1167 NE 99 St (10)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 o f
B ilding Inspection Request VI
Date
Type Insp'n 1W .
Permit No. plc) - 23
Name 41211—
Address I\ Z MF. ci9-5
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIR
Date
Type Insp'n
Permit No. PIGS `3 i
Name T )(fa --
Address 1 10 1 N� qq
Company 6 lv W l de
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SNORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
k
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildi g Inspection Request
Date \`` ° 14
T
Type Insp'n O p cc* 0 ( an-Lcer p®r
Permit No. P 1 )
0 ( .-�3
Name Jo-e. ( e Yu /
Address 1 1(57 Ni qq s
Company )1(.61 NE cici&
Phone # ainCi /EC
Inspection Date
"5_ r
Approved `01',6!1 iii
Correction
Re- Insp'n Fee ❑
OCT 1 9 2005
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.
ner's Name and Address
Jerome Twitchell No. 1167 street y.E... 99th . Street
Ow
•■•■•■■+.
Registered Architect and/or Engineer
Employing Plumber's Name. Spr tIk1 e r QcNo„ st 1`1 . 79th Street
Size Septic of Tank_
Amount of Permit $ 8 .00
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
flloelt
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.
Feet of Drain Tile.— _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well—________WelL __Size of Soakage Pit
Capacity Gab.
(Signed)
May 21, 1974
Date
1167 s 99th Street
Repairs No. of Stories
Master Plumber.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and bus 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 die Act. The undersigned agrees to employ only such sub-contractors, on iork to be perform this permit, as are
licensed by Miami Shores Village. I
./ a .t.....A.,_
STATE OF FLORIDA, t $1.
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 ands minspeotion is made.neoessary by improper notice for inspection, or faulty
materials and/or workmanship.
CLosrrs
BATH
TUBS
SHOWER•
LAVA.
yo
SINKS
SLOP
SINKS
LAUNDRY
T
URINALS
CATCH
B A S I N
FLOOR
DRAIN
DRINKING
FOUNT•NIS
TOTAL
FIXTURIE•
CONTR.
LIST
CHICK
SOLAR
H
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'I3
Porn.
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
Copmc
LIST
X
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.
ner's Name and Address
Jerome Twitchell No. 1167 street y.E... 99th . Street
Ow
•■•■•■■+.
Registered Architect and/or Engineer
Employing Plumber's Name. Spr tIk1 e r QcNo„ st 1`1 . 79th Street
Size Septic of Tank_
Amount of Permit $ 8 .00
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
flloelt
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.
Feet of Drain Tile.— _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well—________WelL __Size of Soakage Pit
Capacity Gab.
(Signed)
May 21, 1974
Date
1167 s 99th Street
Repairs No. of Stories
Master Plumber.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and bus 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 die Act. The undersigned agrees to employ only such sub-contractors, on iork to be perform this permit, as are
licensed by Miami Shores Village. I
./ a .t.....A.,_
STATE OF FLORIDA, t $1.
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 ands minspeotion is made.neoessary by improper notice for inspection, or faulty
materials and/or workmanship.
N
BUILDING ❑
MIAMI S ES VILLAGE, FLORIDA
Date 4 .* 11111
F ELECTRICAL ❑
PLUMBING ❑ PERMIT ? 88,63 Contractor's floppbot
I ROOFING 0 license N0.
Work *. be performed under this Q rtnit
•4 r_ r•► dit 4, K
Architect fil $ rI
Owner of
Building
L,ft
Legal
Description
Address of
Building
Contractor An 41611440044
Jt
vis
6q.
Subdi-
ion
dt Ft.
y Value of
Project
This permit is granted to the contractor or builder namell above to construct the building r to install the equipment
tion herefor in strict compliance with all ordinances pertaining -Memo and with the understanding that the work will be
plans, drawings, statements or specifications that may have been atibnitted to and approved by do proper municipal a
at any time if the work is not done in compliance wilt Such 'osdionces or if the plane are changed without authorization
permit is granted is the understanding that the contractor or builder awned above aeatMe the : ty far a
regulations pertaining to the work covered hereby w er shown pia; a... wiuge or is suit gists or ape
sibility for work done by his agents, ervan . or e
Sig
In consideration of the issuance to me of this p
pertaining thereto and in strict conformity with the Ala
In accepting this permit I assume respo • .ility for all
CO OR or, BUILDER
s
BY
mender in complian
to the proper
employee,
or de
v1e des eeibad the a�pUea-
ar6orme c is one well; a y
This F'ee arit may be revoked
fu rtl3er ceatiMek t s whit
of dos ordinances
that ha assumes rasps-
AUTHORITY
dinesces and Imitations
Miami Shores Village.
1
:
•>
Permit No ""F.
New Building Remodeling_
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $ I-1
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size of Soakage Pit
p ' S
— — (Sled)__
. a
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, hether herein sped:gd or not. A copy of approved plans and specifications must be kept a
building during progress of work
Owner's Name and Address J
l
Registered Architect and /. ngineer
Employing Plumber's Name f No._ _L
Location and Legal Description Lot_ Block_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
2 . Stree /
Street_
Cp. - 2-(- (a 7
Subdivision
Street
Addition Repairs No. of Stories.
Type of Tank Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
The undersigned applicant for this building permit does hereby certify that he understands and accepts
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid
plied with the provisions thereof, and will require similar compliance from all contractors or sub -con
performed under this permit; and will post or cause to be posted for inspection on the si e of
required by the Act. The undersigned agrees to employ only suc sub -contra
licensed by Miami Shores Village.
Plumbing Inspector.
obligations as an employer of labor
ermanent Supplement, and corn-
ed b • im in the wor to be
ce or not' s as are
this I ' , as are
Notary Public, State of Florida
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
S
LAVA-
TORIES
NK6
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FI %TORES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWING
POOL
CONTR.
LIST
CHECK
_
Permit No ""F.
New Building Remodeling_
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $ I-1
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size of Soakage Pit
p ' S
— — (Sled)__
. a
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, hether herein sped:gd or not. A copy of approved plans and specifications must be kept a
building during progress of work
Owner's Name and Address J
l
Registered Architect and /. ngineer
Employing Plumber's Name f No._ _L
Location and Legal Description Lot_ Block_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
2 . Stree /
Street_
Cp. - 2-(- (a 7
Subdivision
Street
Addition Repairs No. of Stories.
Type of Tank Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
The undersigned applicant for this building permit does hereby certify that he understands and accepts
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid
plied with the provisions thereof, and will require similar compliance from all contractors or sub -con
performed under this permit; and will post or cause to be posted for inspection on the si e of
required by the Act. The undersigned agrees to employ only suc sub -contra
licensed by Miami Shores Village.
Plumbing Inspector.
obligations as an employer of labor
ermanent Supplement, and corn-
ed b • im in the wor to be
ce or not' s as are
this I ' , as are
Notary Public, State of Florida
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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 / 1�
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 specifi or not. A copy of approved plans and specifications must be kept at
building during progress of ir k. �f /
Owner's Name and Addre _
Registered Architect • d/o Engineef /'JA .4 %n:
Employing Plumber's . e
Size Septic Tank
Feet of Drain Tile
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
Block
No.
moist. Feet of Tank or Drain Field from Well .
G , 'rte' "`^'
- - -- -- ��sr
Amount of Permit $__ -- __ - -- -_ '_ - -_- _ _ : — _� ( Signed) ___
( Sign
Street__
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_
Subdivision
Street
Repairs
Capacity Gals
Nature of Water Supply: City — Well.____ ____ ___- __________—________________ -Size of Soakage Pit
Notary Public, State of Florida
No. of Stories.
umber.
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.
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 5986, 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 -contra rs 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 wo such public notice or notic s as are
required by die Act. The undersigned agrees to employ only such sub- contractors, on work to a perforned under this permi', as are
licensed by Miami Shores Village.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINAL!
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
-
I4EC
CHECK
Permit No / 1�
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 specifi or not. A copy of approved plans and specifications must be kept at
building during progress of ir k. �f /
Owner's Name and Addre _
Registered Architect • d/o Engineef /'JA .4 %n:
Employing Plumber's . e
Size Septic Tank
Feet of Drain Tile
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
Block
No.
moist. Feet of Tank or Drain Field from Well .
G , 'rte' "`^'
- - -- -- ��sr
Amount of Permit $__ -- __ - -- -_ '_ - -_- _ _ : — _� ( Signed) ___
( Sign
Street__
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_
Subdivision
Street
Repairs
Capacity Gals
Nature of Water Supply: City — Well.____ ____ ___- __________—________________ -Size of Soakage Pit
Notary Public, State of Florida
No. of Stories.
umber.
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.
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 5986, 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 -contra rs 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 wo such public notice or notic s as are
required by die Act. The undersigned agrees to employ only such sub- contractors, on work to a perforned under this permi', as are
licensed by Miami Shores Village.
The Sri
under the Mai& 'o gas e
plied with the p
permed under
rem rad by ere . ot, The
ooensed . Miami Ohms V
ov
of Miami
b
Owner's dame arid. .s
ftegstered t ardia
Employing Plumber's
Location and Legal
Street and Number Wiere
State work ' be pertained d
New Building
Sze Septic Tank----_,--
Feet of Drain Tile.,,.
Nature of.,
to well kno
of a above
therein by hi
NOTE: A
i and/or
w
Ciz)