LP gas and Septic1
STATE OF .FLORIDA,
COUNTY' OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Si
Amount of Permit $ 07-5././1 J LEVEROCK
3597
46
Permit Permit No.. .v.1.6 7 8 — -- _ -- -- 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 to 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 Michael Weston N o . Street 284 N. e . 96 ST _ •
Registered Architect and /or Engineer sw 27 ave Home
GA Corp.
s • •
Employing Plumbarr N ..a Philip Gout �Jg
1. // - LocaB an Leg piton Lot.1�� '�'C • BIor�ot ! SubdivWotl �P
Street and Number where work is to be performed —No 284 N.E. 96 ST Street .._..._.._..._..._._
State work to be performed and purpose of building (By Floors) —IR GAS Installation (SPA HEM
New Building. -_ -- - ._........_.. Remodeling —_.. - - -- Addition.. _..— _...__ Repairs No. of Stories
Stu Septic Tank__ _Type of Tangy T X ..42D ..... _....___Capacity .. —_.._
Feet of Drain Tile —Dist. Feet of Tank or Drain Meld from Well.. - — •-- - -. --• _
Nature of Water Supply: City —Well Size of Soakage Pit
Plumbing Ins or.
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 Pennanent 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 wor'r to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such . ublic notice or notices as /VP
required by the Act. The undersigned agrees to employ only such sub-contractors gn—* rk be pelf r under this permit, as are
licensed by Miami Shares Village.
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 be is the __.._ .._ ._..-- -.__.. _ _... — _.._..........
of the above described construction, that be has carefully read the foregoing applicat ion, and that be did sirs the came, and that all facts
therein by him stated are true.
My Commission Expires Notasy Publb. State of Florida
NOTE: A re-inspection fee of 11.00 will be made whoa stsab sataispeo k. fa mada by improper satire for btapection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUS.
SHOWER[
LAVA.
TOES
RI
SINKS
SLOP
SINK[
LAUNOKY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT
SPA /
1
TOTAL
P111URa1
CONTR.
LIST
--
CHECK
SEPTIC
TANK
a[WEK
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
NEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
CHICK
1
STATE OF .FLORIDA,
COUNTY' OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Si
Amount of Permit $ 07-5././1 J LEVEROCK
3597
46
Permit Permit No.. .v.1.6 7 8 — -- _ -- -- 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 to 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 Michael Weston N o . Street 284 N. e . 96 ST _ •
Registered Architect and /or Engineer sw 27 ave Home
GA Corp.
s • •
Employing Plumbarr N ..a Philip Gout �Jg
1. // - LocaB an Leg piton Lot.1�� '�'C • BIor�ot ! SubdivWotl �P
Street and Number where work is to be performed —No 284 N.E. 96 ST Street .._..._.._..._..._._
State work to be performed and purpose of building (By Floors) —IR GAS Installation (SPA HEM
New Building. -_ -- - ._........_.. Remodeling —_.. - - -- Addition.. _..— _...__ Repairs No. of Stories
Stu Septic Tank__ _Type of Tangy T X ..42D ..... _....___Capacity .. —_.._
Feet of Drain Tile —Dist. Feet of Tank or Drain Meld from Well.. - — •-- - -. --• _
Nature of Water Supply: City —Well Size of Soakage Pit
Plumbing Ins or.
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 Pennanent 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 wor'r to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such . ublic notice or notices as /VP
required by the Act. The undersigned agrees to employ only such sub-contractors gn—* rk be pelf r under this permit, as are
licensed by Miami Shares Village.
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 be is the __.._ .._ ._..-- -.__.. _ _... — _.._..........
of the above described construction, that be has carefully read the foregoing applicat ion, and that be did sirs the came, and that all facts
therein by him stated are true.
My Commission Expires Notasy Publb. State of Florida
NOTE: A re-inspection fee of 11.00 will be made whoa stsab sataispeo k. fa mada by improper satire for btapection, or faulty
materials and /or workmanship.
Master Permit Number
Job Address /Suite No.284 NE 96 ST Tax Folio No. 11/32e? 0 /3 3E60
Contractor's No 1616 Contractor's Name Home Gas Corp....
Qualifier S.S. No 265 -44 -4654 Qualifiers Name PHILIP GOUZ
Permit Type LPGX
Current Use Of Property. RES
Proposed Use .SPA
Contact Name. Micheal Weston
ADDRESS 284 ne 96 st Phone.
City Miami
Owner Name. Michael Weston
LEGAL:
DADE COUNTY BUILDING AND ZOING DEPARTMENT
111 N.W. 1 Street, Suite 1010
33
APPLICATION FOR SUBSIDIARY Pt`R1•MIT
(ALL Spaces Must Be Filled -In By Applicant)
(Please Complete Fee Sheet)
(ELEC, PLUM, MECH, LPGX)
State Florida Zip 33161
Application is hereby made to obtain a permit to do the work and
installations as heron indicated all work will be performed to
net the ap plans and laws regulation construction in
Dade Cou``pt. �0 _
f //�� Jr �
-(!
,4/� - j `
S i nature. Of Qualifier or 0wner- Bui;der
3597
PHILIP GOUZ W /0#
Print Name
FAILURE TO COMPLY WITH THE MECHANICS LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
Plumbing and Gas
Fee Sheet
Category 01
P001 Outlets & Fixtures # of outlets /Fixtures
P003 Sewer Connection # of sewers
P004 Sewer Capping # of sewer caps
P005 Rainwater Roof Inlet # of inlets
P006 Catch Basin # of Basin
P007 Surface Inlet # of inlets
P008 Soakage Pit Cubic Feet
P009 Condenstate Drain # of outlet
P010 Water Service Connection # Meters
P011 Water Connection or
outlet for applience # of Connection
P015 Sun Pump # of Pumps
P016 Repairs to water piping Installed valve
02 Gas Fitting (Natural Gas)
P018 Natural Gas LP outlets
P019 Appliances
P020 Meters
P021 Major repairs to gas
pipes
P023 Change of company
03 Lawn Sprinkler
P012 Irrigation system/
underground sprinkler
Category 05 Chemical Toilets
P005 Portable chemical
toilets
P031 Temporary toilets
Category 06 Septic Tank
P002 Septic tanks /inceptor
Grease trap
Category 07 Solar Water Heater
P013 Solar Water Heater
Installation
# of outlets
# of appliances
# of meters
# of piping
# of changes
Per zone
Per toilets
Per toilets
# of items
# heaters
Category 10 Pool Piping
P014 Pool piping fee
Category 11 Well Drilling
P017 Wells
Category 14 Fire Water
P010 Water Service Connection
Category 15 Site Utilities
P006 Catch Basin
P007 Surface Inlet
P008 Soakage Pit /French
Drain
P010 Water Connection
P003 Sewer Connection
P024 Water Treatment Plant
P025 Sewer Treatment Plant
P026 Lift Station
P027 Sewege Ejection
P028 Water and Gas Mains
P029 Storm and Sand
Collector Lines
P030 Man Hole
P004 Sewer Capping
LPGX
P018 Natural Gas and
LP Outlets
P022 Under Ground LP Tanks
P023 Change of Company
P019 Appliances
P020 Meters
P021 Major Repairs to Gas
Pipes
# of Pools
# of wells
# of Meters
# of basin
# of inlets
Cu. Ft.
# of meters
# of connection
# of piping
# of piping
# of piping
# of ejector
# of feet
# of feet
# of holes
# of caps
# of outlets
# of tanks
# of changes
# of appliances
# of meters
# of piping
4,0
49\'9
1
e
( /f v o
PliVe Wes n
Permit No 10 --
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 Engineer
Employing Plumber's Name r..4.
Location and Legal Description Lot. at
�i / / glo_
Street and Number where work is to be performed —No rd T L / tE • 9' St ° Street
State work to be performed and purpose of building (By Floors) ..:!
New Building —.._. . Remodeling Addition
Size Septic Tank -------- - - - - -- - - -- _...Type of Tank__
No. -‘21/i.— 1Yi Street.__. . -
Zs -.7>. e. " _.......
a No,, /..—. ! 8tzeet.. °
Amount of Permit $ g.TO
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DE ph. RT ENT
� DOv`�0 /V E
APPLICATION FOR PluMBING PERMIT
Feet of Drain Tile._ - -- - -- _Dist. Feet of Tank or Drain Field from Well . .._.- . -• - - -_ _. --- ........_._
Nature of Water Supply: City — Well ,— -- _-- -___ -- —____ - -- -Size of Soakage Pit
(Signed)_
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 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.
(Signed)
STATE OF FLORIDA, µ
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 be has carefully read the foregoing application, and that be did sign the same, and that all fads
therein by him stated are true.
My Commission Expires Notary Public, State of Fkxida
NOTE: A re inspection fee of $1.00 will be made when such re- Inspection is m.de.neoessary by hnproper notice for inspection, or faulty
materials and /or workmanship.
Capacity Gals.
Date. - ..�
Muter Plumber.
CLOSET$
BATH
TUBE
SNOW [R$
LAVA•
TORIES
6114
SLOP
SINKS
LAUNDRY
Tu$$
URINALS
CATCH
eA$IN
FLOOR
DRAIN
DRINKING
FOUNT•N•
TOTAL
FIITURES
CONTR.
LIST
CHICK
1
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WILL
BPRKLR.
SYSTEM
SW IM •G
POOL
CONTR.
3Y X /
LIST
CHICK
Permit No 10 --
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 Engineer
Employing Plumber's Name r..4.
Location and Legal Description Lot. at
�i / / glo_
Street and Number where work is to be performed —No rd T L / tE • 9' St ° Street
State work to be performed and purpose of building (By Floors) ..:!
New Building —.._. . Remodeling Addition
Size Septic Tank -------- - - - - -- - - -- _...Type of Tank__
No. -‘21/i.— 1Yi Street.__. . -
Zs -.7>. e. " _.......
a No,, /..—. ! 8tzeet.. °
Amount of Permit $ g.TO
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DE ph. RT ENT
� DOv`�0 /V E
APPLICATION FOR PluMBING PERMIT
Feet of Drain Tile._ - -- - -- _Dist. Feet of Tank or Drain Field from Well . .._.- . -• - - -_ _. --- ........_._
Nature of Water Supply: City — Well ,— -- _-- -___ -- —____ - -- -Size of Soakage Pit
(Signed)_
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 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.
(Signed)
STATE OF FLORIDA, µ
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 be has carefully read the foregoing application, and that be did sign the same, and that all fads
therein by him stated are true.
My Commission Expires Notary Public, State of Fkxida
NOTE: A re inspection fee of $1.00 will be made when such re- Inspection is m.de.neoessary by hnproper notice for inspection, or faulty
materials and /or workmanship.
Capacity Gals.
Date. - ..�
Muter Plumber.
CLU2IF.TU BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
TOTAL
FIXTURES
CONTR.
LIST_
CHICK
_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWING
P001.
CoNTR.
LIST
CHECK
i'ancit 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.
Owx,er a Name and Address ......... No.___ 2 72
Street
Registered Architect and /or
Employing Plumber's Name — No._
Location and Legal Descri 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_ -__ -- ' i Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile
STATE OF FLORIDA,
COUNTY OF DADE. 1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City -W __ - - .--------- - - - - -- -- -Si of
emit $ - - - -+ �___—--- _-- _ —_� —_ �( Signed )_
Street_ Subdivision_
Street C � ' -- 6
Capacity Gals
( Signed
ge
My Commission Expires Notary Public, State of Florida
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 Miat4ii 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 worlananship.
Permit No. / (73&
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Owner's Name and Address
Registered Architect and /or t neer y-
r4i Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
..___ Pr No
Date
No Street
Street PL
Location and Legal Description Lot Block_____ ___________ __ _ Subdivision
Street and Number where work is to be performed —No c —
_ Street 1 \_ - -
State work to be performed and purpose of building (By Floors)____ __a k -- 1 ' ( ' \ ) ..___.__.
New Building Remodeling Addition I Repairs -.-_ No. of Stories
Size Septic Tank Type of Tank_
Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL
__Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $
r
Capacity Gals
(Signed)- - -• -- ----
— umbing Injpector.
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 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
a€. the work such public notice or notices as are
performed under this permit; and will post or cause to be posted for inspection on the site
required by the Act. The undersigned agrees to employ only such sub - contractors, ork be perormed under this permit, as art
licensed by Miami Shores Village.
My Commission Expires
(Signed).
STATE OF FLORIDA, }
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 fac
therein by him stated are true.
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 faul
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tung
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURE!
CONTR.
LIST
-
--
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
PIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTIe.
LIST
CHECK
Permit No. / (73&
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Owner's Name and Address
Registered Architect and /or t neer y-
r4i Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
..___ Pr No
Date
No Street
Street PL
Location and Legal Description Lot Block_____ ___________ __ _ Subdivision
Street and Number where work is to be performed —No c —
_ Street 1 \_ - -
State work to be performed and purpose of building (By Floors)____ __a k -- 1 ' ( ' \ ) ..___.__.
New Building Remodeling Addition I Repairs -.-_ No. of Stories
Size Septic Tank Type of Tank_
Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL
__Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $
r
Capacity Gals
(Signed)- - -• -- ----
— umbing Injpector.
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 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
a€. the work such public notice or notices as are
performed under this permit; and will post or cause to be posted for inspection on the site
required by the Act. The undersigned agrees to employ only such sub - contractors, ork be perormed under this permit, as art
licensed by Miami Shores Village.
My Commission Expires
(Signed).
STATE OF FLORIDA, }
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 fac
therein by him stated are true.
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 faul
materials and /or workmanship.
Permit No 1 9' SP"
Application is hereby a 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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
—_ -- - -• - - -- No
Registered Architect and /or
ti
Employing Plumber's Name_ - -• _ - 4 - rd No.___----- _ —__ -- Street_
Location and Legal Description Lot Block Subdivisi
Street and Number where work is to be performed —No _� /� Street
State work to be performed and purpose of building (By Floors) _____ _----- :---- -_ -_
New Building — _----------- .....__.__. Remodeling__ __._ Addition
Amount of Permit ....... _ -- - - -- (Signed)_
Repairs
Date
___ 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
Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed
Master Plumber.
•
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.
My Commission Expires Notary Public, State of Florida
No. of Stories.
Plumbing Inspector.
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
Tue6
SHOWERS
LAVA-
TORIES
INK
SINKS
SLOP
SINKS
LAUNDRY
Tues
U
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK! NO
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
p , y L
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
Comm.
LIST
CHECK
- --
Permit No 1 9' SP"
Application is hereby a 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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
—_ -- - -• - - -- No
Registered Architect and /or
ti
Employing Plumber's Name_ - -• _ - 4 - rd No.___----- _ —__ -- Street_
Location and Legal Description Lot Block Subdivisi
Street and Number where work is to be performed —No _� /� Street
State work to be performed and purpose of building (By Floors) _____ _----- :---- -_ -_
New Building — _----------- .....__.__. Remodeling__ __._ Addition
Amount of Permit ....... _ -- - - -- (Signed)_
Repairs
Date
___ 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
Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed
Master Plumber.
•
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.
My Commission Expires Notary Public, State of Florida
No. of Stories.
Plumbing Inspector.
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.
I
1
MIAINI SHORES VILLAGE, FLORIDA
BUILDING ❑ i
i
PERMIT IT? 13516
ELECTRICAL fl
PLUMBING
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Descriptio
Address of
Building
Lot
This permit is granted to the contractor orl uilder named abo to construct the
herefor in strict compliance with all ordinances pertaining thereto and with the and
drawings, statements or specifications that may have been submitted to an . approved
time if the work is not done in compliance with stch ordinances or if the • ans are ch
granted is understanding that the contractor or builder named • • ume the
pertaining to the work covered hereby whether shown on th
done by his agents, servants or employees.
In consideration of the issuance to me of' this p
eya� ning thereto and in strict fortuity with the plan
cepting this permit I assu#y responsibility for a
I
CONTRACTOR O DER 1
to o
Subdi-
` Bl.!' vision
DATE
Contractor's
License No
Work to be performed under this Permit
Value of
Project
BY
195
I) Amt. of
Permit
oper municipal authorities. This Perini
out alit, ' "zation. A further con • "tion
ility for orough knowledge o the
nts • "fications and that
1v
s/
Signed:
mit I agree to perf F rm the work covered hereunder i compliance with all
drawings, stateme is • pecific. "ons submitted to the proper authoriti
k e by eithe , my gen nt or employee.
g or to install the equipment or device described in the app 7 i!ation
that the work will be performed in co •lianee with any plans,
ay by revoked at any
which this permit is
finances and regulations
responsibility for work
rdinances and regulations
f Miami Shores Village.
AUTHORITY
Permit No ___ _- '_
Appl'cation i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng o>/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 th Building Di "sion
of M?anii Shores Village shall be comphed 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. -__ ./LL_ . _
Registered Architect and /or Engineers _ - —__ -- — _- _ —____ — - -- _ _ __-
Employing Plumber's Name ._. L, 4_v1 _ ) L No...,,j _ -. a Street_.
Location and Legal Description Lot-_ —___ Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building —._ -- - -- - -- - -- ---- Remodeling_ - -__ - - -
Amount of Permit $ -
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
f i
- . -._ - -- No. , 7 / / 1 r : Street
Block_
4 LC
l
Addition._-_ _ _ ___ ____ __ _ Repairs.
Size Septic Tank_._ _
Feet of Drain Tile.- - -_ -- - _ - - -- --- - - - - -- - • - - - -- _Dist. Feet of Tank or Drain Field from Well_ _
Nature of Water Supply. City—Well. _ -_- __ __- _ - ------ Si 'a of Soakage Pit
_70V
Street _
_ Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h' ob ' : ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida ent Supplement, 'rid I dy -om --
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin- 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 no ices as are
required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be perfo. ed under this per nit, as are
licensed by Miami Shores Village.
Subdi on___
No. of Stories .
Plcm mg In.pecto.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgn ents, personall 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 .acts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship
CLOSETS
BATH
Toes
SHOWERS
LAVA-
ToR1E8
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
F %TURES
CONTR.
LILT
/
i
/ ///
1
• 3
CHICK
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 ___ _- '_
Appl'cation i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng o>/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 th Building Di "sion
of M?anii Shores Village shall be comphed 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. -__ ./LL_ . _
Registered Architect and /or Engineers _ - —__ -- — _- _ —____ — - -- _ _ __-
Employing Plumber's Name ._. L, 4_v1 _ ) L No...,,j _ -. a Street_.
Location and Legal Description Lot-_ —___ Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building —._ -- - -- - -- - -- ---- Remodeling_ - -__ - - -
Amount of Permit $ -
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
f i
- . -._ - -- No. , 7 / / 1 r : Street
Block_
4 LC
l
Addition._-_ _ _ ___ ____ __ _ Repairs.
Size Septic Tank_._ _
Feet of Drain Tile.- - -_ -- - _ - - -- --- - - - - -- - • - - - -- _Dist. Feet of Tank or Drain Field from Well_ _
Nature of Water Supply. City—Well. _ -_- __ __- _ - ------ Si 'a of Soakage Pit
_70V
Street _
_ Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h' ob ' : ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida ent Supplement, 'rid I dy -om --
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin- 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 no ices as are
required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be perfo. ed under this per nit, as are
licensed by Miami Shores Village.
Subdi on___
No. of Stories .
Plcm mg In.pecto.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgn ents, personall 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 .acts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship
Permit No 7
Application is hereby made for the approval of the detailed statement of tbe 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 progrearof work.
4/2 4-4
gv
Owner's Name aitAddre,ss 7 ri'7/he F. TO,k)E,2_ No Street. 9 '6 5 r:
Registered Architect and/or Engineer ffER-Eie e.' 0 ' - r-• A-)6.-49741 t- )6 . 6504 9-Ja ST.
Employing Plumbor's Name 47 7 - 4 W - / Z - - - PC6 itrosidae dif
...•• -
A 07 - .5 r Fr6451 z 4 /
Location and Legal Description Lot Subdivision /AZ 5WES S
g .
Street and Number where work is to be performed—No ° Street/YE F.6 57 o /f/A
- ,67 --
State work to be performed and purpose of building (By Floors) '- 5 - )-1 - t1 / 41142 ; 06 _
New Building. Remodeling_-_-____—_— Addition. _. ...... Repairs No. of Stories ...
Size Septic Tank— _Type of Tank.--.
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. Size of Soakage Pit.
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
CPC' 0,39??Z.
Date .D.
Plumbing Inspec tor.
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 Permanent Supplement, and hav com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to b'
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.
--Mester-Pumber.
c-04/7
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 Ina first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he bas carefully read the foregoing application, and that he did sign the same, and that all fiats
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-bapection fee of $1.00 will be made when nee swienpeotion Is seede by Improper notice for hrpsction, at leaky
materials and/or worlananship.
CLOSETS
BATH
TUMID
.,..,,.
--- ^T^ .
LAVA•
Toms.
SIPIK•
SLOP
SINKS
LAUNOR
Tuve
.. NINAL.
.
CATCH
•ASIN
PLoon
DRAIN
DRINKING
FOUNT'NS
TOTAL
•Irrustas
Cows.
LIST
Cotes
_
.......
SEPTIC
TANK
SEWIR
CONN.
DRAIN
FICLO
ssoAsAes
PIT
G
TRAP
SOLAR
HILATIR
DIM
WILL
$
6 •
a lro;. l o m°
CONTR.
war
CHICK
g-.5
Permit No 7
Application is hereby made for the approval of the detailed statement of tbe 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 progrearof work.
4/2 4-4
gv
Owner's Name aitAddre,ss 7 ri'7/he F. TO,k)E,2_ No Street. 9 '6 5 r:
Registered Architect and/or Engineer ffER-Eie e.' 0 ' - r-• A-)6.-49741 t- )6 . 6504 9-Ja ST.
Employing Plumbor's Name 47 7 - 4 W - / Z - - - PC6 itrosidae dif
...•• -
A 07 - .5 r Fr6451 z 4 /
Location and Legal Description Lot Subdivision /AZ 5WES S
g .
Street and Number where work is to be performed—No ° Street/YE F.6 57 o /f/A
- ,67 --
State work to be performed and purpose of building (By Floors) '- 5 - )-1 - t1 / 41142 ; 06 _
New Building. Remodeling_-_-____—_— Addition. _. ...... Repairs No. of Stories ...
Size Septic Tank— _Type of Tank.--.
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. Size of Soakage Pit.
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
CPC' 0,39??Z.
Date .D.
Plumbing Inspec tor.
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 Permanent Supplement, and hav com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to b'
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.
--Mester-Pumber.
c-04/7
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 Ina first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he bas carefully read the foregoing application, and that he did sign the same, and that all fiats
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-bapection fee of $1.00 will be made when nee swienpeotion Is seede by Improper notice for hrpsction, at leaky
materials and/or worlananship.
e8 /0
P6
Miami Shores Village
..Building and Zoning Department
Attention: Building Official
4gou j/4-10
SWIMMING POOL OWNER'S 'CERTIFICATION
I certify that I am the legal owner of the property described as
or �T p/ 3 ,!-K . ? , located at /o s.1
In accordance with Section 33- 12(f), Code of Metropolitan Dade
County, I certify that I understand and agree that the swimming pool
to be constructed at the above address cannot be used or filled with
water until a separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not
eliminate the need for obtaining a permit and erecting an approved barrier
prior to final inspection and use of the pool.
Note: This certification is to be submitted with a swimming pool
permit application in duplicate.
Permit No v
Location and Legal Description Lot.
Street and Number where work is to be performed -No
State work to be performed and purpose of building (By Floors
New Building . ..... ..... ...... Remodeling_
Size Septic Tanlc_------------------ - - - - -- ..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
STATE OF FLORIDA,
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition
(Signed)
Date..
i len
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrait:cd for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mierni Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulaticar. of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and apec'_ficatlons must be kept at
building during progress of work.
Owner's Name and Address..l.- -- � Z c No
:registered Architect and/ her -F ineer
Employing Plumber's Name.. GL._.. , _ _
Bloc& SubdivWon.-_-.._w _.__
't 96
Street 1
1 �!.. - - •---- - - -• . . .. ..... ...._._.
o v r . _ , w c -- i -- -1-u6 ,¢x . 0 9/1
- )g Street_.. Et 9d
No,.__ ., k�.l .�......o.. ,...,. Street..
Capacity Gals
c ( Signed) ! 9 [3 C W 1 .
Repairs No. of Stories
Plumbing nspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nployer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent : upi.lement, and liar con -
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1y him in t'.e wcrk o bt
performed under this permit; and will post or cause to be posted for inspection on the site of the work such publf : notice ,z no ices as ar
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed this _iii, :y/ ar ,
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal;- cppeared
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 , "acts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when saes ralnspeetion is made•neoessary by improper notice for inspection, or faulty'
materials and /or workmanship.
CLO[Ra
BATH
Tub[
SHOW[Ra
LAVA.
TORIIS
SINK•
SLOP
SINKS
LAUNDRY
TUBS
URINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N•
TOTAL
FI%TI, nu
CONTR.
Lin'
'
/
/
0
i
CHICK
_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGI
PIT
G
TRAP
SOLAR
M
DRIP
WILL
SPRKLR.
SYSTIM
SWIM O
POOL
Cowrie.
LIST
-
CHICK
Permit No v
Location and Legal Description Lot.
Street and Number where work is to be performed -No
State work to be performed and purpose of building (By Floors
New Building . ..... ..... ...... Remodeling_
Size Septic Tanlc_------------------ - - - - -- ..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
STATE OF FLORIDA,
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition
(Signed)
Date..
i len
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrait:cd for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mierni Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulaticar. of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and apec'_ficatlons must be kept at
building during progress of work.
Owner's Name and Address..l.- -- � Z c No
:registered Architect and/ her -F ineer
Employing Plumber's Name.. GL._.. , _ _
Bloc& SubdivWon.-_-.._w _.__
't 96
Street 1
1 �!.. - - •---- - - -• . . .. ..... ...._._.
o v r . _ , w c -- i -- -1-u6 ,¢x . 0 9/1
- )g Street_.. Et 9d
No,.__ ., k�.l .�......o.. ,...,. Street..
Capacity Gals
c ( Signed) ! 9 [3 C W 1 .
Repairs No. of Stories
Plumbing nspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nployer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent : upi.lement, and liar con -
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1y him in t'.e wcrk o bt
performed under this permit; and will post or cause to be posted for inspection on the site of the work such publf : notice ,z no ices as ar
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed this _iii, :y/ ar ,
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal;- cppeared
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 , "acts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when saes ralnspeetion is made•neoessary by improper notice for inspection, or faulty'
materials and /or workmanship.
Permit No
STATE OF FLORIDA, I
as.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank_ 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 $ t._° (sig NIA kV? 5
Capacity ■f_.,als..
My Commission Expires Notary Public, State of Florida
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit:cd for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miecl Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatica: 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 F/
No.- Streettee 96d
Jegistered Architect and/or Engineer
Employing Plumber's Name iiittli_rffraa_ No,iQ — -
Location and Legal Description Lot Block
fig d
Street and Number where work is to be performed—No
State work to be perforrned and purpose of building (By Floors 02,4e:e61/43.7..zere:AtiZe/Str edde,a
New Building Remodeling Addition Repairs X
No. of Stories.. ..
Plumbing Inspect();
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e-nployer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent rum lement, and 65 con-
plied with the provisions thereof, and will require similar compliance from all contractors o sub-contractors employed I y him in e wcrk
performed under this permit; and will post or cause to be posted' for inspection on the s f the work such p notice 11 no icer as ar
required by the Act. The undersigned agrees to employ only such sub-contractors, • k to be perfo 4 cis Fa,
licensed by Miami Shores Village.
Mat Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowiedgnients, personalr k ppearec;
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 'acts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or fault)
materials and/or workmanship.
CLOSETS
BATH
Tue.
SHOWER•
LAVA-
TORIES
S
SLOP
Stmt.
LAUNDRY
Tule
URINALS
CATCH
IsA•IN
FLOOR DRINKING
DRAIN FOUNT'NS
D 1411 . I
t4
-(----
TOTAL
FIXTI. RES
''...
CONY Pt.
LIT
/
--
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HCATILPt
DEEP
WELL
EiPP PLR.
SYSTEM
SW I AI •G
POOL
1
COP/TR.
LIST
CHECK
1 •
Permit No
STATE OF FLORIDA, I
as.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank_ 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 $ t._° (sig NIA kV? 5
Capacity ■f_.,als..
My Commission Expires Notary Public, State of Florida
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit:cd for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miecl Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatica: 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 F/
No.- Streettee 96d
Jegistered Architect and/or Engineer
Employing Plumber's Name iiittli_rffraa_ No,iQ — -
Location and Legal Description Lot Block
fig d
Street and Number where work is to be performed—No
State work to be perforrned and purpose of building (By Floors 02,4e:e61/43.7..zere:AtiZe/Str edde,a
New Building Remodeling Addition Repairs X
No. of Stories.. ..
Plumbing Inspect();
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e-nployer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent rum lement, and 65 con-
plied with the provisions thereof, and will require similar compliance from all contractors o sub-contractors employed I y him in e wcrk
performed under this permit; and will post or cause to be posted' for inspection on the s f the work such p notice 11 no icer as ar
required by the Act. The undersigned agrees to employ only such sub-contractors, • k to be perfo 4 cis Fa,
licensed by Miami Shores Village.
Mat Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowiedgnients, personalr k ppearec;
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 'acts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or fault)
materials and/or workmanship.
GQ
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Addre
/# L ` tJ .24
Historically .:., a .: es
ea
Signature of owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
RADON
APPROVED:
Zoning Building
Mechanical Plumbing
C.C.F
Tax Folio
Ins. Co.
No
er Permit # b tf
Phone 9 f 9/
Address / 2-35
SS# ® Phone
Contracting Co.
/ dor
Qualifier � J //
State #e TGU �C7 � S Munici # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL.LUMBING ECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost (value) /
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a pennit 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 � pliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the wore ted. ,%/
7V1C W m
Notary as to Owner and/or Condo President Date Notary as t ontractor or Owner - Builder
NOTARY
Contractor or
My Commission Expires: OFFICIAL NOTARY SEAL
GLADYS) VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR. 1,2002 I
BOND
Electrical
TOTAL DUE
Date
fr
Date
Structural Engineer