7012MIAMI SHORES VILLA
APPLICATION FOR PLUMBING N m` ` IT
Permit No Date .. ' t d
Application is hereby made for the approval of the detailed statement of the plans and : - « • • • , s 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 plaits and specifications must be kept at
building during progress of work. ,�/
Owner's Name and Address � '` " FIQo Street,. 1.._
Registered Architect and /or Engineer
Employing Plumber's Name: • F IA k 8 ig No Street
• Block Subdivisio _ ....
Location and Legal Description Lot
Street and Number wh re work is to be performed —No it Z W f II/Sr S
State work to be performo1 and purpose of building (By Floors)
New Building Remod Addition Repairs _ __:._ . _ No. of Stories
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well
PLUMBING INSPECTION DEPARTMENT
Type of Tank
mist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
Amount of Permit Y (Signed)
Capacity Gals._
Plum ; _ Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and , • obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of •, ? ,: P mnanent Supplement, and has com
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by bim 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.
STATE OF FLORIDA, t as
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
t o 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 4id 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 81.00 w111 be made when such re is made•aecessary by improper notice for inspection, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUBS
SHOWE
LAVA..
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
`URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'
NJ,
a_ . V+
_
-
_
TOTAL
FIXTURES
5 " ,
CS
CHECK
• I L .
!
,�_._
4
,
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q
' '
.
_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE'
TRAP
meow
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
01 .
_.pour
s /
.•-1!' .
1
crane.
LIST
CHECK
.
MIAMI SHORES VILLA
APPLICATION FOR PLUMBING N m` ` IT
Permit No Date .. ' t d
Application is hereby made for the approval of the detailed statement of the plans and : - « • • • , s 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 plaits and specifications must be kept at
building during progress of work. ,�/
Owner's Name and Address � '` " FIQo Street,. 1.._
Registered Architect and /or Engineer
Employing Plumber's Name: • F IA k 8 ig No Street
• Block Subdivisio _ ....
Location and Legal Description Lot
Street and Number wh re work is to be performed —No it Z W f II/Sr S
State work to be performo1 and purpose of building (By Floors)
New Building Remod Addition Repairs _ __:._ . _ No. of Stories
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well
PLUMBING INSPECTION DEPARTMENT
Type of Tank
mist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
Amount of Permit Y (Signed)
Capacity Gals._
Plum ; _ Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and , • obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of •, ? ,: P mnanent Supplement, and has com
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by bim 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.
STATE OF FLORIDA, t as
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
t o 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 4id 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 81.00 w111 be made when such re is made•aecessary by improper notice for inspection, or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
AP;PLICATIDN FOR BUILDIN13 PER IT
?
c �`��'��
Application is hereby made, for the approyal of the detailed statement of the plans and specificati herewith submitted for the b
ing or other structure herein described. This application is made in compliance and conformity with e Building Ordinance of M
Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami 'i Shores Village and all rules
regulations of the Building Division of Miami Shares Village shall be complied with, whether herein specified or not. A copy of app
plans and specifications must be kept at building during progress of the work. e y
Date.._.
Owner's Name and Address... T1 / Nth/ LI O 4 P�t��.� }� `�'s�..� y � .
�.
� �s' �� / N ..;. Street._
Registered Architect and /or Engineer. hry in ?
. 40 re se
Name and ..address of licensed contractor ` TO 135 `i3 0 o >if S i fI C r 074' 60- °7®/6 V � M Or,
Location and legal description of lot to be built on:
Lot_ Block 1 , / Subdivision _. i 1 140 r E S 1 S £ L° . 2,
Street and Number where work is to be done
State work to be done and purpose of building (by flgors)_. DD O.c.Ar/ 60 k L '`1 4- A 1 l; ;" '' it e F! l S
pied
Disapproved
(Signed) . -_
Size of Building Lot_
(Signed
Repairs
.—...and for no other purpose.
No of Stories 2 ---
New Building Remodeling Addition
To be constructed of_ e v s Kind of foundation. _ .: • So. a
Estimated Total cost of improvements $ ___-._ L3- 1-+ 1.Q.."Amount of Permit $..
Zone . cubage requirecL.,_:. ... __plan Cubage `� +
Distance to next nearest buildi
Maximum live load to be borne by each floor_
I hereby submit all the plans and cations for said building. AU notices with reference to the ,building and its construction may_ -_
be sent to__ 4 a b ®+� lay � ` 3 7®/ D A / - Cie_ L) 72 1L
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 complied with the pro' isions 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 the ' ch public notice
or notices as are required by the Act. The undersigned agrees to employ only such su tra y y to rf ed under this
permit, as are licensed by Mianh I Shores Village.
Remarks
z�c¢i7
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires -- - -.� ...--- _ -• - -- - -_
Council Approved_.. Date Disapproved
NOTE: A charge of $1.00 will be made for making corrections or changes to this application aft r approval
the Planning Board.
A re- inspection fee of 61.60 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmunahip.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
-J----
• .to me 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 e.
Permit No 7® / Date
PLANNING BOARD...-.._ . ___....... ..DATE
Chairman -. MeehbeE u
Member Member ._.-.._....- - - _-....
Member Member
I
Date
has been obtained from
for inspection or faulty
PRESENT ADDRESS Q p
401 14E;
OWNER'S NAME
' JOB LOCATI EST. OR A1fL)
GENE AL CONrRAC OR
BUILDING PERMIT NO.
ZONE REQUIREMENTS
NEW CONSTRUCTION
REPAIRS
ALTERATION
ADDITION
SUBMITTED TO PLANN NG BOARD
SUBMITTED TO VILLAGE COUNCIL
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY
TYPE -'STORIES I ROOF CONSTRUCTION
RE- SUBMITTED TO PLANNING BOARD
CERTIFICATE OF OCCUPANCY NO.
BUILDING
DATE
APPROV
D
CU. FT.
SUED
REJECTED
LOT
ADDRESS
PERMIT FEE $
BLOCK
PLAN CUBE CU. FT. EST. COST $
DESCR IPTION
DESCRIPTION
REFERRED TO COUNCIL
BY TO
RE
ARKS
PERMIT ND INSPECTION RECORD -MIAMI SHORES VIL AGE
SUBDIVISIO
PHONE NO.
PHONE NO. LICENSE NO.
BOND
J O. DATE
INTERIOR CONSTRUCTION
I
REASONS
DATE
= _
4IVSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
BEAMS .& LINTELS
FRAMING
FINAL
.
CLEAN -UP
PLUMBING PERMITS & INSPECTIONS
I
CONTRACTOR ✓ ry A reme6E- .
PHONE
(��/�
PERMIT NO. / ®/ L 1 DATE '�" + eJ '
FEE $ 44 y�L4
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
>- - =- SPED kA6 PERMITS ° - - -
° —, PERMIT NO.
___° DATE --
- - ,-
-. __ FEE
TEMPORARY SERVICE
$
SEPTIC TANKO &I ..
Cwe.tC Y s B=0+Ytt..
Ti Q,
$
SEWER
•
$
SOLAR HEATER
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
GAS
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG.
1 ALTERATION I
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL.
APPROVAL - TO- POWER CO. FOR SERVICE DATE
OWNER'S NAME PRESENT ADDRESS
4nx i SMINS s Pa es ily arm a-4 Cita ac HI (• a t. g. 6. fi.°
€
LICENSE NO.
PHONE NO,
dd JOB LOCATION (ST. OR AVE.)
(TA 7. Ft . E. W.. S
TYPE
CA, 4
LOT
Au. of
BLOCK
41
SUBDIVISION'
S Olvle S rte.. 2
GENERAL CONTRACTOR
IiTo6 b a tea coa,: C
REPAIRS 11006
DESCRIPTION
1
eDrel CC — (14weJ U0 0I`�/ 0 cT
ADDRESS
7a A( E. 4! c$
ALTERATION
PHONE NO.
LICENSE NO.
` Vdr7
�f
BUILDING PERMIT NO. / 0 1 2 '
( DATE
4 7 a,
I PERMIT FEE $
c �
� ° BUILDER'S BOND. �J
No. t0 ° P 3 DATE -ve
ZONE REQUIREMENTS
CU. FT.
PLAN CUBE
CU. FT.
EBT. COST $ aSt 7er°
DRAW
NOS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:�WOOLI.0 . Pp., seIF!'PZIP c„ G.., . I r' /'+®
NEW CONSTRUCTION
TYPE
CA, 4
1 STORIES
1-
1 ROOF CONSTRUCTION
"T, 1.
INTERIOR CONSTRUCTION
I600 CAST, ®F/*L au.c...b.,m3
REPAIRS 11006
DESCRIPTION
1
eDrel CC — (14weJ U0 0I`�/ 0 cT
ALTERATION
DESCRIP
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RESUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. I 'ISSUED '
I BY
TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
DATE
INSPECTIONS
DATE
BY
INSPECTIONS DATE
BY
.3
FOUNDATION 0 e
ilOS a
"
ROOF
BEAMS & LINTELS
POOL
FRAMING
AIR COND.
FINAL
CLEAN UP
BLAB
SLAB
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
$
GAS
$
S
INSPECTIONS
DATE
BY
REINSPECT
BY
RE- INSPECT
BY
ROUGHING
TUB & TOP OUT
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES O/ / -43-4, /, va....
4.40
. B� J i
/
GAS
ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR t / C° EL eC✓7/a./ (�z.Je
FEE $ 14 ‹...
�4 TL Ai)
_
7 PERMIT NO. ZS - 1 1 DATE 6 -1.-1 (
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
S
FIXTURES
$
S
INSPECTIONS
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
/ DATE
L jw
4 ..
I -
$ k . T�7R�
- : �( r w
7
ROUGHING!
H. W. HEATER CCA(
RANGE CONN.
I I
,
FIXTURES & FINAL
4) "f' I /' BUILD IN SP E CT I ONS 7
Q
O
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
MIAMI SHORES VILLAGE. FLORIDA
BUILDING
ELECTRICAL,
❑ ,
PLUMBING ❑ PERMIT No 7012
ROOFING
Owner of-
Building
Address of j r
Building '
p -
::ontractcr
or Builder
Legal Lot
Description
Subdi-
vision
Value of
Amount of
Project $ $ '
Signed.:
PECIOR'
Contractor's
Lame No.
BY:
DA 'L 1gS
zV 4
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 lication
erefor in strict compliance with all ordinances pertaining thereto and with the' ! understanding that the work will be performed in compliance with any plans
fr awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
if the work is not done in compliance with Such ordtnances or if the plans are changed without authorization.: A further condition uppn 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
rtaining to the work: covered hereby whether shown on the plans or drawings or in the statemen specifications and that he assumes responsibility for wow
one by his agents, servants or employees.
In consideration of the issuance to me of this permit I agree to ;.perform the work covered hereunder in compliance with all or3inani es and reguiattons
rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
pting'this permit I assume responsibility for all work done by either, myself, ,• ' "agent, servant or employee.
tj
CONTRACTOR OR BUILDER BY AUTHORITY