POOLJ
CLOarra
BATH
Tuts'
SHOWER•
LAVA-
TORTE•
SINK•
SLOP
SINK•
LAUNDRY
TU••
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'Ne
TOT..L
FIXTI RES
_
CONTR.
LI'T
CHECK
SEPTIC
TANK
SEWER
Comm.
DRAIN
PIELO
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•O
POOL
— _
C corm .
LIST
—T—
H -H- LJ
CHECK
_
'1.7041
1'enni; No... .. .__._ —.—
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
.'I;p1w :it..nl is Lercby made for the approval of the detailed statement of the plans and specifications herewith subt.ntr...1 for the building or other
;-tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of MI.: f Shores Village, Florida,
4,1d all provisions of the Laws of the,State of Florida, all ordinances of Miami Shores Village and all rules and regulatic' of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and s. :ficatlons must be kept at
'.)uildung during progress of work.
J �/
wnei s Name and Address. .A./ M. _ X ` O e cll.,
.egist?red Architect and /or Engineer @ / ���
r 10 n Plumber's _. No. ---
- p yi g Plumbers Name . .,/2/.f//�• . '
Location and Legal Description Lot_ / r 2 0 Block / 6 9 G Suubdivision.�r� /!1a' /. ^
. �06 eS e
Street and Number where work is to be performed —No. -6? A' E __. — Str eet 7?
s _ State work to be performed and purpose of building (By Floors) _'9l!. M I!i!_...1K. A' 0 ,C.' /.. /c:!/!V
New Building Remodeling__ _ — .....__ Addition..._..._ Repairs
Size Septic Tank__.._ .- .--- ...----- .- . - -. - -- - - -- ._...Type of Tank
Feet of Drain Tile.._.___ — — ._ -_- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well ..____ _._.__ .- __.___ -- -- -Size of Soakage Pit
•
Amo unt of Permit $ - -� - --
STATE OF FLORIDA, i
es.
COUNTY OF DADE.
No of Stones
Date..._ ._�....�. _. _.a...
Capacity ^ Ads.
(Signed) -- - k — .. (31
( Si
My Conunisslon 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 on endloycr of 100
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent : upi lement, and has nor 4-
i.licd with the. provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' e 'A(
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub': notice x no leer .is a*
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed 'a this r rl.nii .,r .
Licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackvnowledgnnents, per;orrt ; i ppearec,
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 be did sign the same, and tact all acts
therein by him stated are true.
NOTE: A re inspection fee of $1.00 will be made when such re- lnepectfon is mede•neoessary by improper notice for hnspecton, {r fruit)
materials and /or workmanship.
Permit No x/-'6'"
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and/or Engineer Ti.- mploying Electriciaf's Name �•- Cr No �* - ` Q Street 2 E41ceie24 3 otz
4 zt'�s
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street cc,..
State work to be performed and purpose of building (By Floors) 4 I uG
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing........ B.X.L Metal Moulding
Amount of Permit $ &t"C (Signed)
STATE OP FLORIDA,
COUNTY OF DADE. I °°'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ZAt we Co t-+els) No f?Gb E
Date
Street
9q
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perforn d under this permit, as are
licensed by Miami Shores Village. r '
(Signed)(
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared Oswaldo Imias
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by h nNeffin4 itlbf(l°OSTAIE Of FLORIDA AT L
Mr COMMISSION Ems$ AN4. 12 1983
My C ommi eet o n Expires Notary Public, Sta 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.
SWITCH
OUTLETS
LIONT
OUTLETS
PLUG
RECE'P'T's
FIXTURES
NO LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No x/-'6'"
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and/or Engineer Ti.- mploying Electriciaf's Name �•- Cr No �* - ` Q Street 2 E41ceie24 3 otz
4 zt'�s
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street cc,..
State work to be performed and purpose of building (By Floors) 4 I uG
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing........ B.X.L Metal Moulding
Amount of Permit $ &t"C (Signed)
STATE OP FLORIDA,
COUNTY OF DADE. I °°'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ZAt we Co t-+els) No f?Gb E
Date
Street
9q
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perforn d under this permit, as are
licensed by Miami Shores Village. r '
(Signed)(
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared Oswaldo Imias
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by h nNeffin4 itlbf(l°OSTAIE Of FLORIDA AT L
Mr COMMISSION Ems$ AN4. 12 1983
My C ommi eet o n Expires Notary Public, Sta 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.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby uinde for the approval of the detailed statement or me plans and specifications herewith submitted for the build •
in 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 Villar shall be complied with. whether herein specified or not. A copy of approved
plans and specifications must be kept at building during pregreu of the work.
Date..._..._..._._... .....__......_._
Owner's Name and Address 7/4 r Me. ,. t_ / N - - No -2.4 3 .. /IeStreet._ 9 9
, � /�
Registered Architect and /or Engineer g' ... .. {.t r � q;r 0 �1 l C v � ::.. ... .. .... ... :..... . . .............. ... Ai. .... ..... .
Name and address of licensed contractor... 27'5 4 ' _'i a Is /t' C 7 °.? 7 A' al
Location and legal description of lot to be built on:
Lot / 1 4 P e Block l4 f Subdivision... 4. n9.t . .._ °See 7 "....
Street and Number where work is to be done 2 6 ,3 N' F 9 ys
State work to be done and purpose of building (by floors). 1_ a:? iii /. ... iLl ... ri IS L •
STATE OF FLORIDA, t .
COUNTY OF DADE.
Disapproved
(Signed)
__..._. :......and for no other purpose.
New Bui!ding Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation oof Covering
Estimated Total cost of improvements $ : S OO o s Amount of Permit S... ._ '.QO
Zone cubage required _.._...plan Cubage
Distance .to next nearest building.. Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.. .
The uixiersigncd 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 5960, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work • to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice
or noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe nder this
pennit, as are licensed by Miami Shores Village.
Date
Notary Public, State of Florida
Building Inspector My Commiuion Expires
,1 9.81
Remarks..._ .— (Signe . — ,..._
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared - -.
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..
Permit No. A/k1 Date 46 1 Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Chairman Member
\fcrr:ber Member
Member ..... Member __.._....._
Council Approved Date Disapproved Date
NOTE: A •c•h.rrgc of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Plennir.g Board.
A rc.in.pec•tion fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.