POOL&SCREENED PATIOAPPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing 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 the work.
Owner's Name and Address FAUi-
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
W i LCIA
M . µl„ RS Q
1 ,4 .__ .. ...__ _..._... ,19...-._
( 24 3 No E t - . 1 . d ( Street....-
Registered •pct and /or Engineer
Name and address of licensed contractor A1 Lire INpUSTFats Irt(, - .6 \V.- ST- LIi A LE<1 H- FLp- 330 1 1130 4 -
PNo rtE_ $'LL-II.3o
Location and legal description of lot to be built on:
Lot 5 Block 1 8,5 Subdivision... BREELE SEU'ioN O'F. 14 tI MIES. -
Street and Number where work is to be done 1 '•c , 3 fr ' f 0 1 ST Ree
State work to be done and purpose of building (by floors) POD L. S Cf2 E E NI E ti L L 0 5 V R.E.
and for no other purpose.
Repairs No. of Stories _
Roo� overing Sc tREF N - FeAwti N&
l7 f7�
New Building Remodeling Addition
To be constructed of ALUM. $C0 of foundation G0 ti -R?re CE) t STl Li 6)
Estimated Total cost of improvements $ 2 IOC). @a Amount of Permit $.
Zone cubage required Plan Cubage ■
Distance to next nearest building Size of Building Lot (00 1 13,0`
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 Ai � N :TQI e S IMC. - 550 `` \I. '4 - W - FLA- 33pf 4•
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar comp]' 1 contractors or sub - contrac : employed .y him
in the work to be performed under this permit; and will post or cause to be .osted for inspec on on the site of the or such publi t notice
or notices as arc required by the Act. The undersigned agrees to employ only sue subcontr ors, on work to rformed un er this
pennit, as are licensed by Miami Shores Village.
Remarks (Signe
STATE OF FLORIDA,
COUNTY OFFCADE. mss.
e,te
Before
peared
Disapproved
(Signed)
ority, a
being by me first duly sworn, upon oath deposes and says that he is the...Ceri!--&aC
and
of the above described construction, that he has carefully read the foregoing applie tot' d that he did sign the same, and that all facts
therein by him stated are true.
.?3.
Permit No.. ._ 5� 7 Date
Date
otary public, duly authorized to administer oaths and take acknowledgments, personally ap-
to me well known,
Building Inspector My
'Jn, an a q
- to an I /
Notary Public, ildat: STATE OF FLORIDA AT LARE;E
Commission Expires ... f '`
fitJN®1ri3 THRU GENERAL INSUkANCE UNDERWRITERS
PLANNING BOARD DATE
Chairman Member
Member Member
Member sass- . __sass_._._._ ._.._sass__ Member .._._
Council Approved. Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning hoard.
A re-inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMk>SHORES VILLAGE, FLA.
JOB �`�.��
ADDRESS
INSPECTION
TIME READY
REMARKS•
rz-to 3 N.C.
( i(-1C,
N_ 62
INSPECTOR " DATE
,, � ('� U .9'2 , -],
K r
MIAMI SHORES VILLAGE 3 S—
ELECTRICAL INSPECTION DEPARTMENT D
( e/ I2
APPLICATION FOR ELECTRICAL PERMIT :
Permit No /5/ 2 IF/ Date 0-17' ' 7 C
Application is hereby made for the approval of the detailed statement of the plans 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, Fi.;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. –' / A ,
Owner's Name and Address Poi) S
L ,a ✓ 0,A/ No. .. � �3 Street./.V. .e. ! 0/ S
Registered Architect and /or Engineer
Employing Electriciafi's Name.. 5 4601 -e.. SL-a -471J No..NSO 4I.. Street... /2 .57 r
Location and Legal Description Lot - Subdivision
Street and Number where work is to be performed —No 1. 6 .3. . /e Street j 0 I 3 /
State work to be performed and purpose of building (By Floors)..) Cget Se O1" 647e77"i L Seel ✓/c e.- ...f?D,:1. /44411'.
New Building Remodeling Addition. "4:70.
�cyy�� C��
Size Feeders.. . ....Conduit N Main Sw..pZ0 Amps..0" Main Fuses . Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Service Overhead
Amount of Permit $
STATE OF FLORIDA, T
l
COUNTY OP DADE. SS.
Repairs No. of Stories
....... ....
(Signed) <.........
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obltions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida yrmanent 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 public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•co on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
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, and 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.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'8
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
t
/
-
••
.
r`
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
2 vo.Z
200.1
CHECK
,, � ('� U .9'2 , -],
K r
MIAMI SHORES VILLAGE 3 S—
ELECTRICAL INSPECTION DEPARTMENT D
( e/ I2
APPLICATION FOR ELECTRICAL PERMIT :
Permit No /5/ 2 IF/ Date 0-17' ' 7 C
Application is hereby made for the approval of the detailed statement of the plans 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, Fi.;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. –' / A ,
Owner's Name and Address Poi) S
L ,a ✓ 0,A/ No. .. � �3 Street./.V. .e. ! 0/ S
Registered Architect and /or Engineer
Employing Electriciafi's Name.. 5 4601 -e.. SL-a -471J No..NSO 4I.. Street... /2 .57 r
Location and Legal Description Lot - Subdivision
Street and Number where work is to be performed —No 1. 6 .3. . /e Street j 0 I 3 /
State work to be performed and purpose of building (By Floors)..) Cget Se O1" 647e77"i L Seel ✓/c e.- ...f?D,:1. /44411'.
New Building Remodeling Addition. "4:70.
�cyy�� C��
Size Feeders.. . ....Conduit N Main Sw..pZ0 Amps..0" Main Fuses . Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Service Overhead
Amount of Permit $
STATE OF FLORIDA, T
l
COUNTY OP DADE. SS.
Repairs No. of Stories
....... ....
(Signed) <.........
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obltions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida yrmanent 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 public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub•co on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
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, and 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.
f yy Permit No
Amount of Permit $
STATE OF FLORIDA, '
u.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_.
' 1 ✓ 1
1
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.
Owners Name and Address /it A. M RS - Pa u L s/I AA) N °Ai No. _. Z 6
3 street.
Registered Architect and /or Engineer a t< B u K . - A 0 �.
Location and Legal Description Lot.(_?_L 3 N l /of S T Blm I/ "' Ze 7 Subdivision_ N � e fr
Street and Number where work is to be performed —No / 2 L 3 N C
State work to be performed and purpose of building (By Floors)
New Building_.._._..,._ _ - Remodeling__.__..__.__._.___ Addition__.-
street. .ii.
Repairs
Size Septic Tank___ ___.__________Type of Tank- _-_ - __
Feet of Drain Tile. ._ ___. _____Dist. Feet of Tank or Drain Field from .... _ __-._..__-- ..... Nature of Water Supply: City—Well Size of Soakage Pit m U
No. of Stories.
Capacity Cals ._._......____..._.___.._ ._._
P
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent S . ement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed y 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- contracto on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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.
Notary Public, State of Florida
Master Plumber.
materNiaOTE: re-inspection fee of 81.00 will be made when such re- inspection is made' necessary by improper notice for inspection, or faulty
GLOERn
BATH
TUBS
SHOWERS
LAVA
TORI[n
SINKS
SLOP
SINKS
LAUNDRY
Tun•
URINAL[
CATCH
BAOI
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
CLIST
LIST
7 tTsc3
1
CHECK
CPC,
f yy Permit No
Amount of Permit $
STATE OF FLORIDA, '
u.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_.
' 1 ✓ 1
1
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.
Owners Name and Address /it A. M RS - Pa u L s/I AA) N °Ai No. _. Z 6
3 street.
Registered Architect and /or Engineer a t< B u K . - A 0 �.
Location and Legal Description Lot.(_?_L 3 N l /of S T Blm I/ "' Ze 7 Subdivision_ N � e fr
Street and Number where work is to be performed —No / 2 L 3 N C
State work to be performed and purpose of building (By Floors)
New Building_.._._..,._ _ - Remodeling__.__..__.__._.___ Addition__.-
street. .ii.
Repairs
Size Septic Tank___ ___.__________Type of Tank- _-_ - __
Feet of Drain Tile. ._ ___. _____Dist. Feet of Tank or Drain Field from .... _ __-._..__-- ..... Nature of Water Supply: City—Well Size of Soakage Pit m U
No. of Stories.
Capacity Cals ._._......____..._.___.._ ._._
P
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent S . ement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed y 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- contracto on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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.
Notary Public, State of Florida
Master Plumber.
materNiaOTE: re-inspection fee of 81.00 will be made when such re- inspection is made' necessary by improper notice for inspection, or faulty
i (c9.,x(D ig(
Disapproved _ - Date.
(Signed)
Building Inspector
i
MIAMI SHORES VI LACE
2x''73
BUILDING INSPECTION DEPA TMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Date.. October 20 __. _....._.�....... ,1 9 . 75
Owner's Name and Address Mr.... ... &..M.r..s......EauZ_.S.hanzl o n
Registered Architect and /or E ng i ne e r .... r k...&....A. acc.i.a.t.es t,•, ,-., •,. ,l:,,,.,.,,..,,,...,,,.,, _,.
Name and address of licensed contractor O.Wl.1.tr ._ _ _.
Location and legal description of lot to be built on:
Lot 5 Block Z Subdivision Bay Breeze Section, Miami Shorew
Street and Number where work is to be done 1263 N. E 101 $t.
State work to be done and purpose of building (by floors). Install swimming
and for no other purpose.
New Building Remodeling Addition X Repairs No. of Stories Q
To be constructed of...gU/.1.b..t..e Kind of foundation Roof Coverin g
Estimated Total cost of improvements $ 5000..0.0 Amount of Permit S` 7:,:e.; � i l c...,
Zone cubage required _.__._...plan Cubage
Distance to next newest building see plot plan Size of Building Lot ti .Q...X ..i.3Q... f..e.t ................
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with refgrence to the building and its construction may
be sent to owner
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent SuPplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only su bcontractors, on wor k to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 e.
Permit No.______ - Y C Date Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
My Commission Expires
PLA7NINC BOARD _.._ -... ..DATE
Chairman Member
Member Member
Member ...... _..____..._._...._....__ Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspectinn or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Owners Name and Address Mr. & Mrs. Paul Shannon
Date
Permit No.
Disapproved Date
(Signed)
Building Inspector
PLANNING BOARD DATE
Chairman
Mcrr.ber
Member ...... _.... _..._.� ... - Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A rc- inspection fee of $L00 will be charged
materials and /or workmanship.
Jo q No 1263. I to
.._ _...._._........ ,19
._ . Street _N • E . Z 0 l S t .
Registered Architect and /or Engineer .....
RIt.0
Name and address of licensed contractor Owner —
Location and legal description of lot to be built on:
Lot 5 Block Z85 Subdivision Bay /freeze Section Miami Shores
Street and Number where work is to be done Z.26 ••.ill Z . -fit. - - — -- --
State work to be done and purpose of building (by floors) Install swimming _p .... .._........_._...._. and screened ._. atio.
and for no other purpose.
New Building Remodeling Addition X Repairs No. of Stories
To be constructed of guri.y..t :.. Kind of foundation Roof Covering
Estimated Total cost of improvements $..500Q, 00 Amount of Permit $.
Zone cubage required plan Cubage
Distance to next nearest building zee -- ..p.l.o ...plan Size of Building Lot 2 ... feet`
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..... o.wn.er
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such bcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks ._._._. -__ (Signed)_I
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
Read, Sworn to and Subscribed before me.
........... •
to me well known,
Notary Public, State of Florida
My Commission Expires
Member
Member
Member ..--- -- - - - --
Disapproved Date
or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty