537 NE 96 St (7)Permit No
APPLICATION FOR PLUMBING PERMIT
7/-S"
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for
structure herein described. This application is made in compliance and conformity with the Building Ordinance of brand
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all role and regulations
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans.and
building during progress of work.
Amount of Permit
STATE OF FLORIDA, I
es.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Owner's Name and Address
Registered Architect and/or Engineer
Employing Plumber's Name
Location and Legal Description Lo r / _Bloc
Street and Number where work is to be performed—No.
State work to be performed and purpose of building (By Floors)
New Building Remodeling_ Addition
Size Septic Tank______________________________________ Type of Tank
Feet of Drain Tile_ Dist. Feet of Tank or Drain Field
Nature of Water Supply: City—Well Size of
No
No._/ //4 , 4e ,
from Well
Soakage Pit
The undersigned applicant for this building permit does hereby certify *vim understands and accepts his obligations
under the Florida Workmen's Compensation Act, being Section 5966, Complied General Laws of Florida Permanent $
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed
performed under this permit: and will post or cause to be posted for i the site of the wo public
required by the Act. The under signed agrees to employ only such sit tractors, o ork to
licensed by Miami Shores Village.
My Commission Expires
Repairs_
Date
Capacity Gals
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take
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
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
materials and/or workmanship.
Not:41 Ueda
CLOSETS
BATH
TUGS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
Pouters*
CONTR.
LIST
CHECK
same
TANK
rumen
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATIR
DEEP
WELL
SPRKLR.
SYSTEM
SWIM••
POOL
.. 1 . ,
CONTR.
LIST
CHECK
Permit No
APPLICATION FOR PLUMBING PERMIT
7/-S"
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for
structure herein described. This application is made in compliance and conformity with the Building Ordinance of brand
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all role and regulations
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans.and
building during progress of work.
Amount of Permit
STATE OF FLORIDA, I
es.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Owner's Name and Address
Registered Architect and/or Engineer
Employing Plumber's Name
Location and Legal Description Lo r / _Bloc
Street and Number where work is to be performed—No.
State work to be performed and purpose of building (By Floors)
New Building Remodeling_ Addition
Size Septic Tank______________________________________ Type of Tank
Feet of Drain Tile_ Dist. Feet of Tank or Drain Field
Nature of Water Supply: City—Well Size of
No
No._/ //4 , 4e ,
from Well
Soakage Pit
The undersigned applicant for this building permit does hereby certify *vim understands and accepts his obligations
under the Florida Workmen's Compensation Act, being Section 5966, Complied General Laws of Florida Permanent $
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed
performed under this permit: and will post or cause to be posted for i the site of the wo public
required by the Act. The under signed agrees to employ only such sit tractors, o ork to
licensed by Miami Shores Village.
My Commission Expires
Repairs_
Date
Capacity Gals
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take
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
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
materials and/or workmanship.
Not:41 Ueda
• MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 con plied with, whether herein specified or not. A copy of approved plans and specifications s st be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer ar
Employing Plumber's Name
Location and Legal Description
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Size Septic Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature •of Water Supply: City —Well Size of Soakage Pit.
f )
My Commission Expires
Type of Tank
(Signed)
Date
No 1!___P___1__ Street
No. �" � _ Street_ ___
Block___ Street � � Subdivision ___, -
SS _er
New Building Remodeling Addition Repairs No. of Stories
Capacity Gals.
Amount of Permit $ "'� (Signed) _� s
robing Inspector.
The undersigned applicant for this building permit does hereby certify tVt 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 – con the site of the wore snO public notice ,o notices as are
required by the Act. The under signed agrees to employ only such su contractors, oq work to be(perfbrrgld der
licensed by Miami Shores Village. .� --! # G c) Ci - -'
Notary Public, State of Florida
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.. .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
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
H EATER
DEEP
WELL.
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
• MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 con plied with, whether herein specified or not. A copy of approved plans and specifications s st be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer ar
Employing Plumber's Name
Location and Legal Description
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Size Septic Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature •of Water Supply: City —Well Size of Soakage Pit.
f )
My Commission Expires
Type of Tank
(Signed)
Date
No 1!___P___1__ Street
No. �" � _ Street_ ___
Block___ Street � � Subdivision ___, -
SS _er
New Building Remodeling Addition Repairs No. of Stories
Capacity Gals.
Amount of Permit $ "'� (Signed) _� s
robing Inspector.
The undersigned applicant for this building permit does hereby certify tVt 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 – con the site of the wore snO public notice ,o notices as are
required by the Act. The under signed agrees to employ only such su contractors, oq work to be(perfbrrgld der
licensed by Miami Shores Village. .� --! # G c) Ci - -'
Notary Public, State of Florida
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.. .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
RMIT N° 1962
to be perfesnsed under this Pernu
to me of thisperant I agree to
Conformity midi the plans, drawi
assuntellwponsibility for all work
Signed.
Subdi-
vision
BY
Contractor's
License No.
(
DATE -
INSPECTOR
By
Value of
Amt. of
Project
- /( q , Permit
onstractor or budder named above to construct the building or to install the equipment or device described in the
with all ordinsacss pertaining thereto and with the understanding that the work will be performed in compliance
si that may have been submitted to and approved by the proper municipal authorities. This Permit may
Ounce with such ordinances or if the pluns are changed without authorization. A further condition
that the contractor or builder named aiiove assumes the responsibility for a thorough knowledge of
to the w�1 covered hereby whether shown on the pl4ns of drawings or in the statements or specifications and
by his agents, servants or employees.
the "pink covered hereunder in compliance with all ordinances and regula-
or specifications submitted to the proper authorities of Miami Shores
r myself, my a�flt. servant or employee. -
f
4 ,..A0A0 1 1110 0, 1* ,
AUTHORITY
19
AM I SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. .-!j_- Date__
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm tied for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shorn 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 speciItions must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
4.
.44411Lelta No. M-- - - - Street.Ne ._J_ _�/
Employing Plumber's Name _ —__ ��_1
Location and Legal Descriptio ot_���
.�Jl___. 1 _v_ _if Block
Street and Number where work is to be performed —No._ ___T!�L - v - /� _ St
State work to be performed and purpose of building (By Floors)
ONE f arlI` ?E
New Building___— _ Remodeling____ _______ Addition Repairs_ __ _____ No. of Stories_______ —
Size Septic Tank - -
Feet of Drain Tile ______— __..... _.....
______.___
Nature of Water Supply: City —Well
Amount of Permit S_
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
Type of Tank - Capacity Gals
ist. Feet o Tank or Drain Fie om Well
- S' a of So ge Pit
4 -- - - - - -- - — — - - --- -- _ (Sign
The undersigned applicant for this building permit does hereby certify that h
under the Florida Workmen's Compensation Act, being Section 5966, Compiled
plied with the provisions thereof, and will require similar compliance from all co
performed under this permit; and will post or
required by the Act. The under signed agrees
licensed by Miami Shores Village.
cause to be
to employ
Subdivis V r
red NE £
Plumbing napector
derstands and accepts his obligations as an employer hot
ral Laws of Florida Permanent Supplement, and has com-
actors or sub - contractors employed by his in the work to be
posted for inspection on the site of the work such public notice or notices as are
only such sub - contractors, on work to be performed under this permit, as are
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 be has carefully read the foregoing application, and that he did sign the same. and that all facts'
therein by him stated are true.
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
SI NKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST IST
2
3
/
/
/
/
9 "
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
AM I SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. .-!j_- Date__
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm tied for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shorn 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 speciItions must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
4.
.44411Lelta No. M-- - - - Street.Ne ._J_ _�/
Employing Plumber's Name _ —__ ��_1
Location and Legal Descriptio ot_���
.�Jl___. 1 _v_ _if Block
Street and Number where work is to be performed —No._ ___T!�L - v - /� _ St
State work to be performed and purpose of building (By Floors)
ONE f arlI` ?E
New Building___— _ Remodeling____ _______ Addition Repairs_ __ _____ No. of Stories_______ —
Size Septic Tank - -
Feet of Drain Tile ______— __..... _.....
______.___
Nature of Water Supply: City —Well
Amount of Permit S_
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
Type of Tank - Capacity Gals
ist. Feet o Tank or Drain Fie om Well
- S' a of So ge Pit
4 -- - - - - -- - — — - - --- -- _ (Sign
The undersigned applicant for this building permit does hereby certify that h
under the Florida Workmen's Compensation Act, being Section 5966, Compiled
plied with the provisions thereof, and will require similar compliance from all co
performed under this permit; and will post or
required by the Act. The under signed agrees
licensed by Miami Shores Village.
cause to be
to employ
Subdivis V r
red NE £
Plumbing napector
derstands and accepts his obligations as an employer hot
ral Laws of Florida Permanent Supplement, and has com-
actors or sub - contractors employed by his in the work to be
posted for inspection on the site of the work such public notice or notices as are
only such sub - contractors, on work to be performed under this permit, as are
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 be has carefully read the foregoing application, and that he did sign the same. and that all facts'
therein by him stated are true.
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.
BUILDING
PLUMBING
•
•
•
•
•
•
ELECTRICAL :
•
•
•
•
• •
•
Inspector's Report: -
•
•
•
•
•
•
•
•
•
: WORK
: DONE BY:
REQUESTED
WILL BB
•
•
•
•
•
•
•
•••••■■•••••
¥ie following is ready for Inspection:
•
•
•
•
• ///?—eetti
•
•
• •
• iif••
•
•
•
•
•
•
•
•
•
•
•
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
L
Lot
6' 6.
NWOO
MIAMI SHORES VILLAGE, FLORIDA
DAT
PERMIT N° 2129
Work to be pertrrmed under this Permit
...60 •
Bl.
Value of Amt.
P 11 Amt. of
Project
Permit
This permit is granted to the contractor or builder named above to construct the buiIdin or to install the equipment or
application herefor in strict compliance with all ordinances pertaining thereto and with the understandin g that the work will be
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are
upon which this permit is granted is the understanding that the contractor or builder med above a
the ordinances and regulations pertaining to the work covered hereby whether shisyrn the plans or
that he assumes responsibility for work done by his agents, servants or employees. 6
Signed. By
1NECTOR
In consideration of the issuance to me of this permit I agree to perform thboodgc covered hereunder in compliance with
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submtuset to the proper
Village. In accepting h15 permit I assume re bility for all work done by either myself, my agent, serroas or somg,ioyee.
CTORO BLyiCER
BY
of
AvitiacrarrY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of:.
Building
Architect
Contractor
or Builder
Legal Lot II Bl. Subdi-
Description vision
CONTRACTOR OR BUILDER
Signed.
INSPECTOR
MIAMI SHORES VILLAGE, FLORIDA
❑ DA
n PERMIT 'N? 13439
ii>r3'
❑ Work to be performed under this Permit
BY i
.,r
Address of Value of Amt. of
Building I Project $ I Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in with any plans,
drawings, statements or specifications that may have been submitted to and approved' by the proper municipal authorities. This Pennifratr, be revoked at su
time if the work is not clone in compliance with such ordinances or if the plans are changed without authorization. A further conditionwhich this
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications an
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the Often= r
and that he assslotli
done by his agents, servants or employees. s
BY AUTIENU T
In consideration of the issuance to me of this permit I agree to pliform the work covered hereunder in compliance with all o and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities Miami Shores VIWge.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
Owner
Buildin
W54 to be perform - . under this
Architect t /
Contractor
or Builder Y'
Legal
Description
Address of
Building
This permit is gr • ted to the contractor or builder named above to construct the building or to install the equipment of
application herefor in ict compliance with all ordinances pertaining thereto and th dentandins that the work will bia
with any plans, drawings, statements or specifications that may have been submiµtled to and roved by the proper munlclpid
be revoked at any time if the work is not done in compliance with such a ' r if the ans are changed without au
upon which this permit is granted is the understanding that the contractor op` builder named bone assumes the responsibility
the ordinances and regulations pertaining to the work covered hereby whethp shown on th p in the
that he assumes responsibility for work done by his agents, servants or etnpld.
Signed.
In consideration of the issuance to me of this permit I agree to perform th
tions pertaining thereto and in strict conformity with the plans, drawings, eta
Village. In accepting this permit I assume responsibility for all work done
CONTRACTOR OR BUILDER BY
MIAMI SHORES VILLAGE, FLORIDA
DAT
ERM1T N° 1986
Value of
Project
Contractor's
License
Amt. of
Permit
INSPECTOR
covered hereunder in compliance with a
is or specifications submitted to the proper
ex myself, my agent, servant or employee.
bed in
JOB:
Inspector's Roport:
•
•
BUILDING :
AD:
ELECTRICAL
• PLUMBING G� :: ▪ ViO
•
• DONE BY:
REQU FT'
i
The following is ready for Inspection:
l
: WILL BE 'EADY
•
•
•
•
•
•
•
Permit No 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,
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 5.�1_ /t__
Registered Architect and /or Enginee ____ / _ __
Employing Plumber's Name -__12_ _ r ` aeLA No. 6 J Street--2[-_ ' y 2- <--=.
Location and Legal Description Lot _-- _______ ...... _..__________ —_ _Block Subdivision
Street and Number where work is to be performed —No +�-'' 3 _2 Street c 9rG !>.'
State work to be performed and purpose of building (By Floors)_
New Building Remodeling_
Amount of Permit $
®
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ 55.7 _._
Addition._______ Repairs
Size Septic Tank _ Type of Tank_— _ Capacity Cals
_ Feet of Drain Tile. ,3 ' 1 -- - - - - -- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well. -__-____Size of Soakage Pit
( Signed) - --
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) _
Street_
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
No. of Stories.
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
TUBE
INALS
URINAL/3
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
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No 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,
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 5.�1_ /t__
Registered Architect and /or Enginee ____ / _ __
Employing Plumber's Name -__12_ _ r ` aeLA No. 6 J Street--2[-_ ' y 2- <--=.
Location and Legal Description Lot _-- _______ ...... _..__________ —_ _Block Subdivision
Street and Number where work is to be performed —No +�-'' 3 _2 Street c 9rG !>.'
State work to be performed and purpose of building (By Floors)_
New Building Remodeling_
Amount of Permit $
®
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ 55.7 _._
Addition._______ Repairs
Size Septic Tank _ Type of Tank_— _ Capacity Cals
_ Feet of Drain Tile. ,3 ' 1 -- - - - - -- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well. -__-____Size of Soakage Pit
( Signed) - --
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) _
Street_
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
No. of Stories.
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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. -- Date _.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address No Street ._.- _.
Registered Architect and /or Engineer
Employing Plumber's Name. - -- -- - - - __ — - - - - --- No.- - - — - - _ Street --
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed- No .- __w_______- _____ -- Street
State work to be performed and purpose of building (By Floors ) _
New Building Remodeling Addition Repairs_ - ______
Size Septic Tank Type of Tank_ _ Capacity Gals
Feet of Drain Tile __ _Dist. Feet of Tank or Drain Field from We1L
Nature of Water Supply: ___ ________Size of Soakage Pit
Amount of Permit $
( Signed) _
( Signed)
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 an
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all far
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 faul
materials and /or workmanship.
CLOSETS
BATH
Tues
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURCI
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. -- Date _.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address No Street ._.- _.
Registered Architect and /or Engineer
Employing Plumber's Name. - -- -- - - - __ — - - - - --- No.- - - — - - _ Street --
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed- No .- __w_______- _____ -- Street
State work to be performed and purpose of building (By Floors ) _
New Building Remodeling Addition Repairs_ - ______
Size Septic Tank Type of Tank_ _ Capacity Gals
Feet of Drain Tile __ _Dist. Feet of Tank or Drain Field from We1L
Nature of Water Supply: ___ ________Size of Soakage Pit
Amount of Permit $
( Signed) _
( Signed)
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 an
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all far
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 faul
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of k{
Building ' . .
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 1978
Work to be performed under this Perini
Architect
Contractor
or Builder P`
Legal
Descriptio
This permit is granted to the contractor or builder named above to construct the I
application herefor in strict compliance with all ordinances pertaining thereto) and with t
with any plans, drawings, statements or specifications that may have been su sd to
be revoked at any time if the work is not done in compliance with such o or if
upon which this permit is granted is the understanding that the contractor otbuilder
the ordinances and regulations pertaining to the work covered hereby whetheilhot►n
that he assumes responsibility for work done by his agents, servants or employees.
Sign
BY
DATE ";/, '' 19 +4;1
Contractor's
License No
Wing or to install the equipment or
u that the work will be
approved by the proper tnicipaI'
plats are changed without a
the reaponsibili
or in the s
INSPECTOR
In consideration of the issuance to me of this permit I agree to perf . e work covered hereunder in compliance with all
tions pertaining thereto and in strict conformity with the plans, drawings, ente or specifications submitted to the proper
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employe,.
ii rs r
AUTI
Y
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Wel e l? Job Address 5 3 7 N V✓ s t Tax Folio
/-� LL //►► p / al
Legal Description (.(STS /�'� h/1— / /,�OLL /6/ `HistoricallyDesignated: Yes ✓
Owner/Lessee / Tenant /)X-V &c)S 6 v;1161.0/4" Master Permit #
owner's Address 13 7 AJ e i w S f •
Phones ° S "3/ S/
Contracting Co. 1V W'. POO /S Address /3 :25"e" jcd /31 Si- 4 0
Qualifier • /U h ri /Y) . i /C. ss# / ` - 5 3/5
State # Municipal # Competency # Ins. Co.
-�� , o P a s s 71 7C' 5 / 3
Arehitect/En .-�� ' �� n San � g del T7 � . � r�''``-/ ��
Bonding Company Address
Mortgagor Address
Permit Type (circle one): UILDIN ' ELECTRICA PLUMB MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ,CLc,l i M x'11 I1 O C_ -4- pp
Square Ft.
FEES: FERMI '` 4 02 .
APPROVED:
Zoning
Mechanical
RADON
Notary as to Owner and/or Condo President Date
My Commission Expires:
Plumbing
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.)
Estimated Cost (valu ) O OOO
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 AFFIDAVI1: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date
Notary as to Contractor or Owner - Builder Date
My Commission Expires:
C.C.F. "fi! ' NOTARY
BOND
No
P
TOTAL DUE 4ce)
Building Electrical
Engineering
Date
Owner/Lessee / Tenant
WORK DESCRIPTION
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 537 N.E. 96 St.
Legal Description Lot #15&16, Blk #99, Subd : MiamiShoresHistorically Designated: Yes No
Pb#15, Pg #14, Dade County
Owner's Address 537 N.E. 96th Street, Miami Shores, F1.33138
Contracting Co. Custom Pools
Qualifier John M. Pieklo SS# Phone 305 - 255 -5315
State # Municipal # Competency # Ins. Co.
Architect/Engineer Juan Sanchez Boudy P.E.
Bonding Company
Mortgagor Address
N/A
N/A
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Swimming Pool Piping Only
Square Ft. Estimated Cost (value) $ 600.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
a e ofownr an
y as to Owner
ommission E
0
laws
Not
M
'S AFF
lating c
VI I ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
zoning. Furthermore, I authorize the above -named contractor to do the worlS.s'�ated.
•;or ( on President
& Curt
e
A N; A
MICHELE ARDEN CHAZEN
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC351732
MY COMMISSION EXP. APR. 5,19^8
FEES: PERMIT
Date
or Condo President Date
s:
RADON
APPROVED:
Zoning Building
Mechanical
C.C.F.
Tax Folio
Address
Not
My
Master Permit #
Phone 305 - 255 -5315
Address 1 3250 S.W. 1 31 t
S #1 00
Add 7175 S.W. 47th Street, Miami,F1.
33155
Signat tractor or Owner- Builder
wner- Builder
JA SEAL
MICHELE RDEN CHAZEN
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC3S1732
MY COMMISSION EXP. APR. 5,1973
NOTARY
N/A
N/A
Electrical
BOND
TOTAL DUE
Date
/04 riq
Date
Plumbing / ,-� ?/ Engineering