POOLPermit No
110
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 Aefif � ✓4-C No
Registered Architect and /or Engineer L747 M it S a r? /�i-L -
7� p
Employlng Plumber's Name T.) C (-'en ." , '
Location and Legal Description Lot g k,rt 6 121v isio-P r
Street and Number where work is to be performed —No 1/ 7d4 Street../yl��...__.. ? ?
State work to be performed and purpose of building (By Floon) __ -____ 16Y �Al3_-_ .QA . 4.T i. o
New Building- • - -.._ — _..- .........._.. Remodeling_____ __ -.-__ Addition
Amount of Permit $ Z)5., oD
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
//76
‘F: _7.._ ._
Size Septic Tani _Type of Tank—__.
Feet of Drain Tile Dist- Feet of Tank er Drain Field from Well . -------- .--- ._....._ - - - -._
Nature of Water Supply: City —We1L Size of Soakage Pit
Repair No. of Stories
(Signed)_ '!(' 0 __.. L
Street._i1 E y y.
Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and liar rnm-
pued with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wort 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 err
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, i
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 be 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 11.00 will be grad. whoa wait swispeotfara Y made aaaaaaary by improper Notice for iaspectio , otr faulty
materials and /or workmanship.
CLOSrTS
BATH
T
S HOW[R•
LAVA.
TORIES
SINKS
SLOP
SINK•
LAUNDRY
Tun•
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
PIxTURI•
COWS.
LIST
CHICK
_
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
S
SWIM'O
POOL
cowrie.
LIST
I
CHECK
Permit No
110
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 Aefif � ✓4-C No
Registered Architect and /or Engineer L747 M it S a r? /�i-L -
7� p
Employlng Plumber's Name T.) C (-'en ." , '
Location and Legal Description Lot g k,rt 6 121v isio-P r
Street and Number where work is to be performed —No 1/ 7d4 Street../yl��...__.. ? ?
State work to be performed and purpose of building (By Floon) __ -____ 16Y �Al3_-_ .QA . 4.T i. o
New Building- • - -.._ — _..- .........._.. Remodeling_____ __ -.-__ Addition
Amount of Permit $ Z)5., oD
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
//76
‘F: _7.._ ._
Size Septic Tani _Type of Tank—__.
Feet of Drain Tile Dist- Feet of Tank er Drain Field from Well . -------- .--- ._....._ - - - -._
Nature of Water Supply: City —We1L Size of Soakage Pit
Repair No. of Stories
(Signed)_ '!(' 0 __.. L
Street._i1 E y y.
Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and liar rnm-
pued with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wort 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 err
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, i
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 be 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 11.00 will be grad. whoa wait swispeotfara Y made aaaaaaary by improper Notice for iaspectio , otr faulty
materials and /or workmanship.
r
r
BUILDING INSPECTION DEPARTMENT
•
APPLICATION FOR BUILDING PERMIT
Apoication is hereby mock for the approval of the detailed statement us me plans and specifications herewith submitted -for
in or other structure herein described. This application Is made in compliance and conformity with the Building Chdinanee
Shores Village. Florida. and all provisions nf the Laws of the State of Florida. all ordinances of Miami Shores Village and 111
regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of
plans and specifications must bc kept at building during progress of the work.
Owner's Name- and Address —
Registered Architect and/or Engineer
Name and address of licensed contractor 7 (
Location and legal description of lot to be built 1/ siol--
Lot-- Subdivision
Street and Number where work is to be done //
State work to be done and purpose of building (by tigers)
and for no other purpose.
New Building Remodeling.— Repairs---.— No. of Stories._.
-
To be constructed of ......... Kind of Roof C.overing.-----..._.--..
Estimated Total cost of improvements $
Zone cubage required
Distance .to next nearest building
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications forsaid building
be sent to..
peared
Disapproved
(Signed) --
Cnairman
SS.
4 6 ( 375-c9
MIAMI SHORES VILLAGE
Building Inspector
Date.--
Plan Cubage
Size of Building Lot
Date 2 /19 .191,Z
No. // smell 9 7 ccr;
Ave
•■•••••••••■•••••••••••••••••"........,m
the build
of Miami
rules and
approved
Litit
T /,4■97.1.--
jr
a
L 't Amount of Permit $ X.10
• AU notices with reference to the building and ita,construction...may.-
The unticrsicncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
•
of 5 .tbur u nder the Florida Workmen's Compensation Act. - being Section 5066, Compiled General Laws of -Florid a.-Pennnent Stimilement
anti has complied with the provisions thereof, and will require s •lar compliance From all contractors or sub-contractors employed Syliim
in the work to be performed under this permit; and will post or cause to be posted for inspection an the site of the work such Wilk: notice
or noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to • perfo under this
permit, as are licensed by Miami Shores Village,
(Signed)
STATE OF FLORIDA.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap-
---
Notary Public. State of Florida
My Commission Expires
PLANNINC BOARD.---- DATE
Member
hi ember
Member
Membt:r
Member
Council Approved — Date Disapproved _
() A charge of $1.00 will be made for making corrections or changes to this application after approval
the Plannir.:.; Ituard.
A re ice of S1.00 will be charged when such re is made necessary by Improper notice
materials anu/or workmanship.
•■••••••••••......•
. Date
has hero obtained from
for inspes.-tion or faulty
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 all.faWs
Permit No. '
therein by him stated are true.. Date g/1 Read. Sworn to and Subscribed before me. •
.
Permit No °
Amount of Permit $........
STATE OF FLORIDA, 1
COUNTY OF DADE. I U.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 3/917 / 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, Fiu:ida,
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. II /
Owner's Name and Address F1L.U.ty Irk 5 S f' No / � Street 2 .� :
Registered Architect and /or Engineer
r E� ink ici2fi s ar�•[..t4G�.l..... 1.0 �t4 ((• No...0 , .. N t St r eet.ficx � Q ^^ Ace y 35 �_ %
/ • � i n an 7 on Lot ? 7 .Block f � ,( / n1 / / 8 ' .. .. .. ... Subdivision
Street and Number where work is to be performed —No 1.�.7.0.... . t..S.X ' Street
State work to be performed and purpose of building (By Floors) /..441 p.C2.0 4
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed)
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
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, and 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.
SWITCH
0
LIGHT
0
PLUO
RECE'P'T'S
FIXTURES
NO. LAMPS
REPRICE
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
NEATER
STRIP
NEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.1 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
•
CHECK
•
Permit No °
Amount of Permit $........
STATE OF FLORIDA, 1
COUNTY OF DADE. I U.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 3/917 / 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, Fiu:ida,
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. II /
Owner's Name and Address F1L.U.ty Irk 5 S f' No / � Street 2 .� :
Registered Architect and /or Engineer
r E� ink ici2fi s ar�•[..t4G�.l..... 1.0 �t4 ((• No...0 , .. N t St r eet.ficx � Q ^^ Ace y 35 �_ %
/ • � i n an 7 on Lot ? 7 .Block f � ,( / n1 / / 8 ' .. .. .. ... Subdivision
Street and Number where work is to be performed —No 1.�.7.0.... . t..S.X ' Street
State work to be performed and purpose of building (By Floors) /..441 p.C2.0 4
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed)
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
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, and 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.