1199 NE 99 St (6)0
Permit No. tS 7 . 3
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date _
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and 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.
r -
Owner's Name and Address f t ` �
Registered Architect and /or Engineer.. _ ____________.____�___
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No 4
State work to be performed and purpose of building (By Floors)
New Building __- ---- - -•_ -- - •_-_ --- Remodeling
No._._ /I,/--_ Street
No.
Block
Addition._______._._____ Repairs
Street.
Subdivision.
Street 1 r
No. of Stories
Size Septic Tank _____ Type of Tank-__ _ Capacity Gals
Feet of Drain Tile ..... _____ ................ _________. ._Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well ._______________.___..__.____ _ Size of Soakage Pit
Amount of Permit $ £
(Signed) _ __1L l
The undersigned applicant for this building permit does hereby certify that he understands and a
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of
plied with the provisions thereof, and will require similar compliance from all contractors or sub -
performed under this permit; and will post or cause to be poster}! for inspection on the site of the work such public notice
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this
licensed by Miami Shores Village.
(Signed)._ CCa L18
Master Plumber.
STATE OF FLORIDA, p u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Plumbing Inspector.
s his obligations as an employer of labor
a Permanent Supplement, and has corn-
actors employed by him in the work to be
or notices as are
permit, as are
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 faulty
materials and /cr workmanship.
��-
CLOSETS
BATH
rues
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tins
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
....__.. -_—
-
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
L IST
CHICK
4.••••-•
-
0
Permit No. tS 7 . 3
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date _
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and 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.
r -
Owner's Name and Address f t ` �
Registered Architect and /or Engineer.. _ ____________.____�___
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No 4
State work to be performed and purpose of building (By Floors)
New Building __- ---- - -•_ -- - •_-_ --- Remodeling
No._._ /I,/--_ Street
No.
Block
Addition._______._._____ Repairs
Street.
Subdivision.
Street 1 r
No. of Stories
Size Septic Tank _____ Type of Tank-__ _ Capacity Gals
Feet of Drain Tile ..... _____ ................ _________. ._Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well ._______________.___..__.____ _ Size of Soakage Pit
Amount of Permit $ £
(Signed) _ __1L l
The undersigned applicant for this building permit does hereby certify that he understands and a
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of
plied with the provisions thereof, and will require similar compliance from all contractors or sub -
performed under this permit; and will post or cause to be poster}! for inspection on the site of the work such public notice
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this
licensed by Miami Shores Village.
(Signed)._ CCa L18
Master Plumber.
STATE OF FLORIDA, p u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Plumbing Inspector.
s his obligations as an employer of labor
a Permanent Supplement, and has corn-
actors employed by him in the work to be
or notices as are
permit, as are
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 faulty
materials and /cr workmanship.
otT 3,
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 conforni:y with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Snores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified •rr nI•' . A copy of approved plans and specifications must be kept at
building during progress of work. . _--- --- / /�
No. _l.�- _ ✓____1_.._ Streetll_ 77 S
Owner's Name and Address
Registered Architect and /or En Ine
Employing Plumber's Name
No..
Block _.__._.
Street and Number where work is to be performed —No If
State work to be performed and purpose of building (By Floors)
New Building _._ Remodeling _ __ _______._ Addition airs No. of Stories _ .................. ..
Location and Legal Description Lot_
Size Septic Tank
Feet of Drain Tile_ _ Dist. Feet of Tank or Drain Field from Well
Nature o Iii • ter S _ •1 : 'ty Well.
Type of Tank
ss.
MIAMI SHORES VII. .AGE
PLUMBING INSPECTION DEPARTMEK
APPLICATION FOR PLUMBING
Amount of Permit $_ (Signed)_
Size • : ge Pit
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob . tions 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.
( Signed) _
Street.
, Subdivision ___ _- -- - - -- '
Street_ _. -l.IC_ 9' s
Capacity Gals.
STATE OF FLORIDA, 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
Master Plumber.
7
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA•
TORI[6
SINKS
SLOP
SINK[
LAUNDRY
Tuns
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
'�
TOTAL
FIXTURES
CONTR.
LIST
/
/
CHECK
I ° •C
/ d'" e'
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
_
Permit No. /. 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 conforni:y with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Snores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified •rr nI•' . A copy of approved plans and specifications must be kept at
building during progress of work. . _--- --- / /�
No. _l.�- _ ✓____1_.._ Streetll_ 77 S
Owner's Name and Address
Registered Architect and /or En Ine
Employing Plumber's Name
No..
Block _.__._.
Street and Number where work is to be performed —No If
State work to be performed and purpose of building (By Floors)
New Building _._ Remodeling _ __ _______._ Addition airs No. of Stories _ .................. ..
Location and Legal Description Lot_
Size Septic Tank
Feet of Drain Tile_ _ Dist. Feet of Tank or Drain Field from Well
Nature o Iii • ter S _ •1 : 'ty Well.
Type of Tank
ss.
MIAMI SHORES VII. .AGE
PLUMBING INSPECTION DEPARTMEK
APPLICATION FOR PLUMBING
Amount of Permit $_ (Signed)_
Size • : ge Pit
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob . tions 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.
( Signed) _
Street.
, Subdivision ___ _- -- - - -- '
Street_ _. -l.IC_ 9' s
Capacity Gals.
STATE OF FLORIDA, 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
Master Plumber.
7
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.
.
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r
BUILDING
ELECTRICAL
PLUM*NG
Architect
Contractor
or Builder 6 /
Lot
In consideration of the issuance to me of this permit I agree to pe
ertaining thereto and in strict conformity with the plans drawings, st
ccer.tmg this p .° •I assume responsibi ty for all wor k done by ei
MIAMI SHORES VILLAGE, FLORIDA
P RMIT N? 6476
Owner of
Building
Contractor's
License No
Work to be Derforttjed de this Permit
Legal
Description
Address of
Building
This permit is ted'to the contractor or b d named above to construct the building or to install the equipment o . evice described in the appli-
cation herefor in strict iance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not. done in compliance with such ordinances or if the plans are changed without uthorization. A further i . 'lion upon which this
permit is granted is ,the understanding that the contractor or builder named above ssum th y :ris'. j "' for a thorough know t t e ordinate':nsd`
regulations pertaining to the work covered hereby whether shown on the plans or • _s t ements or sp ifications a •at
ssumes respon-
sibility for work done by his agents, servants or employees. t
BY
DATE 194
B
work covered hereunder in compliance witliak ordinances and r
Is or specificati • -r,. submitted to the proper authn ies of Miami Sh@lyd
self, my agent, servant or employee.
AUTHORITY
a
MIAMI SHORES VILLAGE, FLA.
JOB
REMARKS
a
ADDRESS J /f9 / /� / 9 21
INSPECTION P e
TIME READY ? /// ~ /
4 ✓°
4
N9 5268
:TOR DATE
BUILDING
ELECTRICAL
PLUMBING
OR OR BUILD
MIAMI SHORES VILLAGE, FLORIDA
DATE, -
PERMIT fit'
5380
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal
Description
Address of
Building
This permit 4s granted to the Contractor on c named above to constru the building or to install the equipment or devi
cation herefor in strict compliai ce with all ordinances ping the ta and with the. understanding that the work will be performs
plans, drawings, statements or specificatitsp a at may have been sub[ i tpd to and approved by the proper municipal authorities. This
at any tim if the work is not done in comp ce with such ordinances' ar if the glans are changed without authorization. A further co
permit is nted is the understanding that contractor or builder named above assumes the responsibility for a thoro h knowie
regulations ertaining to the work covered hereby whether shgt.pn -the plans• •r in the statements or spec'
sibility for work done by his agents, servants or employees.
1.
'r 194
Contractor's 14 fit
License No
giiance to any
ermit.nay be revoked
dition..upon which this -
of the oodipimces and
respon-
In consideration of the-issuance to me of this permit I agreeAa.perform the work covered h .under in compliance with mines,.
pertaining thereto and in strict conformity with the plans, drawing, statements or spe_oifications submitted to the proper autho of Miami Shore
In accepting this permit I as time responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
r'•
•
•
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building
or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores
Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula-
tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A py of apprpved plans
and specifications must be kept at building during progress of the work.
Owner's Name and Address
Registered Architect and /or Engineer_
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block_ Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
New Building
To be constructed of_____—______ -____ Kind of foundation
Zone cubage required_
Distance to next nearest building
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved Date
(Signed)
Chairman
Member
Member
Council Approved_.--
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
PLANNING BOARD DATE
Member
Roof Covering
9 O
Estimated Total cost of improvements S____ ____— _ .____ ____.�_�Amount of Permit $_ � ,
Plan Cubage
Size of Building Lot
Building Inspector My Commission Expires.
-(4 --
Member
Member
Date Disapproved
•
Notary Public, State of Florida
e&
_ - _ _ — and for no other purpose.
Remodeling_____________ Addition -__ __W._ ___ Repairs No. of Stories
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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 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 • ' • the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such aubcontr on • rk to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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 be is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true. �I G
Permit No.____ _ - O Date (' J o Read, Sworn to and Subscribed before me.
_Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or fault
materials and /or workmanship. J
,BUILDING
ELECTkICAL
. PLUMBING
Owner of
Building
4
Architect
Contractor
or 'Builder
Legal
Description
Lot
4a /1€4 t
CONS ACTOR 'R PRIMER
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 5323
Work to be performed under this Permit
Bi.
In consideration of the issuance to me of this pe
pertaining thereto and in strict confo ith the p1
In accepting thil it I sume r ility for all
4 .... - >
, /
Subdi-
vision
agree to perform the wor cov , ed he under in compliance wi
drawings, statements or specifi : tions submitted to the proper au
k done by either myself, my agent, servant or employee.
2- I BY
Contractor's
License No
Permit / 2 Amt. of
'�
Building sof / 6 p�. C 99 V' r , 4 Value of
I / 7 C v i-$ Project
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 with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are hanged wi out = thorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above as the po 'b' or a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or sr - ' or specifications that be assumes respon-
r
sibility for work done by his agents, servants or employees.
r OR
By
p 1942_
414.1
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