1294 NE 96 St (3)Permit No l J _ 7 ' 2-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(
Date
Repairs
Amount of Permit $ �� - — — — (Signed)_
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_ - '_11_ U 14 `. ______ - Oi .t: _ No. ___L7' L__4 _ Street__ -`
Registered Architect and /or E gineer — _______ ______________ —
Employing Plumber's Name ®t ! eL d � 0 -a F t IA i No.____________ Street_ — ____
Location and Legal Description Lot__
Street and Number where work is to be performed —No l : _. _:_ 6___ itreet
State work to be performed and purpose of building (By Floors)__`_ '`
New Building __ Remodeling_ - ______ Addition
Subdivision
Type of Tank__ Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Size Septic Tank - - --
Feet of Drain Tile
Nature of Water Supply: City— Well._
4;` , 4 -__, L2 ,„ r o �� � ..._- ®6V F3 P Q
Signed )--- o.1
My Commission Expires Notary Public, State of Florida
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 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.
oFee,)
Master Plumber.
Once p
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 hin, 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
q
O
Q
`
,
CHICK
__-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
rSOLWR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM •G
POOL
t 1 •I d A
A
�(
CONTR.
LIST
CHECK
1
Permit No l J _ 7 ' 2-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(
Date
Repairs
Amount of Permit $ �� - — — — (Signed)_
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_ - '_11_ U 14 `. ______ - Oi .t: _ No. ___L7' L__4 _ Street__ -`
Registered Architect and /or E gineer — _______ ______________ —
Employing Plumber's Name ®t ! eL d � 0 -a F t IA i No.____________ Street_ — ____
Location and Legal Description Lot__
Street and Number where work is to be performed —No l : _. _:_ 6___ itreet
State work to be performed and purpose of building (By Floors)__`_ '`
New Building __ Remodeling_ - ______ Addition
Subdivision
Type of Tank__ Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Size Septic Tank - - --
Feet of Drain Tile
Nature of Water Supply: City— Well._
4;` , 4 -__, L2 ,„ r o �� � ..._- ®6V F3 P Q
Signed )--- o.1
My Commission Expires Notary Public, State of Florida
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 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.
oFee,)
Master Plumber.
Once p
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 hin, 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.
Phones: TU. 8 -2818
TU. 8 -7798
1
/3avz _One.
Miami Shores Village
PLUMBING CONTRACTORS 61 EAST SECOND STREET
SERVING GREATER MIAMI SINCE 1926 HIALEAH, FLORIDA
April 18, 1967
Attention: Mr. Bradford
Miami Shores, Florida Plumbing Dept.
Gentlemen:
This is to confirm our telephone conversation as to releasing
permit #8394 for a residence at 1294 N. E. 96th Street.
Very truly yours,
BARR & BARR, INC.
Tom Raker
ITEMS
CONTRACTORS & SUPPLIERS
NA ui . & ADDRESS
1, Architectural Fee lans
o �' ''�
2, Asphalt walks, drives, etc,
;
.
�.q`y %`/'i,
11111i'I
�� 0.
into I
EL
:kg
MEd
1115' ti :.
3. Cabinets - Bath Vanit
,,, „” , , ,
4, Cabinets - Kitchen
,„ ,„ II ,,
5, Cabinets- Medicine
6, Cabinets -Unit Closet
7. Cleanin_
•°
... ...
8, Clearin• Site
9. Concrete - Foundation Slabs Beams
v ,,, , ; , ,,
10, Concrete - Walks drives. etc,
11, Contractors Fee
„ ; ,,
12, Electric Fixtures.
�j
13, • Electric Wirin •
/ 1 , , , _
14, Equipment Rental
15. Excavation
Al, , ,
9■11
16, Fill for Slate
Knowle A rP /,rte , 1..r
17., Floors o Finish wood & kitchen
18, Floors - Terrazzo
19, Gara_e Doors
/ `- if • Of / ..
20, Glass. Slidin; Doors
21, Hardware - Finish
,,, ;
.11
'22, Hardware - Rou.h
,,, ; ,,
IIWh/
.1K./
23, Heatin
, ,.- , . -
24. Insurance - Liabilit ,comp, -bond
.•
25. Labor - Pa oll
All ;
6, Labor - Contract
_
27. Labor - Contract
_
.
Illr
28, Landsca.in. Fill. Gradin:
29, Lath. Plaster. Stucco ✓
< <, ,�
.30, Lumb er All
' . LJ P � �l JJ
31. Masonry Labor
32, Masonr Materials Block
33, Millwork
f . . , 11
34, Miscellaneous
35, Ornamental Iron Work
1100.
36, Oven & Plate - Built -in
37, Overhead
Knowde4 cK Lucad
38. Painting
39, Permits Temporary Power
40, Pilin: (Foundation)
•
41, Plumbing Complete'
: , i ,
41,4
42, Pool - Swimmin: .
43. Roofing & Sheet Metal Work
MI ' . o Ay, IM
Irn � .
44, Roof Trusses - Pre -fab,
45, Screen Enclosures
- - --
46, Se. tic Tank or Sewera:e
4
47, Shower or Tub Enclosures
- -
48, Steel - Reinf orcin: & strl,
49, Su'ervision
, . -
i l
-
50, Surveys
51. Tile & Marble ✓
, •
��� 00
52, Water - Public
• ,
� •
53, Water - Well & Pum.
54, Windows - Glazin: & Screens
55, Window Frames - Concrete
Prior to a final inspection this application must Ire filled out; if sub contractors have
failed to take out permits the general contractor shall be responsible for the permit and
fee. A final inspection must be made prior to the release to Florida Power and Light Co,
and the issueance of a certificate of occupancy.
OWNER S, Saitu,,olut
LOT 1 & 2 BLOCK 8l#
BUILDER KnowGed ca
& Luc I nc .
SIGNED
CONTRACTOR
MIAMI SHORES VILLAGE
APPLICATION FOR FINAL INSPECTION
JOB ADDRESS 1294 N.c. 96.a. Sfiteet
SUB, � �- Sluvre_.e, Flo/ tda.
DAY LABOR CONTRACT DATE Ir ' 19 61 •
5 6. B uilders Bond Must Accompany this Application for Final Inspection
TOTAL 5.5%,
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
PLUMBING
ELECTRICAL 0
PL � PERMIT N° 8394
ROOFING 0
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
0
Lot 11
II Bl
CONTRACTOR or BUILDER
Work to be performed under this Permit
Date ! 19.
Contractor's ? i,
License No
j't.C. aJ
Subdi-
vision
Sq Ft.
Value of II Amount of
Project $ 11 Permit $ v Zl
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 ^Qr employed. t
\ { r /
Signed • + ` -- - '(fNSPECTOR) BY
In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, atements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING ® PERMIT N° 8364 Contractor'
ROOFING ❑ License No. _
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
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 shorn 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 -'" ; ry k f . _. ( pOR BY
In consideration of the issuance to me of this permit I agree to perf ini the work covered her . . • in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, stater r nts'or specifications submitted to proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by eit ;myself, my agent, servant or employee.
"
Lot
0
1 c
Work to be performed under this Permit
r
Date 2 .- �' �° 19
k
,1-
Subdi-
vision
Sq. Ft.
Value of I Amount of
Project $ I ( Permit $
r 2 ts
CONTRACtOR or BUILI4ER BY 1, AUTHORITY
t w
Permit No._1:Z7_1Z_ ___
Owner's Name and Address Dale__.Sar_assahn___
Registered Architect and /or Engineer_____
Employing Plumber's Name
Peoples_ Gas System
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
N 67 -528 91
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)_
New Building
Remodeling--- _ --_ -- --- _- _ - -_- -- Addition_
Date.. f / ` - ` 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.
No. .129.4. street_ NE 96th Street
No._ 564._ NE street_. 1a5th Street
Subdivision
Street
Repairs No. of Stories.
Size Septic Tank ______Type of Tank_ Capacity Gals
Feet of Drain Tile _____ -__ __................. -- .... ___-•- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well ._______ _ — __..Size of Soakage Pit
Amount of Permit $
v0
( Signed)_ 4/
(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 5986, Compiled General Laws of Florida Pennanent Supplement, and Ilas 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.
STATE OF FLORIDA, i
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
iu
SINKS
SLOP
SINKS
LAUNDRY
TUBS
INALS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'
/L
VV e n
Grill
TOTAL
FIXTURES
CONTR.
LIST
1
1
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
CHECK
Permit No._1:Z7_1Z_ ___
Owner's Name and Address Dale__.Sar_assahn___
Registered Architect and /or Engineer_____
Employing Plumber's Name
Peoples_ Gas System
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
N 67 -528 91
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)_
New Building
Remodeling--- _ --_ -- --- _- _ - -_- -- Addition_
Date.. f / ` - ` 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.
No. .129.4. street_ NE 96th Street
No._ 564._ NE street_. 1a5th Street
Subdivision
Street
Repairs No. of Stories.
Size Septic Tank ______Type of Tank_ Capacity Gals
Feet of Drain Tile _____ -__ __................. -- .... ___-•- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well ._______ _ — __..Size of Soakage Pit
Amount of Permit $
v0
( Signed)_ 4/
(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 5986, Compiled General Laws of Florida Pennanent Supplement, and Ilas 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.
STATE OF FLORIDA, i
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engin r___ =____ ______— _ _ _ __ _ —
Employing Plumber's Name r L M/ � No.
S-4 VP
�/ 1 c / yS ,
Location and Legal Description Lot_ —1 - ' Blork
Street and Number where work is to a performed —No Ai F
Stat work to be performed and purpose of building (By Floors)
Mawr) Building Remodeling_
Addition.
No.
Street.
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
Amount of Permit $_
3
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed)_
(Signed)
. Date , - o 3 -(0 7
Repairs No. of Stories.
Subdivision- -- - - -_ _-----------___ --
Street
Capacity Gals.
Street
6 ° 1-1
Mg Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanent S
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed
performed under this permit; and will post or cause to be posted' foi 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 -.b performed under this permit, as are
licensed by Miami Shores Village:
employer of labor
ement, and has corn-
y him in the work to be
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or worlonanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
p SINKS
LAUNDRY
TUBS
CATCH
BASIN
'W
^ AIN ■FOUNT•NS
DRINKING
TOTAL
FIXTURES
CONTR. LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
PIELD
S
&
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
-
CONTR.
LIST
CHECK
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engin r___ =____ ______— _ _ _ __ _ —
Employing Plumber's Name r L M/ � No.
S-4 VP
�/ 1 c / yS ,
Location and Legal Description Lot_ —1 - ' Blork
Street and Number where work is to a performed —No Ai F
Stat work to be performed and purpose of building (By Floors)
Mawr) Building Remodeling_
Addition.
No.
Street.
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
Amount of Permit $_
3
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed)_
(Signed)
. Date , - o 3 -(0 7
Repairs No. of Stories.
Subdivision- -- - - -_ _-----------___ --
Street
Capacity Gals.
Street
6 ° 1-1
Mg Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanent S
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed
performed under this permit; and will post or cause to be posted' foi 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 -.b performed under this permit, as are
licensed by Miami Shores Village:
employer of labor
ement, and has corn-
y him in the work to be
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or worlonanship.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑
Date 19
PLUMBING PERMIT i\p 8747 Contractor's ¢ f 'y, r. 7
ROOFING ❑ License No.
❑ Work to be performed under this Permit
Owner of
Building
Architect
. ;
Contractor .;"
or Builder _/
err' - rAr
Legal Lat 11
Description 11 BI
Address of
Building
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 oc,employees.
Signed • ' !� ;j (INSPECTOR) BY
In consideration of the issuance to me of this perms agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, . rawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting is permit I assje responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR or BUILDER BY AUTHORITY
Subdi-
vision
Sq. Ft.
Value of I I Amount of
Project $ I I Permit $ a
BUILDING ❑
MIAMI SHORES VILLAGE, FLORIDA
Date
ELECTRICAL ❑
PLUMBING
PERMIT N? 8712
ROOFING
Owner of
Building .!
Architect
Contractor
or Builder
Legal
Description
Address of
Building fAt l
7
far iett
CONTRACTOR or BUILDER
V
Work to be performed under this Permit
1 • woo
II Bl
yz:
Contractor's
License No.
•1":
BY AUTHORITY
Subdi-
vision
Sq Ft �rL
Value of II Amount of
Project $ II Permit $ F
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 orfemployges.
/ r
Signed • `t/ / t / c. (INSPECTOR) BY
In consideration of the issuance to me of this perm' /agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, wings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
PERMIT ■9 1745
Work to be performed under this Permit
Owner of
Building
krchitect
Ntractor
ga1 Lot Bl.
Description
Address of
Building 1 C
Subdi-
vision
Value of
Project
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.
Signal By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the cork covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, staunersts or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by ether myself, my agent, servant or employee.
4 4// ,. F1.-/ l+ sw
CO RACfOR OR BU ibER BY AUTHORITY
r'/
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address G1.�d- � 1_Tl_ No._ - - - a 1 Street _lX ---- -_.[ -
R egistered Architect and /or Engineer- _-- _-- -- -�---- - - - - -- —_ -- -----_------.----.-.----
Employing Plumber's Name __1CG A ,1__ €19 1°' T3 0._____— ___._______ Street _ E 1 G C: >LJ'T
Location and Legal Description Lot_-__--_--__- _-_-__ Subdivision
� _Q
Street and Number where work is to be performed— No.__._ Street. 1 9 �_._� l
State work to be performed and purpose of building (By Floors)_________ .... ___ ... New Building _- _ -- Remodeling__--- -- -.-- ---- - -__ -- Addition__
Repairs No. of Stories.
Size Septic Tank. 1 0 0 — Type of Tank Capacity Gals
Feet of Drain Tile G
Nature of Water Supply: City —Well
Amount of Permit $
Date Z '
_Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed)_ C -- -s
My Commission Expires Notary Public, State of Florida
Plu ?.ing Inspe
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as . employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp ' ent, and Ilas 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 perfo d . under this permit, as are
& c o r e I .
licensed by Miami Shores Village.
( Signed )-------- ......
�.._
Master Plumber.
STATE OF FLORIDA, as.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
INALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
_ - _
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR. .
6S 0
( b Gr
- --
CHECK
r'/
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address G1.�d- � 1_Tl_ No._ - - - a 1 Street _lX ---- -_.[ -
R egistered Architect and /or Engineer- _-- _-- -- -�---- - - - - -- —_ -- -----_------.----.-.----
Employing Plumber's Name __1CG A ,1__ €19 1°' T3 0._____— ___._______ Street _ E 1 G C: >LJ'T
Location and Legal Description Lot_-__--_--__- _-_-__ Subdivision
� _Q
Street and Number where work is to be performed— No.__._ Street. 1 9 �_._� l
State work to be performed and purpose of building (By Floors)_________ .... ___ ... New Building _- _ -- Remodeling__--- -- -.-- ---- - -__ -- Addition__
Repairs No. of Stories.
Size Septic Tank. 1 0 0 — Type of Tank Capacity Gals
Feet of Drain Tile G
Nature of Water Supply: City —Well
Amount of Permit $
Date Z '
_Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed)_ C -- -s
My Commission Expires Notary Public, State of Florida
Plu ?.ing Inspe
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as . employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp ' ent, and Ilas 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 perfo d . under this permit, as are
& c o r e I .
licensed by Miami Shores Village.
( Signed )-------- ......
�.._
Master Plumber.
STATE OF FLORIDA, as.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI VILLAG
C BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Dat e�l 2 � 1
4ri2-
TI OT(ES
Type Insp'n T '
Permit No. No.
Name 1/2 A'-
Address I Z 4- t c ST
Company f 1Gpf�l
Phone # ( c ) '� �� — — 7
Inspection Date I
Approved
Correction ❑
Re-Insp'n Fee ❑
11 a % 'fr
C MIAMI SHORES VILLA"
BUILDING DEPARTMENT
e 305- 795 - 2204
Building Inspection Request
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
Date
Type Insp'n P1 L _e_. re pc, v tots
'
Permit No. P I () S ?1 I
Name
Address 2 G L i NC = 9 (e S�
Company C Onned ` C f-,
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 F ax 33 5.8972
rvu BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address 1 ?Pi
City (14 c ilvkt Sl eyey State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Address
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: ['Addition ❑Alteration
D &cribe Work:
Code Enforcement $
Total Fee Now Due $ 1 4. .�
(Continued on opposite side)
Miami Shores Village
Building Department
d
Electrical
1:7T
om [
qlo J •
Permit No.
/ M sterPermitNo
Zip
County Miami -Dade
NO (7
Contractor's Company Name S CON.MC - l vi C_ •
,,/ (0Z_ N(1 ►�IC0" I`-e�
City /" 4 \ V'h i State uand e,
Qualifier (Y\OW
State Certificate or Registration No. Certificate of Competency No.
['New
Phone #
Phone #
Square Footage Of Work:
3313g
Phone #
Zip 33)3'
Zip J /c (
1?1
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Structural Han Review. $
R-D5 -a 7 q-
- — _
Mechanical Roofing
Phone # — 3/ - 7 (4
30 4o -ses
❑ Demolition
Submittal Fee $ Permit Fee $ /yc5 CCF $ 0 . CO /CC
Notary $ Training/Education Fee $ 0. 2_0 Technology Fee $ Z • S
Scanning $ 3 . CO Radon $ Zoning Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
731C/J
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this °
day of i n ,20 by \( (1 \J
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLI
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
L _
1
F ** * **
ANTONIO F. MOYA
Notary Public, State of Florida
My comm. expires July 28, 2009
* ** ** * * * * * ** * * * * * * * * * * * * * * * * * * ** * * *,' **
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of ,20 _,by
as identification and who did take an oath.
NOTARY PUBLIC:
.�.r Sign:
Print:
My Commission Expires:
* * * * *AA*#r`'*' 7******•**************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
***** ***********************45*********************
rjl?
Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/22/2005
Applicant: BRIAN
Owner: BLACK
JOB ADDRESS: 1294
Contractor GAS CONNECTION, INC
Local Phone:
Parcel # 1132060143840
NE 96
Signed: (INSPECTOR)
Plumbing Permit
Permit Number: PL2005 -274
BLACK
BRIAN
ST
Permit Status: APPROVED Permit Expiration: 3/18/2006 Construction Value: $300.00
Work: RELOCATE EXISTING GAS LINE FOR RANGE, PLACE NEW SHUTOFF VALUE AND PRESSURE TEST
Signed: (Contractor or Builder)
Contractor's Address: 465 NE 146 TERR
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E125FT OF LOT 1 & E125FT OF N 41.45FT OF
Fees:
FEE2005 -12679
FEE2005 -12680
FEE2005 -12681
FEE2005 -12682
FEE2005 -12683
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$140.00
$0.60
$0.20
$2.50
$3.00
$146.30
Total Fees: $146.30
Total Receipts: $0.00
BY:
SEP2
?' GA2str
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 responisibility for all work
done by either myself, my agent, servants or employes.