405 NE 99 St (5)410 ELECTRICAL ❑
PLUMBING ,rte PERMIT
. J ROOFING ❑
� ❑
BUILDING p MIAMI SHORES VILLAGE FLORIDA a " �
Date �J 19
Owner of
Building
Architect
Contractor
or Builder
1 '�� ' • ,_ (G u) ✓ l 6i (2 '1 b/
r
e L° t/ ? . W 'v I{ Bl. &° 9
Legal
Description
Address of !O5 4JE 99 St
Building
CONTRACTOR or BUltDER
igned • , f` f o •7
Work to be
4
performed under this Permit
3228A200 10/15/99TOTL 96000
BY
Contractor's
License No.
b
ff Permit: Oo j� � � p ac v . ! �`�t ,I CCF:
Su i
vision o ry him �I'�L•04— C> °1 s.9� o ta•
ond:
Sq. Ft.:
Value of G
Project $1) I:
Radon:
Amount o
Permit:
AUTHORITY
b
•
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 applica-
tion 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..hereb§ whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or/employees.
(INSPECTOR) BY
In consideration f//the issuance -tor of this permit I g to perform the work covered hereunder in compliance with all ordinances and regulation.
pertaining thereto and nJstrict conformit/w the plans , drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accyIting this pe ` i 1 assum eipons . i for 1 ork done by either, myself, my agent, servant or employee.
,
//
Legal Description
Owner/Lessee / Tenant
Owner's Address
Contracting Co.
Qualifier
State # C FC 0 .f3' 7 1 Municipal #
Architect/Engineer Address
Bonding Company Address
Mortgagor
Job Address
/z -/3-4 % /t/ *le if
17
y U r
Permit Type (circle one): BUILDING ELECTRIC
WORK DESCRIPTION
em 4 V
.Lr�l
Square Ft. Estimated Cost (value) e
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be perfonned to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
O W'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be • ine in compliance with all applicable laws regulating
cons ctiori and zoning. Furthermore, I autholize the above -named contractor to do work stated.
(
i a
1
APPROVED:
Zoning
Mechanical
of owner and/or Condo President
ssion IteIAL NOTARY SEAL
JULIE A DAVIES
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CO336040 MY COMMISSION P. MAY 11,2003
FEES: PERMIT RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
7 Cl� /� G !c Tax Folio 1/ ?;.d 6 - d /' - v3 j 0
No `Z
YS/ 7r UST
Building
Plumbing
yAr.;
Date
/O3'/
to/
Qa`
Historically Designated: Yes
Phone
/2-/Js kt /4J-1 g / 15- S '
SS # Phone
Competency # efe ns. Co.
Address
Address
ECHANICAL ROOFING PAVING FENCE SIGN
t✓ ,
Signature of Contra • or or a er -Buil . i ate
Notati%ds to Contractor or Owner - Builder
My Concussion VIIIIIMAL NOTARY SEAL
JULIE A DAVIES
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC836040
MY COMMISSION EXP. MAY 11,2003
C.C.F. NOTARY + `0 ° BOND
Electrical
Master Permit #
Structural Engineer
TOTAL DUE /
i
/cM Da
ITEM
BATH TL8
UNIT
FEE
ITEM
SWITCt OUTLETS
UNIT
It'
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
/
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE WORMY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN ASPS
DUCT WORK
FLOOR I'.RAIN
SERVICE REPAIR/MUER MANGE
REFRIGERATICN
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
_ RANGE TOP
UNDERGROUPO TANKS
LAVATORY
`j
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSLRE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
'
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK. RESIDENCE
(
_ MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATIRS
TEIAPCRARY WATER CLOSET
MOTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MDTCRS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
3
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SLPPLY TO:
_ AIR CONDITIONERS
.
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORM6S
.
HEATER -NEW INST.
GENERATORS TRANSFORM
HEATER- REPLACE
-
GENERATCAS TRANSFIJ €RS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COM ERCIAL
WATER SERVICE
•
SIGN TLBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY-SEWER
-
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TAM(
,HENNA
RELAY
~ -
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
.
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCIARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCC !ANT THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
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
cf 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 M . 0!a 0 Vi G No. Street
Registered Architect and /or Engineer __________.___ _.
-: -
Employing Plumber's Name CA' 0 01✓11 "L UP144 re No. i 7 al _._____ Street_._ )L /
IJ 2 ) ="e•
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
Size Septic Tank __. -_- Type of Tank___ Capacity Gals
Feet of Drain Tile__ Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City -Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block.
My Commission Expires
( Signed) _
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 coin -
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)_
Date o I
Subdivision _ - _- -_---- .__...
Street /u /% 9 ',f `r.
�_ Repairs No. of Stories
Master Plumber.
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.
Notary Public, State of Florida
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
L IST
-_
/
/
CHECK
��
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or, other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
cf 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 M . 0!a 0 Vi G No. Street
Registered Architect and /or Engineer __________.___ _.
-: -
Employing Plumber's Name CA' 0 01✓11 "L UP144 re No. i 7 al _._____ Street_._ )L /
IJ 2 ) ="e•
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
Size Septic Tank __. -_- Type of Tank___ Capacity Gals
Feet of Drain Tile__ Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City -Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block.
My Commission Expires
( Signed) _
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 coin -
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)_
Date o I
Subdivision _ - _- -_---- .__...
Street /u /% 9 ',f `r.
�_ Repairs No. of Stories
Master Plumber.
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.
Notary Public, State of Florida
\3
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑ PERMIT N° 2.914 Contractor's
License No
ROOFING ❑
Owner of
Building .
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
Work to be performed under this Permit
B1
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 statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Value of
Project $ /
Subdi-
vision
L
Amount of
Permit $
DATE / 195
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 this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY e
Permit No. Z ` /
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 ��C'
Registered Architect and /or E A gineei �+ ('c _____
Employing Plumber's Name YV11 C f c1 7/ niri e, " �`f T�p �'J t `�' / • E hT o..____.__.._. - Street_._` /6
Location and Legal Description Lot__ f a ‘..5-- Block_ �_ _ __.___.___ _______ Subdivision
/�f
Street and Number where work is to be performed —No._ rL N di
t C ' Street ` ('4 •
State work to be performed and purpose of building (By Floors)_
New Building Remodeling____ Addition..._._._._ Repairs 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 _Size of Soakage Pit
Amount of Permit $ _.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN'
APPLICATION FOR PLUMBING "':► X11
No.____ Q _. Street.
(signed)_ .��.�•x. /�'�'"
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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, I as.
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 such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Date 1 ' )
Master Plumber.
CLOSETS
BATH
TUBS
SHOWERS
LAVA•
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUNS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FI %TURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
-
CHECK
Permit No. Z ` /
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 ��C'
Registered Architect and /or E A gineei �+ ('c _____
Employing Plumber's Name YV11 C f c1 7/ niri e, " �`f T�p �'J t `�' / • E hT o..____.__.._. - Street_._` /6
Location and Legal Description Lot__ f a ‘..5-- Block_ �_ _ __.___.___ _______ Subdivision
/�f
Street and Number where work is to be performed —No._ rL N di
t C ' Street ` ('4 •
State work to be performed and purpose of building (By Floors)_
New Building Remodeling____ Addition..._._._._ Repairs 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 _Size of Soakage Pit
Amount of Permit $ _.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN'
APPLICATION FOR PLUMBING "':► X11
No.____ Q _. Street.
(signed)_ .��.�•x. /�'�'"
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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, I as.
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 such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Date 1 ' )
Master Plumber.
BUILDING
ELECTRICAL
PLUMBING
ROOFING ❑
Owner of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 4 5 - / `4 195
PERMIT N° 14645
Work to be performed under this Permit
Architect
Contractor
or Builder + _,i
Legal Lot 1! BI. Subdi-
Description vision
Address of
Building G.4 a ,, a , t . 1 1
Signed:
Value of
Project $
BY
BY
Contractor's
License No.
Amt. of
Permit
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 statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
AUTHORITY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
J. M. (BUCK) COUNCIL. PRES.
4150 N. W. SEVENTH AVENUE
MIAMI 37. FLORIDA
PHONE 7 -5718
Miami Shores Village
Division of Plumbing Inspection
Miami Shores, Florida
APPLICATION FOR PLUMBING PERMIT:
For :Mike Zorovich
405 N. E. 99th St.,
ROUGH AND SET:
1 Shower
1 Closet Comb.
1 Lay.
Connect to existing water &
Waste lines.
C' t
BUCK PLUMBING, INC.
May 11, 1953
CITY OF um/ e noms
PLUMBING DIVISION
CERTIFICATE OF APPROVAL OF PLUMBING
Please be advised that the Division of Plumbing Inspection has made a final
inspection on plumbing work installed under permits as follows, and finds
that the work conforms to the ordinances and regulations covering same;
Date - January 10, 1949
FHA No. - C9 031421E
Mortgage Company - Lon Worth Crow Company
Location - 401 p.E 99th Street
Legal - Lots 12, 13 awl vies?, one -half of Lot 144, lock 09, Amended
Owner - John J. Finnegan fdt Plat of Vital Shorea Uection Four
Plumber - 1So Cormack o tto
LON WORTH C now Co.
MORTGAGES • REAL ESTATE • APPRAISALS
Village of Miami Shores
Plumbing Division
Miami Shores, Florida
Gentlemen:
fp
1 enc.
BY:
510 BISCAYNE BUILDING
MIAMI 32, FLORIDA
IRK
PHONE 3 -8345
January 19, 1949
We enclose herewith Certificate of Approval of Plumbing
Form for John J. Finnegan, )01 N.E. 99th Street, Miami Shores.
We will appreciate your having the Plumbing Inspector execute these
forms and return two copies of same to our office. The third copy
may be retained for your files.
Your prompt compliance will be appreciated.
Very truly yours,
LON WORTH CROW COMPANY
It. Vice— President
BUILDING
ELECTRICAL
PLUMBING
Owner of-
Building
Arc}Iitectt P .
(,
Contractor c
or Builder r
Legal
Description
Address of
Building
This pe it is granted to the contractor or builder n. ed above to construct the building or to install the equipment . fdevi• described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be pe orm • d 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 name assum res s' ility for a thorough knowledge of the, and
regulations pertaining to the wor: 2vered hereby whether shown on th lans or . g or ' • J e :. tements or specifications and Jttat he 4ssumes respon-
sibility for work done by his agents,- or employees.
In consideration of the issuan
pertaining thereto and in str' i • In ac .� a• g thi�„permi (4f0" 1, t?
MIAMI SHORES VILLAGE, FLORIDA
-- 7
DATE/ / 194
Contractor's
nse No
! ��,.••'��
s
e r
COI4A4TOIT OR BUILDER
RMIT N? 7186
ork to be performed under this Permit
to me of this pe
ity with the
esponsib ity for a
Subdi-
vision
BY
AUTHORITY
I agree to erfo s ' + e work covered ereunder in compliance with all ordinances and regulations
drawin ,state• nts ecifications submitted to the proper authorities of Miami Shores Village.
rk done . r myself, my' en t, servant or employee.
41 •
Permit No
Size Septic Tank
Feet of Drain Tile
Applicatio 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 ✓ • ��'1 -!!-J No Street
Registered Architect and /or Engi er
Employing Plumber's Name f•
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No U S Street i
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
doo•
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
�[ CRltyNrtriL
Date t: '`""' 020/ / ( � •
( Signed)
No Street
• Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—N7-;.:11 o Size of Soakage Pit
Plumbing Inspector.
The undersigned plicant 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 pennit; 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)
Master Plumber.
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 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
Y
2.--
2/
/
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SW IM'G
POOL.
CONTR.
LIST
7
r
d '
J
CHECK
41 •
Permit No
Size Septic Tank
Feet of Drain Tile
Applicatio 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 ✓ • ��'1 -!!-J No Street
Registered Architect and /or Engi er
Employing Plumber's Name f•
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No U S Street i
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
doo•
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
�[ CRltyNrtriL
Date t: '`""' 020/ / ( � •
( Signed)
No Street
• Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—N7-;.:11 o Size of Soakage Pit
Plumbing Inspector.
The undersigned plicant 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 pennit; 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)
Master Plumber.
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 such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lo t
Amt. of '
Permit f f --•+ " ...+�
This permit is granted to the contractor or builder nand above to construct the building or to install the equipment or d Qescribed in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 *eve assumes a resporpsib' ty for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawin or in th€ st ements or specifications and that he asksumes respon-
sibility for work done by his agents, servants or employees.
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 cont :r nity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
in accepting this permit rile responsibility for all > v6prk done by either myself, my agent, servant or employee.
• CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 7186
Contractor's
License No
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project
1
DATE 194_
Signed. B
BY AUTHORITY