839 NE 97 St (10)UILDING ❑
I..cTRICLL ❑ PERMIT 'N° 11276
LUMBING fl L►
.00FING ) Work to be performed under this Permit
owner of
uilding `
� L its x''
chitect
tractor
'uilder
gal
)escription
Address of +
Building
Lot
This permit is granted the contractor or builder teamed above to construct the building or to install the equipment or device des bed in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
1; ,
CONTRACTOR oR BUILDER
719
MIAMI SHORES VILLAGE, FLORIDA
Bl.
lierop
Signed •
Subdi-
vision
Value of
Project $
BY
r
DATE
1
1
Contractor's
License No
Amt. of
Permit $
In consideration of the issuance to me of this permit I ague tti perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, Atatements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done,,iiy either, myself, my agent, servant or employee.
AUTHORITY
195i_
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
l /4<r
Lot
1
MIAMI SHORES VILLAGE, FLORIDA
n
PERMIT N? 11241
in Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
Contractor's
License No
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed• . BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY
farm U Y
Pent No /50
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the 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 J1L2 GML / CT(. No ∎. St... . - 32 7.(s7 7
Registered Architect and /or Engineer
Emplekdng P1ui hose 1i1anj . ! . N.0116. G?C / _ e ':"(N®. . .L: ,. Btreet..�,.� .....5 .,,.,_-
Location and Legal Description Lot. Block Subdivision
Street and Number where work is to be performed —No 3 street. __._ . q. 7 (-
State work to be performed and purpose of building (By Floors)____—_..i LA.. - 5 S I I) t--0 ck azAi .4) I
New Building Remodeling_ __ _ _ -__ -_ Addition.. - - - -._ ..._- - - - -.. Repairs._ No. of Stories
Date ._.____ / Z .-
• Size Septic Tank__ .Type of Tank__
Feet of Drain Tile._ - -_.__ — —__ _Dist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: City—Well. —_ ___ .._ _ Size of Soakage Pit
Amount of Permit $ (Signed
STATE OF FLORIDA, I
COUNTY OF DADE.
My Commission Expires
(Si
Capacity Gals
umbing 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 el , :. • 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 c p : is notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, work to be pert..• ed 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
Notary Public, State of Florida
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•neoeasary by improper notice for inspection, or faulty
materials and /or workmu" hip.
CLOS IITCI
BATH
TUBS
SHOWERS
.
LAVA'.
TORIES
• SINKS
SLOP
SINKe
LAUNDRY
TUee
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
TOTAL
FIXTURES
CONTR.
LICIT
.
CHECK
•
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM '13
POOL
CONTR.
LICIT
CHECK
Pent No /50
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the 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 J1L2 GML / CT(. No ∎. St... . - 32 7.(s7 7
Registered Architect and /or Engineer
Emplekdng P1ui hose 1i1anj . ! . N.0116. G?C / _ e ':"(N®. . .L: ,. Btreet..�,.� .....5 .,,.,_-
Location and Legal Description Lot. Block Subdivision
Street and Number where work is to be performed —No 3 street. __._ . q. 7 (-
State work to be performed and purpose of building (By Floors)____—_..i LA.. - 5 S I I) t--0 ck azAi .4) I
New Building Remodeling_ __ _ _ -__ -_ Addition.. - - - -._ ..._- - - - -.. Repairs._ No. of Stories
Date ._.____ / Z .-
• Size Septic Tank__ .Type of Tank__
Feet of Drain Tile._ - -_.__ — —__ _Dist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: City—Well. —_ ___ .._ _ Size of Soakage Pit
Amount of Permit $ (Signed
STATE OF FLORIDA, I
COUNTY OF DADE.
My Commission Expires
(Si
Capacity Gals
umbing 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 el , :. • 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 c p : is notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, work to be pert..• ed 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
Notary Public, State of Florida
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•neoeasary by improper notice for inspection, or faulty
materials and /or workmu" hip.
Permit No. .____.. Date____ __/ 4-
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.
y , `'
Owner's Name and Address '
,� �� � - " --- No.- '�- - = —. � ' �� � Street
Registered Architect and /or Engineer _
Employing Plumber's Name No Street
Location and Legal Description Lot rt r_= L_« Block Subdivision
Street and Number where work is to be performed—No .____- .— __ ____ _______ _____ 1_y____ _ Street 4 '
State work to be performed and purpose of building (By Floors) -
New Building._ Remodeling Addition Repairs No. of Stories
Size Septic Tank_ Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well Size of Soakage Pit
Amount of Permit $ _ (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.
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed) }
My Commission Expires Notary Public, State of Florida
Master Pkunber.
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
LAUNDR
TUBS
URINALS
CAT
BASIN
FLOOR
DRAIN
DRINK +NG
POLD1(T;NS
4
I �
Li I� /
-
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
Permit No. .____.. Date____ __/ 4-
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.
y , `'
Owner's Name and Address '
,� �� � - " --- No.- '�- - = —. � ' �� � Street
Registered Architect and /or Engineer _
Employing Plumber's Name No Street
Location and Legal Description Lot rt r_= L_« Block Subdivision
Street and Number where work is to be performed—No .____- .— __ ____ _______ _____ 1_y____ _ Street 4 '
State work to be performed and purpose of building (By Floors) -
New Building._ Remodeling Addition Repairs No. of Stories
Size Septic Tank_ Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well Size of Soakage Pit
Amount of Permit $ _ (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.
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed) }
My Commission Expires Notary Public, State of Florida
Master Pkunber.
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.
q •
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 confonnity 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 v - No ra e /� Street 7/ r
Registered Architect and /or Engineer ___
__________________..
Employing Plumber's Name — i" No / '`' ' `' Street
Location and Legal Description Lot_ / ` "� % _ ' Block Y� ' F ,
g p Subdivision_:______:_.
Street and Number where work is to be performed —No .2 z` ' _______ Street _ v
State work to be performed and purpose of building (By Floors)
New Building _ Remodeling Addition Repairs No. of Stories
Size Septic Tank_ _Type of Tank_ Capacity Gals
Feet of Drain
Nature of Water Supply: City—Well Size of Soakage Pit
Dist. Feet of Tank or Drain Field from Well
Amount of Permit $ _ ( 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.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed) i." _ . i A a
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 fo regoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
■
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 confonnity 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 v - No ra e /� Street 7/ r
Registered Architect and /or Engineer ___
__________________..
Employing Plumber's Name — i" No / '`' ' `' Street
Location and Legal Description Lot_ / ` "� % _ ' Block Y� ' F ,
g p Subdivision_:______:_.
Street and Number where work is to be performed —No .2 z` ' _______ Street _ v
State work to be performed and purpose of building (By Floors)
New Building _ Remodeling Addition Repairs No. of Stories
Size Septic Tank_ _Type of Tank_ Capacity Gals
Feet of Drain
Nature of Water Supply: City—Well Size of Soakage Pit
Dist. Feet of Tank or Drain Field from Well
Amount of Permit $ _ ( 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.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed) i." _ . i A a
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 fo regoing 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.
■
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /8' `7^9g Job Address x'39 �/// L .97 Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant X t ' ' L D Master Permit # (43g a,9 7 // 3eS a Z
Owner's Address l f), �L Phone
Address 20 /56 '1 : !/,4c e
Contracting Co. g fit
Qmlifier �� � /7.1
State # CrC 04292 Municipal #
Signature of owner and/or Condo President
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
RADON
Date
SS# Phone 305 i5,2 ^ 'o9
Competency #
Address
Address
Signature of Contract
Ins. Co.
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICA PLUM IN MECHANICAL ROOFING PAVING FENCE SIGN
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Owner- Builder
• "A% Ines Montero
* *My Commission CC682422
Notary as to Natriaiwittsekvbse&Buildeti Date
My Commission Expires: /0 — 7-5
C.C.F. NOTARY BOND
TOTAL DUE 1 -
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering /