PLUMBINGKUILDING
i LECTRICAL
PLUMBING
GOOFING
Work to be performed under
Owner of
—
Building f i ( L `'
Contractor
or Builder i ti--. s ( 0 c._ e.-
Legal Lot
Description 11 Bl.
Address of
Building .--.. A / ( i S
In consideration of the.,i
pertaining =r- o and in W1
cepting is pe.. it I ass
El
PERMIT N° 6561
ONTRACTCR OR BUILDE
MIAMI SHORES VILLAGE, FLORIDA
Signed.
s
Value of
Project $
INSPECTOR
r
DAT
Contractor's
License No.
195
Permit
.) ,4
Architect e ` 1
ubdi-
zrision
Amount 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 cond' '6n upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge • the ordinan and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements specifications and tha e assumes resp sibility for work
done by his agents, servants or employees.
c.'l.
uance to me of this permit I agree to perform the work covered hereunder in co. •liance with all ordinances and regulations
conformity with the plans, drawings, statements or specifications submitted to the pr • •er authorities of Miami Shores Village. In ac•
respor}gib'fgr gji yrork done by either, myself, my agent, servant or employee.
BY AUTHORITY
'J�
l
l
53 )/
BUILDING
ELECTRICAL
PLI,LIBI G
WORK
DONE BY
+ v
The Following is eady for inspection: -
Inspector's Report: -
EQUESTED : V1I L BE REAM
JOB
BUILDING
ELECTRICAL
PLUMBING
cc 1 e o• „1
t
ADD: )
WORK
DOKE BY:
REQUESTED
T e Following is ready for inspection:-
Inspectorts Report:
READY
otbt
- #e* JOB: k 14(
BUILDING
ELECTRICAL
WORK
DOPE h , 140-A-4. , , /4■••
Rh),TJEoTED
T-
The following is ready for inspection:-
Inspector's Report:-
LL BE READY
ktrUN
ELECTRICAL
The
following
is
Inspector's Report :-
ready for
J � OR .Ei
DONE
REQUESTED
ED
inspection : -
WILL BE RFS,DI-
Permit No )
MIAM
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
u/Lot.A..."
Owner's Name and Address
Registered Architect and /or Engrg _
Employing Plumber's Name
Location and Legal Description Lot_____
1 SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT 1 .
a i
Date __ P /
No Street__
No Street__.
Block ,_._ _L_ Subdivision
Street and Number where work is to be performed—No ./ a:! 7 4rQ _-- 7 Street
State work to be performed and purpose of building (By Floors)
New Building_.___________ Remodeling Addition Repairs No. of Stories____-_- _____.
Size Septic Tank_
Feet of Drain Tile_________
Nature of Water Supply: City —Well
Amount of Permit $_
appeared _________
Dist
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, tieing Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a
My Commission Expires
NOTE: A re- inspection fee of $1.00 wil
materials and /or workmanship.
(Signed)
Type of Tank Capacity Gals.
Feet of Tank or Drain Field from Well
.Size of Soakage Pit ____________ ___.________ _______
___
i f 01
Plumbing Inspector.
rt" that he understands and accepts his obligations as an employer of labot
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work t be performed under this permit, as are
Master Plumber.
notary public, duly authorized to administer oaths and take acknowledgments, personally
to me well known, and who, being by me first d ly 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.
Notary Public. State of Florida
be made when such re- inspection is made necessary by improper notice for inspection, or faulty
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
/
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CO
LIST
/
CHECK
SEPTIC
TANK
ER
CONN.
AIN
FIELD
SOAKAGE
PIT
GREASE
ITRAP
SOLAR
HEATER
D
ELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
'
I
/
(
CHECK
Permit No )
MIAM
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
u/Lot.A..."
Owner's Name and Address
Registered Architect and /or Engrg _
Employing Plumber's Name
Location and Legal Description Lot_____
1 SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT 1 .
a i
Date __ P /
No Street__
No Street__.
Block ,_._ _L_ Subdivision
Street and Number where work is to be performed—No ./ a:! 7 4rQ _-- 7 Street
State work to be performed and purpose of building (By Floors)
New Building_.___________ Remodeling Addition Repairs No. of Stories____-_- _____.
Size Septic Tank_
Feet of Drain Tile_________
Nature of Water Supply: City —Well
Amount of Permit $_
appeared _________
Dist
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, tieing Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a
My Commission Expires
NOTE: A re- inspection fee of $1.00 wil
materials and /or workmanship.
(Signed)
Type of Tank Capacity Gals.
Feet of Tank or Drain Field from Well
.Size of Soakage Pit ____________ ___.________ _______
___
i f 01
Plumbing Inspector.
rt" that he understands and accepts his obligations as an employer of labot
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work t be performed under this permit, as are
Master Plumber.
notary public, duly authorized to administer oaths and take acknowledgments, personally
to me well known, and who, being by me first d ly 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.
Notary Public. State of Florida
be made when such re- inspection is made necessary by improper notice for inspection, or faulty
Permit No. .___.
Xi__ ___ .,_
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, 'vhether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 4
Owner's Name and Address No Street
Registered Architect and /or En '
Employing Plumber's Name
Location and Legal Description
Street and Number where work is to be performed! No
State work to be performed and purpose of building (By F
New Building Remodeling
Size Septic Tank ..... ____________ _ _______ Type of Tank
Feet of Drain Tile Dist.
Nature of Water Supply: City —Well
Amount of Permit
APPLICATION FOR PLUMBING PERMIT
�,
Date l-_ V / &2, " '
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
ock
f --- - --
Subdtvsion_ •_– •-- - -� -..
trees
Addition Repairs No. of Stories___________.
Capacity
Feet of Tank or Drain Field from Well
Size of Soakage Pit.
appeared
to me well known, and who, being by me first d 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,
therein by him stated are true.
Notary Public. State of Florida
Plumbing Inspector.
rt that he understands and accepts his obligations as an employer of labor
ompiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to--be performed under this permit, as are
(Signed)
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
and that all facts
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
Tuas
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
r
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
7
CHECK
.
SEPTIC
TANK
SEWER
CONN.
RAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
0
ELL
SPRKLR.
SYSTEM
SWIM•G
POOL
LIST
CHECK
Permit No. .___.
Xi__ ___ .,_
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, 'vhether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 4
Owner's Name and Address No Street
Registered Architect and /or En '
Employing Plumber's Name
Location and Legal Description
Street and Number where work is to be performed! No
State work to be performed and purpose of building (By F
New Building Remodeling
Size Septic Tank ..... ____________ _ _______ Type of Tank
Feet of Drain Tile Dist.
Nature of Water Supply: City —Well
Amount of Permit
APPLICATION FOR PLUMBING PERMIT
�,
Date l-_ V / &2, " '
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
ock
f --- - --
Subdtvsion_ •_– •-- - -� -..
trees
Addition Repairs No. of Stories___________.
Capacity
Feet of Tank or Drain Field from Well
Size of Soakage Pit.
appeared
to me well known, and who, being by me first d 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,
therein by him stated are true.
Notary Public. State of Florida
Plumbing Inspector.
rt that he understands and accepts his obligations as an employer of labor
ompiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to--be performed under this permit, as are
(Signed)
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
and that all facts
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.
�7 F ter 7
•
r
-r_
CLOUTS
BATH
•
TUTUNIS
SRS
HOWE
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tu..
URINAL/
CATCH
SAWN
FLOOR
DRAIN
DRINKING
POUNT'N•
TOTAL
•1
CONTR.
LIST
CHICK
SEPTIC
TANK
SSW IR
CONN.
DRAIN
FIELD
SOAKAO[
PIT
G
TRAP
SOLAR
HEATER
DEEP
WILL
S
SYSTEM
•WIM'G
Pc OL
.
CONTR.
LIST
CHICK
Permit No
a/ R
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 plant and specifications must be kept at
building during progress of work.
Owner's Name and Address 6A>J' c6 ` Mar\ Lica _. No � N Street...
Registered Architect and /or Engin) A/04 /(7/Uu' I CI L wer Corp 6 / 672,/
£otPloyioS Plum 's e c� _ . . _ .... Na.._......�.._....y....,. BtrNt ._....................�,.... ,....... - f e io
/1 3 �� d N ptcani.ot 7 . 11 Block subdivWora il,Orc='s sec.
Location Street and Number where work is to be performed —No 5 ?)
IV_ e Street _ - S 2 e�� /7 /VP
State work to be performed and purpose of building (By'Fbora)_ —__. U1 -___.S! (3 ) .e 1— Leed-
New ...._.. Remodeling____.._.._._____ Addition- ..---- _....__ Repairs No. of Stories ..................
Size Septic Tank —. Type of Tank__
Feet of Drain Tile Dist- Feet of Tank re Drain Field from Well..._.__.— ___....__.-...._
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit $4
My Commission ,
MIAMI SHARES VILLAGE.
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 5968, Compiled Ceneral 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 wort. to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- oontr actor�, _ on�wror�t..te b� performed under this ginn, as are
licensed by Miami Shores Village
(Signed)
e ice'•
i()6 s�
Plumbing Inspector.
Matter Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority. • notary public, duly authorized to administer oaths and take acimowledgments, pent&.!, appeaied
•
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the..._.._ . - -. - _.._____ _ - -. — _...._...,... ...._ -.
of the above described construction, that be has carefully read the foregoing application, and that by did sign the •' and drat all bets
therein by hire stated are true. ROUST PORN STAft M nano
sr some IO. EXP. OCT ii,i9ef
NOTE: A re- Inspection fee of $1.00 will be made whoa ode rnispeetien le mede'asoesney by improper notice for iaspactlort, or fa ky
materials and /or wcrlananship
III BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
Date 5 / 8 / 85
PLUMBING L ° PERMIT - - - - -
N° 25946
ROOFING
• \\'')
'sea
Owner of
Building DAVID & MARY WENDELIN
Architect
Contractor NATIONWIDE POWER CORP .
or Builder
Legal Lot 18 & W 19 11 Bl 8
Address of
Building 53 N. E. 98th ST.
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 covere hereby w er, shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, se iR� gl(s o •�mpl
CONTRACTOR or BUILDER
Work to be performed under this Permit SOLAR WATER SYSTEM
11 3206 13 1140 2
Contractor's
License No CPC 19069
19__
Suo vision MIAMI SHORES SEC 1 AMD
Sq Ft.
Value of N/A 11 Amount of 20.00
Project 11 Permit
Signed. 't - (INSPECTOR) BY
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
pertain g ereto and in strict c formity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In ac g p ipg this permit 1 sume\esponsibility or all work done by either, myself, my agent, servant or employee.
47! {6 3 j UJ. t;C; /d,. T i
BY AUTHORITY
Permit No
z
MIAMI SHORES VIL :AG
PLUMBING INSPECTION DEPARTMEK:'
APPLICATION FOR PLUMBING " ;L,,w11T'
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 nnt. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address �' _ C No.__ _ ` _ 3__..__ Street ` r
Registered Architect and /or Engineer--- _ —__ —_ M_. -_____ _ __--- _----- _------------ -..• -- _�___ -
f' ,its J. _ z�4 x ' ) N c e i:),-2, 4._ E,�
Employing Plumber's Name _ _ � No._ Street__
Location and Legal Description Lot_-__. ____________________- _- ____.___ Bioek__
Street and Number where work is to be performed —No
Subdivision
Street
State work to be performed and purpose of building (By Floors)_ Z `s _ `' i .) !' L 7 c - —
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 —Well
Amount of Permit $_
Size of Soakage Pit
(Signed)---- _.. - - ---=------ - - - - -, � - --
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob . gations 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.
My Commission Expires
( Signed ) _
Notary Public, State of Florida
er Plumber.
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Bellore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him, stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUSB
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
U RINALS
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
SW IM'G
POOL
I_—
CONTR.
LIST
CHECK
Permit No
z
MIAMI SHORES VIL :AG
PLUMBING INSPECTION DEPARTMEK:'
APPLICATION FOR PLUMBING " ;L,,w11T'
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 nnt. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address �' _ C No.__ _ ` _ 3__..__ Street ` r
Registered Architect and /or Engineer--- _ —__ —_ M_. -_____ _ __--- _----- _------------ -..• -- _�___ -
f' ,its J. _ z�4 x ' ) N c e i:),-2, 4._ E,�
Employing Plumber's Name _ _ � No._ Street__
Location and Legal Description Lot_-__. ____________________- _- ____.___ Bioek__
Street and Number where work is to be performed —No
Subdivision
Street
State work to be performed and purpose of building (By Floors)_ Z `s _ `' i .) !' L 7 c - —
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 —Well
Amount of Permit $_
Size of Soakage Pit
(Signed)---- _.. - - ---=------ - - - - -, � - --
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob . gations 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.
My Commission Expires
( Signed ) _
Notary Public, State of Florida
er Plumber.
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Bellore 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.
APPLICATION FOR PLUMBING C"w�MiT
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 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 sp1cified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �---�
Owner's Name and Address
Registered Architect and /or Engineer
-e __ ' eP re AA/ /V C ,S?6(5�
Employing Plumber's Name.___!_I!1 /1_��_ _ _� � T !(lo.. ____ ____� _�� Street___ ___ _
Location and Legal Description Lot_
Size Septic Tank
Feet of Drain Tile_______ —.
Nature of Water Supply: City —Well.
- -- - - - - -- -
Amount of Pe rmit
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No._
Block
Street_ , y
Subdivision
Street and Number where work is to be performed —No eet_
State work to be performed and purpose of building (By Floors)___
l eyetz/9 , -s
gs
New Building Remodeling___._ ___ Addition._.___._._______.____. Repairs '° No. of Stories
Type of Tank__ _ Capacity Gals.
__ Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(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 leas 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 wo such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contra rs, on work t . pergmed under this per:nit, as are
licensed by Miami Shores Village.
( Signed
Mast. ' umber.
STATE OF FLORIDA, ( u.
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 $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINK$
LAUNDRY
Toes
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
COMM.
LIST
CHECK
•
-
APPLICATION FOR PLUMBING C"w�MiT
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 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 sp1cified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �---�
Owner's Name and Address
Registered Architect and /or Engineer
-e __ ' eP re AA/ /V C ,S?6(5�
Employing Plumber's Name.___!_I!1 /1_��_ _ _� � T !(lo.. ____ ____� _�� Street___ ___ _
Location and Legal Description Lot_
Size Septic Tank
Feet of Drain Tile_______ —.
Nature of Water Supply: City —Well.
- -- - - - - -- -
Amount of Pe rmit
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No._
Block
Street_ , y
Subdivision
Street and Number where work is to be performed —No eet_
State work to be performed and purpose of building (By Floors)___
l eyetz/9 , -s
gs
New Building Remodeling___._ ___ Addition._.___._._______.____. Repairs '° No. of Stories
Type of Tank__ _ Capacity Gals.
__ Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(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 leas 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 wo such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contra rs, on work t . pergmed under this per:nit, as are
licensed by Miami Shores Village.
( Signed
Mast. ' umber.
STATE OF FLORIDA, ( u.
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.
Owner of
Building
MIAMI .S DRC VC .LAGS FLDRIDA
BUILDING DATE
ELECTRICAL
PERM
Architect
Contractor
or Builder
Legal
Description
Address of.... , +� P roject of II Permit * ti C; Building , s
This permit is granted to the contractor = builder named above to construct the building or to install the equipment or ce described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be p formed 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 id compliance with such ordinances or if th p�aht, are changed without _.awhorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder nam d above assum s ate responsibility for a. thorough knowledge of
the ordinances and regulations pertaining to the pvork covered hereby *whether shown on t -plant or dreialtigtsct.plirehe statements or . ti • nd
that he assumes responsibility for work dons by his agents, servants or employees.
- tRSesCCO
in the work :, d hereunder in
t stem en ' p - . et iflcadons submitted
b y either my agsntt servant or
In consideration of the issuance to line o
lions pertaining thereto and in strict conformity
Vil . ge. In accepting this ermit aswme r
NTRACTOR OR BU
under this Pe
&see
all ordinances and regale-
authorities of Miami Shores
AUTHORnY
P W ir
ERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1O c 9 c; • qb Job Address 53 , 9
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant )( SArC-� —� S f4-AWI Master Permit # /3 760
Owner's Address 53 A/6
- 9 g 577 Phone 7 .c6 9/1
Contracting Co. M, i Am Stinf25 Y'Vv 0. " ) Address 900 ►J w . /-1- sr_
Qualifier Dcn n i s M G LOA .I g h l i n SS# '( Phone 363 — 45i " a'-1 Zo
M a cm-
state # C r- CCU I q a Municipal # C` 1rCO ICGOS Competency # QR`O ICIDOSIns. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL ' LUMBIN MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION RE- P Q c •
Square Ft. Estimated Cost (value)
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 performed 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.
OWNER'S 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 s .. •ning. Furthermore, I authorize the abov- tractor to do the work stated.
s( la. - 0?(Y
Signature of oyner and/ir Condo President Date
4 _I.4. !!_
No . as to O er
Contmissio Ex •
ev +s Gloria E SuvAiage
* *My Commission CC681145
% Expires August 18.2001
nt Date
Tax Folio
Si a
'.4Atif
N•tary as to Co y ac;Z
y Commissi • - x • . es:
FEES: PERMIT /3 Q / RADON C.C.F. I 8 NOTARY
ntractor or Owner- Builder
Electrical
or i.$i er- : udder 4 Date
e Gloria E Suvilage
* *My Commission CC681145
e Expires Miami 18.2001
16
Date
BOND
TOTAL DU# 3 I - gO
APPROVED:
Zoning Building
Mechanical Plumbin Engineering
ITEM
BATH TL8
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WINO)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN APS
CLOT WORK
FLOOR DRAIN
SERVICE REPAIR/1ETER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSU E VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 CORP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 If
COOLING TOWERS
WATER CLOSET
MOTCRS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
RE I NSPECT I ON
WATER SLPPLY TO: ,
G(
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
f
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
ORAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABMOON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INSET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
1.10
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL