the proper authorities of Miami Shores Village.
my agent, - ant or employee. '
AUTHORITY
G)/c _ i.lyyy
Permit No
Applicatio
structure 1
/C G
is hereby made for the approval of the detailed statement of the plans and specifications herewith �mnitted for the •uilding or other
erein 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 Shore's 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
Registered Architect and /o
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Cd,-4
(Signed)
No. Street
/t
Date
No
l4 Block G�
dub ivision
Street__._ __
State work to be performed and purpose of building (By Floors)
New Building___ Remodeling Addition
Repairs No. of Stories
El C 7.
Size Se is Tank - -- Type of Tank trwt Capacity Gals
Feet of Drain Tile__J - _431 Dist. eet of Tank or Drain Field from Well
Nature of Water Supply: City —Well _
I Size of Soakage Pit
(Signed)
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 c
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to
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, o work to be performed under this permit, as are
licensed by Miami Shores Village.
Master P1
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
w '
S / 4` c
.cn y J
c3
TOTAL
FIXTURES
CONTR.
LIST
!
`
7 S
SEWER
CONN.
/ Q
DRAIN
F IELD
_
t - /
.
�/ a
// So
SOAKAGE
PIT
/
75
GREASE
TRAP
SOLAR
H EATER
•
A
CHECK
I
����rrrr
/ 7�
SEPTIC
TANK
DEEP
WELL
SPRKLR,
SYSTEM
SWIM'G
POOL
CONTR.
LIST
I
(
'
1
CHECK
/ /eV
(O._
G)/c _ i.lyyy
Permit No
Applicatio
structure 1
/C G
is hereby made for the approval of the detailed statement of the plans and specifications herewith �mnitted for the •uilding or other
erein 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 Shore's 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
Registered Architect and /o
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Cd,-4
(Signed)
No. Street
/t
Date
No
l4 Block G�
dub ivision
Street__._ __
State work to be performed and purpose of building (By Floors)
New Building___ Remodeling Addition
Repairs No. of Stories
El C 7.
Size Se is Tank - -- Type of Tank trwt Capacity Gals
Feet of Drain Tile__J - _431 Dist. eet of Tank or Drain Field from Well
Nature of Water Supply: City —Well _
I Size of Soakage Pit
(Signed)
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 c
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to
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, o work to be performed under this permit, as are
licensed by Miami Shores Village.
Master P1
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.
.7, •
1 4'
---
\\
ft
V
L
z/
4v
I hi
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
❑ DATE
❑ PERMIT lN? 12811 Contractor's
1,1 License No
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot BI.
Description
Address of ^.
Building I
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of Amt. of
i ' ` Project $ Permit $ / .
i '
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 drawij or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. tk
�rn ' \I
a
Signed :_.,,....r 1 ' ' �. {_ ... BY " e
.JNSPECrOR'i
In consideration of the issuance to me of this permit I agree to *dorm the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statemEmS"'Tit 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, sery nt or employee.
,,4 / .,�.
CONTRACTOR OR BUILDER
BY
AUTHOR[rT
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description.
Address of
Building
El
PERMIT 'N° 12873
II
❑ Work to be performed under this Permit
1 f
MIAMI SHORES VILLAGE, FLORIDA
A
Bl.
Subdi-
vision
Value of
Project $
DATE -i S 2 1 95
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 or specifications and that he assumes responsibility for work
done by his agents, servants or employees. r •.
.1011- . r
Signed--.4:-. = % } w , BY ti ,} wi ", , � ... •44,=, V INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent or employee:
C OR BUILDUP. BY AUTHORITY
UILDING
- ECTRICAL
UMBING
wner of
Aiding
chit
MWMIAMI SHORES VILLAGE, FLORIDA
DATE
rntractor
Builder -tiLL
gal Lot 1 $1.
escription
ldress of
lilding te
° T CO1■TTIrACTC C t4
PERMIT N? 7160
Contractor's
License Nip 1 / } j
Work to b performed u r this Permit ,
Signed.
Subdi-
vision
Value of
Project
This permit is gran to the c. t tractor or buil. er named above to construct the building or to install the equitm en or evice described. in the appli-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be erformed in compliance with any
ins, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
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 whie, this
xmit is granted is the understanding that the contractor or builder named above assumes th espo .." . lity for a thorough' knowledge of a � ances and
'ulations pertaining to the work covered hereby whether shown on plans or drawing ` r in atements or 'cations and tl i i . nes respon-
;ility for work done by his agents, servants or employees. i
i3y
I ECTOR
In consideration of the issuance to me of this permit I agree to perfo work covered hereunder in compliance with all ordinances and regulations
' thereto and in strict c nfo i y with the plans, drawings, stat s or cifications bmitted to the proper at thorities of Miami Shores Village.
acc g _this permit I assu r- } ability for all work done by ei y agent, s: :nt or employee.
B
AUTHORITY
Permit No I i ' "
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
rig3
1 -6 -88
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
VIOLA NICKLAS
No. 1201 N.E. 96 ST $Meet .; , M AMI SHORE FL k.•.
_.. ..
Registered Architect and /or Engineer ACME GAS CORP. 1491 N .E. 130 ST. NO. MIAMI FLA .
Employing Plumber's Name_ . Itrsgt. ._......_:..
Location and Legal Desctiption Lot- J3. L1/2 16 B6,4 83 C � Subdividon .. 11 _3206 -14 382 -0 -2
Street and Number where work is to be performed —No Street_
State work to be performed and purpose of building (By Floors)-INSTALL 120 HORZ L.P. GAS TANK FOR SWIMING POOL
New Building. . _. Remodeling__ ___ Addition... -. —..__ Repair 1No. of Stories ...
Size Septic Teak__ Type of Tank 120 GAL --- ... ___..- _...Capacity f:.is. • - • - •__ - -- _.,.._
Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well..._._ .-----_--•.—_--
Nature of Water Supply: City—Well. Size of Soakage Pit __....__- _----- -- ....- ..-- .— ..- ..- _.__.. .
Amount of Permit $
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 5968, Compiled General Laws of Florida Permanent Supplement, and hay com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor�r 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 err
required by the Act. The undersigned agrees to employ only such sub -oontr �, on work to be performed under th4 permit. as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed) - _fit_. VP e
(SI
to me well known, and who, being by me first duly sworn, upon Dads deposes and
of the above described construction, that he has carefully read the foregoing
therein by W stated are true.
t :OT !' 7 PUE 1C. STACIE OF FLORIDA PIT W
�SSR5∎1 ff . iF .S . I ^ —
C:zi�. ,
dJADED THROIJWCOMILIPOPPORPCI.riVI
IRWIN FRANKLIN
he is the.- ._ -.._ . -_ ....
and that he sign
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
same, and that all facts
Notary Public, State of Florida
NOTE: A rednspection fee of $1.00 will be made when leech swhsspeotlon is mada•naoneary by improper lustier for inspection, a faulty
materials and /or workmanship.
CLOSETS
BATH
TUSK
aHOWLRe
LAVA.
TORIES
SINK/
SLOP
SINKS
LAUNDRY
Twos
URINAL/
CATCH
BASIN
FLOOR
DRAIN
DRINK' NO
FOUNT'NE
TOTAL
PIE TLIRLS
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
mar
WELL
SPRKLR.
MM
SW IN•G
POOL
.
CONTR.
LIST CHECK
_�
I I
Permit No I i ' "
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
rig3
1 -6 -88
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
VIOLA NICKLAS
No. 1201 N.E. 96 ST $Meet .; , M AMI SHORE FL k.•.
_.. ..
Registered Architect and /or Engineer ACME GAS CORP. 1491 N .E. 130 ST. NO. MIAMI FLA .
Employing Plumber's Name_ . Itrsgt. ._......_:..
Location and Legal Desctiption Lot- J3. L1/2 16 B6,4 83 C � Subdividon .. 11 _3206 -14 382 -0 -2
Street and Number where work is to be performed —No Street_
State work to be performed and purpose of building (By Floors)-INSTALL 120 HORZ L.P. GAS TANK FOR SWIMING POOL
New Building. . _. Remodeling__ ___ Addition... -. —..__ Repair 1No. of Stories ...
Size Septic Teak__ Type of Tank 120 GAL --- ... ___..- _...Capacity f:.is. • - • - •__ - -- _.,.._
Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well..._._ .-----_--•.—_--
Nature of Water Supply: City—Well. Size of Soakage Pit __....__- _----- -- ....- ..-- .— ..- ..- _.__.. .
Amount of Permit $
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 5968, Compiled General Laws of Florida Permanent Supplement, and hay com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor�r 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 err
required by the Act. The undersigned agrees to employ only such sub -oontr �, on work to be performed under th4 permit. as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed) - _fit_. VP e
(SI
to me well known, and who, being by me first duly sworn, upon Dads deposes and
of the above described construction, that he has carefully read the foregoing
therein by W stated are true.
t :OT !' 7 PUE 1C. STACIE OF FLORIDA PIT W
�SSR5∎1 ff . iF .S . I ^ —
C:zi�. ,
dJADED THROIJWCOMILIPOPPORPCI.riVI
IRWIN FRANKLIN
he is the.- ._ -.._ . -_ ....
and that he sign
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
same, and that all facts
Notary Public, State of Florida
NOTE: A rednspection fee of $1.00 will be made when leech swhsspeotlon is mada•naoneary by improper lustier for inspection, a faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 5 - /S q, Job Address /20/ Alii, 9c -,
Legal Description
Permit Type (circle one):
WORK DESCRIPTION
Owner Lessee / Tenant / ///(.47c
Owner's Address /.20/
/V
Contracting Co. RGO,CW — s 1 &(4$ i JNL Address
Qualifier 1 / A
State °
Architect /Engineer
Bonding Company
Mortgagor
Tax Folio // J J f' „ow Z.
Master Permit #
Phone a 9yy�
q3/ Ai&) a 7 3 sue;
SS¢ Phone 453- ,2,19
Competency# L C - a7/ M6 "Ins. Co. J7"i��� 7 y,
BUILDING ELECTRICAL
Address
Address
Address
PLUMBING MECHANICAL PAVING FENCE SIGN
2
Square Ft. Estimated Cost 6C c'
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.
/i 16 () v�Y
Signature of Owner and /or Condo President Signatur of Contractor orner- Builder
Date:
Date:
Notary as to Owner and /or Condo President. N a as to Co W/. ntractor o� o er Builder
4) Commission Expires: My Commission Expires: 'f //d
. * . *
ERMIT FEE: APPROVED:
Zoning Building Electrical J) �� ` 1614 )
a hanical
Plumbing Engineering
Fire Other
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91N.L13071ST
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A BUILDING '2%.11111:
I . j tiA,ZIAN'Ikr,) '.STED IN "REMARKS"
NO 01 ' DING AND /ONING
Y LISTED BELOW.
ALL OP' S; i?UST BE COMPLIED
T All P
Dr]te tl
■•■•.1^1, - -
:'1AN't'iNG . '
I.AW: C DUNIA
k
APPROVA".
i
v%/i111
stn .,; : uniDA 1fI3 CEE AS ADOPTED 1
II" SliOIES VI 1 .rf.': IS Ot!'.1IED. ARCIIITECI', BUILDER
Si; CON cos ' 7 Or AI I Hullo.
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