546 NE 97 St (21)Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must he posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not b approved and a reinspection will be charged.
r 1
Signature
The foregoing
day of
who is person
Sign:
Print:
NOTARY PUBLIC:
kno %1.o
My Commission Expires:
•
.e a7'". gent
instnn nt acImg, ledgedbefore me this
+' . � •.?oduced
' "k' ,?gild who did take an oath.
***************************************************************************** * * * * ** * * * * * * * * * * * * * * * * * * * * * * * **
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Signature
a , 4
P ��� w or
The foregoing instnm nt ioicvl _before me this 14
20 y 4" tFIf LO:;;)
induced
o did take an oath.
nm�
day of Il-
whp iS�e rS011
as
NOTARY PUBLL�: ' ���� tt,
Sign . \� L
Print:
My Commission Expires:
* ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zoning
Plans Examiner
Engineer
BUILDING
PERMIT APPLICATIO
FBC 2001
Owner's Name (Fee Simple Titleholder) t1 ' —IA 1.
Owner Address 54 W Iv c*
City No �I am1 State f �
Tenant/Lessee Name
Job Address (where the work is being done) G t-
City Miami Shores Village
Is Building Historically Designated YES
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 _ 2nd Avenue, Miami Shores, Florida 33138
T
1122 . 1110
5 ?OR
) 756.8972
Master Permit No.
Permit Type (circle): Building Electrical Plumbing echanical Roofing
Zip
Phone #
County Miami -Dade Zip
NO
Permit No. p 1 Ot - W-1
7.54 074
Contractor's Company Name C =- t' . Phone #
C p y
Contract is Address 14 1 NE SO cS*
City N 0 m _ i A MI State F � Zip .
Qualifier J' n .ed 9
State Certificate or Registration No. LP& w it C i CO Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit . DO Square Footage Of Work:
Type of Work: ❑Addition 1 I� Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: U' T N r1 a L I NE 1 pQOL 4 ` 'C, mr) QU �� L SL
0 Y. 53 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $W ' Permit Fee $ / 7' CCF $ CO /CC
Notary $ Training/Education Fee $ , 0 Technology Fee $ L I tA. S
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/22/2004
Applicant: KENNETH KODISH
Owner: KODISH KENNETH
JOB ADDRESS: 546 NE 97 ST
Contractor SUBURBAN PROPANE DBA ACME GAS Contractor's Address: 1491 NE 130 STREET
Local Phone: 305- 891 -8393
Parcel # 1132060171520
Plumbing Permit
Permit Number: PL2004 -209
Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 4 & LOT 5 BLK 99 LOT SIZE
Fees: Description Amount
FEE2004 -7334 Building Fee $170.00
FEE2004 -7335 CCF $0.60
FEE2004 -7336 Training and Education Fee $0.20
FEE2004 -7337 Technology Fee $4.25
Total Fees: $175.05
Total Fees: $V5
Total Receipts: $0.00
k
Permit Status: APPROVED Permit Expiration: 1/11/2005 Construction Value: $500.00
Work: LP TANK LINE TO POOL HTR & MOSQUITO MAGNET
Signed: (INSPECTOR)
Page 1 of 1
A 2 6 PAID
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
•
Signed: (Contractor or Builder) BY:
, /1
1 '
• ,()
. 1.,( ); ti
Y
, , .. • .17') ' ,ff
( : ). ') - ( f 4 1 11)
„J 1 • I" '
r : I,.
1
7 4 1
' • I/
Suburban Propane
1491 N. E. 130th Street
N. Miami, FL 33161
305-891-8393
Qualifier • ( MIA,/ rc
Job Address S4" Ne 4 77 S
,;i»1/ Sklo•CeS' pc.
Longest Run f erA - ez-f--
Total BTU's 790,49
u•
•
BOUNDARY SURVEY
1.11 63117
N
Cn
.. '[
FD. NAIL
BLOCK
CORNER
LOT 10
BLOCK 99
210.00' P. 209.98' M.
First
Financial
Survey ors ,
Inc.
9076'4J M.
LOT6
BLOCK99
15' ASPHALT ALLEY P.P.
LOT17
BLOCK99
Legal Description
Val Kodish; Ken Kodish
GENERAL NOTES.
I) LEGAL DESCRIPTION PROVIDE() BY OTHERS.
2) THE LANDS SHOWN HEREON NE RE NOT ABSTRACTED FOR EASEMENTS
OR O1IER RECORDED ENCUMBRANCES NOT SHOWN ON DIE PLAT.
3) UNDERGROUND POR DONS OF FOOTINGS, FOUNDATIONS OR OTHER
IMPROVEMENTS WERE NOT LOCATED
4) WAIL TIES ARE TO THE FACE OF THE WALL AND
ARE NOT TO BE USED TO RECONSTRUCT BOUNDARY ONES.
5) NOT VALID WRNO( Ir THE SIGMA rim R ORIGINAL. RAISED SEAL OFAFLORIDA
LICENSED SURVEYOR AND MAPPER.
6) ONLY VISIBLE ENCROACHMENTS LOCATED.
7) IVOIOENDFI CATION FOUND ( W PROPERTY CORNERS UNLESS OTHERWISE SHOWN.
R) DIMENSIONS SHOWN ARE F'LATANO MEASURED UNLESS OT HERIYISE SHOWN.
9) FENCE OWNERSHIP Nor DETERMINED.
10) ELEVATIONS /F SHOWN ARE BASED UPON N.G.V.O. UNLESS ODIERWISENOTED
11) BEARINGS REFERENCED TO LINE NOTED B.N.
12) THIS SURVEY DEPICTED HERE FORMS A CLOSED GEOMETRIC F7GURE.
10) NO UNDERGROUND /A(PROVMENTSOR VISIBLE INSTAILI nOVS
HAVE BEEN LOCATED OnlER THAN SHOWN.
14) ALL DNINr:DANGLEA ON CURVES ARE SHOWN TO niECHORO DISTANCE
15) THIS SURVEY IS PREPARED FOR rue EXCL (FSIVE USE AND BE7:EfirO1PTHE
PARTIES LIST ED HEREON. LIABILITY TO THIRD PARTIES MAY NOT BE
TRANSFERRED OR ASSIGNED.
16) NOTICE nos DRAWING MAY NOT BE TO SCALE DUI. TO ELECTRONIC TRANSFER
THIS SURVEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSES ONT.. Y. EXCL USWL Y
FOR THIS USE BY THOSE TO WHOM IT IS CERTIFIED THIS S(/RVEYIS NOT TO RE USED FOR
CONSTRUCTION, PERMITTING. DESIGN OR ANY OTHER USE WITHOUT THE WRITTEN CONSENT
OF FIRST FINANCIAL SURVEYORS, INC.
(ASPHAL T)
NORTHEAST 97th STREET
75' R/W
F0.
1/2 l.P.
100.00' D.
100.07' M.
F0.
l/2" l.P.
1 STORY
SINGLE FAMILY
RESIOENCE
,/ 546
01.0'
• hf
1/2" I.P.
0
0 15'
Property Address:
546 Northeast 97th Street
Miami Shores, Florida 33138
Survey Number: 0- 129638
CENTRAL FLORIDA
950 S. WINTER PARK DRIVE
E
SUITE230
CASSELBERRY,, FL 32707
Phase: (321)397 -2221
Fax: (321)397-2222
to
er LOTS L0T4
BLOCK99 BLOCK99 ^,
J
100.n0 0.
1 %0 c )4e-
LOT 18 a�
BLOCK99 Q
40
ENO?
C.M.
P 1R.
r•.LP.
NAD
11.E
U.E.
PG.
P.8
P.O.L.
P.C.
P.R.C.
P.T.
5117
O.R.H.
CARL AIICHAEL SMITH
WILLIAM O. TUSING
LOUIS R RAMIREZ
0.H.L. 99.84' M. 0.0-
(1Du LOT 19
" BLOCK99
P.P.
Qualifier
Job Address
Longest R.pn
LEGEND
WOOD FENCE
- • -•- WIRE FENCE
• PROPERTY CORNER
STTE BENCH MARK
ENCROACHMENT
CENTERLINE
CONCRETEMONUME.NT
P011ND IRON ROD
FOUND IRON PIPE
I LIIL A DISC
ORAINAGE EASEMENT
UTILITY EASEMENT
PAGE
PIA ram
POINT ON LINE
POINT OF CURVATURE
PYNNr REVERSE CURVE
POMIT OF TANGENCY
SET IRON ROO A CAP
On7(:L4L RECORDS BOOK
FO.
0.171
P.R
TX
CAW
W.M.
TEL.
BR.
---- 10.05'
lo.o7'LOT 3
BLOCK 99
0
FO.
I /2• I.P.
15' ASPHALT ALLEY
LOT20
BLOCK 99
GRAPHIC SCALE (In Feel
NOTE: ne O ft
IN COMPLIANCE WITH n .(WIDASTATUES 6IGl7.6031(5) (0), IFL(KAT10N
EASEMENTS OR RIGIIT- OF•WAYOF RECORD, OTHER THAN THOSE ON RECORD
PLAT, IS REOUI RED, D43INFORMATION MUST RE FURNISHED TO
T 11 E SURVEYOR AND MAPPER.
w
(s
"I 1491 N.E. 130th Street .
Certified To: ' N. Miami, FL 33161
305- 891 -8393
, n:n
20 40
IHEREBY CERTIFY u THIS BOUNDARY SURVE•Y/SA TRUE ANO CORRECT
REPRESENTATION OF SO PARED LINDER AMY DIRECTIp/V /
Lot 4 and Lot 5, Block 99, MIAMI SHORES SECTION NO. 4, according to the Pia: thereof,
as recorded in Plat Book 15, Page 14, of the Public Records of Dade County, Florida.
Community Number: 120652 Pon el: J2flQ * � - � -
-c- - - -,-
Suffix: J F.I.R.M. Date: 3/2/1994 Flood Zo5ej ,ICS u r ban Propane
Field Work: 5/3/2004 Completed: /6/2004
W(XX) DECK
CONC. 8/ OCK WN I nT
COVERED AREA
CONCRETE
FIFLD (AEASItlU_O
PTA
CAI.CIL(A100
RIGHr 0F' WAY
TYPICAL
CENTRAL AN(T DULL TA
1 ENG1.1
RAl )lll5 RAMAII
OESCI?J'7IOV oR OEEL1)
(:F /Olin
CHORD TEARING
FINISIO17) 11.00R
FOUND
OVERHEAD LINES
POWER POLE
TRANSFORMER
CABLE RISER
WA1ERMETER
TELEPHONE F A CIL I T IE: S
BEARING REFERENCE
44E11
RAO RADIAL 710
AA: AIR CONDITIONER
0013 TOP OFBANK
W.C. 1171NE5S CORNER
00.W EDGE OF WATER
10.50 EXISTING ELEVATION
SAN SIDEWALK FOUND CONCRETE MONUMENT
N.05 NOT 10SCALE P.C.C. POINT OF COMPOUND CURVA17180
F.P.K. FOUND PARX0R4(ALONNAIL P.C.P. PERMANENT CONTROL POINT
P.R.M PERMANENT REFE.RENCE:MON(IMENT
_ STATE OF FLORIDA
SURVEYOR 6 MAPPER NO. 3762
LANE (JRVEYOR R MAPPER NO. 6148
Nationwide: 1-800-787-8266 LAND 'VEYOR6 MAPPER NO. 6304
NaUovlwido : Fax: 1- 800.767.8269 NO'VAN!) n THENTAATEnetEC •rtONIC SIGNATURE AN() A TIG.4L0 ELECTRONIC srALmom THIS MAP
IS NOT VALID 3473l.J,' Alf SIGNATURE AND THE ORIGINAL RAISED SEAT OFATLORl0A LICENSED S(IRVI Y(N( AND MAPPER,
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
0
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.
� • ' �! �,J
Owner's Name and Address r /\ I , � RC •
Registered Architect and /or Engineer
� /�� M i � 1 °.� c If /Pl '{Elam � . A �, - ...�- � -1�.., N ftt..l � ' � .. ..,,�..�...+�..�':. - �..�,� Ina LeBaron Lot. * Blab -- Su
5— 6
�^ j,Street. J
State work to be performed and purpose of building (By Floors)__.2 .a. .0_ ... .t_.r–Q -4 1..._.. 17 djE - A
Street and Number where work is to be performed –No
New Building.._.__ _ _- •- .-- ......._.. Remodeling—._ Addition -. _.___..._._..... Repairs 1/ No. of Stories
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City –We1L
My Cosnniiasioo Expires
Type of Tank—_
__Dist. Feet of Tank or Drain Field from VVoll ..._.__.
Size of Soakage Pit.
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 5988, Compiled General Laws of Florida Permanent Supplement, and IIKc cam -
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wore to be
performed under this permit; and will post or cause to be posted for inspection on the rite of the w. such public notice or notices u err
required by the Act. The undersigned agrees to employ only such sub-contr . on work j� - yL • under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admowledgmen°s, personaily appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . -- •-- •- •-- -..... _ _ .... _._ _..
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
(sad)- --- i -•- tx
N S1-6 streeP y (77
5
Notary Public, State of Florida
Muter Plumber.
NOTE: A re-inspecticm fee of $1.00 will be mods wheel ome r •br peetles 1r made.tmosemsy by improper soda far inspection, or faulty
materials and /or workmanship.
CLOa[TS
BATH
TUBS
SNOWLRa
LAVA•
TORIES
a INKa
SLOP
SINKS
LAUNDR Y
TYSa
U RINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUMT'NS
TO"AL
1 11TUKaa
Comm.
LIST
__...
CHECK
_ .
—
SEPTIC
TANK
S[W[R
CONN.
DRAIN
FIELD
SOAKAGS
PIT
GRLAS[
TRAP
SOLAR
HEATLR
Ow
WELL
arRKLR.
SYSTEM
aW IM
POOL
CONTR.
LIST
-
r- - -- —
--
CHICK
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
0
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.
� • ' �! �,J
Owner's Name and Address r /\ I , � RC •
Registered Architect and /or Engineer
� /�� M i � 1 °.� c If /Pl '{Elam � . A �, - ...�- � -1�.., N ftt..l � ' � .. ..,,�..�...+�..�':. - �..�,� Ina LeBaron Lot. * Blab -- Su
5— 6
�^ j,Street. J
State work to be performed and purpose of building (By Floors)__.2 .a. .0_ ... .t_.r–Q -4 1..._.. 17 djE - A
Street and Number where work is to be performed –No
New Building.._.__ _ _- •- .-- ......._.. Remodeling—._ Addition -. _.___..._._..... Repairs 1/ No. of Stories
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City –We1L
My Cosnniiasioo Expires
Type of Tank—_
__Dist. Feet of Tank or Drain Field from VVoll ..._.__.
Size of Soakage Pit.
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 5988, Compiled General Laws of Florida Permanent Supplement, and IIKc cam -
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wore to be
performed under this permit; and will post or cause to be posted for inspection on the rite of the w. such public notice or notices u err
required by the Act. The undersigned agrees to employ only such sub-contr . on work j� - yL • under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admowledgmen°s, personaily appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . -- •-- •- •-- -..... _ _ .... _._ _..
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
(sad)- --- i -•- tx
N S1-6 streeP y (77
5
Notary Public, State of Florida
Muter Plumber.
NOTE: A re-inspecticm fee of $1.00 will be mods wheel ome r •br peetles 1r made.tmosemsy by improper soda far inspection, or faulty
materials and /or workmanship.
T i
4-L
Application is hereby :wick for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
t.. herein describad. This application is made in compliance and conformity with the Building Ordinance of Micmi 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 Mia:isi Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
Chu: ?: t' g during progress of work.
�j -
Owztsr's Nar..a end Address , TO c i( � ,4'+
-_ - • -- -- -- - - No..._ _... _ _ Street. _ ( 7
s3 egis ter ed architect and /or Engineer
Employing Plumber's Name -&. .r , _ n _r? r'
Street and Number where work is to be performed -No
State work to be performed and purpose of building (By Floors) ____ _ L. ....
.� _ a
New Building _.__ Remodeling_
Size Septic Tank
Feet of Drain Tile_-__
Nat::_ke of Water Supply: City -Well.
- --- -- •- -- ---- --
Ameunt of Pcai,tit $
STATE OF Fi ,ORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date L.,.‘7'
.__._. -..
Street..__ ,
Location and Legal Description Block______ -- - _______-. Subdivision...__..__
' �` 4
Street - - *" --------- •-- - -...�
Addition Repairs -- No. of Stories.
Type of Tank_
__Dist. Feet of Tank or Drain Field from Well
_ _Size of Soakage Pit
Capacity Gals.__ _
Plumbic Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o• 'gat •ns as an employer of labor
undu the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen Supplement, and has corn -
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors '. oye by him in the work to be
performed u iz r this permit; and will post or cause to be posted' for inspection on the site of the wor uch public notice or notices as are
:sip. 1 by the het The undersigned agrees to employ only such sub - contractor° o work to • perforyRed' under this permit, as are
licensed by Miami Shores Village.
( Signed
My Commission Expires Notary Public, State of :Florida
Before me, the undersigned authority, a notary public, duly authorized to admini4er 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.
CLO?n�'°: ki BATH
Tu a8
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
T i
4-L
Application is hereby :wick for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
t.. herein describad. This application is made in compliance and conformity with the Building Ordinance of Micmi 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 Mia:isi Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
Chu: ?: t' g during progress of work.
�j -
Owztsr's Nar..a end Address , TO c i( � ,4'+
-_ - • -- -- -- - - No..._ _... _ _ Street. _ ( 7
s3 egis ter ed architect and /or Engineer
Employing Plumber's Name -&. .r , _ n _r? r'
Street and Number where work is to be performed -No
State work to be performed and purpose of building (By Floors) ____ _ L. ....
.� _ a
New Building _.__ Remodeling_
Size Septic Tank
Feet of Drain Tile_-__
Nat::_ke of Water Supply: City -Well.
- --- -- •- -- ---- --
Ameunt of Pcai,tit $
STATE OF Fi ,ORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date L.,.‘7'
.__._. -..
Street..__ ,
Location and Legal Description Block______ -- - _______-. Subdivision...__..__
' �` 4
Street - - *" --------- •-- - -...�
Addition Repairs -- No. of Stories.
Type of Tank_
__Dist. Feet of Tank or Drain Field from Well
_ _Size of Soakage Pit
Capacity Gals.__ _
Plumbic Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o• 'gat •ns as an employer of labor
undu the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen Supplement, and has corn -
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors '. oye by him in the work to be
performed u iz r this permit; and will post or cause to be posted' for inspection on the site of the wor uch public notice or notices as are
:sip. 1 by the het The undersigned agrees to employ only such sub - contractor° o work to • perforyRed' under this permit, as are
licensed by Miami Shores Village.
( Signed
My Commission Expires Notary Public, State of :Florida
Before me, the undersigned authority, a notary public, duly authorized to admini4er 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.
fr
Permit No .......
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mis.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 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 ____ fibii6AbeSieY No.__- ` -_ ''
Registered Architect and /or Engineer_--____
Employing Plumber's Name_tilitA_ a_ : ..._ No._ 7 - -- Street__ 6�• 6'
Location and Legal Description Lot_
Street and Number where work is to be performed-No. __
A _ -
State work to be performed and purpose of building (By Floors)__aLr'd, _ -•_ c ��K � ( riff � .._.- _ �f -'�r / 4er)c
New Building __ -__ Remodeling--- Addition_.._____._............. R ®pairs._ - No. of Stories- _ ...........
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City - Well._
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
Date
Street j/4.
_ - -_ -Type of Tank
_Dist Feet of Tank or Drain Field from 'Well
_Size of Soakage Pit
-- - - ---- (Signed)
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 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 - - ed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on site of the wor such • .blic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contra ors, •n work to •e pe armed under this permit, as are
licensed by Miami Shores Village.
Street.- --__ -�
Subdivision
d�
2 s.
Plumbng Inspector.
Before me, the undersigned authority, a notary public, duly authorized to a • • i ster 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 NotW Public, State of Rorida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made•neces by in% roper notice for inspection, or faulty
materials and /or workmanship. t�
CLOSETS
BATH
UBS
SHOWERS
TORIES
SINKS
SINKS
LAUNDRY
TUBB
URINALS
BASIN
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
_
fr
Permit No .......
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mis.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 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 ____ fibii6AbeSieY No.__- ` -_ ''
Registered Architect and /or Engineer_--____
Employing Plumber's Name_tilitA_ a_ : ..._ No._ 7 - -- Street__ 6�• 6'
Location and Legal Description Lot_
Street and Number where work is to be performed-No. __
A _ -
State work to be performed and purpose of building (By Floors)__aLr'd, _ -•_ c ��K � ( riff � .._.- _ �f -'�r / 4er)c
New Building __ -__ Remodeling--- Addition_.._____._............. R ®pairs._ - No. of Stories- _ ...........
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City - Well._
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
Date
Street j/4.
_ - -_ -Type of Tank
_Dist Feet of Tank or Drain Field from 'Well
_Size of Soakage Pit
-- - - ---- (Signed)
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 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 - - ed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on site of the wor such • .blic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contra ors, •n work to •e pe armed under this permit, as are
licensed by Miami Shores Village.
Street.- --__ -�
Subdivision
d�
2 s.
Plumbng Inspector.
Before me, the undersigned authority, a notary public, duly authorized to a • • i ster 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 NotW Public, State of Rorida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made•neces by in% roper notice for inspection, or faulty
materials and /or workmanship. t�
MIAMI SHORES VILLAGE, FLORIDA
o PERMIT N? 4171
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
Work to be performed under this Permit_
Bl.
Signed.
Subdi-
vision
DATE 19—
Contractor's
License No.
L
BY AU'HORITY
y
Value of Amcunt of
Project II Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with ai: ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac.
cepting this permit I assume responsibility for all work one by either, myself, my agent, servant or employee.
A.807 -tee-
• BOLDING
•ELKTRICAL
' PLUMBING'
Owner of
Building
Architect
Contractor
or Builder 1
Legal
Description
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 6341
Worko be performed under this Permit %( I :%
Z4 ft1
(' f`- j
Bl.
Subdi-
vision
CONTRACTOR OR B DER BY
DATE
Contract,6r's
Ia'c>4nse No.
Address of ,e. ,� r Value of Amt. off" --
Building permit )10/ l� (( � ) ` Proje 1 Permit
This ermit is granted to the contractor or b de namera ve construct the building or to install the equipment or e a .vice described in the appli-
cation herefor in strict compliance with all ordinan s 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 he 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 grdinances and
regulations pertaining to the work covered hereby whether shown on the plans or. drawi7 or in tie statements or specifications arshhat ssumes respon-
sibility for work done by his agents, servants or employees.
F f ,. ma `, .
�� , r
Sig r�j� << t ���
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with aordinances d eggi4i�a �ons
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami o*sofiAltge.
In accep . g this permit I ume res _ nsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
SHORES VILLAGE
l afr
PLUMBING INSPECTION DEPARTMENT
c , f — APPLICATION FOR PLUMBING PERMIT i /, f
Permit N Date f' j �- CP
Application is Hereby made for the approval of the detailed statement of the plans and specifications herewith sub teu for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance o iami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and r b ulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plan and specifications must be kept at
building during progress of work. i ) '' )
./- /
r� e y
Owner's Name and Address __ ,- v -__, _._. _ / i .' • t : s i ' No.
Registered Architect and /or Engiij er_.__
Employing Plumber's Name_ _ No.___._____ Street
-.
Location and Legal Description Lot__ T -r_5 Block Subdivision
and Number where work is to be performed —No. .> /-/ - Street -
State work to be perform d and purpose of building (By Floors)__._____._ .. _
New Building _ _ Remodeling Addition
Size Septic Tank. 2— . _ Type of Tank
Feet of Drain Tile ____
Nature of Water Supply: City —Well. Size of Soakage Pit
ss.
(Signed)
Repairs
/ S t r e e t
Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
My Commission Expires Notary Public, State of Florida
No. of Stories
C.)
Master Plumber.
(Signed ).r._ c_ .t.a'�C__f: L
J ( � 3Plu mbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep 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 hirer in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
DR INK NG
FOUNT 'NS
TOTAL
FIXTURES
CONTR.
LIST
_
CHECK
I
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
SHORES VILLAGE
l afr
PLUMBING INSPECTION DEPARTMENT
c , f — APPLICATION FOR PLUMBING PERMIT i /, f
Permit N Date f' j �- CP
Application is Hereby made for the approval of the detailed statement of the plans and specifications herewith sub teu for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance o iami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and r b ulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plan and specifications must be kept at
building during progress of work. i ) '' )
./- /
r� e y
Owner's Name and Address __ ,- v -__, _._. _ / i .' • t : s i ' No.
Registered Architect and /or Engiij er_.__
Employing Plumber's Name_ _ No.___._____ Street
-.
Location and Legal Description Lot__ T -r_5 Block Subdivision
and Number where work is to be performed —No. .> /-/ - Street -
State work to be perform d and purpose of building (By Floors)__._____._ .. _
New Building _ _ Remodeling Addition
Size Septic Tank. 2— . _ Type of Tank
Feet of Drain Tile ____
Nature of Water Supply: City —Well. Size of Soakage Pit
ss.
(Signed)
Repairs
/ S t r e e t
Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
My Commission Expires Notary Public, State of Florida
No. of Stories
C.)
Master Plumber.
(Signed ).r._ c_ .t.a'�C__f: L
J ( � 3Plu mbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep 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 hirer in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
-al
L
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,
tnd 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 • f B rC.%t..G• L- , No. :z
Registered Architect and /or Engineer er/ p - � __ � � " _ " ' ' `p
Employing Plumber's Name t /t te- i!- 7 - - -C: - "- No / 1`' 4 • Street
Location and Legal Description Lot `(- .. f `Y 1 Block �
Street and Number where work is to be performed —No. ✓- "9'h ', '
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $-
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Street 9 7 c!.
Repairs
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
Date -- '
Street
Subdivision 7 40
No. of Stories /
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) tj ___..
Master Plumber.
STATE OF FLORIDA, t
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 sapplication, 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
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',JJ
.. «
•
TOTAL
FIXTURES
CONTR.
LIST
/J
OC/
k /
I
4
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
/
CHECK
-al
L
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,
tnd 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 • f B rC.%t..G• L- , No. :z
Registered Architect and /or Engineer er/ p - � __ � � " _ " ' ' `p
Employing Plumber's Name t /t te- i!- 7 - - -C: - "- No / 1`' 4 • Street
Location and Legal Description Lot `(- .. f `Y 1 Block �
Street and Number where work is to be performed —No. ✓- "9'h ', '
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $-
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Street 9 7 c!.
Repairs
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
Date -- '
Street
Subdivision 7 40
No. of Stories /
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) tj ___..
Master Plumber.
STATE OF FLORIDA, t
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 sapplication, 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
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.
,
,
1
�
Permit o: �' . V
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 Ordnance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village ai:d all rules and regrlations 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
Sfze Septic Tank ✓ ` ' Type of Tank
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
et of Drain Tile .�� Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
ss.
Size of Soakage Pit
Dale
r
No
- -_ - _ � '�1 �' Street
Employing Plumber's Name /,
�_� ,�.. :1 i moo. Street
Location and Legal Description Lot Block Subdivision.
Street and Number where work is to be perfornied —No 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Repairs
Street I
(Signed)
Capacity Cals.
No. of Stories
of Permit $ - - . (Signed)- -- _ -- -- -•__ -- -. ___ ..
The undersighed applicant for this building permit does hereby certify that he understands and accepts his obligati() Is 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 -)) 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 Nvork such public notice Or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer ca:hs and take ack :owled r.:mts, per..on ally appeared
to me well known, and who, being by me first duly sworn, upon oath depnEes 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 salve, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
\Taster Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made neces:ary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
"rues
S H OWERS
LAVA-
TORIES
SINK:i
SLOP
SINKS
LAUNCRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
-
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
CRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR,
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
.
1
�
Permit o: �' . V
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 Ordnance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village ai:d all rules and regrlations 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
Sfze Septic Tank ✓ ` ' Type of Tank
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
et of Drain Tile .�� Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
ss.
Size of Soakage Pit
Dale
r
No
- -_ - _ � '�1 �' Street
Employing Plumber's Name /,
�_� ,�.. :1 i moo. Street
Location and Legal Description Lot Block Subdivision.
Street and Number where work is to be perfornied —No 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Repairs
Street I
(Signed)
Capacity Cals.
No. of Stories
of Permit $ - - . (Signed)- -- _ -- -- -•__ -- -. ___ ..
The undersighed applicant for this building permit does hereby certify that he understands and accepts his obligati() Is 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 -)) 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 Nvork such public notice Or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer ca:hs and take ack :owled r.:mts, per..on ally appeared
to me well known, and who, being by me first duly sworn, upon oath depnEes 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 salve, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
\Taster Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made neces:ary by improper notice for inspection, or faulty
materials and /or workmanship.
APPLICATION FOR PLUMBING PERMIT
Permit No Date..._.._.._.. _... ._.0 —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 specifics be kept at •
building during progress of work.
Owners Name and Address C I) 1%4 No. 5-4S9_ Y - Street .. -
j . _.
Registered Architect and /or Engin
E ploying Fltuu 7 s N
do and Leg. Description B
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building..__._ _ _.._... - -- • - - -_ -- Remodeling— _..__._
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
pi PE AT ate_
Addition...____...__ Repairs
(Si
ittw r )
:, d i ....'..rim
Subdivision. o��LS A J L/E F
Street. :_ > !` • --
Amount of Permit i ( Signed ) __5��.t�.__ •�'._ — ._
I - r
No. of Stories ..
Size Septic Tank_ _Type of Tank_.
Feet of Drain Tile _Dist. Feet of Tank os Drain Field from Well--------— __ —• -. _
��Nature of Water Supply: City—Well. Size of Soakage Pit_
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 5988, Compiled General Laws of Florida Permanent Supplement, and IIr' com-
plied with the provisions thereof, and will require similar compiance from all contractors or sub- contractors employed by him in the wort to be
performed under this permit; and will post or cause to be posted' for inspection on -site of the work such public notice or notices es err
required by the Act. The undersigned agrees to employ only such sub -con . on wb k to be sensed udder this pit as are
licensed by Miami Shores Village. �� �
STATE OF FLORIDA, 1 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 be 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 11.00 will be made whoa atsai nilespaodne fs soade•nsomeary by Improper notice for Inspection, ea faulty
material and /ar worlonanahip.
CLOSETS
BATH
Tu•s
SHOWERS
LAVA.
TORItn
SINKS
SLOP
SINKS
LAUNDR
Tun•
URINAL*
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT
TOTAL
FIATVREE
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
NEATER
MID.
WELL
SPRKLR.
SYSTEM
SW IM•O
POOL
CONTR.
LIST
CHICK
1
APPLICATION FOR PLUMBING PERMIT
Permit No Date..._.._.._.. _... ._.0 —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 specifics be kept at •
building during progress of work.
Owners Name and Address C I) 1%4 No. 5-4S9_ Y - Street .. -
j . _.
Registered Architect and /or Engin
E ploying Fltuu 7 s N
do and Leg. Description B
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building..__._ _ _.._... - -- • - - -_ -- Remodeling— _..__._
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
pi PE AT ate_
Addition...____...__ Repairs
(Si
ittw r )
:, d i ....'..rim
Subdivision. o��LS A J L/E F
Street. :_ > !` • --
Amount of Permit i ( Signed ) __5��.t�.__ •�'._ — ._
I - r
No. of Stories ..
Size Septic Tank_ _Type of Tank_.
Feet of Drain Tile _Dist. Feet of Tank os Drain Field from Well--------— __ —• -. _
��Nature of Water Supply: City—Well. Size of Soakage Pit_
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 5988, Compiled General Laws of Florida Permanent Supplement, and IIr' com-
plied with the provisions thereof, and will require similar compiance from all contractors or sub- contractors employed by him in the wort to be
performed under this permit; and will post or cause to be posted' for inspection on -site of the work such public notice or notices es err
required by the Act. The undersigned agrees to employ only such sub -con . on wb k to be sensed udder this pit as are
licensed by Miami Shores Village. �� �
STATE OF FLORIDA, 1 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 be 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 11.00 will be made whoa atsai nilespaodne fs soade•nsomeary by Improper notice for Inspection, ea faulty
material and /ar worlonanahip.
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, hether h • specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �'� �y 4
546 £ s. E 97 Street
Owner's Name and Address ________ -- ----- --__ -- _-- - - - - --_ - ------ --- __ _..__ No._.___ Street
Registered Architect and /or Engineer
Employing Plumber's Name Qualified Plumbing Co., Inc. 1083 E. 23 Street E .g1�:r.h, Fla.
Location and Legal Description Lot_-__ ---_- ........ _____.____________ _ _ _.— Block__ ..... _______ ..... Subdivision
Street and Number where work is to be performed— No.__ _ /4. —__ ___________ _— Street_ V • E. 97 St
Plumbing in rosidenco
State work to be performed and purpose of building (By Floors)_ � _______._____
New Building __ -- Remodeling----- -___ -- -- _-- ____ -- Addition - - -_ Repairs
Size Septic Tank - --------- - - -- -- - - - -- -Type of Tank___ Capacity Cals.__ _
Feet of Drain _____________________ Feet of Tank or Drain Field from Welk.
Nature of Water Supply: City —Well _ ____Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VDI.I.AGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Si -- C - "4
Plumbing Inspector.
(Signed)- �= =
Date
Mugu :; 26, 1968
No. of Stories.
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 Pertnanent Sr.pplement, 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.
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.
s1 '1E : A re- inspection fee of $LOO will be made when such re-inspection is mad.e•nassary by improper notice for inspection, or faulty
'd /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BAGIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
• •
TOTAL
FIXTURES
CoNTR.
LIST
q
1
vl
<9
2
CHECK
+_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit
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, hether h • specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �'� �y 4
546 £ s. E 97 Street
Owner's Name and Address ________ -- ----- --__ -- _-- - - - - --_ - ------ --- __ _..__ No._.___ Street
Registered Architect and /or Engineer
Employing Plumber's Name Qualified Plumbing Co., Inc. 1083 E. 23 Street E .g1�:r.h, Fla.
Location and Legal Description Lot_-__ ---_- ........ _____.____________ _ _ _.— Block__ ..... _______ ..... Subdivision
Street and Number where work is to be performed— No.__ _ /4. —__ ___________ _— Street_ V • E. 97 St
Plumbing in rosidenco
State work to be performed and purpose of building (By Floors)_ � _______._____
New Building __ -- Remodeling----- -___ -- -- _-- ____ -- Addition - - -_ Repairs
Size Septic Tank - --------- - - -- -- - - - -- -Type of Tank___ Capacity Cals.__ _
Feet of Drain _____________________ Feet of Tank or Drain Field from Welk.
Nature of Water Supply: City —Well _ ____Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VDI.I.AGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Si -- C - "4
Plumbing Inspector.
(Signed)- �= =
Date
Mugu :; 26, 1968
No. of Stories.
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 Pertnanent Sr.pplement, 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.
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.
s1 '1E : A re- inspection fee of $LOO will be made when such re-inspection is mad.e•nassary by improper notice for inspection, or faulty
'd /or workmanship.
BUILDING ❑
ELECTRICAL ❑
PLUMBING
ROOFING ❑
Owner of
Building
Architect
Contractor .6
or Builder <. _ + . C' i i t I 41 1,C,4.p { AO.
Legal Lot
Description
Address of
k
Building ' i fi ,, (.• .
r Y,1
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 10404
Work to be performed under this Permit
I �
Bl.
N•�
Subdi-
vision
Sq. Ft.
Value of
Project 'fi
Date
( "A ! E'a't%. 4
i Amount of
Per:nit
f
Contractor's 2 G 7 6
�..
License No. e
f. d! e i .L0 ,ti,
BY AUTHORITY
19 _'_:
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an}
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 tht plans or drawings or in the statements or specifications and that he assumes respon
sibility for work done by his agents, servants o ploy
Signed: f / �Lel�L << T(INSPECTOR) BY_
In consideration of the issuance to me of this ermit I agree to
p g perform the work covered hereunder in compliance with all ordinances and regulation,
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritits of Miami Shores Village.
In accepting this permit I assume fesponsibili for all work done by either, myself, my agent, servant or employee.
"),
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specification must be kept at
building during progress of work.
Owners Nante and Address ..1/ � �� � ! . No. �� � � o.—_s_ Street.._ d . _...._.._.. .. -..
Registered Architect and /or Engineer //,,
Employing Fltutaber's Name
Location and Legal Description Lot_ Bloc)t , _ SubdivWon._____-__-
Street and Number where work is to be performed—No. di : Str eL Q . _.._. _ ..__.._.
State work to bo perfornc11 and purpose of building (By Floor)__----_
New Building._ __ _ _.._......... -•_ -- Remodeling-___-- .- .- ._ -___ Addition
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
... _...-__--.Capacity Gals— _..
Size Septic Tank_
Feet of Drain Tile
Nature of Wat -. Sup.ly• City—Well. ) Size of Soakage Pi
=.4 aztr
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent St,pplement, 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. � ,�� )e �� / /
7
(Sites) — — - - -- _......... .
Master Plumber.
Amount of Permit $
My Conu nissio EEzptres
Dist. Fast of Tank or Drain Field from
/, ` s ` Cl' : -- ���'
Repair. No. of Stories
STATE OF FLORIDA, }
u.
COUNTY OF DADE.
Before inc. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well knowut, and who, being by me first duly sworn, upon oath dep ones and says that he is the._ ._ _._
of the above described construction, that be ho carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of ;Florida
NOTE: A resinspection fee of $1.00 will be made whoa snob i isetion 1a made neoaaaary by LuP'epee notice for lespection, ar fauky
materials and /or workmanship.
COf[TS
BATH
Yues
SHOW
LAVA-
TOR "
SINKS iNKf
SLOP
SINKS
LAUNDRY
Tuff
uAIMA6[
CATCH
'BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIATUR[S
CONTR.
LIST
..:....._ ..
-
- _
-- -
- -
- - -
CHECK
-
SEPTIC
TANK
SLW[R
Comm.
DRAIN
FIILO
SOAKAG[
PIT
QrR[Af[
TRAP
SOLAR
HILATILR
D[v
WELL
Sim ILL
SYLTLM
SWIM•a
P001.
CoNTN.
LIST
CHICK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specification must be kept at
building during progress of work.
Owners Nante and Address ..1/ � �� � ! . No. �� � � o.—_s_ Street.._ d . _...._.._.. .. -..
Registered Architect and /or Engineer //,,
Employing Fltutaber's Name
Location and Legal Description Lot_ Bloc)t , _ SubdivWon._____-__-
Street and Number where work is to be performed—No. di : Str eL Q . _.._. _ ..__.._.
State work to bo perfornc11 and purpose of building (By Floor)__----_
New Building._ __ _ _.._......... -•_ -- Remodeling-___-- .- .- ._ -___ Addition
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
... _...-__--.Capacity Gals— _..
Size Septic Tank_
Feet of Drain Tile
Nature of Wat -. Sup.ly• City—Well. ) Size of Soakage Pi
=.4 aztr
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent St,pplement, 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. � ,�� )e �� / /
7
(Sites) — — - - -- _......... .
Master Plumber.
Amount of Permit $
My Conu nissio EEzptres
Dist. Fast of Tank or Drain Field from
/, ` s ` Cl' : -- ���'
Repair. No. of Stories
STATE OF FLORIDA, }
u.
COUNTY OF DADE.
Before inc. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well knowut, and who, being by me first duly sworn, upon oath dep ones and says that he is the._ ._ _._
of the above described construction, that be ho carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of ;Florida
NOTE: A resinspection fee of $1.00 will be made whoa snob i isetion 1a made neoaaaary by LuP'epee notice for lespection, ar fauky
materials and /or workmanship.