360 NE 97 St (3)UILDING
LECTRICAL
LUMBING
OOFING
)caner of
uilding
rchitect
ontractor
Builder
cgal
escription
ddress of
.rilding
Lot
MIAMI SHORES VILLAGE. FLORIDA
❑ DATE /
PERMIT N9 3952 Contractor's �,,�,,
License No
CONTRACTOR OR BUILDER
195
Work to be performed under this Permit.
Subdi-
B1 vision
Value of Amount of `.....,;.....
Project $ 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
=refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ue 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
anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
rtaining 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
,ne by his agents, servants or employees.
Signed. BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY
42",
µ2 /f� . /1 7‘
AUTHORITY
Ownefo Name and Address
Location and Legal Description Lot _______— _____— _______-_._._._
Street and Number where work is to be performed —No
.MIAMI SHORES VIA r,cSL
PLUMBING INSPECTION DEPARTM7,:<
A'PLICATION FOR PLUMBINn
Permit No
Application is hereby made for the approval of the detailed statement of ti
structure herein described. This application is made in compliance and coa''
and all provisions of the Laws of the State of Florida, all ordinances of Mir -ro'
of Miami Shores Village shall be complied with, whether herein specifies°
building during progress of work.
S / F�
)! c.
Registered Arch and /or Engineer______
Employing Plumber's Name M J P jj _I12/1. C ___iL _ e ____ No.
14/23/0A--C I6i(/
4h 74- ,'mac/ /sib/
Date JW/
,icns and specilicL.tions herewith submitted for the building or other
with the '.".ui:clIng Ordinance of Miami Shores Village Florida,
z: es all rules and regulations of the Building Division
t. cop,, approved plans and specifications must be .kept at
.
treet
Street
_ C Street_
Block_ __.------ -___ -. Subdivision
G
I F
State work to be performed and purpose of building (By Floors) _______ _
!6 I
. 16e.
Nesv Building ___ Remodeling ___________________._____ Addition____ Repairs / No. of Stories.
7/O.
1E 9 7,31
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, ae.
�S OF DADE.
Amount of Permit $ ...... — — - -- (Signed)
Capacity Gals
My Commission Expires Notary Public, State of Florida
Master Plumber.
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 file 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 to of the w. uch public notice or notices as are
requite by the Act. The undersigned agrees to employ only such sub-contract • work performed under this permit, as are
licensed by Miami Shores Village. -
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
Tuns
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUN ^•NS
TOTAL
FIXTURES
CONTR.
LIST
C14ECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CtigCK
_ — —.—
Ownefo Name and Address
Location and Legal Description Lot _______— _____— _______-_._._._
Street and Number where work is to be performed —No
.MIAMI SHORES VIA r,cSL
PLUMBING INSPECTION DEPARTM7,:<
A'PLICATION FOR PLUMBINn
Permit No
Application is hereby made for the approval of the detailed statement of ti
structure herein described. This application is made in compliance and coa''
and all provisions of the Laws of the State of Florida, all ordinances of Mir -ro'
of Miami Shores Village shall be complied with, whether herein specifies°
building during progress of work.
S / F�
)! c.
Registered Arch and /or Engineer______
Employing Plumber's Name M J P jj _I12/1. C ___iL _ e ____ No.
14/23/0A--C I6i(/
4h 74- ,'mac/ /sib/
Date JW/
,icns and specilicL.tions herewith submitted for the building or other
with the '.".ui:clIng Ordinance of Miami Shores Village Florida,
z: es all rules and regulations of the Building Division
t. cop,, approved plans and specifications must be .kept at
.
treet
Street
_ C Street_
Block_ __.------ -___ -. Subdivision
G
I F
State work to be performed and purpose of building (By Floors) _______ _
!6 I
. 16e.
Nesv Building ___ Remodeling ___________________._____ Addition____ Repairs / No. of Stories.
7/O.
1E 9 7,31
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, ae.
�S OF DADE.
Amount of Permit $ ...... — — - -- (Signed)
Capacity Gals
My Commission Expires Notary Public, State of Florida
Master Plumber.
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 file 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 to of the w. uch public notice or notices as are
requite by the Act. The undersigned agrees to employ only such sub-contract • work performed under this permit, as are
licensed by Miami Shores Village. -
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
—7 /•
Permit No. ,i' . '
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address ___j%' ._ .__,7`_
Registered Architect and /or Engineer
Employing Plumber's Name
Amount of Permit $ �' -�!~ '
STATE OF FLORIDA, 1
COUNTY OF DADE.
SS.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/
‘).(1.--.4../ No ( l) ) 1 .
(Signed)
( Signed)
Date // ''/ - -
'Street
7
L1
No Street
Location and Legal Description Lot.. / 1 Block Subdivision
Street and .Number where work is to be performed— No. __ 1__Cc c /1 / Street
State work to be performed and purpose of building (By Floors) c - --- ` __• (_ , a , [ t I •
New Building Remodeling Addition Repairs No., of Stories
Size Septic Tank Type of Tank Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obations 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
perfonned 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.
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 workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT •NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL •
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
CHECK
—7 /•
Permit No. ,i' . '
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address ___j%' ._ .__,7`_
Registered Architect and /or Engineer
Employing Plumber's Name
Amount of Permit $ �' -�!~ '
STATE OF FLORIDA, 1
COUNTY OF DADE.
SS.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/
‘).(1.--.4../ No ( l) ) 1 .
(Signed)
( Signed)
Date // ''/ - -
'Street
7
L1
No Street
Location and Legal Description Lot.. / 1 Block Subdivision
Street and .Number where work is to be performed— No. __ 1__Cc c /1 / Street
State work to be performed and purpose of building (By Floors) c - --- ` __• (_ , a , [ t I •
New Building Remodeling Addition Repairs No., of Stories
Size Septic Tank Type of Tank Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obations 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
perfonned 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.
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 workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of f '
Building
° f
Architect
CO RACTOR OR
MIAMI SHORES VILLAGE, FLORIDA
DATE / (.
Contractor's
License No.
PERMIT N° 7800
Work to be performed under this Permit
d e r .
Contractor
or Builder
Legal Lot
Description
Address of
Building
This permit is granted to the contractor or b der named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Subdi-
vision
Value of j/
Project
BY
■
Amt. of
Permit
�
Signed. G f c: el
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform,fhp work covered hereunder in compliance with all or iii nces ans�ii r u}(pti
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aut1i ties isf iami SHoxdVilla
In accepting this perip 1 assume responsibility for all work done by either myself, my agent, servant or employee.
( .s
By ■ 4
AUTHORITY
194
Date 2 -25 -02
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Alice A. Fu rr L c
Master Permit # f
Owner's Address 360 N.E. 97th Street, Miami, Fl 33138 Phone 305 -754 -6523
Contractingco. Coastal Plumbing Co. of Miami Address 285 N.E. 185th Street, Miami, F1 33179
Qualifier Robert E. Brincefield ss# Phone 305- 651 -4429
State # CFCO -19042 Municipal # 6264 Competency # 6264 Ins. Co. Collinsworth, et al
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Replace existing electric water heater
Square Ft. Estimated Cost (value) $200.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signaturql of owner and/or Condo President
Notary as to Owner and/ Condo President Date
My Conmmission Expires: ; rq��."•` rye Patricia Stover
:.: .i MY COMMISSION # CC839914 EXPIRES
•. ;w?o June 28, 2003
BONDED THRU TROY FAIN INSURANCE, INC
FEES: PERMIT
APPROVED:
Zoning
Mechanical
Job Address 360 N.E. 97th Street Tax Folio
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
21l ,3 Cr.c' /358"`/c
2 -25 -02
Date
RADON C.C.F.
Building
Plumbing
NOTARY
Electrical
2 -25 -02
Signature of Contractor or Owner-Build e,�) &? 2-25-02
2,
�C..62GC G ee_ •
Notary as to Contracto or/r Owner - Builder Date
My Commission Expires: y,,,,, Patricia Stover
a: i c { : = MY COMMISSION # CC839914 EXPIRES
F� ..= June 28, 2003
1,
.: bF':1 BONDEC THRU TROY FAIN INSURANCE, INC.
2 -25 -02
BOND �1
TOTAL DUE ,� �, v
Structural Engineer
-' ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT RUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
ITEM
BATH TUB
UNIT
FEE
'ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
(HSI-MASHER
RECEPTACLES
A/C (WINO)
01rOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/TER CNIANCE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANK
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 NT'
STEAM BOILERS
SHOYER
MOTORS OVER 1- 3 FP
HOT WATE BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 NP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 IP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOL I N1G TOWERS
WATER CLOSET
MOTORS OVER 100 NP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
i'ATER SUPPLY TO:
AIR CONDITIONERS
AJC UNIT
STRIP HEATER
FIRE SPRINKLER
NEATER -N ' C
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
'
4 -HEATE
-REPLACE
(
GENERATORS TRANI.SFORMfERS
LAM LER -WELL
SPECIAL PURPOSE
SWIMMING POOL
WATER
CUTLETS COMMERCIAL
SERVICE
EKER
SIGN TUBES
CONNECTIONS
SIGN TRANSFORMERS
71LITY -SEWER
SIGN TIME CLOCK
TILITY -WATER
FIXTURES
EPTIC TANK
ANTENNA
`LAY
RAINFIELD, 4'
TELEVISION OUTLETS
TILE/RES.
!4P
VIOLATION
VIOLATION
& ABANDON SEPTIC TANK
OAKAGE
PIT CU. FT.
ATCH BASIN
ISCHARGE.
WELL
J
ZSTlC WELL
TEA
DRAIN
)OF INLET
)LAW
WATER HEATER
IRE
STANDPIPE
)0L
PIPING
1'RN
SPRINKLER .SYSTEM
S RANGE
:TER
SET (GAS)
S PIPING
-' ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT RUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
Village of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
Phone: 305 - 795 -2204
Printed: 2/27/2002
Applicant: JAMES FURR
Owner: FURR JAMES
Contractor COASTAL PLUMBING COMPANY O 285 NE 185 ST 15
Local Phone: Cellular:
- Parcel # 1132060135840
( - Job Address: 360 NE 97 ST
4 ,_ Permit Status: Approved Permit Expiration: 8/26/2002
�T I
Work: REPLACE EXISTING WATER HEATER
If there is no permit package accessible on the job-site for inspectors to vet*, there_will be no.insDections. _Re -inRnw tinn
fee is $50.00, which must be ' ' • '
This Permit is granted to the contra/
ordinances pertaining thereto and with
and approved by the proper municipal
authorization. A further condition or
ordinances and regulations pertai
by his agetir s, ervants or emplo
Si / fled:
Signed:
In consider • ion of the issuan e to m
with the pl. drawings, statements of
myself, my agent, servants or employe
4
TO THE
ORDER OF
FOR
Legal Description: 1 53 41 -6 53 42 PB 10 -70 MIAMI SHORES SEC 1 AMD LOTS 5 & 6 & E2OFT OF
Plumbing Permit
Plumbing Permit
Permit Number: PL2002 -57
Construction Value:
COASTAL PLUMBING COMPANY 3-82
OF MIAMI
CC NO. 6264
285 NE 185TH STREET
MIAMI, FL 33179
MIAMI SHORES VILLAGE
P Ai( C ": s.!;) ".'.t Tam
WACHOVIA BANK, N.A.
•
10007545 1:06 7013 5641:
$200.00
1
Page 1 of 1
Total Fees: $0.00
Total Receipts: $0.00
L4 2 L0 84911•
DATE March 5, 2002