369 NE 97 St (10)MIAMI SHORES VILLAGE, FLORIDA
;UILDING ❑ Rf.
;LECTRICAL ❑ DATE -- 1 9f
'LUMBING 1K PERMIT N9 9438 Contractor's 7
License No '
GOOFING ❑
❑ Work to be performed under this Permit_ rt ri `' . '6124:4114
)caner of
�uflding "
Irchitect
: ontractor
T Builder
.egal
)escription
.ddress of
; uilding
Lot
Bl.
) r..• t
Subdi-
vision
Sq. Ft
Value of
Project $
Amt. of
Permit $ I ,
amp'
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
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
'me 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
.ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifica ' s and that he assumes responsibility for work
3 n by his agents, servants or employees. `. �
Signed: w'/ "' `' t Z 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
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect —
Contractor
or Builder
Legal L
Description
Work to be performed under this Permit 4_,...
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
ERMIT N9 3545
Bl.
Subdi-
vision
DATE
Contractor's
License No.
E' .'c a �.�? .
BY AUTHORITY
194'
Address of, Value of Amt. of
Building ; 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 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.
Signed. INSISECTOR By
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all azilinances and ye g a p
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autt<i�Ries of Miami 3i MS
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
ERMIT N° 3545
Work to be performed under this Permit
Architect
Contractor
or Builder _- r
Legal Lot BI.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE _ 194.,
Contractor's
License No.
Subdi-
vision
./This Construction muy be in
Pi0(;u^fior; Rrfani GvnPrat rJf^'t2•'Ofti i" ;. ,
• ot arr ; FG 'ti' d to contult your War P; oduc.ion
Bo :d r)rtIc., before starting the work Sitthorizmi in
this permit.
Value of
Project
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.
Signed• ,••••` By
INBP'CTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
Date
Issued to
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a story
Fixtures
building at
Fixtures $
Sewer $
Septic Tank /l
Total $ /
�dtiami cJhores llage
F L O R I D A
PLUMBING PERMIT N9 671
Village Plumbing Inspector .,
Received Payment by
OWNER
LOT
BLOCK
SUBDIVISION
f
+
Date
Issued to
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a story
Fixtures
building at
Fixtures $
Sewer $
Septic Tank /l
Total $ /
�dtiami cJhores llage
F L O R I D A
PLUMBING PERMIT N9 671
Village Plumbing Inspector .,
Received Payment by
Total
aiami cSlzores
F L 0 R I D A
PLUMBING PERMIT N9 671
ed to >' /
to install the following de(cribed plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a story f l - f-rk building at (.t 1
Fixtures
Fixtures $
Sewer $
tic Tank `,:.r, -- %►
,.
Village Plumbing Inspector
Received Payment by
•
,•
„
.4
OWNER
LOT
BLOCK
SUBDIVISION
.0
., r .
1 if. f
Total
aiami cSlzores
F L 0 R I D A
PLUMBING PERMIT N9 671
ed to >' /
to install the following de(cribed plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a story f l - f-rk building at (.t 1
Fixtures
Fixtures $
Sewer $
tic Tank `,:.r, -- %►
,.
Village Plumbing Inspector
Received Payment by
•
,•
„
.4
GI j0
Permit No _ %� L�
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well.
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN
APPLICATION FOR PLUMBING r' ;6‘MIT
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.
/ n
Owner's Name and Address L 4_�, �_ `sQ
No.
Amount of Pernut $_ A_ -°-_ - - -- - - - -- - - -- (Signed) - - -- = -
Date
Registered Architect and /or Engineer _________
Employing Plumber's Name - ti i 11
._�.! = ' _ _ _ � _
Location and Legal Description Lot___— ______________________ ___ __Block Subdivision
l r
Street and Number where work is to be performed —No `3 f . ) -' � 7 - ' 3 / Street
State work to be performed and purpose of building (By Floors) ___._________
New Building ___ Remodeling_ --__ -- Addition.
Repairs
No. of Stories.
_._.. _Type of Tank_
__Dist. Feet of Tank or Drain Field from Well
_ _Size of Soakage Pit
Capacity Gals
mbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and 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 wo; to be performed, unc}er '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
t jjy 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 faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
W
SHOWERS
LAVA
TORIES
I
SINKS
SLOP
SINKS
LAUNDRY
TUBS
I NA
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWING
POOL
CONTR.
LIST
CHECK
GI j0
Permit No _ %� L�
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well.
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN
APPLICATION FOR PLUMBING r' ;6‘MIT
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.
/ n
Owner's Name and Address L 4_�, �_ `sQ
No.
Amount of Pernut $_ A_ -°-_ - - -- - - - -- - - -- (Signed) - - -- = -
Date
Registered Architect and /or Engineer _________
Employing Plumber's Name - ti i 11
._�.! = ' _ _ _ � _
Location and Legal Description Lot___— ______________________ ___ __Block Subdivision
l r
Street and Number where work is to be performed —No `3 f . ) -' � 7 - ' 3 / Street
State work to be performed and purpose of building (By Floors) ___._________
New Building ___ Remodeling_ --__ -- Addition.
Repairs
No. of Stories.
_._.. _Type of Tank_
__Dist. Feet of Tank or Drain Field from Well
_ _Size of Soakage Pit
Capacity Gals
mbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and 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 wo; to be performed, unc}er '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
t jjy 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 faulty
materials and /or workmanship.
Permit No.
Amount of Permit $
PLUMBING F DEPARTMENT
APPLICATION F iR 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 - t / ` / - No. __ _ (- Street /'' 2 __l
Registered Architect and /or Engineer
Employing Plumber's Name mfr'
Location and Legal Description Lot
MIAMI SHORES VILLAGE
-
No.__5 - t Street .,, • ' - -_
_Block Subdivision -- ____._______________________
Street and Number where work is to be performed —No 4 ? Street_-_LV ,.-__.?___22::________________________ _
State work to be performed and purpose of building (fy 'Floors) '
New Remodeling Addition Repairs —___ No. of Stories
Size Septic Tank Type of Tank . Capacity Gals._-_-__-_-__._ ---__
Feet of Drain Dist. Feet of Tank or Drain Field from Well__
Nature of Water Supply: _____ _ ________ — _________ _____.Size of Soakage Pit.
D ate_____µ
(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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) lf- L – -- LZ j/ < "
t
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
/ /S
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
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No.
Amount of Permit $
PLUMBING F DEPARTMENT
APPLICATION F iR 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 - t / ` / - No. __ _ (- Street /'' 2 __l
Registered Architect and /or Engineer
Employing Plumber's Name mfr'
Location and Legal Description Lot
MIAMI SHORES VILLAGE
-
No.__5 - t Street .,, • ' - -_
_Block Subdivision -- ____._______________________
Street and Number where work is to be performed —No 4 ? Street_-_LV ,.-__.?___22::________________________ _
State work to be performed and purpose of building (fy 'Floors) '
New Remodeling Addition Repairs —___ No. of Stories
Size Septic Tank Type of Tank . Capacity Gals._-_-__-_-__._ ---__
Feet of Drain Dist. Feet of Tank or Drain Field from Well__
Nature of Water Supply: _____ _ ________ — _________ _____.Size of Soakage Pit.
D ate_____µ
(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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) lf- L – -- LZ j/ < "
t
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
/ /S
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.
10.
.r
•
MIAMI SHORES VILLAGE
FLORIDA
CERTIFICATE OF APPROVAL OF PLUMBING
This is to certify that the Division of Plumbing
Inspection has made a final inspection of plumbing work install-
e d at , '
t 1 4 �,:.
Lot
Street Address) ,'(' (�
Block Subdivision
and find that the work conforms to the ordinances and regulations
covering same.
MI AIM SHORES VILLAGE
Penni. Nu... . �
:Ipplii.ltit, is hereby made for the approval of the detailed statement of the plans and specifications herewith subri;' . i for the building or other
;tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of MI:: ! Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic ' of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications mud be kept at
',uilding during progress of work.
hvner's Narne and Address -_.. —. No., -_ 3 6. 5 _ Street
.cgict _red Architect or Engineer ' ,,/
uA� (meeJlt. S.7. _f_)//13 ar c Z`j N,E z. v�
:mployin"g Ylumber's ame A Al A J N .; . ...
Location and Legal Description Lot_ Block . Subdivision -. -. - _ -• -- _ -- - -•
Street and Number where work is to be performed —No.._ 3... &) �� ___ _ Street ..E..:LisQ...7 $ I• ... .... -.
�'^ ,/�
State work to be performed and purpose of building (By Floors) _ Re_._�1X_ ��._ __ S.ci. .__F�.• �R 'sIN 17 tG I
New Building Remodeling__ _ _....._._ Addition._.___.__ Repairs
Size Septic Tank_ - - -- -- _--- ....-- _•---- •_--- __ —._- .,Type of Tank Capacity ^ Dale..
Feet of Drain Tile -___ -- —_ ._ - -- _-Dist. Feet of Tank or Drain Field from Well ...-- •---- ..._.._ .._. .
Nature or Water Supply: City — Well.- __._._._._ _..-.__...__.--__.___._._..Size of Soakage Pit
,10-0
flumb Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an en,,loyei of IohKs
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent fupi lement, and tins eori
lied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in ' e 'aI rk c' b-
)erformed under this permit; and will post or cause to be poste for inspection on the site of the work suc pub)' notice r no icer +s a-
required by the Act, The undersigned agrees to employ only such sub - contractors, on work to be l rfo- ed ' x this �'f1 nit,
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA. I
ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)._
N. of Stones
My Commission Expires Notary Public, State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perioi.p ; , ppearect,
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 mede•neoessary by hnproper notice for inepecNor, tK tint)
materials and /or workmanship.
CLC[R[
BATH
TUB[
bHCW[RS
LAVA•
TORIES
SINKS
SLOP
SINK[
LAUNDRY
TUG•
URINALS
CATCH
eA BASIN
FLOOR DRINKING
DRAIN ROU NT'Ne
I
- -T—
TOT..L
FIETI R[•
CONTR.
LI T
—
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAOI
PIT
G
TRAP
SOLAR
H
'DEEP
WILL
SPRKLR.
SYSTEM
SWIM'O
Pool
I
I
••■^
CONT7t.
LIST
_
CHECK
Penni. Nu... . �
:Ipplii.ltit, is hereby made for the approval of the detailed statement of the plans and specifications herewith subri;' . i for the building or other
;tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of MI:: ! Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic ' of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications mud be kept at
',uilding during progress of work.
hvner's Narne and Address -_.. —. No., -_ 3 6. 5 _ Street
.cgict _red Architect or Engineer ' ,,/
uA� (meeJlt. S.7. _f_)//13 ar c Z`j N,E z. v�
:mployin"g Ylumber's ame A Al A J N .; . ...
Location and Legal Description Lot_ Block . Subdivision -. -. - _ -• -- _ -- - -•
Street and Number where work is to be performed —No.._ 3... &) �� ___ _ Street ..E..:LisQ...7 $ I• ... .... -.
�'^ ,/�
State work to be performed and purpose of building (By Floors) _ Re_._�1X_ ��._ __ S.ci. .__F�.• �R 'sIN 17 tG I
New Building Remodeling__ _ _....._._ Addition._.___.__ Repairs
Size Septic Tank_ - - -- -- _--- ....-- _•---- •_--- __ —._- .,Type of Tank Capacity ^ Dale..
Feet of Drain Tile -___ -- —_ ._ - -- _-Dist. Feet of Tank or Drain Field from Well ...-- •---- ..._.._ .._. .
Nature or Water Supply: City — Well.- __._._._._ _..-.__...__.--__.___._._..Size of Soakage Pit
,10-0
flumb Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an en,,loyei of IohKs
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent fupi lement, and tins eori
lied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in ' e 'aI rk c' b-
)erformed under this permit; and will post or cause to be poste for inspection on the site of the work suc pub)' notice r no icer +s a-
required by the Act, The undersigned agrees to employ only such sub - contractors, on work to be l rfo- ed ' x this �'f1 nit,
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA. I
ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)._
N. of Stones
My Commission Expires Notary Public, State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perioi.p ; , ppearect,
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 mede•neoessary by hnproper notice for inepecNor, tK tint)
materials and /or workmanship.
if 3)6 /3 S77o o
h4 s i / J
Permit No....1.A.7 if 0)
Owner's Name and Address
Registered Architect and /or Engineer_
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
New Building _ -- Remodeling
Size Septic Tan_ ?tle
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHx' ES VILLAGE
PLUMPING INSPECTION DEPARTMENT
rs`%P 6- CQ8B N F!'?e2 PLUMBING PERMIT
Date - 1 - 2 - - •. > _~ •_. ( ts�
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. ,
State work to be performed and purpose of building (By Floors)
No._�__ - 1_ Street_ .__ 7
6 ``I Street -_ "
`Block .
YiLF Street / --A/t
_ _Type of Tank
Addition_
Repairs
Capacity Gals.
Feet of Drain Tile 26 __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.___--_ _______ of Soakage Pit
,,y 1 j�
Amount of Permit 3 '7 La f: (Signed) _ l( �Z' , ( Jl Z cf' z' i�
r lumb' Inspe or.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o 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 Mimi Shores Village.
(sign) ALi__ L
Z
Notary Public, State of Florida
No. of Stories . . ..... .. ....... .
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 01.00 will be made whzt ouch re- inspection is made•necessary by improper notii ; for ins 1, or faulty
materials and /or workmanship.
CLOBKTO
BATH
TUBS
SHOWERS
LAVA
TORIEO
S INKO
SLOP
SINKS
LAUNDRY
rues
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
'TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER DRAIN
CONN. FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
- -
21 L
CONTR.
LIST
CHECK
�'
y 0.
11 .. � CJ '/
Permit No....1.A.7 if 0)
Owner's Name and Address
Registered Architect and /or Engineer_
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
New Building _ -- Remodeling
Size Septic Tan_ ?tle
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHx' ES VILLAGE
PLUMPING INSPECTION DEPARTMENT
rs`%P 6- CQ8B N F!'?e2 PLUMBING PERMIT
Date - 1 - 2 - - •. > _~ •_. ( ts�
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. ,
State work to be performed and purpose of building (By Floors)
No._�__ - 1_ Street_ .__ 7
6 ``I Street -_ "
`Block .
YiLF Street / --A/t
_ _Type of Tank
Addition_
Repairs
Capacity Gals.
Feet of Drain Tile 26 __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.___--_ _______ of Soakage Pit
,,y 1 j�
Amount of Permit 3 '7 La f: (Signed) _ l( �Z' , ( Jl Z cf' z' i�
r lumb' Inspe or.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o 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 Mimi Shores Village.
(sign) ALi__ L
Z
Notary Public, State of Florida
No. of Stories . . ..... .. ....... .
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 01.00 will be made whzt ouch re- inspection is made•necessary by improper notii ; for ins 1, or faulty
materials and /or workmanship.
Date
Legal Descriptio
Owner / Lessee / Tenant
Owner's Address c5
Contracting Co.
Qualifier
State IL 2LL 7T Municipal ;<!: Competency #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /e,,ProlC € w cj f r A r' W OL 41 KAP F tufo) To - '
Square Ft. Estimated Cost(value) yl 'C► c% coo
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 stat
L 1 7)
ure of Cont &tor or Ow ier- Builder
Signature o owner an or Condo President
Date:
Note as t� an /or Condo Pr " es,dent
ac FE1gi*-- SEMI � r
My � ommise.�''i �ire�3�
Dpsy JANET C. SILVAGNCM
My Commission Expire
** * a` * °ly 15, 196
''R O- Comm. No. CC 212189.
a =�. a
p `BS9F 0e$
FEES: PERMIT ® L' RADON
APPROVED:
gi p,
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Mechanical
Job Address /Ye 9 7 6
V 105P 444r
Zi
// •
SS# , - // - Phone;
C.C.F.
Fire Other
Buildin
Address
Signa
Date:
Tax Folio // . ,-/ ' I /9 y
. 2e1)lec-//
i r,
l
Notaf7i as to Contractor or Owner
My 'mn,i,e sei�n
.,,� F�r./ . OrFICJAL SEAL
JAf�!�i�
rA Com m sio Ex AG *fir 1 es
July 15, 1 .996
r. hcF71 *aa Comm. No. CC 212183
NOT)cR'Y"` TOTAL DUE. 7e."' /G-/
Master Permit
Phone
1779
**
Electrical
Engineering
ITEM
BATH TUB
UNIT
/
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
/
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
/
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
•
HEATER - REPLACE
GENERATORS TRANSFORMERS
_
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
•
WATER SERVICE
SIGN TUBES _
1
SEWER CONNECTIONS
SIGN TRANSFORMERS
J `
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
T
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
1
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL