1238 NE 96 St (4)Date
Type Insp'n
Permit No.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Time
5/4J .t
L cW • /
Name
Address /CR
Company
^- Phone #
For Inspector: o
Approved l
Correction
Re- Insp'n Fee ❑
o
Type Ins
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Date Time
Permit No.
Name
Address /c23 $ 60 31
Company :/ (? -W 043.
Phone # i 6 . v
For Inspector:
/5 0
Approved it
Correction El
f
Date
Type Insp'n
Permit NN
Name/
Address
Compan
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
2DJ
For Inspector / ? )
Approved
Correction ❑
Re- Insp'n Fee ❑
ate
MIAMI SHORES VILLAGE
BUILDING D ' - ' _ T
305- 795 -2204
Building Inspection Reque
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
For Ins ector:
Ap v L
Correcti n
Re- Insp'n Fee
o
Dat1
Type Insp'n
Permit No.
ame
Address
Compan
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildin: Inspection Request
/
For Inspector) J2 /03
Approved
Correction
Re- Insp'n Fee
o
33 1 ).4 9 .V.gch -
Date
Date 71(47,...- Job Address 638 /Ve 5i'
Legal Description ipi , /0 // 6664- 84,
Owner / Lessee / Tenant 6725tZTO /4v4.7‘th z
Owner's Address X23 NE. ' 6 T
Contracting Co. `�
Qualifier (,'7U //k U�04a0 SS4t , - )
Phone(30) 246 59(36 i G
4t Ins.Co. aI /(i/gAMO /
Architect /Engineer Address
Bonding Company Address
Mortgagor - Address
Permit Type(circle one): BUILDING ELECTRICAb,�LUMBING J1 CHANICAL R / OOFING PAVING FENCE SIGN
WORK DESCRIPTION iN.974 /A' &� o > / -5 6J�'z ' �� o f T��
0/T // '/20 , f 7' 0/- .00, AW 0
Square Ft. " 12O AkAi is J 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 appli e laws regulating constructi a • • zoning. Furthermore, I
authorize the above -named contractor do the work stat /
j
.... _ . . • .t:1 1 :•'I
Signa u e of Contrac
7� ` 0
Date: - 9
Notary Pub fic.tat
e of Florida
My Comm. Exp. Nov. 29, 1994
Notary as to Contract •r
My Commission Expires
Notary Public. State o
My Comm. Exp. Nov. 2E, 1.434
* Ridded PICHAR6 Ins. Agate
Permit 4t
*
*
*
er
}AND lAND NOTARY TOTAL DUE 11 l f
**
Other
Zoning Building y Electrical
g '1 lie
Mechanical Plumbin ngineerin g
5
JLt_-24-1992 18 PROM
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- ;t1 AilA. AND ANY r'1 PEATUR. f:* ..-- Ec-:
.; O SOAI,II,M.)ST i3E AT'I'ACP.EC SHO PRP;77.
- F., ;,..,,;7,1IT PER (.. 101')-5,(.4G, P.A.C.
•• ON51't SEWAUE f3ISbrUSAL SYC rPP?I
CONSTAUGTmoN INSPFCTIOP1 AND APPROVAL
Inepectlon Iiecyeer5ttic! A.pplication/Perrne — , • _ ei Inspeptlan Performed y / i /
Property Owner: Hy ,.c. /'i r «.e t Lof.: Block: '�} Subdivision: Ai c s S4 Tie rill:
Properly Street Address: r t �. ` ' — Section:3 Township: Range: Parcel:
Abandonment: Tank Pumped • vn, lG / Crushed end Feted - y f Approved by:
�& one Tan al9C t: O
'Tank SJze .., Baffle Fie uIre?• s 1
Proper .ager►d: Y es No Levet: Yes ✓ as i ieiitght: Yes No Outlet Device Yes � No
= _
Excavation & Fit as required: �i ✓No yotern ct proper ele — No NI Adequate: Yes t. ..-No 1
Absorption area adequate: Yee � No
a .
JI iL- �4 -15�L i FROM
?
S rC Z . c "� _ Approved: Yee No Registration ?t: 1 -per
t
•� O fl
ns t a ll er:
Amount
Installed In; Trenches a
A arpilon Bed ✓� O h® (dse el Q Square Feet
System located ea permitted: Yea No
M s etbacks maintained as requlreu: Yes No
Well Setback U V Ft 'r": 1r Una Setback �z 0
Property ° ' -e e'tbeck g f't ' :rundation Setback
Surface r Setback r (jo.,, PI ')raloage Setback�_ y .
Agpregd. unable: Yes i. NI GOT Grade #:-
Aggregate Depth: Minimum: • McArnurn; f 8
Drelnfletd Dimensions: Q? X /
Number of Lines: $ Length of tines: 4S t , ji
Pipe separation OK :Yea No Proper slope: Yes No
Distribution Box /Header Pipe Level: Yes ✓ Pin
Unobstructed area required; 2 ` ®S F
Unobstructed area available: / 0 Sn
Depth of Cover Material: �-, Inches
High Water Alarm:
PLEASE PROVIDE A SKETCH OP nit SYSTEIVI LAYOUT iN
THE APPROXIMATE AREA WHERE IT WAS CONSTRUCTED
r DIFFERENT FFiOM 5 TE PLAN.
Additional Comments: n' ip C 4. > d .
MOUND & FILLED SYSTEM INSPECTION
System stabilized Yes No Shoulders Adequate: Yes No
Approved Stablllzatton Mater al: Yea No Stabliization Mater l Ueed:
Construction Status:
Disapproved: Dale:_ / / Feaaon:
Disapproved: Date: f
Construction Approved : .y:
FINAL INSTAL , TIO APPROVAL
Square Feet Number of Bedrooms: Number e „ '3111—
0 tee' Drainage Structures Located Properly: Yes No
BulIding Area:
Well location, pr op Yaa N
Final System Approval Status:
Disapproved: Dr°®:
By:
Disapproved: date:
'_""`"
By:
Reinspect on Fees Paid: Yea
Final System Approval: By:
HRS -H Form 401e, Januory 1992 (Obool. tee AN Ptovtottm '= dltions)
TO 975E8972 F. 0
Reason:
•
ti
Construction Status:Disapproved Deto /
Reason:
Construction Status :Disapproved Date /_
Reason:
Conatruciio
By'
`� '
CPHU
date �
Amou Fee Pald:
Pump Size: !
_CHPU
Slopes Adequate: Yes
/.. Reason;
Reason:
CPHU Date:
a
CPHU Date
05/04/92 12:50 MSU 001
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date "� Job Addreaa /123. 4/g Q,1i4
ax
Legal Description ' 9 4 1/ 1;6
Owner / Lcsaeo / Dent .
Owner's Address • -!
...4
•
1 �.
Contracting Co.
Qualifier
State 0
Architect /Engineer
Bonding Company__ - -.
Mortgagor
Muni c ipa l If
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
Zoning
Master Permit 0
• 47-6--) Phone 64
�!/✓� Address- - 7 - )a— Yi ‘ C °
, b cfr
Permit Type(circle one): BUIL NG ELECTRICAL MECHANICAL ROOFING PAYING PENCE SIGP
WORK DESCRIPTION /
Square Pt. Estimated Coat(value)
Polio /1 .1i#6 i' sf
Competency If /t"'gg'Zna.Co� -��' --- °�.Li
Address_ -..._
Address - ..._.........._.. - .__... - --
Address
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all lawn regulating construction in this jurisdiction. 1 understand that separat(
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAI. WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wil
be done in compliance with all applicable laws regulating construction and zoni F thermore,
authorize the above contractor to do the work stated.
(Si: ature of Contr o or Owne / wilder
Date'
Notary - . LCD Contr L or ur Owner--BuU4e;
7r lvSY 1r Irafl u�, S�'A9 L it L , nm.
My Commi aslee Expiref COMIISSIM EXPIRES: Nvay. 9, Il9S0.
rsau iIw v t 3L)1c ai avert
** * * * * * * * * * * * * * * * **
FEES; PERMIT -. ` -W RADON C.C.P. NOTARY TOTAL, DUE "
APPROVED: Fire other_ ____.____.._
Building ( ( Electrical
Mechanical Plumbing Engineering__ _________
*, PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 5 c� 91- Job Address /v�3 Tr /U r 9 C 51- Tax Folio /1 . ae /"f 1 9,,w_9
Legal Description 9 .... k /- 7/ S ,19 Xi $ i 7
Owner / Lessee / Tenant tl 1 4 271 7 , Ui"L_ Master Permit 4t 3x386
Owner's Address /J 73 71 57 Phone
Contracting Co. PP, P/ ,n 6,6 Address 6 ti • f //nev� 2/0c1 Qualifier K` CLq r...1) ? r r `1 SS4t Phone OV6 - C/599
State #CFCO33843 1 nicipal # Competency # Ins.Co. / P S. S
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGt
WORK DESCRIPTION C liAI vele, 7 Ci c 2 , / 0 y eie/iia2/"7> ?Zr SY slerm. .
.6- s T1 /%i 0 Arc:/ r rip-/ 2 7 ,
esJ
Square Pt. Estimated Cost(value) F
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENT
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat(
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is a curate and that all work wil
be done in compliance with all applicable laws regulating constr on oning. Furthermore,
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo President
Date:
S'gnat re
Da C.0
ntractor or Owner- Builder
/9 9
��� /l,
..Y /W I'L!./ A.�- Jam`
Notary as to Owner and /or Condo President Notary as to ntractor or Owner- Builder
My Commission Expires: My Commission Expires: //C,ecn, (4- d q-1 fir
NOTARY PUBLIC STATE OF FLORIDA
** * * * * * * * * * * * * MY CoIMISSIO4 EXPIRE5 /09/94
Bonded thru Stembler -Adams &Sweet
FEES: PERMIT )4 RADON C.C.F. NOTARY h ■/ er TOTAL DUE 1Y ✓, 5.0
APPROVED: Fire Other
Zoning Building Electrical
Mechanical Plumbing ffi' 3 � J9gineering
ITEM
BATH TUB
UNIT
/
FEE
4
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
/
$
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
/
$
RECEPTACLES
A/C (WIND)
DISPOSAL
/
4
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
41
T✓
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
/
4
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
a
)&
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT/3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
/
$''
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
3
MOTORS OVER 100 IP
VIOLATION
INDIRECT WASTES
/
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
/
`
Iv
GENERATORS TRANSFORMERS
I
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
+1 1
10f
SIGN TUBES
SEWER CONNECTIONS ?'0
9
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
j'
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
JOB:
BUILDING
ELECTRICAL
PLUMBING
ADD: - 7'3 2
v
The following is ready for inspection:-
Inspectorls Report:-
•
•
iORK
: DONE BY:
PEOUff)TED
WILL BE READY
)0 •
3/1-CAi
4
Permit No '--
MiAM I SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
PPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address �.J '4_ '4 :_ `_1
Registered Architect and /or Engin er (
Employing Plumber's Name C -1�- N„ -v, -t t l' No 3 Street__ L + +'f' ` / i - __. .) 4111
Location and Legal Description Lot_ ( 44 i / _Block g _ * Subdivision_2 I --sl- L4L.
,' ,- �y , F
E
Street and Number where work is to be performed —No `he:,e_`t Street______: L__________`•-•_T_
State work to be performed and purpose of building (By Floors)
No Street--
New Building______ ______________ Remodeling Addition Repairs No. of Stories 1"
Size Septic Tank__ _%!a ` Type of Tank . Capacity Gals ______ __________________
Feet of Drain Tile ____________________________________ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well 1 Size of Soakage Pit
+�
- _ — �/•,' I --- -- a R _ f t J , , ..14,r-t - n,t l ' I . 1 : ' I `t �:
' ' 4 f
Amount of Permit $. .4
(Signed) -~
Plbmbint Inspector.
The undersigned applicant for this building permit does hereby certify t`he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, C piled 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; i 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
SS.
My Commission Expires
(Signed)
Master Plumber.
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
B ASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
/
!!!!
/
/
J
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
P IT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
CHECK
Permit No '--
MiAM I SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
PPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address �.J '4_ '4 :_ `_1
Registered Architect and /or Engin er (
Employing Plumber's Name C -1�- N„ -v, -t t l' No 3 Street__ L + +'f' ` / i - __. .) 4111
Location and Legal Description Lot_ ( 44 i / _Block g _ * Subdivision_2 I --sl- L4L.
,' ,- �y , F
E
Street and Number where work is to be performed —No `he:,e_`t Street______: L__________`•-•_T_
State work to be performed and purpose of building (By Floors)
No Street--
New Building______ ______________ Remodeling Addition Repairs No. of Stories 1"
Size Septic Tank__ _%!a ` Type of Tank . Capacity Gals ______ __________________
Feet of Drain Tile ____________________________________ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well 1 Size of Soakage Pit
+�
- _ — �/•,' I --- -- a R _ f t J , , ..14,r-t - n,t l ' I . 1 : ' I `t �:
' ' 4 f
Amount of Permit $. .4
(Signed) -~
Plbmbint Inspector.
The undersigned applicant for this building permit does hereby certify t`he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, C piled 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; i 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
SS.
My Commission Expires
(Signed)
Master Plumber.
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.
PernJP. No._l.__�p___1/.__/
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._ 01 !!4 -
Registered Architect and /F�ngineer - -_
Employing Plumber's N e__4 _ __ t
Location and Legal Description Lo
Street and Number where work is to be performed —No `rC.)' F ' street 9 ' -
State work to be performed and purpose of building (By Fl oors)_ ____-------------------- _..___�
New Building ______________ _____._ Remodeling_.____ _.._._ Addition Repairs No. of Stories.
Size Septic Tank_____ -___
Feet of Drain Tile_______
Nature of Water Supply: Cit' —Well
Amount of Permit S_
STATE OF FLORIDA,
COUNTY OF DADE. j
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
„jajui - - No._J 2 _k
'
Q z - G ` _ WStreet__ �( _ `'�
Block Subdi
Type of Tank__ Capacity Gals
.Dist. Feet of Tank or Drain Field from Well
-------- _ -__ -� Size of Soakage Pit
(Signed)
Date
My Commission Expires Notary Public, State of Florida
- //
Street-!/! i * L_ 1 4
bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
Licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
GLOJ TS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHIOK
•
` -.-
PernJP. No._l.__�p___1/.__/
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._ 01 !!4 -
Registered Architect and /F�ngineer - -_
Employing Plumber's N e__4 _ __ t
Location and Legal Description Lo
Street and Number where work is to be performed —No `rC.)' F ' street 9 ' -
State work to be performed and purpose of building (By Fl oors)_ ____-------------------- _..___�
New Building ______________ _____._ Remodeling_.____ _.._._ Addition Repairs No. of Stories.
Size Septic Tank_____ -___
Feet of Drain Tile_______
Nature of Water Supply: Cit' —Well
Amount of Permit S_
STATE OF FLORIDA,
COUNTY OF DADE. j
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
„jajui - - No._J 2 _k
'
Q z - G ` _ WStreet__ �( _ `'�
Block Subdi
Type of Tank__ Capacity Gals
.Dist. Feet of Tank or Drain Field from Well
-------- _ -__ -� Size of Soakage Pit
(Signed)
Date
My Commission Expires Notary Public, State of Florida
- //
Street-!/! i * L_ 1 4
bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
Licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
to install the fcllowi 4 ng a ribed in accrdance
the laws, statuts9 and rcs of Mialal 3horos Village,
Floriaa and the Stat(2 of Florida, governing plumbing and drain-
age work done in Miami Shores Village, Florida.
FOR A 1 STORY
FIXTURES
14,
SEWER
SEPTIC TANK
MIAMI SHORES VILLAGE FLA.
PLUMBING PERMIT
)/
5
TOTAL
/4
Village Plumbing Inspector
KL 3
Ab
By
NO
Payment Received
1- 554
BUILDING
This permit issued subject to approval of County Plumbing Inspector
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
SW IM' G
POOL
CONTR.
LIST
CHECK
/'
Permit No •!�' °`
ate work to be per
:13uilding
STATE OF FLORIDA,
COUNTY OF DADE.
Nature of Water Supply: City —Well
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
urpose of building (..fly Mower)
Amount of Permit $ (Signed)
Date__
My Commission Expires Notary Public, State of Florida
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the b ding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores illage, 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. f
Owner's Name and Address 1 >._1- 74- :_ ,
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Street and Number wle work is to be performed —No
No Street_
No Street
Block Subdivision
t 1 .
Street
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
ing Ins . - ctor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employe of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and as com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the ork 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 no es as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this pe it, as are
licensed by Miami Shores Village.
Mas er Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
— 07
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No i f _ Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or,other
structure herein described, This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of w k. is( "7
Owner's Name and Address_`.
e_ ______ _ - -_ No ._.___ -1__ Street
Registered Architect and /or p
Employing Plumber's Name /At_ S_ 7 + r- - [_
No.__— _-____ 76 Street__ t
Location and Legal Description Lot_____ _________ ________ Block
Street and Number where work is to be performed— No._
Size Septic Tank_
Feet of Drain Tile.
Amount of Permit $ ( Signed)- _ --_
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administ
My Commission Expires
(Si
Street
The undersigned applicant for this building permit does hereby certify that he understands and accepts hi
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florid
plied with the provisions thereof, and will require similar compliance from all contractors or sub -con
performed under this permit; and will post or cause to be posted for inspection o • o e st of the
required by the Act. The undersigned agrees to employ only such sub - contract on ` ork
licensed by Miami Shores Village.
cto
Subdivision
State work to be performed and purpose of building (By ...... _____ _____ � 1 ' ?_ �t IV
New Building ........ ...... . ...... Remodeling______ Addition Repairs No. of Stories_
The of Tank___
_Dist. Feet of Tank or Drain Field from Well
Capacity Gals.
Nature of Water Supply: City— Well._______._ — Size of Soakage Pit
Plum g Inspector.
igations as an employer of labor
nent Supplement, and has corn -
mployed by him in the work to be
work such public notice or notices as • are
be performed under this permit, as are
Y
Master Plumber.
oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon" oath' deposes and . says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
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.
BATH
CLASETSI TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CORM
LIFT
CHECK
L. -1
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
COKr!1 .
LIST
!
CHICK
— 07
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No i f _ Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or,other
structure herein described, This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of w k. is( "7
Owner's Name and Address_`.
e_ ______ _ - -_ No ._.___ -1__ Street
Registered Architect and /or p
Employing Plumber's Name /At_ S_ 7 + r- - [_
No.__— _-____ 76 Street__ t
Location and Legal Description Lot_____ _________ ________ Block
Street and Number where work is to be performed— No._
Size Septic Tank_
Feet of Drain Tile.
Amount of Permit $ ( Signed)- _ --_
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administ
My Commission Expires
(Si
Street
The undersigned applicant for this building permit does hereby certify that he understands and accepts hi
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florid
plied with the provisions thereof, and will require similar compliance from all contractors or sub -con
performed under this permit; and will post or cause to be posted for inspection o • o e st of the
required by the Act. The undersigned agrees to employ only such sub - contract on ` ork
licensed by Miami Shores Village.
cto
Subdivision
State work to be performed and purpose of building (By ...... _____ _____ � 1 ' ?_ �t IV
New Building ........ ...... . ...... Remodeling______ Addition Repairs No. of Stories_
The of Tank___
_Dist. Feet of Tank or Drain Field from Well
Capacity Gals.
Nature of Water Supply: City— Well._______._ — Size of Soakage Pit
Plum g Inspector.
igations as an employer of labor
nent Supplement, and has corn -
mployed by him in the work to be
work such public notice or notices as • are
be performed under this permit, as are
Y
Master Plumber.
oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon" oath' deposes and . says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
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.
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Employing Plumber's Name
Size Septic Tank
Feet of Drain Tile___ 1
Nature of Water Supply: City-Well
Amount of Permit $
STATE OF FLORIDA, ,
COUNTY OF DADE. 1
Registered Architect and /or Enginger ��%10
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot__.._ _�_____ i _. Block
�z� Subdivision
Street and Number where work is to be performed -No 1 l��._7_s. Street - State work to be performed and purpose of building (By Floors) _____________--- _____._
New Building ______ _________ ..______ Remodeling_____ ______ Addition Repairs
No.
(Signed
(Signed).
Date 1
_- - -- - Street_
Street
Capacity Gals.
eet . or Drain Field from Well
Size of Soakage Pit
gr/3
No. of Stories.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acce I s obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo' . •ennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -co '. actors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary 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
7;ite
Master Pld'mber.
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 worlcmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
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 be kept at
building during progress of work.
Owner's Name and Address
Employing Plumber's Name
Size Septic Tank
Feet of Drain Tile___ 1
Nature of Water Supply: City-Well
Amount of Permit $
STATE OF FLORIDA, ,
COUNTY OF DADE. 1
Registered Architect and /or Enginger ��%10
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot__.._ _�_____ i _. Block
�z� Subdivision
Street and Number where work is to be performed -No 1 l��._7_s. Street - State work to be performed and purpose of building (By Floors) _____________--- _____._
New Building ______ _________ ..______ Remodeling_____ ______ Addition Repairs
No.
(Signed
(Signed).
Date 1
_- - -- - Street_
Street
Capacity Gals.
eet . or Drain Field from Well
Size of Soakage Pit
gr/3
No. of Stories.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acce I s obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo' . •ennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -co '. actors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary 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
7;ite
Master Pld'mber.
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 worlcmanship.
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 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 ___.__
Registered Architect and /or Engin er
Employing Plumber's Name _
Location and Legal Description Lot__
Street and Number where work is to be performed—No. ____ i , .3
State work to be performed and purpose of building (By Plodr9 -.�,
New Building — ____________ Remodeling Addition Repairs No. of Stories___
Size Septic Tank____ - - -_ — ________ Type of Tank . Capacity Gals
Feet of Drain Tile___________ — ______ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Sizg of Soakage Pit
Amount of Permit S.
APPLICATION FOR PLUMBING PERMIT
ss.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No 1 2 _ Street._ _ _
No.____ Street__ 1i' j — .hihova.
31 ti/ — Block Subdivision_
_
(Signed)
Street )/
Notary Public, State of Florida
�LLJr`
i
The undersigned applicant for this building permit does hereby certify t he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, C piled 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
-
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
! 1
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
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 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 ___.__
Registered Architect and /or Engin er
Employing Plumber's Name _
Location and Legal Description Lot__
Street and Number where work is to be performed—No. ____ i , .3
State work to be performed and purpose of building (By Plodr9 -.�,
New Building — ____________ Remodeling Addition Repairs No. of Stories___
Size Septic Tank____ - - -_ — ________ Type of Tank . Capacity Gals
Feet of Drain Tile___________ — ______ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Sizg of Soakage Pit
Amount of Permit S.
APPLICATION FOR PLUMBING PERMIT
ss.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No 1 2 _ Street._ _ _
No.____ Street__ 1i' j — .hihova.
31 ti/ — Block Subdivision_
_
(Signed)
Street )/
Notary Public, State of Florida
�LLJr`
i
The undersigned applicant for this building permit does hereby certify t he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, C piled 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
-
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
7a
lt c
"
4
(,)
.
.7 7
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.
Permit No. .___ __ T/
Owner's Name and Address
7
Amount of Permit $__<4- _
STATE OF FLORIDA, L
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
PLUMBING INSPECTION DEPARTMENT
4
Registered Architect and /or Engineer
Employing Plumber's Name — 1
Location and Legal Description Lot_— _— �_________—
Street and Number where work is to be performed —No
The undersigned applicant for this building permit
under the Florida Workmen'§ Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
My Commission Expires
does
• ... (!:
No. -- -� -'4_
State work to be performed and purpose of building Floors)
New Building_ ___ ____________ Remodeling Addition____
hereby
.� ,
= w____�.�.�_ � 1(___ Street __ __s,��-t_.evi1_I-- °_
—__ Subdivision - -,a. ___ _ __________
Street
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
(Signed)
Date______
Repairs No. of Stories_
certify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as
sub - contractors, on work to be performed under this permit, as
rJ
Notary Public. State of Florida
a
Plumbing Inspector.
Master Plumber.
are
are
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
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
V
CHECK
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.
Permit No. .___ __ T/
Owner's Name and Address
7
Amount of Permit $__<4- _
STATE OF FLORIDA, L
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
PLUMBING INSPECTION DEPARTMENT
4
Registered Architect and /or Engineer
Employing Plumber's Name — 1
Location and Legal Description Lot_— _— �_________—
Street and Number where work is to be performed —No
The undersigned applicant for this building permit
under the Florida Workmen'§ Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
My Commission Expires
does
• ... (!:
No. -- -� -'4_
State work to be performed and purpose of building Floors)
New Building_ ___ ____________ Remodeling Addition____
hereby
.� ,
= w____�.�.�_ � 1(___ Street __ __s,��-t_.evi1_I-- °_
—__ Subdivision - -,a. ___ _ __________
Street
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
(Signed)
Date______
Repairs No. of Stories_
certify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as
sub - contractors, on work to be performed under this permit, as
rJ
Notary Public. State of Florida
a
Plumbing Inspector.
Master Plumber.
are
are
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE ' 19 x
o PERMIT N° 3824 Contractors K
License No.
❑ Work to be performed under this Permi
B1
Subdi-
vision
Address of Value of I Amount of
Building ; Project $ I 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 applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. 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 ac•
cepting this p it I assume responsibility for all work done by either, myself, my agent, servant or employee.
f , . r ?' ;x! 4' 1 .i r+ ,. „1001.-0-40 +bt . / „__0300
CONTRACTOR OR BUILDER BY AUTHORITY ABBOT PRINT
BUILDING
ELECTRICAL
PLUMBING
'ERMIT ■9 3114
Work to be perfo, med unde .Ahi erm
Owner of
Building
Architect
/
Contract._.. �' .'
or Builder
Legal Lot
Description
Address of "" ) c }
Building"' E
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA -•
DATR
Contractor's
sense No. c
Bl.
Subdi-
vision
Value of
Project
Amt. of
Permit
This permit is granted to the contractor or bidder 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 r 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 ar . ged-without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named aboti sumes t responsibility for a thor ledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the pls . ' t R ! cations and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• By
/4 INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with air8rdni rreeritnd regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting is permit I assume responsibility for all work done by either nte'self, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor 7
or Builder
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 7462
Work to
Legal Lot Bl.
Description
Address of I 2
Building
This permit is granted to the contractor or builder . med above to c
cation herefor in strict compliance with all ordinances pertaining thereto and
plans, drawings, statements or specifications that may have been submitted to
at any time if the work is not done in compliance with such ordinances or if
permit is granted is the understanding that the contractor or builder named ab
regulations pertaining to the work covered hereby whether shown . the plan
sibility for work done by his agents, servants or employees.
CONTRA :'" OR B i DER
Subdi-
vision
DATE
ormed under this Permit
Signed.
INSPECT
In consideration of the issuance to me of this permit I agree top the work covered hereunder in com. ance with a
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authori
In accepting this permit I assume responsibilit for all work done by either myself, my agent, servant or employee.
Q �
194
AUTHORITY
Contractor's
License No.
e building or to install the equipment or device descri. - + in the appli-
understanding that the .work will be performed in compliance with any
oved by the proper municipal authorities. T s Permit may be revoked
are changed wi authorization. A rth . ondition upon which this
respo bility for a thorough no - ge of the ordinances and
th, atem-nts or specific .'o . that he assumes respon-
ordinances and regulations
s of Miami Shoes Village.
MIAMI SHORES VILLAGE FLA.
PLUMBING PERMIT
DATE NO.
ISSUED TO
FOR A
AT
FIXTURES ;14
SEWER
SEPTIC TANK
TOTAL . ;1;
STORY
to install the fcllowing • plumbing, in accordancewith
the laws, statutes and roptlations of Miami Shores Village,
Florjda and the Sta. of 1 governing plumbing and drain-
age work done in Miani a.opes Village, Florida.
, •
Village P.L.umbing InspeuLor
FIX=S
Payment Received.
By
554
BUILDING
This permit issued subject to approval of County Plumbing Inspector
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 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.
Owner's Name and Address -_. __ fii9ilf 11.0/ No../ - 3 , (- Street
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Employing Plumber's ame .� �.�,:Jr. r No._
Location and Legal Description Lot_ — Block—
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
_ Addition__ ____.___..- ____.__ Repairs No. of Stones
New Building Remodeling
Size Sep
Feet
•
Amount of Permit $-- - - - - -- -
T •eofT
Tile .14(t. . . eet o Tank or Drain Field from Well
Natu / e of Water Supplf: City —Well .
Capacity Gals.
Size of Soakage Pit
(Signed).
(Signed)
Off 1P, 1W
Date
6
Street...
Subdivision
Street
-
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and, ' cepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of orida Permanent Supplement, and hc::
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, o work to be performed under this permit, as are
licensed by Miami Shores Village.
Maat,er- Plumber,
STATE OF FLORIDA, ss.
COUNTY OF DADE.
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 lac
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 Paul
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINK[
LAUNDRY
Tuts
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT 'NS
TOTAL
FIETUREI
CONTR.
LIST
CHECK
-_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
Co. NTR
Lurr
Gulick
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 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.
Owner's Name and Address -_. __ fii9ilf 11.0/ No../ - 3 , (- Street
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Employing Plumber's ame .� �.�,:Jr. r No._
Location and Legal Description Lot_ — Block—
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
_ Addition__ ____.___..- ____.__ Repairs No. of Stones
New Building Remodeling
Size Sep
Feet
•
Amount of Permit $-- - - - - -- -
T •eofT
Tile .14(t. . . eet o Tank or Drain Field from Well
Natu / e of Water Supplf: City —Well .
Capacity Gals.
Size of Soakage Pit
(Signed).
(Signed)
Off 1P, 1W
Date
6
Street...
Subdivision
Street
-
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and, ' cepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of orida Permanent Supplement, and hc::
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, o work to be performed under this permit, as are
licensed by Miami Shores Village.
Maat,er- Plumber,
STATE OF FLORIDA, ss.
COUNTY OF DADE.
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 lac
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 Paul
materials and /or workmanship.
n APPLICATION FOR PLUMBING PERMIT
gi
Permit No " N
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure here* 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 duribg progress of workAid/444K /
Owner's Name and Address TA •
Registered Architect and /or Evince:
Employing Plumber's Nam.."
Location and Legal Description Lot.
Street and Number where work is to be performed —No. /1 4e
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
51 -9•/ E4
I -' /0 4 /1 Block Subdivision
Street_ �4.-e. -9 / 1 � - •
Size
Feet of Drain Tile Dist. Feet of Tank or Drain Field Iran Well - -_ _ -__—
Nature of Water Supply: City —We1L Size of Soakage Pit
Amount of Permit $a4 (Signed) --GYR"'I`/
( Signed )
No ^4 5 1 1 2 4g - Stree4Le 9d
Notary Public, State of Plaids
Master Plumber.
State work to be performed and purpose of building (By Floors) __.4 -- e!*
New Building.. _._ — _.._..........._.. Remodeling__- __--.-..._._ __ Addition..._.. ..__ Repairs No. of Stories ..............
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 hg' com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor • ployed 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 blic notice or notices as
required by the Act. The undersigned agrees to employ only such sub - contractors, on wor t - . u ., this permit, as
licensed by Miami Shores Village
am
are
STATE OF FLORIDA, 1 u.
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 be 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 whoa soeit rolospecdos le made•aaosasary by improper notice for l apactloe, et faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
iNOW[Ra
LAVA•
TORIES
am
SLOP
SINK•
LAUNDRY
Tuve
U RINALa
CATCH
IOA•IN
FLOOR
DRAIN
DRINKING
FOUNT•N•
TOTAL
FIXTURE[
Cow*.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
F1[LD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
8
SW IM' G
POOL
.
CONTR.
LIST
,--
CHECK
n APPLICATION FOR PLUMBING PERMIT
gi
Permit No " N
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure here* 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 duribg progress of workAid/444K /
Owner's Name and Address TA •
Registered Architect and /or Evince:
Employing Plumber's Nam.."
Location and Legal Description Lot.
Street and Number where work is to be performed —No. /1 4e
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
51 -9•/ E4
I -' /0 4 /1 Block Subdivision
Street_ �4.-e. -9 / 1 � - •
Size
Feet of Drain Tile Dist. Feet of Tank or Drain Field Iran Well - -_ _ -__—
Nature of Water Supply: City —We1L Size of Soakage Pit
Amount of Permit $a4 (Signed) --GYR"'I`/
( Signed )
No ^4 5 1 1 2 4g - Stree4Le 9d
Notary Public, State of Plaids
Master Plumber.
State work to be performed and purpose of building (By Floors) __.4 -- e!*
New Building.. _._ — _.._..........._.. Remodeling__- __--.-..._._ __ Addition..._.. ..__ Repairs No. of Stories ..............
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 hg' com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor • ployed 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 blic notice or notices as
required by the Act. The undersigned agrees to employ only such sub - contractors, on wor t - . u ., this permit, as
licensed by Miami Shores Village
am
are
STATE OF FLORIDA, 1 u.
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 be 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 whoa soeit rolospecdos le made•aaosasary by improper notice for l apactloe, et faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date - 5// - 7/” Job Address 0 2 3g Tax Folio 1 t— 5 2' Q v 0/1_
` Aittr Historically Designated: Yes No
Owner/Lessee / Tenant 6 61 v
Owner's Address / 2- 3 XQ S C st
Contractin Co. Coy e »< 7 2 /s
Qualifier ML:F R, IL 11 T -[ erfutlIs
State ii& 0XN-.L -.- Municipal #
Legal Description
2 115 ed Master Permit # 4- /
Phone 7S/ -3E(53
Address 61.5 P / J Ft"
ssit $ - . Phone 6 0 J / / 7
Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 0.) G4S tie- 4 cfpiks P' ;: J R Cd k, a J e �- b rerei
l
/5.6 ,�e.7 COCA' 1r Z.- /rr%(_:e is
Square Ft. Estimated Cost (value) PA.
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.
FEES: PERMIT
RADON C.C.F.
APPROVED:
Zoning Building
Mechanical Plumbing
ontra
ate
9
as to ontr t o 90:
y Commission EFtCIAL TT 1&D ��
BUD
O¢
ARY pijnLlC ST CC3b6
N� COM �v1i5 ?ON XP: APR. 1199S
M'' COM
NOTARY
Electrical
BOND
TOTAL DUE
Date
Engineering
sit V
7
o
G143 5(‘Ao-ciA
-Fort
L.R,0 I �N
7 s fen qed
+-0 witit
1.
2 ,
w
NQ ,f
doved 40 um
f �
3v cro
,/ GIs tin,� ON Uw.f I•
I
�rs
ho�.scf // k.-r
pito &oc,w ti
(AA PLoitiftINA,A.) c0 .
SECTION
SCALE
DWG. BY
F eople.� GAS SY6TE Irz
I2-3g IVY 9 sf'
AMAMI ciS
DATE
3,1/7/ce
SHEET
of /
J.O.
A.F.E.
gS•• F:evil /7O
O lt-RA) Dit.y I cr
7'
S+m qed
T +0 um('
5(tA9-cpi
-Fort (0
SECTION
SCALE
DWG. BY
Ne
1,
12_3g niE 96 S�
tiw . S ide PS
d 4°
t✓�PPe ��
�L
I/ GIs' L r rti to cW Gt.w.11.
i 2 1
j Ne
(.?( 0"
N P ct, / 1/ �'icrsTiN
2 hbGtscrh
cit2 pop & Ow iu
tA.tioverotAxic0 .
P eoples G AS !SYST In fo.
DATE
3/i7/Ce
SHEET
J.O.
A.F.E.
of /
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address l 6,S t t 96 n)' Tax Folio
Q etn2, CA - Historically Designated: Yes No
/ Tenant 4,1oier -44 i N\OwAsrvet_ Master Permit # L b • 30R
Owner's Address ram Ns- �t... 0- Phone n
Contracting Co. �..or 10 q %-- Address 11`7 ao ) 16%.. , J
Qualifier - 6 4 4•4/ I0 0-0-Yet../ SS# Phone . QS_ts 3 - l'‘)S5.
State # Q.V..- q•E S4) Municipal # Competency # Ins. Co.
Architect/Engineer N `A, Address
Bonding Company ^AA Address
Mortgagor lr Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION -1 I/Jew li k,k. S pA ewe kl
Date
Legal Description
0 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 OF 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 ar. . s uired 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 icable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
FEES: PERMIT) V ( RADON C.C.F. 3
- jc,ct e&1'
Building
APPROVTI
Zoning
Mechanical Plumbing
10
Signature of Contractor or Own Date
Notary as to Contractor or i. r-
My Commission • s: 'Oti N 0�,q
4 ,
6 ONOTARY
Electrical
Date
BOND 6
TOTAL DUE) 03 6 v
0
Structural Engineer
vA0
0
28.0' /1.5PHA.L.1 F %NG
'i:::w - . .....�.:. .. �'d°`•:.- .,;:;� �}.'r':'. _ .. ';,t: ,,�f�wd.. +.....; •.�
At- k.."
0 ) 0
log 7 ,�
+• 'Toc�Y �(LtI ,ice$2�'_� ,2
4 . J P°°
/rls) Age y
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lay.
• ml S' CI-14.1N LI IJ K. FE N! . E
\O' A s PK►,�T P/�V 1 NG -
l t.
rt
86 In. /
218.44 cm
Shell
Back
Front
81 In. / 205.74 cm Shell
Item Description
1. Air Control Intake, 0.5" Pipe
2. Ozone Hook -Up, 0.375" Pipe
3. Pump #1 Suction (Red)
4. Blower, 2" Pipe (Green)
5. Light Cord, 50'
6. Cord, 0.5" Pipe Temperature Sensor, 50'
7. Pump #1 Return (Blue)
8. Pump #2 Suction (Orange)
9. Pump #2 Return (Yellow)
Inground Dimensions
R8 In. /
R20.32 cm
Shell
TOP
VIEW
f
36 in. /
91.44 cm
Dimensions / Specifications Subject to Change Without Notice
Spy, C°^, M4-terot
. ,1� 5 14 1‘ 4
A.An I U1. ,. t itArn
Front / Back Shell:
81 In. / 205.74 cm
32.5 In. /
82.55 cm
i
3in./
7.62 cm
Foam � —
1.5 in. / 3.81 an Foam
BACK
Left / Right Shell:
86 in. / 218.44 cm
Spy y 000,
arA
1.5 in. /
3.81 crn
Foam
R1 in. /
R30.48 cm
Foam
Always measure each hot tub
for exact dimensions before
designing its foundational
support and /or decking
ti
5
6
1
i "
p +,
•
•
i•
a
Dimensions (All Models):
• A = 32 in. (81 cm )
• B = 24 in. (61 cm)
• C = 31 in. (79 cm)
Weight (All Models):
• Model 013 = 137 Ibs (62 kg)
• Model 023 = 95 Ibs (43 kg)
• Model 163 = 136 Ibs (62 kg)
Inground Equipment Pack SPecifications
i ..
i
Model 013 Shown
Model 013 Specifications:
• Water Delivery: 2 Pumps /
• Pump 1 Rating: 2.6 hp Continuous, 2 -Speed
• Pump 2 Rating: 2.0 hp Continuous, 1 -Speed
• Air Blower: Dual Speed, Delivers Air to Air Injectors
• Ozonator: SunZone U.V.
• Heater: 6 kW
• Electrical Requirements: 240 VAC @ 30 A, 50 A, or 60 A
Model 023 Specifications:
• Water Delivery: 1 Pump
• Pump Rating: 2.6 hp Continuous, 2 -Speed
• Air Blower: Dual Speed, Delivers Air to Air Injectors
• Ozonator: SunZone U.V.
• Heater: 6 kW
• Electrical Requirements: 240 VAC @ 30 A or 50 A
Model 163 Specifications:
• Water Delivery: 2 Pumps
• Pump 1 Rating: 2.6 hp Continuous, 2 -Speed
• Pump 2 Rating: 2.0 hp Continuous, 1 -Speed
• Air Blower: Dual Speed, Delivers Air to Air Injectors
• Ozonator: SunZone U.V.
• Electrical Requirements: 240 VAC @ 30 A or 50 A
..
IAPMO RESEARCH AND TESTING, INC.
20001 Walnut Dr. So., Walnut, CA 91789 -2825
Tel (909) 595 -8449 Fax (909) 694 -3690
CERTIFICATE OF LISTING
Samples of the product described herein have been tested by an Independent testing laboratory end have been
reviewed and accepted for listing by the Plumbing Research Committee of IAPMO Research and Testing, Inc. es
meeting the requirements of the Uniform Swimming Pool, Spa and Hot Tub Code ThIs listing Is subject to the
conditions set forth In the characlerlstice below and Is not to be construed as any recommendation, assurance or
guarantee by IAPMO Research and Testing, Inc. of the product or of product acceptance by local jurisdictions o•
authorities using the Uniform Swimming Pool, Spa and Hot Tub Code T M or otherwise affiliated Mtn IAPMO Research
and Testing, Ino. .
Accepted:
PRODUCT:
APPLICANT:
IDENTIFICATION:
September . ::3;
Spa
1
n 7
� 1
Vista Ave.
91710
fnkr4WAMMPAMOWLAYA-1 03.4,11,
y name /or trademark,; mo
Certificagen, mark shall' be
outside) Of • tfpap 'tl',.,unit. Units
tified bn. shed visible aurfa
any name or'•tiademark.. 1 •
I
FILE NO. SP -3511
Vnation and the
'fitly affixed to
A. :0e permanently
at least the
CHARACTERISTICSx .jzeinforced fiberglass spas • in various `cblers, sizes and
% ions . All support equipment :MO I ;be !listed. All
ousts, whether factory or field easemb1e42` required to
'f • i . suction' fittir_gs :metalled: •whi4 r :; listed to ASME
,
A 19. 8M -87 (R96) for anti - hair anc" o ff`• ''entrapment . Al 1
x e tt listed for above or „below; ; 'groi ^ installation and
Q1(l ` ..:..portable or pertnanent.; i ■• Manta fac `(ki�ed in. compllance
With'- A 2124.7 -97 and ASME ; . Ai12'':1S :•75t -81 (R96)
MODELS : Al eatnar;;: - • Austin f . 8•ahia ;'. . Ca :ypso 1, Calypso 11,
Catttkiria;. CaMee; ? "`.�Lt>t Aruba,. C eyenn ;+, ?:rt -1rum, Cyp Del mar,
Enzo, Iteyi'tford%groadtib' r, Lunar,tt; adison, Marin, 14axxuq
Montego, Olj`$i�iia %Dai,l Palermo, Pembroke, Solo,
Rio,. Royale, Savhiinat , "''6itiit tb,'' Tenon, Vail, Wyndham
it
This Noting Is for the period Indicated hereln and is void eter date shown above. Any change h mmertal, manufacturing process, nuking of dedgn
IIhout having lint obtained the approval of the Plumbing Research Cormilla or any "Move of noncompliance with applicable standards or of
IMarbr workmanship. may be deemed sufficient cause for reword on of the listing. Reproduction of or reference to this form 'for edvertletng purposes
may be made only by spedeo written permission d IAPMO Research and Testing, Inc. TMs authorizes line use on the WPC., on prooucte Covered by
this Certificate,
� thi c ve could be ground for revocation of the listing,
CHAPWf, AMMO RESEMVI OCf'vI ATTEE DtEC'JfNE onE
Sponsor of the Uniform Plumbing CodeTM, Uniform Mechanical CodeTM,
Uniform Swimming Pool, Spa and Hot Tub CodeTM
and Uniform Soar Energy CodeTM,
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/14/2002
Applicant: ALBERTO
Owner: MARTINEZ - ARIZALA
JOB ADDRESS: 1238 NE
Contractor ALL FLORIDA POOLS
Local Phone: 305 - 893 -4036
Parcel # 1132060143920
Fees:
FEE2002 -6415
FEE2002 -6416
Description
Building Fee
CCF
Total Fees:
Amount
$100.00
$3.60
$103.60
Total Fees: $103.60
Total Receipts: $0.00
Permit Status: APPROVED
Work: INSTALL INGROU"
If there is no permit pact'
fee is $50.00, which must 1
This Permit is granted to the con
ordinances pertaining thereto and v
and approved by the prope municit
authorization. A further co dition u
ordinances and r• s. ulation pertain
by his agents, s; - is or mploye
ii ►_I
Signed:
In consideration
with the plans, dra
myself, my agen
Signed:
rvants or m
of
PAY
TO THE
ORDER
OF
Plumbing Permit
Permit Number: PL2002 -308
MARTINEZ - ARIZALA
ALBERTO
96 ST
Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 9 TO 11 INC BLK 84 LOT SIZE
Permit Expiration: 5/13/2003
le- cot. RHF_LL
ALL FLORIDA DISTRIBUTORS, INC.
11720 BISCAYNE BLVD.
MIAMI, FL 33181
PH. 305- 893 -4036
L AAout.
Contractor's Address: 11720 BISCAYNE BLVD
Construction Value:
$6,000.00
r�
11'030379«' 1 :0660103771: 4n1. t
Page 1 of 1
COMMERCIAL BANK OF FLORIDA
NORTH MIAMI OFFICE
12255 N.E. 16 AVENUE, NORTH MIAMI,, FLORIDA 33161
6 Z4
Dr n
a
D AFTER 30 DAYS
AUTHORIZED SIGNATURE
AMOUNT
30379