858 NE 97 St (13)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT A('
305- 795 -2204
Buil ing Inspection Request
Date
Type Insp'n Pit
�1
Permit No. l 1-L/—/D
Name
Address f, cn -
Company &XJ14e porn
P1 #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPART V�IENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n /,
Permit No. 1 V\J��4 ' 10
Name YT l v
Address c s v''E —171(37'
tC .? • (7 \th .
Company
r
Phone # d
Inspection Date 4 41 1 S •
Approved ❑
Correction
Re- Insp'n Fee ❑
6
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
❑
DATE, '''''` -° 19
❑
PERMIT N? 15620
Work to be performed under this Permit
6
I BI
Subdi-
vision
Contractor's
License No
r
*of Kii 1 . .
...) t .
This permit is granted to the contractor or builder named above to onstruct'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 d approved by, the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in com liance with such ordinances or if the clans are changed without autho ation. A further condition upon which this permit is
granted is the understanding that t e contractor or builder named above issumes the responsibility for a . orough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or twings or the start ent. •r cifications and that he assumes respo sibilk for work
done by his agents, servants or employees. ,
Signed•
CONTRACTOR OR BUILDER BY
Value of
Project $
INSPECTOR
BY
Amt. of
Permit $
AUTHORITY
1
In cons deration of the issuance to me of this permit I agree to pgrform the work covered hereunder in complianp with all ordinances a regulations
pertainin the to and in strict conformity with the plans, drawings, statetnents or specifications submitted to the proper" authorities of Miami S '•rea Village.
In acce ling this permit,'I as ne. responsibility for all work done by either, myself, my agent, servant or employee, "
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
PERMIT isT2 6106
DATE
Work to be performed under this Permit
Owner of
Building e ;
Contractor's
License No . ✓` /
Legal Lot Bl. Subdi
Description vision
Address of 'b' Value of Amt. of
Building % E ` r Project Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w'th 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 up, n which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or ances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that -hesti s respon-
sibility for work done by his agents, servants or employees.
Signed:
By
41NIMI . —
194„
rd
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 a work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
- -'�
CLOSETS
BATH
Tun[
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N•
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
F IELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
BPRKLR.
SYSTEM
SW IM'0
POOL
l !
Comm.
LIST
CHECK
1/ 3a'' p 2.7147
Owner's Name and Address
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 Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept et
building during progress of work.
frfAr.f!; b 4E41 No. p fl "it( Street..._- i 75 ' - '
Registered Architect and /or Engineer _./09 G a �v t"v14 O. 4. •
Employing Plumber's uber's Name -i .t e21 DIt PO d s' S _ -- No. ..../ 7 �' 0 Ms. ,:.
d
Location and Legal Description Lot (1 A' 7 - 14" 9 - fret 1 q Blo 7" Subdivision. 1 _e L 3 .�
Street and Number where work is to be performed -No ilSk We Street- .— ..._..-iZ. f . •
State work to be performed and purpose of building (By Floors) __ !L
. - —
New Building- - - - -._ _ _.._..........._.. Remodeling `/ - Addition.
Repairs
Size Septic Tank_._ Type of Tapp _ -- - •--- _ -__ -•
Feet of Drain Tile Dist Feet of Tank or Drain Field from Well
Nature of Water Supply: City -We1L 6 4 � ~'. • 4/. e ' Size of Soakage Pit.
No. of Stories
Capacity Gals..._..._...__
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 5988, Compiled General Laws of Florida Permanent Supplement, and ha' 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 worki3 h ..d I notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to `*" . er this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, 1 µ
COUNTY OF DADE. I
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of 11.00 will be wade whet sisei sleispeodos >r mads•meoarsary by improper notice for inspection, er faulty
materials and /or workonamslup.
Master Plumber.
•
HUNTINGTON ACRYLIC SPA
•50 GALLON CAPACITY APPROX.
TYPICAL ABOVE GROUND
. INSTALLATION -
Ic to1
RELIEF VALVE FOR
INCROUND INSTALLATION
•I
MORRO BAY ACRYLIC SPA
350 GALLON CAPACITY APPROX.
' 0.0410.. OLAO.
1 . � t
Iv' 1 AAA - so woo i.o LUc b /
ttz fsaAz
t41z
ANCHOR DETAIL FOR INGROUND
INSTALLATION
•
•1
mck,66,n
85g JE 47 54-
m,aa.i .5hove5. hp. 3313g
PIMLICO ACRYLIC SPA
Coa4 }n �Ln.:
ALL 46/0).# Po01S -//7.;0 6,31 6/'d.
0
DADE COUNTY PRODUCT CONTROL No. 83- 0128.3 EXPIRES: 3/14/86
ice:
1. 1.01 PM INLPOpL AA) tits DEll0.m 10 ACCORDA0Ct NITA SECTION 7
0► Tet 0011000E SP1.w1.G POOL IRt1TYft STA.DAAD • SWGt1T7D
MI.IA1r1 STA.DAAD 100 ttslDE.TIAL 571101.0 P00LS 10111001
MO Soon. fLoal• WILDI.G Coot 11979 L01710N1.
2. Gowan TO D1rtL01 5000 PSI a 21 D►Ts.
3. ALL tI1cnICAt &MALL 010roAN 74 MTICLE 0600 e• nor NATIONAL
ELfCTPIC Coot. 40 Ov10MEA0 PIPES TAM*. PASS MIT.IN 10' or root.
A. NA11. SUrrlo AND otsr01AL 1NALL at SO 0101.071 TAT 70011 IS 00
CROSS COPPLCTIO• Alto A DOMESTIC PATU IV►LT 00 I OLA DISPOSAL
Si0T1N.
S. M1. Emma To •071 AA AUTI -4041D 79700 M • GMAT'. •174 .to.
eriN *au a 05 10. 10. AS PEA 1007101 002.5 SF10 1 979 EDITION.
i. 001 l000010 1011/L{JTIa 004 007710 OF SPA IS AIWA PLOW
cAITl11i LEVEL. MIN NA 2' VIA. PTg0S7ATlc RELIEF PAL7t.
7. TMt SOIL $LAPIA4 C*0ACITT Is 2500 nl, 1M 11.0 ono. 001D1,104s
W 1MT111AL1 1E ltCOU.Tt1ED 741 INGIN4g0 SAUL AI 0071111D
. wpm) P1077EDIK PITH room.
'1. FILTU Pow 7o at 1/2 M.P.
9: All OL. 'ta 70 at in M.P.
10..NUna TO at 20.000 1.1.0. - OPTIONAL .
11. ALL.10UIr+Prt 1 AI 1.1[01.1.10 Is ACCORD*.[[ •110 GLUT! 50
or S.0. 11.0. 1979 CDln00.
12. !11Ni1t0 S1* 71107.[11 ' 1/4'
13. b it.l1T 1*01ua Ot 90' PEIO : AWNED 10 01[1100 LINCS.
14. 501010.0 0007 0*71 COCA 01(0140.
•
•
• xrI•w pII hJ ARto'e�
f 573.. Y JL FILTER 8 PIPING
ISOMETRIC
NIS.
0 1
aF
S 4 E
d�
III 0 u�
( D07m
•
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11 0
N
W20.
0
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14E
W„ rip
8307
o
THESE PLANS ARE APPROVED FOR ISSUACE 0: A BUILDING PERMIT
0 WITH NO VA:111."YCES 0 1 1:ITH ''.'.7 'I 1 ..F;TED IN "RP.71IARKS"
I NO OTHER '")c. :141 S r'''...1 T ... ' — S' ••r r.'r!. r 0 ZONING
ORDI:0::::.E3 . ,..!1!..!. CE 1;7. - 11 - ,‘Fr.:, ,.:'• *- .'. ';',7; - ...1.' ..' Y ' I :TED BELOW.
CT 'E. r.'"P r n ;1 ST:::E fo.:D ;Y.:•.. t.;.. : CE COMPLIED
1 ..:TH ii'( ..... -l
0
•
APPROML
E
BY MIA:'1 SHOE •
SUB CO'CFRAC)O!
ING REGULATIONS WHETHER
FINAL:
::; • . 361.D' .:0:.!E AS ADOPTED
f:FQU:NO. E ARC:11ET, BUILDER &
•
FE r!F Al.!. BUILD.
OR NOT SPECIFICALLY INDICATED ERM.
HUNTINGTON ACRYLIC SPA
•50 GALLON CAPACITY APPROX.
TYPICAL ABOVE GROUND _ •
. INSTALLATION
RELIEF VALVE FOR
INGROUND INSTALLATION
1
:<
,4.' rA sae).
I MORRO BAY ACRYLIC SPA
350 GALLON CAPACITY APPROX.
Kz t ea.e
e1>
&$. -10 AA0
ANCHOR DETAIL FOR
INSTALLATION
OW*.t ✓
' took 5l.Aro -
fO161
L 1
INGROUND
mcki66,h
g5g NC q3 5-
mlo.K..1.511oves. hp 3 3JJ3g
PIMLICO ACRYLIC SPA
s-Am rliTte
At(, 40111)A PO I3 - ii7a0 /3/31 i''l1d . $93 7,036
DADE COUNTY PRODUCT CONTROL No. 83- 0128.3 EXPIRES: 3/14/86
1. TMs wIfv*OL NAS SI[. ossl0N[D IN *CCDIIOANC! *171 SECTION 2
OP THE RATIONAL SN1111ING POOL INSTITUT! STANDARD 'SucGISTED
NIoINum STANDARD FM RESIDENTIAL S.I.•1.G Poo.1'1197o ED,7ION1
AND SOOT. FLORIDA WILDING COD! 11979 EDI1IeI.
2. CDACn7! To armor 3030 PSI D 22 os's.
3. ALL ELECTRICAL SMALL 001081 70 *17101 /660 co 7111 NATIONAL
ELECTRIC Co. OD no 0•[01[0* NINES SNAL. 0071 •IT01■ 10 OF POOL.
N. *0110 SUPPLY Alm 01s0O34 swLL at so A10A*GC0 MAT T*[1E IS NO
C1011 CO..SCSI[0 *ITN • DO1[1TIC NATU RUNK, N .ATE' DISPOSAL
RESTS..
S. RAIN MAIN TO NAPE AN ANTI -INTEL CO0EN og • Stuff, A {... •IT1• 01N.
OPEN Y4 Or OS SO. IN. AS PEA SECTION 5002.5 S DC 979 EDITION.
9. FOIL I*G1q.m INSTALLATION LIEN 11OT70x Or SPA IS SILO. SLOW
C1ITERIA LEVEL. P10•101 r 01*. NPN01TA71C RELIEF 0001.
2. TN! SOIL SWING C1011n Is 2510 Osl, S.OULD oriole 00.DIT1013
N RATER:ALS SE 11001071RED T00 LAGINNEA I.ALA. N 1071/110
• SI0NI 000CEEDING NITM *010.
1. FILM M To as 112 N.0.
9. Alm guru TO IC S.2 N.P.
10. •MLYU TO SI 20.000 I.T.U. - OPTIONAL
11. ALL 10010/107 soALL SE INSTALLED IN ACCORDANCE .ITN CAAPTE1 SO
00 5.0.9.0. 1979 ED1ne.
12. 4101* SPA TMIC1NES • 1/0'
13. Mo smogs &AMUR N 90' SIND aux.'s! IN SUCTION LINES.
14. S[I11•* MAT Ravi DECK OPENING.
1
a 4 J6e �7p�pAPP. {OC
tl 10 « C.1CC
FILTER 8 PIPING ISOMETRIC
•
• to..p1 t 7,
, x7,04 3_[•0.41t7T— �'/7c �ovez. -
. Ad r E a7 5 r w�to.o _ ..
N.T.S.
--•.cil:•Les
•
• i wools. -- c4u�*r+�IrT C ..-4A c�a 1°°P
O
0 —
V
4
Ca
a
0
0
IV 10
0
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d F
W 0 on
a
d[lowrp ro
8307 .
IT H__
PLANS "E APPRO: E D D ISSU,VICE OF A BUILDING PERMIT
. - - -- ..{ \. i'STED IN "RE��AR'.�.S
� �q�llii "0'!; „!'�• � n . , ' ^!`!r, Al D 7.0 "li1G
!O 0) HER DEV! _+ • c, I ;TED t.',".' OEM.
Y: T.
..', 'i ! r,!.'.
FINAL:
1.
•tp
1
- --- -- { Ji E 4S ADOPTED
EY IS + E i., I,E ,T, BUILDER &
M G REGULATIONS 'JJHETHER OR NOT SPECIFICALLY I; +DICATED HEREIN.
r
C1
BATH
TUBE
SHOWERS
LAVA-
Ten me
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LILT
CHUCK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
LIOT
CHECK
:r t:n:it Nc.
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 _ __ ___, ____:_ __�_�_._�._ No.__ — Street_
Registered Architect and /or ,pngme
Employing Plumber's Name
Location and Legal Description Lot Block - Subdivision ....... _ ___...........
______________..
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.
Feet of Drain Tile
Nature of Water Supply: City — Well._________ ..... _....... ____ -_- _.......... ______Size of Soakage Pit
Amount of Permit $
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 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. j
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
c
.s No._ Street__
Type of Tank Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
My Commission Expires
Repairs No. of Stories. _
Date__
70 -6
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No /q
7 5
Date.. i i / 7
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.
Owners Name and Address `� 1•� N P-4
Street_ .. �d� 7
Registered Architect and /or Engineer
Employhig Phwnber's Name __ ...._ - - .,..a NO.....2.1.1
Location and Legal Description Lot_ Blast Subdivision
Street and Number where work is to be performed —No t a: g
C Street ..__..__ ..._.._._
State work to be performed and purpose of building (By Floors)-.-••__-14 9,e - --
New Building - _ ___ _ _ _ Remodeling _ _ _ Addition - . ...— Repairs No. of Stories. _ ..
Size Septic Tank_ _.Type of Tank
Feet of Drain Tile. __._— __Dist. Feet of Tank or Drain Field from
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed) _f lf� __ -�.
Capacity Gals..._..
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin. •ant Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors e • .loyed 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 suc 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) 1,3 - -- -- e_ok,at_t_
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary pu lic, duly an ed to administer oaths and take acltnowledgments, personally appeared
1 n > giy7
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the...___Og'_712d __
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.
NOTARY PUBLIC STATE OF FLORIDA AT LARGE
MY COMM-J5jQ11.FXPIRFS FFR 77 19310
BONDWfiki W •
Master Plumber.
4
Notary ' blic, State of Florida •
mater /ire worhi
- te pee of $1.00 will be made when such re -Inspection is made'neoessary by improper notice for inspection, or faulty
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINK6
SLOP
SINKS
LAUNDRY
rues
URINALS
CATCH
6AEIN
FLOOR
DRAIN
--
DRINKING
FDUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
)
/
4
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR. SWIM•G
SYSTEM P001.
CONTR.
LI LT
. CHECK
Permit No /q
7 5
Date.. i i / 7
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.
Owners Name and Address `� 1•� N P-4
Street_ .. �d� 7
Registered Architect and /or Engineer
Employhig Phwnber's Name __ ...._ - - .,..a NO.....2.1.1
Location and Legal Description Lot_ Blast Subdivision
Street and Number where work is to be performed —No t a: g
C Street ..__..__ ..._.._._
State work to be performed and purpose of building (By Floors)-.-••__-14 9,e - --
New Building - _ ___ _ _ _ Remodeling _ _ _ Addition - . ...— Repairs No. of Stories. _ ..
Size Septic Tank_ _.Type of Tank
Feet of Drain Tile. __._— __Dist. Feet of Tank or Drain Field from
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed) _f lf� __ -�.
Capacity Gals..._..
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin. •ant Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors e • .loyed 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 suc 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) 1,3 - -- -- e_ok,at_t_
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary pu lic, duly an ed to administer oaths and take acltnowledgments, personally appeared
1 n > giy7
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the...___Og'_712d __
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.
NOTARY PUBLIC STATE OF FLORIDA AT LARGE
MY COMM-J5jQ11.FXPIRFS FFR 77 19310
BONDWfiki W •
Master Plumber.
4
Notary ' blic, State of Florida •
mater /ire worhi
- te pee of $1.00 will be made when such re -Inspection is made'neoessary by improper notice for inspection, or faulty
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 end 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.
Name and Address f' � —7 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. _L.. Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile
Amount of Permit $
Nature of Water Supply: City —Well y
ss.
MIAMI SHORE VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field front Well
Size of Soakage Pit
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.
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
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fa'
materials and /or workmanship.
( Signed)
( Signed)
Plumbing Inspector.
Master Plumber.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
*
°.)
Ww
/)
v`
TOTAL
FIXTURES
6
- L
CONTR.
LIST
�1,
C
Jy�
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
i�
CHECK
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 end 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.
Name and Address f' � —7 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. _L.. Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile
Amount of Permit $
Nature of Water Supply: City —Well y
ss.
MIAMI SHORE VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field front Well
Size of Soakage Pit
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.
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
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fa'
materials and /or workmanship.
( Signed)
( Signed)
Plumbing Inspector.
Master Plumber.
BlJ.,
ELECT
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
II
Work to be performed
-4
Lot
Bl.
under this Permit -4))
Subdi-
vision
FLORIDA -
DATE
'ontractor's
License No.
194
1
Address of 1 Value of Amt. of
Building s / I %�'" : Project Permit
T _pgguit- s- granted- tV =tl contractor o4bu' der named above to construct the building or to install the equipment or evice described in the appli-
cation 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 revgke!l
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_ ut.n which tLs
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a, thorough knowledge of - or..: ances and
regulations pertaining to the work covered hereby whether shown on the plans o * -&awinqp in atements'or s}acifications and 5at°l s: ' es respon-
sibility for work done by his agents, servants or employees. 4� //
Signed: V f / /'_ !G '6 7` /ff
SPELT
r 1
B y
In consideration of the issuance to me of this permit I agree to perform the work covered here der in compliance with- a11_ordinances anchregulations
pertaining theret and in strict conformity with the plans, drawings, statepents or s e ifications submitted to the proper authorities of Miami Shoores'Village.
In acceptin perm' I aline; po 'bility r all work done by either m,Ys 3/ gent, erva "nt or employee.
ONTRACTOR OR BUILDER BY
t t
AUTHORITY
Permit No
Owner's Name and Address_
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIA <L.; I SHORES VA GE
PLUMBING INSPECTION DEPARTMEK'
APPLICATION FOR PLUMBING " r •�8 t'
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 conforr&ty with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami rihores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or nrt. A copy of approved plans and specifications must be kept at
building during progress of work.
/4R. I "Y 1 ? ®" No.__ _ g g e? . ��e 97
_ . ._.______ Street fr
Registered Architect and /or Engineer_.__ --
Employing Plumber's Name .__PJ� �, _�
Location and Legal Description Lot ___.____
Block__ _ _..__..._.._--- -__ -.. Subdivision. ._.:_.__
Street and Number where work is to be performed —No a 8 ilv" 9 7 Street � /
State work to be performed and purpose of building (By Floors)_____ L //u1!� L
WRIA /l elre Sd" S
New Building Remodeling_____ _-___- Addition._.____ Repairs No. of Stories
Type of Tank
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well __.__ ' _.________ Size of Soakage Pit
Dist. Feet of Tank or Drain Field from Well
- (Signed)-
( Signed).
Date_.
Capacity Gals _
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 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
licenses by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to n.e 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 worlananship.
CLOSETS
BATH
TUBS
SHOWERS
TORIES
SINKS
SLOP
SINKS
LAUNDRY
rues
URINAL
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT' N5
TOTAL
FIKTUREB
CONTR.
LIST
CHUCK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
CHECK
J �
MU
tta�ii
/,� I
-
Permit No
Owner's Name and Address_
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIA <L.; I SHORES VA GE
PLUMBING INSPECTION DEPARTMEK'
APPLICATION FOR PLUMBING " r •�8 t'
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 conforr&ty with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami rihores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or nrt. A copy of approved plans and specifications must be kept at
building during progress of work.
/4R. I "Y 1 ? ®" No.__ _ g g e? . ��e 97
_ . ._.______ Street fr
Registered Architect and /or Engineer_.__ --
Employing Plumber's Name .__PJ� �, _�
Location and Legal Description Lot ___.____
Block__ _ _..__..._.._--- -__ -.. Subdivision. ._.:_.__
Street and Number where work is to be performed —No a 8 ilv" 9 7 Street � /
State work to be performed and purpose of building (By Floors)_____ L //u1!� L
WRIA /l elre Sd" S
New Building Remodeling_____ _-___- Addition._.____ Repairs No. of Stories
Type of Tank
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well __.__ ' _.________ Size of Soakage Pit
Dist. Feet of Tank or Drain Field from Well
- (Signed)-
( Signed).
Date_.
Capacity Gals _
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 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
licenses by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to n.e 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 worlananship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No Date__._. f
Application is hereby ninde 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
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 3'►et+t• .]�
Registered Architect and /or Engineer
�+ . l p �/
Employing Plumber's Ntmte._. --- , . _ u71 pp 7 / - 2'? wr
Location and Legal Description Lot. 7 4 - 8' $loot• 7 Subdivision n- _ , •
Street and Number where work is to be performed —No. �--- _Street w.
State work to be performed and purpose of building (By Floors)_!
No. s Street... _7 7
New Building.___ _ _ _ Remodeling .._.___ Addition--__ .._..... Repairs No. of Stories.
Size Septic Tank_ Type of Tank__
Feet of Drain Tile
Nature of Water Supply City—
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. sa
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Capacity
(Signed)_141_0 t
•
(Signed) (3 tZ. . e
.... ........... -
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 Pennanent 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.
Master Plumber.
Before me, the undersigned authority, a notary public d y authorized to administer oaths and take acknowledgments, personally appeared
//0 .-
(n . (/ 7b am?liYr)
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the... 444 ._ 1.t:!2Z
of the above descri construction, that he has carefully read the foregoing application, and that a did sign the same, and that all facts
therein by him statedrieft* epUBLIC STATE OF FLORIDA AT LARGE
MY COMMISSION EXPIRES FEB. 22 1950
ioi5. UNDERWRITERS, otary Public, State of Florida
matsrNiaOTE: re-inspection hip fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty
CLOSET/
BATH
TUBE
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Toes
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
1
/
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
i
CHUCK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No Date__._. f
Application is hereby ninde 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
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 3'►et+t• .]�
Registered Architect and /or Engineer
�+ . l p �/
Employing Plumber's Ntmte._. --- , . _ u71 pp 7 / - 2'? wr
Location and Legal Description Lot. 7 4 - 8' $loot• 7 Subdivision n- _ , •
Street and Number where work is to be performed —No. �--- _Street w.
State work to be performed and purpose of building (By Floors)_!
No. s Street... _7 7
New Building.___ _ _ _ Remodeling .._.___ Addition--__ .._..... Repairs No. of Stories.
Size Septic Tank_ Type of Tank__
Feet of Drain Tile
Nature of Water Supply City—
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. sa
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Capacity
(Signed)_141_0 t
•
(Signed) (3 tZ. . e
.... ........... -
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 Pennanent 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.
Master Plumber.
Before me, the undersigned authority, a notary public d y authorized to administer oaths and take acknowledgments, personally appeared
//0 .-
(n . (/ 7b am?liYr)
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the... 444 ._ 1.t:!2Z
of the above descri construction, that he has carefully read the foregoing application, and that a did sign the same, and that all facts
therein by him statedrieft* epUBLIC STATE OF FLORIDA AT LARGE
MY COMMISSION EXPIRES FEB. 22 1950
ioi5. UNDERWRITERS, otary Public, State of Florida
matsrNiaOTE: re-inspection hip fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty
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. G. E.., Dixon No. 858 N. E. Street 97 Street
Registered Architect and/or Engineer
Modern Septic Tank Co. 153rd St.
Employing Plumber's Name.
Street
Location and Legal Description Lot_ Block__
Street and Number where work is to be performed—No. 85.E. st 97 th S t
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_
FomASPDWYn Tile 25 Block Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City—Well
........... ......
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Capacity Cals.
The undersigned applicant for this bII4jng permit does hereby certif that he u rstands and accepts his obligations as an em ''er of 1 o
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has m-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor to be
performed under this permit; and will post or cause to be posted for inspection on the sit • the work such public noti or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, o '. to be orjj und is permit, as are
licensed by Miami Shores Village.
sgra;:f)-
(Signed)._
Date 1/13/54
Subdivision
Plumbing
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
ss.
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 Lie
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 Ltd
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
comm.
LIST
-
CHECK
'
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM' 0
POOL
COPRA .
LUST
CHECK
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. G. E.., Dixon No. 858 N. E. Street 97 Street
Registered Architect and/or Engineer
Modern Septic Tank Co. 153rd St.
Employing Plumber's Name.
Street
Location and Legal Description Lot_ Block__
Street and Number where work is to be performed—No. 85.E. st 97 th S t
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_
FomASPDWYn Tile 25 Block Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City—Well
........... ......
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Capacity Cals.
The undersigned applicant for this bII4jng permit does hereby certif that he u rstands and accepts his obligations as an em ''er of 1 o
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has m-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor to be
performed under this permit; and will post or cause to be posted for inspection on the sit • the work such public noti or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, o '. to be orjj und is permit, as are
licensed by Miami Shores Village.
sgra;:f)-
(Signed)._
Date 1/13/54
Subdivision
Plumbing
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
ss.
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 Lie
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 Ltd
materials and/or workmanship.
Permit No y ® Date...__._._ 12°1-78
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 mud be kept at
building during progress of work.
Owner's Name and Address Sexton Services
r No
Registered Architect and /or Engineer
� .a _
Rose 6 e ti c enk Co, _ 8875
Employing Plumber's Name P ,.._.... ..w....a. i trNl. ■.. ..d.,:....�....
........�.,...
P.0. Bo x 344 Fa ire Blair Subdiv on._ __
Street and Number where work is to be performed —No 858 N _ F. 97 t h qt . Street.. _- ,- .- _. - -._
State work to be performed and purpose of building (By Floors) __.
New Bui ]ding___._ __- •-- ..........._.. Remodeling Addition Repairs.. No. of Stories
Location and Legal Description Lot-_
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City—Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank _
mist. Feet of Tank or Drain Field from Well
Size of Soakage Pit _.._.- .- _ -. -..
Amount of Permit $ 4 00 ( Signed) L' ` �� 5 I N
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 on work to be performed under this permit, as are
licensed by Miami Shores Village.
(
5
Plumbing Inspector.
I'
Master Plumber. _
STATE OF FLORIDA, ( as
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_ f .._..._..- _---- .._...
of the above described construction, that he has carefully read the foregoing application. and that be did sign the same, and that all fads
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A ro- inspection fee of $1.00 will be made whoa suer ssriespeotts is emeda by Improper mhos] for lespectlon.. or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBE
BHOW[RE
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUSS
URINALS
CATCH
SASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
32
---1--
SOAKAGE
PIT
GRASS
TRAP
SOLAR
NEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
COMTR.
LIST
CHICK
-
Permit No y ® Date...__._._ 12°1-78
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 mud be kept at
building during progress of work.
Owner's Name and Address Sexton Services
r No
Registered Architect and /or Engineer
� .a _
Rose 6 e ti c enk Co, _ 8875
Employing Plumber's Name P ,.._.... ..w....a. i trNl. ■.. ..d.,:....�....
........�.,...
P.0. Bo x 344 Fa ire Blair Subdiv on._ __
Street and Number where work is to be performed —No 858 N _ F. 97 t h qt . Street.. _- ,- .- _. - -._
State work to be performed and purpose of building (By Floors) __.
New Bui ]ding___._ __- •-- ..........._.. Remodeling Addition Repairs.. No. of Stories
Location and Legal Description Lot-_
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City—Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank _
mist. Feet of Tank or Drain Field from Well
Size of Soakage Pit _.._.- .- _ -. -..
Amount of Permit $ 4 00 ( Signed) L' ` �� 5 I N
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 on work to be performed under this permit, as are
licensed by Miami Shores Village.
(
5
Plumbing Inspector.
I'
Master Plumber. _
STATE OF FLORIDA, ( as
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_ f .._..._..- _---- .._...
of the above described construction, that he has carefully read the foregoing application. and that be did sign the same, and that all fads
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A ro- inspection fee of $1.00 will be made whoa suer ssriespeotts is emeda by Improper mhos] for lespectlon.. or faulty
materials and /or workmanship.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/2/2004
Applicant: AIMEE
Owner: HARRIS
JOB ADDRESS: 858 NE 97
Parcel # 1132060142720
Signed:
(INSPECTOR)
Plumbing Permit
Permit Number: PL2004 -103
HARRIS
AIMEE
ST
Contractor QUALIFIED PLUMBING CO, INC Contractor's Address: 1083 E 23RD STREET
Local Phone: 305 - 620 - 0200
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 LOT 7 -ALL LOT 8 BLK 74 & E1/2 LOT 9 LOT
Fees: Description Amount
FEE2004 -3428 Building Fee $180.00
FEE2004 -3429 CCF $1.80
FEE2004 -3430 Notary Fee $5.00
FEE2004 -3431 Training and Education Fee $0.60
FEE2004 -3432 Technology Fee $4.50
Total Fees: $191.90
Total Fees: $1910 Ov
x
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 9/25/2004 Construction Value: $2,500.00
Work: REPIPE 2 BATH HOUSE
' APR 14PAM
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.
t
Signed: (Contractor or Builder) BY:
BUILDING od
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
Owner's Name (Fee Simple Titleholder)/'02 /4 �3
Owner's Address 05 -61; W —
Cit /Y/fl 7.A / 5X' State
Tenant/Lessee Name
Contractor's Company Name
Contractor's Address /e5 5/ 52,957 , � 5'1
Cit / 9-4 , / j 4- i-ki State
Qualifier d G f11/2
$ Value of Work For this Permit
(Continued on opposite side)
Total Fee Now Due $ 1 i 1 v
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
7
Zip
Master Permit No.
Phone #
Phone #
Mechanical Roofing
. 2&0_, /77 87
Job Address (where the work is being done) 0 /b' g: 92 --- /
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
J /M ,2 Phone # 5g1 2 x-76
Zip
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: ['Addition ❑Alteration ❑NewRepair/Replace [I Demolition
Describe Work: / /3,4=7/1
,A44.1 O i fi3 * * * * * * * * * * * * * * * * * * * * * * * * * * * *F * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $5 0a 0e) Permit Fee $ / // CCF $ 1 ..e d CO /CC
Notary-es Training/Education Fee $ h 'b d Technology Fee $ (f 0
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 be 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 be approved and a reinspection fee will be charged.
Signature
The foregoing instrument wasknowleKlged bef e me thi The foregoing instrument was acknowledged before me this
� day 20 f�'�,
who is personally known to pie or who has produced F L 1> L who is personally known to me or who has produced
T N)s i.entificatio o did take an oath.
Owner or Agent
Sign:
Prin . , Artrsl,IUi''aet
My Commission Expires: n flg My Commission E
* * * * * * * * * * * ** * * ** * * * * ** 4 * **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
Chc 12/15/03
State Certificate or Registration No.
Signature
day of
NOTARY PUBLIC: ,
Sign:
Print:
Certificate of Competency No.
Contract
,20by
as identification and who did take an lath.
ARY PUBLIC STATE OF FLORIDA
MISSION NO. DD018167
•1111,
******** * * * * * * * * * * * * * * * * * * * * *.. *_: * * - ** ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED ;Y: Ar4 Q 3 -3 1 -- 0 y Plans Examiner
Engineer
Zoning
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT- OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEM3LIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES -
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
,
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
1
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIhMINt',OPOOL
OUTLETS COMMERCIAL
WATER SERVICE
/
SIGN TUBES
SEWER CONNECTIONS
.SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIX11. ES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
•
LAWN SPRINKLER SYSTEM
GAS RANGE
METER.SET (GAS)
GAS PIPING
R5 ti 7 7 5
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS- ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL