149 NE 99 St (3)SEPTIC TANK AND DRAINFIELD
9/1/1 ' FEB 2 2 2001
O C
0
Passed
- . •
or Comments \
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
'Inspection Number: 1NSP -40451
Permit Number: PL2005 -259
Inspection Date: 02/21/2007
Inspector: Levrack, James
Owner: None, None
Job Address: 149 99 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: SONY LEO PLUMBING
Building Department Comments
Tuesday, February 20, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Piping
Work Classification: <NONE>
Phone Number
Parcel Number 1131010230380
Lot:
Phone: 305 - 757 -4499
Page 1 of 1
Miami Shores Village
10050 NE 2nd Avenue
Miami Shores, FL 33138
Parcel Record
Parcel #: 1132060132200
Address:
14999 ST NE
GIS X Coordinate:
GIS Y Coordinate:
Status:
On Hold? ❑
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 LOT 20 & LOT 21 BLK 16
LOT SIZE 75.000 X 115 OR 9399 -1292 MILDRED M KHOURY
Directions to Parcel:
Owners:
Name: ARTHUR VINCENT
Address: 880 SW 69 TERR
PLANTATION, FL 33317
Phone Numbers:
Day: Evening:
Internet:
Website:
Name: MARLEEN VINCENT
Address: 880 SW 69 TERR
PLANTATION, FL 33317
Phone Numbers:
Day:
Internet:
Website:
Evening:
Taxation #: 1132060132200
Zoning:
Addition: MIAMI SHORES SEC 1 AMC
Area: 862500 SQ FT
Block:
Lot(s):
Section:
Township:
Range:
Fax:
Email:
Fax:
Email:
Purchase Date:
Purchase Price:
Sale Date:
Current Owner? El
Status:
Cellular:
Purchase Date:
Purchase Price:
Sale Date:
Current Owner?
Status:
Pagel of 2
Printed: 8/23/2005
El
Cellular:
'Permits: Applicant Status Filing Date
EL2002 -52 ARTHUR VINCENT CLOSED 2/12/2002
' BP2002 -544 ARTHUR VINCENT CLOSED 3/14/2002
PL2003 -132 ARTHUR VINCENT CLOSED 3/25/2003
BP2003 -1796 ARTHUR VINCENT EXPIRED 11/13/2003
BP2004 -165 ARTHUR VINCENT EXPIRED 2/9 /2004
PL2004 -44 ARTHUR VINCENT CLOSED 2/9/2004
EL2004 -55 ARTHUR VINCENT EXPIRED 2/24/2004 O
RO2004 -251 ARTHUR VINCENT CLOSED 11/10/2004
Date? 1 ., Time
Type Insp'n Imksi&la....
Permit No. ' P L O— 13 —
Name
Address
Company
Phone #
For Inspector f p 2 Name & Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
ILI 7 �1`U�
PERMIT APPLICATION FOR MIAMI SHORES ILAGE
10050 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -22 4 •Fax: 3
Date . V / 03 Job Address / 4q AJL '7 `777-/ SlierET Tax Folio
Legal Description LDT2 � q ,�/ k /4 Historically Designated:
Owner /Lessee/Tenet i /k7HU 2 VGA) C<r k/ Master Permit # y
A Owner's Address Phone / 3 L 7 O 0
X contrat10. LLOYD /LJORTf1' Z Address 7i C) A)• w" /0•777-/ e
Qualifier
State # 00013 Municipal #
Square Ft. 3 v1J
L L= 7 L. C2OCxt
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL / PLUMBING MECHANICAL ROOFING
ORK DESCRIPTION: 7/i //11 F /ELl E
Signs a of owner and/or Condo President
Not
My
- -_ — 41 / 'a /
�i • a: '-i r,,u••a: sent
it , r ' n►E iAMISSION # DD 014762 II
I * n"i Y , EXPIRES: May 20 2005 li
a "PeOF, Bonded Thru Budget Notary Sorvces
FEES: PERMIT
APPROVED:
Zoning Building
Mechanical Plumbing
L - O3
11- 3 o - o13
SS# � � Phone 363 9i/70 ?6
Competency # Ins. Co. WRL/4G /D4J'
Estimated Cost (value) ($4.1(5
Yes No
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 ANY 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 separate permits are required
for all disciplines.
OWNERS 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. Furthermore, I authorize the above named contractor to do the work stated.
S-74/-03 .-eo
Date Signature of Contrxet ar UW u er
Date Notary as to Contractor or Owner Builder
My Commission Expires
C.C.F 1. v O NOTARY
Electrical
03' i3c.
Date
Date
t °62 BOND - 3 D ' O
TOTAL DUE 3 ?s (e 'E C
Structural Engineer
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APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PEng
Permit Application Number .J
PART II - SITE PLAN-
Scale: Each block represents 5 feet and 1 inch = 50 feet.
Site Plan submitted by:
Lt/
Plan Approved
By
DH 4015, 10198 (Replaces HRSH Form 4015 which may be used)
(Stock Number: 5744-032-40154)
STATE OF FLORIDA
DEPARTMENT OF HEALTH
r
0,72 Signature
Not Approvd
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
LLL
3
SEP77e.- Core
Title
Date
Cf\e County Health Department
Page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
.ONSI SEWAGE DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: A N R V /10 et- ti / • AGENT: L Loy /00p7 &i '
LOT: .9 o / BLOCK: >/10 SUBDIVISION: (0/A/11/ �NO/�[� ,5£G+ if
PROPERTY ID #: //- 3..304-0/3 .-� JO7J [Section /Township /Range /Parcel No. or Tax ID Number]
TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST
PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN:
TOTAL ESTIMATED SEWAGE FLOW:
AUTHORIZED SEWAGE FLOW:
UNOBSTRUCTED AREA AVAILABLE:
BENCHMARK /REFERENCE POINT LOCATION: /' //V /j,L /C /: Lc R /54/'
d • / '
ELEVATION OF PROPOSED SYSTEM SITE IS o :) J 7
SITE EVALUATED BY:
5
SOIL PROFILE INFORMATION SITE 1
OH 4015, 10196 (Replaces HRS -H Form 4015 [Page 3) which may be used)
(Stock Number: 5744- 003 - 4015 -1)
YES [ ] NO NET USABLE AREA AVAILABLE:
GALLONS PER DAY [RESIDENCES -TABLE 1 /
GALLONS PER DAY [1500 GPD /ACRE OR
SQFT UNOBSTRUCTED AREA REQUIRED: -- '
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE N-/
SURFACE WATER: 1• FT DITCHES/SWALES:
PUBLIC: N FT LIMITED USE: /11•%1• FT
BUILDING FOUNDATIONS:
PROPOSED SYSTEM TO THE FOLLOWING FEATURES:
A/M • FT NORMALLY WET? [ ] YESAJ4[ ] NO
PRIVATE: i JA . FT NON - POTABLE: JD FT
FT PROPERTY LINES: FT POTABLE WATER LINES: /0 FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES
10 YEAR FLOOD ELEVATION FOR SITE: �S
/GU/
Munsell # /Color
/o •/P
/27 YR 7/2
GR( /
//
/1
/1
/1
USDA SOIL SERIES:
Texture Depth
o/�� (D to
5e► ,/J / b to "
it//1).D /o // to
,54Ao to
/! to
// to
'1 to
to
to
U L'I,
/2 BUL
//
LC ,5 -L C-- C ,Q��lT
NO
SOIL PROFILE INFORMATION SITE 2
Munsell # /Color Texture Depth
/o `/ .3 /I LoJ3-my 0 to
/
O RC -V./AO to /DI `/
/o , 7/1 5/ A1. /n// to
G /Zl =� " .5AND to
11 /1 to
1 / /r to
// /1 to
Ir
USDA SOIL
SERIES:
to
// to
U/E? 15
-/ �
OBSERVED WATER TABLE: v• INCHES [ABOVE / BEL W EXIST .eGRADE. TYPE: ERCHED / APPARENT]
ESTIMATED WET SEASON WATER TABLE ELEVATIO d [ ABOVE i BELOW EXISTING GRADE.
HIGH WATER TABLE VEGETATION: [ ] YES ['l NO MOTTLING: [ ] YES [ NO DEPTH: /V-A' INCHES
SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: / /*() DEPTH OF EXCAVATION: 3o INCHES
DRAINFIELD CONFIGURATION: [ 1 TRENCH (4 BED (. OTHER (SPECIFY)
REMARKS /ADDITIONAL CRITERIA:
• PERMIT #
�/r)
=pTic-
_r) ACRES
OTHER- TABI.F, 2 ]
GPD /ACRE]
SQFT
FT] [ABOVr/SELOW BENCHMARK /REFERENCE POINT
10 YEAR FLOODING? f ] YES [ ] NO
NGVD SITE ELEVATION: // FC1
DATE: - 413
Page 3 of 3
0
T
H
E
R
CO STRUCTION PERMIT FOR
[ ] New System (r` ]
[ X] Repair / [ (J] APPLICANT: i�.. 4-4 u e
PROPERTY ADDRESS: 1'4 / L , 9 9 € z 4- f4 / ,, S u pY P
LOT:
STATE OF FLORIDA REPAIR
DEPARTMENT OF HEALTH
ON5ITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
.7 G 2.V BLOCK:
PROPERTY- ID #: 20 (o -0/3- Z Z U V
SPECIFICATIONS BY:
APPROVED BY:
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065
F.S.,: AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
PERFORMANCE FOR ANY SPECIFIC PERIQD OF TIME ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS 1
BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT. TO MODIFY THE PERMIT APPLICATION
SUCH MODIFICATIONS MAY, RESULT IN THIS PERMIT BEING MADE NULL AND VOID.. ISSUANCE OF THIS PERMI!
DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL •PERMITTIN(
REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T 19496/1 GALLONS / GPD SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN- SERIES [ ]
A [ . . ] GALLONS / GPD CAPACITY MULTI- CHAMBERED /IN- SERIES[ ]
N [ - ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
K [ - ] GALLONS DOSING TANK CAPACITY ( ]GALLONS .@ [ ] DOSES PER 24 MRS # PUMPS [ ]
D [t QC) ] SQUARE FEET. PRIMARY DRAINFIELD SYSTEM
R [ — ] SQUARE FEE SYSTEM
A TYPE SYSTEM: [,/] STANARD [ ] FILLED [
I CONFIGURATION: [ ] TRENCH [ ] BED [ ]
N II�``
F LOCATION OF BENCHMARK: 13" r 4- 0 1 A.) , CI_ ✓ 6 , . /T ( get ,-
I ELEVATION OF PROPOSED SYSTEM SITE .1?MQ] (INCHEJIFT] [ABOVE /BELOW]
E BOTTOM OF DRAINFIELD TO BE (5 , g O] (INCHES /FT) [ABOVE /BELOW]
L
D FILL REQUIRED: [N(,J ] INCHES
DH 4016, 12/99 tipnge
Existing System
Abandonment
SUBDIVISION: r �C c.0 `'`'� S � {. (/y f' S
(Previous Editions May Be Used)
[I,]] Holding Tank [0 ] Innovative
[P] Temporary [ ]
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
] MOUND [ ]
EXCAVATION REQUIRED: [ y- Z ] INCHES ..
INSTALL/12:0F f SUGBTNT •v i umnED sou.
UNDER BOTTOM OF DRArTFrPj
THTR pP Is NOT FOR Dill
i
INVERT 'fir
PERMIT NO. D 3 R _ / VS - 2
DATE PAID: s -/3-h3
FEE PAID: "'R-.0
RECEIPT #: .S O i 0 S 13 00
/3_S C7- / <0c
3 3/35
Se 1
BENCHMARK /REFERENCE POINT
BENCHMARK /REFERENCE POINZ
BOTTOM OF DRS, NP[E D EL VA .N _ .
.R F EXCAVAN
` 2 O
ti
RPIIO - B EDORAaRAMV e
'EXPIRATION DATE:
Pagel .o 3
pt. 1: Health Department
pt. 2: Applicant
pt. 3: Installer /Contractor
pt. 4: Building Department
Phone: 305 - 795 -2204
4 Printed: 5/16/2003
Applicant: ARTHUR
Owner: VINCENT
JOB ADDRESS: 149 NE 99
1
FOR
A
•
Washington Mutual
ri iemV7[h A B:I.Fnenclel Cen r8g468.7000
26 b ' C U$tO ' S '
North Miam FL 33168 , i
P tilL 01 ' 9 2 3 5 tI'
' kL P,,. l r 4 L 3 L�; L 9 3 200
'14444 II . ; 1: 2 6 7 0 l3
. 0000000 26
N!q
•
PAY -
TO THE e•
ORDER OF
I
Miami Shores Village
10050 NE 2nd Avenue
Contractor LLOYD NORTH DADE SEPTIC TANK SERVIQdNQactor's Address: 750 NW 107 ST
Local Phone: 305 - 754 -3375
Parcel # 1132060132200
Fees:
FEE2003 -2949
FEE2003 -2950
FEE2003 -2951
FEE2003 -2952
Description
Builders Bond
Building Fee
Notary Fee
CCF
Total Fees:
Amount
$300.00
$80.00
$5.00
$1.80
$386.80
Total Fees: $386.80
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 9/21/2003
Work: DRAINFIELD RFP ID
LLOYD NORTH DADE SEPTIC
750 NW 107TH ST.
MIAMI, FL 33168
Plumbing Permit
Permit Number: PL2003 -132
VINCENT
ARTHUR
ST
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 LOT 20 & LOT 21 BLK 16 LOT SIZE
262
is
6 3— g413/2670
DATE
$ 321e .PO
DOLLARS
Page 1 of 1
1s pertaining thereto and in strict
I assume responisibility for all work
FAX TRANSMITTAL BLDG DEPT
DATE: 11•3I
TO: .11( FAX: 3 05 1 38# • 9559
FROM: t FAX: (305)756 -8972
NUMBER OF PAGES INCLUDING COVER
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138 - 2382
TELEPHONE: (305) 795 -2204
FAX: (305) 756-8972
3
,itete:21,ilia
BUILDING DEPARTMENT
MESSAGE:
• TH YOU
Miami Shores Village all
Auffe61
•
g\fAilk
•
Permit No.
Employing Plumber's Name
n
Size Septic Tank A
Feet of Drain Tile 1__
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. ,�, z747-(114_
Owner's Name and Address ___. T Ca " af t ,____ No /1_ Q _� �______. Street , N I w
Registered Architect and /or Ctir eer a t a ii a 0 (. Street .c (� p .,,, S! � 1�.�.—
ft 7 It cQ No. �/ 1___Q -5 F- /- .c ..2 '� Y!'
8 Description �1 0 'Y �L/ / /,,1l
Location. and Legal Descri lion Lot____ _ _ _ Bl _ _ Subdivision_L!�
Street and Number where work is to be performed —No 1141 NL 9_, 1 - suet
My Commission Expires
State work to be performed and purpose of building (By Floors
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
New Building Remodeling Addition Repairs
Type of Tank 11 't Q'` Capacity Gals. ____ t_‘C _C' at'
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Welt Size of Soakage Pit
(Signed)
Amount of Permit $ � __(Signed) ___ y t/ _L_____.
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 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 under signed agrees to employ only such sub - contractors, on work to jbe performed under this permit, as are
licensed by Miami Shores Village. dip
Notary Public, State of Florida
No. of Stories -__
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
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
iaterials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
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
CHECK
A
-
Permit No.
Employing Plumber's Name
n
Size Septic Tank A
Feet of Drain Tile 1__
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. ,�, z747-(114_
Owner's Name and Address ___. T Ca " af t ,____ No /1_ Q _� �______. Street , N I w
Registered Architect and /or Ctir eer a t a ii a 0 (. Street .c (� p .,,, S! � 1�.�.—
ft 7 It cQ No. �/ 1___Q -5 F- /- .c ..2 '� Y!'
8 Description �1 0 'Y �L/ / /,,1l
Location. and Legal Descri lion Lot____ _ _ _ Bl _ _ Subdivision_L!�
Street and Number where work is to be performed —No 1141 NL 9_, 1 - suet
My Commission Expires
State work to be performed and purpose of building (By Floors
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
New Building Remodeling Addition Repairs
Type of Tank 11 't Q'` Capacity Gals. ____ t_‘C _C' at'
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Welt Size of Soakage Pit
(Signed)
Amount of Permit $ � __(Signed) ___ y t/ _L_____.
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 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 under signed agrees to employ only such sub - contractors, on work to jbe performed under this permit, as are
licensed by Miami Shores Village. dip
Notary Public, State of Florida
No. of Stories -__
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
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
iaterials and /or workmanship.
Permit No
Application isr 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
Amount of Permit $
STATE OF FLORIDA,
C.1
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
g a
Type of Tank !�__
® (Signed)
A
/' y v
Y r I�
notary
/7 if . 4 11
(Signed)
l i J i
Date ill/ o:
4
Street Ps d
c �t
No �' E r F
Registered Architect and /or erfelffer _ r_ t: q" `° 4
4
Location and Legal Description Lot ' I " R __Block_ . i ___ Subdivision_!`_!`L s
Street and Number re work is to be performed —No
State work to be performed and purpose of building (By Floors )!►
New Building tel Remodeling Addition Repairs No. of Stories 1
1
Street
Sweet
Capacity Gals.
9N ° ,
r'
Dist. Feet of Tank or Drain Field from Well
Notary Public, State of Florida
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Wtol `. Size of Soakage Pit
'
Plumb 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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. _
Master Plumber.
COUNTY OF DADE. ss.
Before me, the undersigned authority, a 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
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
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
1
CHECK
!!' L;
6 � . �5
s
✓
alma
Permit No
Application isr 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
Amount of Permit $
STATE OF FLORIDA,
C.1
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
g a
Type of Tank !�__
® (Signed)
A
/' y v
Y r I�
notary
/7 if . 4 11
(Signed)
l i J i
Date ill/ o:
4
Street Ps d
c �t
No �' E r F
Registered Architect and /or erfelffer _ r_ t: q" `° 4
4
Location and Legal Description Lot ' I " R __Block_ . i ___ Subdivision_!`_!`L s
Street and Number re work is to be performed —No
State work to be performed and purpose of building (By Floors )!►
New Building tel Remodeling Addition Repairs No. of Stories 1
1
Street
Sweet
Capacity Gals.
9N ° ,
r'
Dist. Feet of Tank or Drain Field from Well
Notary Public, State of Florida
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Wtol `. Size of Soakage Pit
'
Plumb 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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. _
Master Plumber.
COUNTY OF DADE. ss.
Before me, the undersigned authority, a 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.
1
0 s?
Owners Name and Address
,:iegistered Architect and/or EAineer
Employing Plumber's Name .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No )()(
Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sublnitted for he building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miarai Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation of the Building Division
of Miami Shores Village shall be complied with, wh herein specified or not. A copy of approved plans and speclications must be kept at
building during progress of work.
N. , veormimenint tn. Streeltal
Location and Legal Description Lot_ B1o4
Street and Number where work is to be performed—No Street
State work to be performed and purpose of building (By Floors) _ ..... _ ... ..... _
New Building Remodeling__
Amount of Permit $
STATE OF FLORIDA, }
ss.
COUNTY OF DADE.
Addition.
(Slimed)
(Signed)
Repairs No. of Stories
Size Septic Tank_______ _------___Type of Tank_ Capacity Cals
Feet of Drain Tile. Feet of Tank or Drain Field from Well
Nature of Water Supply: ________Size of Soakage Pit
eert C31, 1140 P`l
My Commission Expires 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 5988, Compiled General Laws of Florida Permanent Cum.lement, and has con-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in tLe wcrk o b.:
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publf-: notice lr no'icer as ar.D
required by the Act. The undersigned agrees to employ only such sub-contractors, k to be performed this wrinit, ar
licensed by Miami Shores Village.
Masts' Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal:y eppearec;
to me well known, and who, being by me first duly sworn, upon oath deposes and says tlutt 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 :acts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is medic neoeuary by improper notice for inspection, or fruity
materials and/or workmanship.
CLOSWTS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SIN
SLOP
SINKS
LAUNDRY
TUSS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
POUNT•NS
TOTAL
FIXTeRCIS
CONTR.
LI7T
CHICK
—
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
H CATIER
DEEP
WELL
SPRKLR.
SYSTEM
SWI WO
POOL
........
CONTR.
LIST
CHECK
-
Owners Name and Address
,:iegistered Architect and/or EAineer
Employing Plumber's Name .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No )()(
Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sublnitted for he building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miarai Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation of the Building Division
of Miami Shores Village shall be complied with, wh herein specified or not. A copy of approved plans and speclications must be kept at
building during progress of work.
N. , veormimenint tn. Streeltal
Location and Legal Description Lot_ B1o4
Street and Number where work is to be performed—No Street
State work to be performed and purpose of building (By Floors) _ ..... _ ... ..... _
New Building Remodeling__
Amount of Permit $
STATE OF FLORIDA, }
ss.
COUNTY OF DADE.
Addition.
(Slimed)
(Signed)
Repairs No. of Stories
Size Septic Tank_______ _------___Type of Tank_ Capacity Cals
Feet of Drain Tile. Feet of Tank or Drain Field from Well
Nature of Water Supply: ________Size of Soakage Pit
eert C31, 1140 P`l
My Commission Expires 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 5988, Compiled General Laws of Florida Permanent Cum.lement, and has con-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in tLe wcrk o b.:
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publf-: notice lr no'icer as ar.D
required by the Act. The undersigned agrees to employ only such sub-contractors, k to be performed this wrinit, ar
licensed by Miami Shores Village.
Masts' Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal:y eppearec;
to me well known, and who, being by me first duly sworn, upon oath deposes and says tlutt 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 :acts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is medic neoeuary by improper notice for inspection, or fruity
materials and/or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No...._ t O / Date/.= . _ l.9) ... ... ________
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, an 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 .�7 ' / a 4 Vi Ai e_ e /L No_L
Registered Architect and /or Engineer " / /
EmplPyini Plumber's Name '4f &.� G4 'a. /, . �/ %444
Location and Legal Description Lot. ` Block
Street and Number where work L to be performed —No J , I Street._ ._.__..._..._ 1
State work to be performed and purpose of building (By Floors) r �GP. � � `_ tA a / � eve —...
New Building__ - - . Remodeling _....__ Addition.. - __ —.__ Repairs. No. of Stories
Size Septic Tank_ - ___
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit 8
Type of Tank _._._M._.._.
mist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
(Signed)_
Street. / e
Subdivision__
.Capacity Gals..
4,7y
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 Penn>nt 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 u 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.
Ue_ •
STATE OF FLORIDA, µ
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acimowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath dep oses 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.
M Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of 81.00 will be made whim mice roeupaotioe is mada•aaonsery by improper notice for impactio% es faulty
materials and /or workmanship.
TOTAL
FIXTURES
—_ —^
CLOSETS
BATH
•
Tulle
""
LAVA.
TORIES
aINKE
SLOP
SINK[
LAUNDRY
Tuns
U RINAL/
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAO[
PIT
GREASE
TRAP
SOLAR
MEATIER
Our
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No...._ t O / Date/.= . _ l.9) ... ... ________
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, an 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 .�7 ' / a 4 Vi Ai e_ e /L No_L
Registered Architect and /or Engineer " / /
EmplPyini Plumber's Name '4f &.� G4 'a. /, . �/ %444
Location and Legal Description Lot. ` Block
Street and Number where work L to be performed —No J , I Street._ ._.__..._..._ 1
State work to be performed and purpose of building (By Floors) r �GP. � � `_ tA a / � eve —...
New Building__ - - . Remodeling _....__ Addition.. - __ —.__ Repairs. No. of Stories
Size Septic Tank_ - ___
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit 8
Type of Tank _._._M._.._.
mist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
(Signed)_
Street. / e
Subdivision__
.Capacity Gals..
4,7y
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 Penn>nt 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 u 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.
Ue_ •
STATE OF FLORIDA, µ
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acimowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath dep oses 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.
M Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of 81.00 will be made whim mice roeupaotioe is mada•aaonsery by improper notice for impactio% es faulty
materials and /or workmanship.
MIAfi4I SHORES VILLAGE, FLA. N° 6202
JOB y 6'
ADDRESS 1 6 / 5 I4 ?„,
INSPECTION
TIME READY it ' G - - S 7
REMARKS:
INSPECTOR DATE
Amount of Permit $ �L l
MIAMI SHORES VILLAGE'
PLUMBING INSPECTION DEPARTMEt
APPLICATION FOR PLUMBING
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.
Ownei s Name and Address /� o v 2
Addition_.__.._
Street..
Street.
(Signed)
Registered Architect and /or Engineer
Employing Plumber's Name '�'8 `�`°' —, a 79-4/k_ C No._._ Street..__.._.
Location and Legal Description Lot.__.... Bloat Subdividon.r
Street and Number where work is to be performed —No AP, /V E , 9 �-y
State work to be performed and purpose of building (By Floors) . _�..
New Building Remodeling
No. of Stories
Size Septic Tank._ .__. _ _ -_-_-Type of Tank _ _ _ Capacity Gals.
Feet of Drain Tile.! __..8 . O S. —.Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well ___ __ __.Size of Soakage Pit_
..._..__.._...
The undersigned applicant for this building permit does hereby certify that he finds and accepts his gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P t 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 orb - contractors, work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, ( -
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly antborized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath depose* and .says that he is _ .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all faces
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
VOTE: A re- inspection fee of $1.00 will be made when such re L made•neoessary by improper notice for inspection, or faulty
materials and /or wodonaoship.
CLOSETS
OATH
TUBS
SNOWaRn
LAVA•
TONICS
SINK$
SLOP
SINKS
LAUNDRY
Tuna
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
RIRTURES
CONTR.
LIST
•
CHECK
SEPTIC
TANK
smut
CONN.
DRAIN
FIELD
SO
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
Swim**
POOL
I _
1
COMM
LIST
CHECK
Amount of Permit $ �L l
MIAMI SHORES VILLAGE'
PLUMBING INSPECTION DEPARTMEt
APPLICATION FOR PLUMBING
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.
Ownei s Name and Address /� o v 2
Addition_.__.._
Street..
Street.
(Signed)
Registered Architect and /or Engineer
Employing Plumber's Name '�'8 `�`°' —, a 79-4/k_ C No._._ Street..__.._.
Location and Legal Description Lot.__.... Bloat Subdividon.r
Street and Number where work is to be performed —No AP, /V E , 9 �-y
State work to be performed and purpose of building (By Floors) . _�..
New Building Remodeling
No. of Stories
Size Septic Tank._ .__. _ _ -_-_-Type of Tank _ _ _ Capacity Gals.
Feet of Drain Tile.! __..8 . O S. —.Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well ___ __ __.Size of Soakage Pit_
..._..__.._...
The undersigned applicant for this building permit does hereby certify that he finds and accepts his gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P t 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 orb - contractors, work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, ( -
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly antborized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath depose* and .says that he is _ .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all faces
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
VOTE: A re- inspection fee of $1.00 will be made when such re L made•neoessary by improper notice for inspection, or faulty
materials and /or wodonaoship.
BUILDING
ELECTRICAL
PLUMBING
ROC ING,„
Owner of
Building
1
Architect
Contractor
or Builder
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 5606
Legal Lot '
Description Bl.
7
Work to be performed under this Permi
•
Subdi-
vision
Value of
Project $
DATE
Contractor's
License No.
Amount of
Permit $
.'
V
195/
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 application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the stateme or speci ' ations and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. By
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 ac-
cepting thus glimit ; assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
6 kE.M4..
BPt
ElzkoTzoteort PERMIT A N° _93
PLUMBING st , 1963
•ner of Building_ ' 1,17 1111
1' f /
---- ' LICENSE NO.
Architect aide r5igteer_
NAME
Contractor or Builder -- 41 I(
NAME
Proposed Location 2l_ - _ !2 /4
OUNT
Dated~ ,.2t9
LOT BLO
This permit is issued to
RECD. PAYMENT ACCT. DEPT.
, 19.2
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
ADORES �. Q
1M) LICENSE NO.
STREET
To 4 1
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the St^3te of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami; »6tes age. This permit may be revoked at , •y time upo he v ation of any prov '. s of said
laws, ordinances r rules and regulations, or u /a y �ge in the plans and specificati. ,• : , a ori7�d by th bui1di i pector
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
ans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building deparjnt of Miami Shores Village.
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has be obtained from the Planning Board.
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.
MOM MIAMI SHORES VILLAGE
ELTINIMelift PERMIT A NQ 93 BUILDING INSPECTION DEPARTMENT
PLUMBING .�... :.-` 1v iv-2e . 19
ai y
ADDRESS
Owner of Building
Architect
Contractor or Builder__
Proposed Location` 21"
Date
RECD. PAYMENT ACCT. DEPT.
,,.•? ADDRESS..
ADD I r. 41211
RESS lr LICENSE 'NO.
• ST
0
•
LICENSE NO.
This permit is issued to • 1i_i if
the building above described, as per application, Plans and Specificarlons heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami ,Shores Village. This permit may be revoked at a t y time upon /the v ation o f any prov s of said
Paws, ordi rules and regulations, or upsttl %any change in the plans and specificatio -. or by th uildi ector
r _ glsp
f
INSPECTOR
In considittation of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
tions thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
ilk 1 2 . 4
if
19 a M� Aid
Nal : 1C 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- iaspoa 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.