893 NE 96 st (8)BUILDING
PERMIT APPLICATION
FBC 2001
Contractor's Address 1 411 i "/ &A-
City
Qualifier
m arn i fiAct
$ Value of Work For this Permit
Describe Work: ✓
Total Fee Now Due $ r 0 . hC'
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electrical Plumbin
Owner's Name (Fee Simple Titleholder) E, cves \ k, — iAme (l Phone #
Owner's Address s NE cito
City tkitunk Itve _ State n-
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 8 , e C /L
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name \UPi6Cin�
Sta
4
+rte c� as iq
41s1 !ter 'ermit No.
Zip
Mechanical Roofing
Zip
Phone # 1, en 1- g3 el.
Zip
State Certificate or Registration No. LP6O01 I `7 C o , Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
1 y'GO
Square Footage Of Work:
Type of Work: ❑ Addition ❑Alteration IdIFw ❑ Repair/Replace • El Demolition
too G LP F FIa
(.t ft
C k ' 3 os(j
Submittal Fee 5 rC • Permit Fee $ / CCF $ 1 • CO /CC -�
Notary $ Training/Education Fee $ , LAO Technology Fee $
Scanning $ 3 . CC ' Radon $ i Zoning / Bond $
Code Enforcement $ - Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
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
conunenced 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
My Commission Expires:
Chc 05/13/03
(prod uced w
•
l��i Y
icgtion° £vo did take an oath.
0
Sign:
Print:
My Commission Expires:
Zip
Contractor
er or Agent
The foregoing instrument was acknowledged before me this 17 The foregoin ' strument was acknowledged before rrT this 17
day of d. , _ , ! e:� t:p,"\ ��T�� , day of : �- e�_ode"C1,� ✓
personally knowrto me or w
as iden i _ . did talce an oath.
NOTARY PUBLI ti o °o y
-,c ti �ti.
alr7 r , �,
s •'
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
\ /
******* * * * * * * * * * * * * * * * * * * * * * * ***** * * * *4* *** ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *�
APPLICATION APPROVED BY i /i'6 �✓ s -/ Plans Examiner
' Engineer
Zoning
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
ITEM
BATH TUB
BIDET
UNIT
__
—_
__
__
FEE
ITEM
SWITCH OUTLETS
LIGHT OUTLETS
RECEPTACLES
SERVICE TEMPORARY
SERVICE SIZE IN AMPS
SERVICE REPAIR/METER CHANGE
APPLIANCE OUTLETS
UNIT
-_
FEE
ITEM
SPACE HEATERS
UNIT
FEE
CENTRAL HEATING
A/C (WIND)
DISHWASHER
DISPOSAL
DRINKING FOUNTAIN
FLOOR DRAIN
GREASE TRAP
A/C (CENTRAL)
DUCT WORK
REFRIGERATION
PROCESS AND PRESS PIPING
INTERCEPTOR
LAVATORY
LAUNDRY TRAY
—_
—_
RANGE TOP
OVEN
WATER HEATER
-_
UNDERGROUND TANKS
ABOVE GROUN) TANKS
U.F. PRESSURE VESSELS
CLOTHES WASHER
SHOWER
SINK, POT /3 COMP.
SINK, RESIDENCE
SINK, SLOP
TBPORARY WATER CLOSET
—_
--
__
MOTORS 0- 1 HP
MOTORS OVER 1- 3 HP
MOTORS OVER 3- 5 If
MOTORS OVER 5- 8 HP
MOTORS OVER 8- 10 HP
MOTORS OVER 10- 25 HP
-_
'_
-_
-_
-_
STEAM BOILERS
HOT WATER BOILERS
MECHANICAL VENTILATION
TRANSPORTING ASSEMBLIES
ELEVATORS/ESCALATORS
FIRE SPRINLER SYSTEMS
URINAL
WATER CLOSET
INDIRECT WASTES
—_
—_
MOTORS OVER 25-100 HP
MOTORS OVER 100 HP
A/C WINDOW
-_
COOLING TOWERS
VIOLATION
REINSPECTION
WATER SUPPLY TO:
A/C UNIT
FIRE SPRINKLER
__
—_
AIR CONDITIONERS
STRIP HEATER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
HEATER - REPLACE
—_
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMAING POOL
WATER SERVICE
SEWER CONNECTIONS
__
-_
OUTLETS COMAERCIAL
SIGN TUBES
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
SEPTIC TANK
RELAY
__
__
FIXTLRES
ANTENNA
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
PUM' & ABANDON SEPTIC TANK
—_
VIOLATION
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
R00F INLET
SOLAR WATER HEATER
FIRE STANDPIPE
Ala-NNW WSPreit
LAWN r 2•1j
� SPRINKLER SYSTEM
GAS METER SET (GAS)
.
n _
- _
GAS PIPING
n
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
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/15/2005
Applicant:
Owner:
JOB ADDRESS: 893 NE 96
Contractor SUBURBAN PROPANE DBA ACME GAS Contractor's Address: 1491 NE 130 STREET
Local Phone: 305 - 891 -8393
Parcel # 1132060142690
Plumbing Permit
Permit Number: PL2005 -191
ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 4 BLK 74 LOT SIZE SITE VALUE
Fees: Description Amount
FEE2005 -8242 Submittal Fee ($50.00)
FEE2005 -8243 CCF $1.20
FEE2005 -8244 Training and Education Fee $0.40
FEE2005 -8245 Technology Fee $4.00
FEE2005 -8246 Building Fee $160.00
FEE2005 -8247 Scanning Fee $3.00
Total Fees: $118.60
Total Fees: $118.60
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 12/11/2005 Construction Value: $1,500.00
Work: SET (1) GALLON TANK & LP GAS LINE TO FIREPLACE, WATER HTR & STOVE
Signed: (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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
to 0
\
,Suburban Propane
1491 N. E. 130th Street
' N. Miami, FL 33161
305 -891 -8393
Qualifier
1 Job Address g5's NE 96 t�
YYI 14y 4 1 S'4'O1Z26 »C
Longest Run
Total BTU's 33F WO ,C3
OT 26
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SCALE av
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BRICK
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ai TWO STORY,,
d �
RES. 893 %s
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3.,E , 37.90'
r. IN C N BRICK
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ON i- "I' 19.10' 8.00'
18.70' PLANTER
T.,_,_, ON R
13.35 d(M) FND
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o
I.P. a
37.85'
5' SWK 85.32 (R) (M)
cP,
8 X2.8O'X2.20'Lf.;
COLUMN (TYP)
FND
NAIL
t*•
BLOCK
CORNER
cr-
.`
urets
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. (�
Owner's Name and Address ELI— SICK_ No.
Registered Architect and /or Engineer n
Y
MIAMI a'Yl�°� `C `� �
Employing Plumber's al — `� �� ^ �`j9't P ... �...��]. 't..r._
Location and Legal Description Lot. Mork SubdlvWon
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street and Number where work is to be performed —No C1
State work to be performed and purpose of building (By Floors)-_ -_ -- �'�f�`� - -- OC SG
New Building.. -_._ — _.._.........._.. Remodeling - -. - - -- Addition_. _.__�.._— Repairs.
My Commission Expires
Size Septic Tank_ C _ Type of Tanis —,
Feet of Drain Tile ° SQ . .� Dist- Feet of Tank or Drain Field from Well .. ._-_
Size of Soakage Pit
3 Street-22-6' 96 sZ
Str eet!!' 6 96 LS .
Nature of Water Supply: City-Well.
Amount of Permit 43 G ( Signed ) _ L.L -1' C.i. '!7 \ 'W
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 59138, Compiled General Laws of Florida Permanent Supplement, and l,a' 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 ch public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub -contr • —,., work be - orrr under this permit, as are
lionised by Miami Shores Village.
02 J O
tai IC
No. of Stories
Master Plumber.
STATE OF FLORIDA, µ
COUNTY OF DADE.
Before me, the undersigned authority, • notary public, duly authorised to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the. _.__.._ ......... -- _ _ ... — _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Publics, State of Florida
NOTE: A re- inspection fee of 41.00 will be made whoa was misspeaks is made by Impropsr notice for (baspecti n, or faulty
materials and /or workmanship.
SE
CLOTS
BATH
Tu.•
SHOWERS
LAVA.
RIES TO
SINKS
SLOP
SINKS
LAUNDRY
TUS•
U RINALS
CATCH
•ASI
FLOOR
DRAIN
DRINKING
FOUNTN•
TOTAL
FIXTURES
CONTR.
LIST
--
CN[CK
+
SEPTIC
TANK
SEWER
Comm.
DRAIN
F IELD
SOAKAGE.
PIT
G
TRAP
SOLAR
HEATER
Mir
WELL
SPRKLR.
SYSTEM
aW IN
POOL
CONTW.
LIST
COMICS
r
III
urets
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. (�
Owner's Name and Address ELI— SICK_ No.
Registered Architect and /or Engineer n
Y
MIAMI a'Yl�°� `C `� �
Employing Plumber's al — `� �� ^ �`j9't P ... �...��]. 't..r._
Location and Legal Description Lot. Mork SubdlvWon
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street and Number where work is to be performed —No C1
State work to be performed and purpose of building (By Floors)-_ -_ -- �'�f�`� - -- OC SG
New Building.. -_._ — _.._.........._.. Remodeling - -. - - -- Addition_. _.__�.._— Repairs.
My Commission Expires
Size Septic Tank_ C _ Type of Tanis —,
Feet of Drain Tile ° SQ . .� Dist- Feet of Tank or Drain Field from Well .. ._-_
Size of Soakage Pit
3 Street-22-6' 96 sZ
Str eet!!' 6 96 LS .
Nature of Water Supply: City-Well.
Amount of Permit 43 G ( Signed ) _ L.L -1' C.i. '!7 \ 'W
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 59138, Compiled General Laws of Florida Permanent Supplement, and l,a' 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 ch public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub -contr • —,., work be - orrr under this permit, as are
lionised by Miami Shores Village.
02 J O
tai IC
No. of Stories
Master Plumber.
STATE OF FLORIDA, µ
COUNTY OF DADE.
Before me, the undersigned authority, • notary public, duly authorised to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the. _.__.._ ......... -- _ _ ... — _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Publics, State of Florida
NOTE: A re- inspection fee of 41.00 will be made whoa was misspeaks is made by Impropsr notice for (baspecti n, or faulty
materials and /or workmanship.
Date
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant y w Se V5er1 a_ JO k�'1 Master Permit # )14.441
Owner's Address ,/�.c J j . 1 em f 'F' 4_, —330? PhoneY( ) j � — 5-235
Contracting Co J G 1 r - f ( Associates , Ltd A d d r e s s ' / ( ' (,Q® c-4� �-o
Qualifier �'e l ��- z1q g� C S# Phone "� C �'�9-
1 ocioa
State # .� � a33 Municipal # /3t-(` - cor,,�Ci ',ompetency # 3 ns. Co - 0L (29 jl()
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
1� f»M ✓ DESCRIPTION (� U 7 WORK DESCR
Square Ft. Estimated Cost (value)) ��•
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 separr to 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 d zonin F ore, I authorize the above -named contractor to do the work s : ted.
Notary as
My C
APPROVED:
Zoning
Mechanical
FEES: PERMIT
Owner an
ssion Expire
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address \( 813 NC O 6 Si Tax Folio / / -,3a pG G/ '.? G 9c)
C�CCC Mat z) z co
Condo Pres' Date
r Con.. . s ,.,.. I VILLA
!ti{til'?'f.R'i i'CI?i i `;T.17"C`F F` UZ.CI k\
:(7J1166
2.1)2
/0 RADON
Building
Plumbing
. or lder
ssion Contra Expiresr Owner - Bui
: Owner- tic71'A ^ Z�' � L
I,...,. t IJ a.LP.
NOTARY tC ,:hT FLORIDA
C O`LNii�_;!O :Ni 1•.,,7. CO64532
My c;11■P� ?4 hX1'.5r.t'1 26
Q--
C.C.F. ' NOTARY BOND
Electrical
U
TOTAL DUE #4.- sG
Structural Engineer_
61 4
o
M .
nt
•
H
Aa9 t._% fG guv-E
W4 "
VA d 0 ) ■ot
' \t V :1s Z -
T4 KwroaD
a('- c viAL - •
n,,
)
f
Penn, N/A
:Ippll..,tu011 is hereby prude for the approval of the detailed statement of the plans and specifications herewith subrr;. .-1 for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.:- ! Shores Village, Florida,
d.rd all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic- of the Building Division
of Tilami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and wet fications must be kept at
',uilding during progress of work.
'honer s Name and Address.. 0 `- i No 0., Street Pb . J
.egist. red Architect and /or Engineer
.mploying Plumber's Name .a S p(O.?V .N..Z -s ,.i.:ie.2...- Street—a? ,!..
Location and Legal Description Lot. Block 7
Street and Number where work is to be performed —No /V.B 1' Street
State work to be performed and purpose of building (By Floors) __....__. ... _______ .....
_
New Building Remodeling_ _._ ... _._ Addition..._ ..... Repairs .... .... Nt; of Stones
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
1 7 .1 :._. ./. 3 acif.. e'9 re
Amount of Permit S__•° —
STATE OF FLORIDA. }
u.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
Capacity
JA,Nt
My Commission Expires Notary Public, State of Florida
?lumbin3 Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n;rloye i of ip1Kn
under the Florida Workrnen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Cum lement, Ind ha', Iran•
t lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' .e tf ric o b.
perfenned under this permit; and will post or cause to be posted' for inspection on the site of the work ouch publ' notice r no icon 45 O.
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed r,a this
licensed by Miami Shores Village.
A Plumber
Before me, the undersigned authority, .a notary public, duly authorized to administer oaths and take acknowledgments, person..; : ppearet.
to are 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 Seto,
therein by hip, stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection Is mede•neoessary by improper notice for inspection. tsutt)
materials and /or workmanship.
CLOSET•
BATH
TUB•
6HOWIR•
LAVA•
TORIES
61
SLOP
SINKS
LAUNDRY
Tuts
URINALS
CATCH
EASIN
FLOOR DRINKING
DRAIN FOUNT'N•
TOT,.L
FIATI RE•
CONTR. '
LI T
—
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
--
-.-
1
Ir—
CHICK
Penn, N/A
:Ippll..,tu011 is hereby prude for the approval of the detailed statement of the plans and specifications herewith subrr;. .-1 for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.:- ! Shores Village, Florida,
d.rd all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic- of the Building Division
of Tilami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and wet fications must be kept at
',uilding during progress of work.
'honer s Name and Address.. 0 `- i No 0., Street Pb . J
.egist. red Architect and /or Engineer
.mploying Plumber's Name .a S p(O.?V .N..Z -s ,.i.:ie.2...- Street—a? ,!..
Location and Legal Description Lot. Block 7
Street and Number where work is to be performed —No /V.B 1' Street
State work to be performed and purpose of building (By Floors) __....__. ... _______ .....
_
New Building Remodeling_ _._ ... _._ Addition..._ ..... Repairs .... .... Nt; of Stones
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
1 7 .1 :._. ./. 3 acif.. e'9 re
Amount of Permit S__•° —
STATE OF FLORIDA. }
u.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
Capacity
JA,Nt
My Commission Expires Notary Public, State of Florida
?lumbin3 Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n;rloye i of ip1Kn
under the Florida Workrnen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Cum lement, Ind ha', Iran•
t lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' .e tf ric o b.
perfenned under this permit; and will post or cause to be posted' for inspection on the site of the work ouch publ' notice r no icon 45 O.
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed r,a this
licensed by Miami Shores Village.
A Plumber
Before me, the undersigned authority, .a notary public, duly authorized to administer oaths and take acknowledgments, person..; : ppearet.
to are 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 Seto,
therein by hip, stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection Is mede•neoessary by improper notice for inspection. tsutt)
materials and /or workmanship.
PLUMBING
� ner of Building t_ Its
NAME
Architect and /or Engineer
ERMIT A N9 406
- - - - -- -- -
AMO NT RECD. YME ACCT. DEPT.
ADDRESS
ADDRESS
Contractor or Builder
/ 1 2f*
Proposed Location- - - -
LOT BLOCK SUB- DIVISION NO.
NAME ADDRESS
MIAMI S14
BUILDING IN
This permit is issued to
the building above described, as per application, Plans and Specifications heretofore filed in this office. This per
that all facts stated in the application are true and that the construction complies strictly with the plans and
and compliance with the building laws •f the State of Florida and with the building ordinances and zoning
regulations of the building department . Mia •• i Shores Village. This permit may be revoked at any time
laws, ordinances or rules and regulatio or ppn ar change • th .lans and specifications unauthorized by
In consideration of the issuance to me of this permit I hereby agree to the proposed construction
ans and specifications thereof heretofore by me submitted, and in compliance with all provisions
building g and zoning laws of Miami Shores Village and all rules and regulations of t
Dated __-- 19 �Ia
NOTE: charge of $1.00 will be made for making corrections or changes to this application after a
A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice f
Owner of Building— . "4 Pairk. s °
Architect and /or Engineer
,19_
if
dorre of $100 s►Ul'be lose for melting comion or daagw to this cation s p a
its of $1.00 Watilir Sloth when sods,re-ioqiiidon is toads • ; !Oki for
:'1
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Cr21
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name. __/.n_t
Location and Legal Description Lot_
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
No.
Block
-( 3 street AZ q :S
Repairs E® No. of Stories
Date
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
(Sinned )-
Capacity Gals.
performed under this permit; and will post or cause to be posted' for inspection on the site of the work
required by the Act. The undersigned agrees to employ only such sub- contracto o�work to
licensed by Miami Shores Village.
3 street_._! VE
Plpfnbing In
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent S element, and lids com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by y him in the work to be
c)i public notice or notices as are
perform , under this permit, as are
Master Plumber.
STATE OF FLORIDA, I µ
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath d e p o s e s 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 fads
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-lnepeetion is mede.neoessary by impr'oper notice for inspection, or faulty
materials and/or workmanship.
CLOUTS
BATH
TUBS
SNOW[R[
LAVA•
TORIES
SIN"
SLOP
SINK[
LAUNDRY
Twos
URINALS
CATCH
BASIN
FLOOR
DRAIN
OR'NKI NG
FOUNT 'NS
TOTAL
FIXTURE[
CONTR.
LIST
—
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
H
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Cr21
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name. __/.n_t
Location and Legal Description Lot_
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
No.
Block
-( 3 street AZ q :S
Repairs E® No. of Stories
Date
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
(Sinned )-
Capacity Gals.
performed under this permit; and will post or cause to be posted' for inspection on the site of the work
required by the Act. The undersigned agrees to employ only such sub- contracto o�work to
licensed by Miami Shores Village.
3 street_._! VE
Plpfnbing In
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent S element, and lids com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by y him in the work to be
c)i public notice or notices as are
perform , under this permit, as are
Master Plumber.
STATE OF FLORIDA, I µ
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath d e p o s e s 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 fads
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-lnepeetion is mede.neoessary by impr'oper notice for inspection, or faulty
materials and/or workmanship.
tv
aa�
Permit No 1'1- I l
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A Dopy of approved plats! and specifications mud be kept at
building during progress of work. c
Owners Name and Address L c t� is i
Registered Architect and /or EnAineer
Employing Number's uber's Name 7t A Ph(1141 - - ..... Na .. L •. l �.__..,.,... Mlle aG 4'11' a rf ,
Location and Legal Description Lot. Blorit
Street and Number where work is to be performed-No. .l.�_ 1sLJE o Street.
State work to be performed and purpose of building (By F1oors)__. /...L0M
New Building..__.__ _.._.........._.. Remodeling____ ._._____ Addition.
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City -Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
Type of Tank--
nut. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
(Signed) - d l !x... 1Lt L Fes--. '61
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„ work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
streetllIL t
Subdivision
Repairs. No. of Stories ............
Capacity Cals.
1
Master Plumber.
STATE OF FLORIDA, }
u.
COUNTY OF DADE.
Before me, the undersigned authority, • 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 oses and says that he is the ._.__.._ .. _. __..-- -__ - -. - -. -• �-
of the above described construction, that he has carefully read the foregoing application, and that he dkl sign the same, and that aU facts
therein by him stated are true.
M Commission Expires Notary Pubho, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when arch Irispaotiast f. mede•n.oewry by immix" notice for lespectio , or faulty
materials and/at war manahLp.
CLOSETS
BATH
Tuns
SHOWERn
LAVA.
TORIES
SINK.
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N•
TOTAL
FI
CONTR.
LIST
_
CHECK
SEPTIC
TANK
SEWER
Comm.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'a
P001.
CONTR.y'
�•�.
% I►OJ
Ali
LIST
CHECK
tv
aa�
Permit No 1'1- I l
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A Dopy of approved plats! and specifications mud be kept at
building during progress of work. c
Owners Name and Address L c t� is i
Registered Architect and /or EnAineer
Employing Number's uber's Name 7t A Ph(1141 - - ..... Na .. L •. l �.__..,.,... Mlle aG 4'11' a rf ,
Location and Legal Description Lot. Blorit
Street and Number where work is to be performed-No. .l.�_ 1sLJE o Street.
State work to be performed and purpose of building (By F1oors)__. /...L0M
New Building..__.__ _.._.........._.. Remodeling____ ._._____ Addition.
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City -Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
Type of Tank--
nut. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
(Signed) - d l !x... 1Lt L Fes--. '61
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„ work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
streetllIL t
Subdivision
Repairs. No. of Stories ............
Capacity Cals.
1
Master Plumber.
STATE OF FLORIDA, }
u.
COUNTY OF DADE.
Before me, the undersigned authority, • 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 oses and says that he is the ._.__.._ .. _. __..-- -__ - -. - -. -• �-
of the above described construction, that he has carefully read the foregoing application, and that he dkl sign the same, and that aU facts
therein by him stated are true.
M Commission Expires Notary Pubho, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when arch Irispaotiast f. mede•n.oewry by immix" notice for lespectio , or faulty
materials and/at war manahLp.