164 NE 100 St (3)Permit t
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.
100
Owner's No Jack Blair None and Address No 164 N.E.
r Architect and/or Engineer
New Miami Shores Plumbing 11711 N.E. 2 d Avenue
iijooxingpmir?NarnA ■■••••••rre.,
Locagn and IfesniptIon Lot. iv' 7 Block // Subclivislonek.24
Street and Number where work is to be performed—No 164 N.E. 100th Street_
Run new water lines
State work to be performell and purpose of building (By Floors )..
Size Septic Tank._
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit 8.—LIZCY
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPUCANION FOR PLUMBING PERMIT
#27793
(Signed)
Type of Tank__
nu& Feet of Tank or Drain Field from Well
Size of Soakage Pit.
CC; 11164
New Building Remodeling Addition. Repain. No. of Stories
Capacity Gals.
(signa) 4:s..1A-NMVS-tly 13.Y
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 5968, Compiled General Laws of Florida Pennanent 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 tlie 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.
r if,/"MirialrAle
aster Plumber.
St. Lic. CFCO 24459
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly mom upon oath deposes and says that he is the
of the above described construction, that be has carefulbr 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 whoa snob misspent= is mede.neoessery by improper notice for inspection, at faulty
materials and/at wodananship.
Cu:m=5
BATH
Tuns
6/4
LAVA.
TORIES
5 INKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'S/
TOTAL
FIXTURES
CONTR.
LIST
CHICK
......
SWING
POOL
SEPTIC
TANK
SEWER
Comm.
DRAIN
FIELD
SOAKAGII
PIT
GREASE
TRAP
SOLAR
HEATER
OUP
WILL
•PRKLR.
SYSTEM
CONTR.
UST
CHICK
Permit t
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.
100
Owner's No Jack Blair None and Address No 164 N.E.
r Architect and/or Engineer
New Miami Shores Plumbing 11711 N.E. 2 d Avenue
iijooxingpmir?NarnA ■■••••••rre.,
Locagn and IfesniptIon Lot. iv' 7 Block // Subclivislonek.24
Street and Number where work is to be performed—No 164 N.E. 100th Street_
Run new water lines
State work to be performell and purpose of building (By Floors )..
Size Septic Tank._
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit 8.—LIZCY
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPUCANION FOR PLUMBING PERMIT
#27793
(Signed)
Type of Tank__
nu& Feet of Tank or Drain Field from Well
Size of Soakage Pit.
CC; 11164
New Building Remodeling Addition. Repain. No. of Stories
Capacity Gals.
(signa) 4:s..1A-NMVS-tly 13.Y
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 5968, Compiled General Laws of Florida Pennanent 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 tlie 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.
r if,/"MirialrAle
aster Plumber.
St. Lic. CFCO 24459
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly mom upon oath deposes and says that he is the
of the above described construction, that be has carefulbr 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 whoa snob misspent= is mede.neoessery by improper notice for inspection, at faulty
materials and/at wodananship.
Permit No
Disapproved
(Signed)
lJ 2,
MIAMI SHORES ILLAGE
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.
Date
Date
BUILDING INSPECTION DEPARTMENT
Date
Owner's Name and Address a 7yi�L No
Registered Architect and /or Engineer ...
Name and address of licensed contractor- ___Ct647.14/__,e 4.1 t4#1 Ell . VI C G`
Location and legal description of lot to be built on:
Lot Block , / Subdii isiion f
Street and Number where work is to be done ` 4 Y �" " (a 'd . l 66 �w / /'
State work to be done and purpose of building (by floors )___l�d '4 4 C. ,Tf (C4 0 _L.__!V V ____ Lv !,
rcli-c...c.m. E--,0.7 )
and for no other purpose.
New Building Remodeling. Addition Repairs > No. of Stories
To be constructed of Kind of foundatiep Roof Covering
Estimated Total cost of improvements $ / $ 7 ` e.
' Amount of Permit $ .- 00.
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 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, P � anent Sup leinent,
and has complied with the provisions thereof, and will require similar compliance fr . n contractors or s cont . + "ctors 1employe d by him
in the work to be performed under this permit; and will post or cause to be postec��fo . the site • t work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such si con actors, on or to �: nerf.r d under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. J ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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.
,19 ‘" _ - ______ Street__._/.0._Q
Notary Public, State of Florida
to me well known,
Building Inspect My Commission Expires
NNING 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship. -
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
E, C%1 i E /a" /dam � /4e /
Owner's Name and Address � � No Street_ ___s__
Registered Architect and /or Engineer
Employing Plumber's Name. ___4.4"/"4 f ____,t 7- No..___ 8/
Location and Legal Description Lot_ ___ _. __ .__ _ _ Block
Nature of Water Supply: City —Well
Amount of Permit $
-- -------------------
My Commission Expires
Date
1 — )�
e �
Stre 14/ 2
Subdivision
Street and Number where work is to be performed —No // Street A/ /
_�- _ -__ -_ /L/ i��l._e 4
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Notary Public, State of Florida
No. of Stories
Size Septic Tank / Type of Tank-_ _ Capacity Gals
Feet of Drain Tile ,//. . A __Dist. Feet of Tank or Drain Field from We1L
__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 Pennanent 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 art
licensed by Miami Shores Village.
aster Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above des&ibed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all lac
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 faul
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT 'NS
TOTAL
FIXTURE!
CONTR.
LIST
--
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
E, C%1 i E /a" /dam � /4e /
Owner's Name and Address � � No Street_ ___s__
Registered Architect and /or Engineer
Employing Plumber's Name. ___4.4"/"4 f ____,t 7- No..___ 8/
Location and Legal Description Lot_ ___ _. __ .__ _ _ Block
Nature of Water Supply: City —Well
Amount of Permit $
-- -------------------
My Commission Expires
Date
1 — )�
e �
Stre 14/ 2
Subdivision
Street and Number where work is to be performed —No // Street A/ /
_�- _ -__ -_ /L/ i��l._e 4
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Notary Public, State of Florida
No. of Stories
Size Septic Tank / Type of Tank-_ _ Capacity Gals
Feet of Drain Tile ,//. . A __Dist. Feet of Tank or Drain Field from We1L
__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 Pennanent 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 art
licensed by Miami Shores Village.
aster Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above des&ibed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all lac
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 faul
materials and /or workmanship.
.__-- ___--
/
;
^
|
�
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
DATE
a 194/
PERMIT N9 1882 Contractor's
License No
Work to be performed under this Permit
')wner of
uilding
rchitect
Contractor r
or Builder
Legal Lot Bl.
Description 7
Address of
Building
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. &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. ..•...• =..aa� ,.,
Signed•
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 regula-
tions 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.
ti
Mw.
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project
Amt. of
Permit
B
r
BY AUTHORITY
JOB:
BUILDING
ELECTRICAL
PLUMBING
i
y 1<
•
•
•
The following is ready for Inspection:
Inspector's Report: -
•
• REQUESTED
• • •
•
•
WORK
• • DONE BY
WILL BE READY
„r •
JOB:
BUILDING
ELECTRICAL :
PLUMBING
Inspector's Report:
•
:
: REQUESTED WILL BE READY
. WORK
: DONE BY:
•
The following is ready for Inspection:
47c ( a
Permit No._ ___ -.°
Application is hereby made for the approval of the detailed statement of the plans and specifications herewf 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." s
Owner's Name and Address
Registered Architect and /or Engineer .
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No 1_s.'
STATE' OF FLORIDA,
ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit
My Commission Expires
1
N
Block
(Signed)
Date_
Street_
Subdivision__ — :_'__�
Street
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. Size of Soakage Pit
(Signed) t
Notary Public. State of Florida
fi
- ---- ---- --- - - -- -- No Street- --- ----= --- - -�
e L .:
State work to be performed and purpose of building (By Floors) _
New Building 2es' Remodeling Addition Repairs No. of Stories
bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
• Master Plumber.
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
•`
4
f
t
(
, r
"
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
Y
4"
CHECK
,. „ r'^
Permit No._ ___ -.°
Application is hereby made for the approval of the detailed statement of the plans and specifications herewf 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." s
Owner's Name and Address
Registered Architect and /or Engineer .
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No 1_s.'
STATE' OF FLORIDA,
ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit
My Commission Expires
1
N
Block
(Signed)
Date_
Street_
Subdivision__ — :_'__�
Street
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. Size of Soakage Pit
(Signed) t
Notary Public. State of Florida
fi
- ---- ---- --- - - -- -- No Street- --- ----= --- - -�
e L .:
State work to be performed and purpose of building (By Floors) _
New Building 2es' Remodeling Addition Repairs No. of Stories
bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
• Master Plumber.
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.