166 NE 101 StPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date S I 1 j Of Job Address 1 C L M 10 I ST Tax Folio
Legal Description Historically Designated: Yes No
/ Tenant J Lop z Master Permit # V 11S
Phone
Address rp c� 0 AJ l /� .. 14 ( A14 t
r ^-
Owner's Address ) l0 Y V 1 C) t l
Contracting Co. CO 1 t) M . F r A -P121) ) -
i
Qualifier :105E. T J ZAGO, ERE SS# Phone 30S-153 I" 18 S ()
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION T O (- sALL.C) () L- P fi "PuNi
( z - eA C, f-I % f u P 2,y
Square Ft. Estimated Cost (value) Ai IC) 0 0. on
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.
OWNERS 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 and zo
Signature of owner and/
APPROVED:
Zoning
Mechanical
F ermore, I authorize the above -named contractor to do the work stated.
51 /01
o President / Date
No as to Owner and/or Condo " esident Date Mary as t
My Commission Ex.' - t, WPM s5+!+I- ( My Commi
t'v nv v��
001 5"
CCT1SO
Cle
or JA.
� F cr B•
Plumbing
Signature of Contractor or Own
NOTARY O
Building Electrical
Structural Engineer
I
I 0
Co L v-v-E,
(c_Sca. , ;;.),,o
IA IA I 2•-2
- v.;s0
NO. 1242 - 8% X 11 35 ISOMETRIC
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141,6
MIAMI, FLORIDA 33128
TELEPHONE: (305) 220-3171
FAX: (305) 554•7822
uua
4.
SKETCH OF SURVEY Scale 1" =
/4:2ff/ /W X't/vG•
itrurtjuni e l.J11
LAND SURVEYORS
-
t(1
, \Pr )
A'
_e71 si I •
■
SURVEY NO
SHEET NO. OF_
i
TELEPHONE: (305) 264 -2660
FAX: (305) 264-0229
DRAWN (3Y: 4A
A.. ARC. '
n:C - AIR CONDITIONER PAD.
A.E.- ANCHOR EASEMENT.
FUR = ALUMINUM ROOF.
A'S - ALUMINUM SHED.
ASPH... ASPHALT.
B.C.. BLOCK CORNER.
BLDG.. BUILDING.
B.M.. BENCH MARK.
B.O B. - BASIS OF BEARIN
C. = CALCULATED.
C.B.. CATCH BASIN.
C.B.S CONCRETE BLOCK
STRUCTURE.
CBW - CONCRETE BLOCK WALL.
CH.. CHORD DISTANCE.
CH. B.. CHORD BEARING.
CL. - CLEAR.
C.L.F.. CHAIN UNK FENCE.
C.M.E.. CANAL MAINTENANCE
EASEMENT.
CONC.. CONCRETE.
C.P. = CONC. PORCH.
C.S.. CONCRETE SLAB.
D.E.. DRAINAGE EASEMENT
O.M.E.. DRAINAGE MAINTENANCE
EASEMENT.
DRIVE . DRIVEWAY.
o - DEGREES.
E. • EAST.
E.T.P.. ELECTRIC TRANSFORMER
PAD
ELEV.. ELEVATION.
ENCR..ENCROACHMENT.
F.H.. FIRE HYDRANT.
F.I.P. - FOUND IRON PIPE.
F.I.R . FOUND IRON ROD.
F.F.E.. FINISHED FLOOR
ELEVATION.
Avila puxur irs Jztr.
LAND SURVEYORS
Survey of Lot.: 6 ANI) THE EAST 1/2 OF LOT 7 'IN BLOC: 15
Subdivision: AMENDED. PLAT OF MIAMI SHORES SECTION NO. 1
According to the Plat thereof as recorded in the Plat Book No. 10
at Page No. 70 of the public records of MIAMI - DADE County, Florida.
Property Address: 166 NE 101 ST, MIAMI SHORES, FL 33138
For: RAUL LOPEZ JR
LOCATION SKETCH scale v., N/5
Y
A66R Y1MIONS AND MFANING
FOUND NAIL 8 DISK
FR. - FRAME.
FT... FEET.
FNIP... FEDERAL NATIONAL
INSURANCE PROGRAM.'
E.N. . FOUND NAIL.
H.. HIGH (HEIGHT).
IN 8 EG. • INGRESS AND EGRESS
EASEMENT
L.P.. LIGHT POLE.
LE E. = LOWEST FLOOR
ELEVATION.
L 14E.. LAKE MAINTENANCE
EASEMENT.
'=
MI NUT ES.
M. = MEASURED DISTANCE.
MON = MONUMENT.
M/H.. M "HOLE
MiL . MO UMENT LINE.
N A.P.. OT A PART OF.
NGVD• NATIONAL GEODETIC
VERTICAL DATUM.
N. = NORTH.
N.T.S. - NOT TO SCALE.
8 • NO.. NUMBER
CS.. OFFSET.
OH. = OVERHEAD.
O.H.L.. OVERHEAD UTILITY LINES
OVH.. OVERHANG.
O.R B.. OFFICIAL RECORD BOOK.
PVMT.. PAVEMENT.
PL.. PLANTER.
P/L. = PROPERTY LINE.
P.C.C. = POINT OF COMPOUND
CURVE.
P C. - POINT OF CURVE.
PT.. POINT OF TANGENCY.
POC. - POINT OF COMMENCEMENT
FOB.. POINT OF BEGINNING.
{ 1 Y III 1
{
f 5 14 17 10) I')
.7 ;( .5 :)
NE
•
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY):
EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS. IF ANY AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DE
LIMITATIONS. RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRII'!IONS
PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
BO UNDARY SURVEY MEANS A CRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK
PERFORMED IN THE FIELD. COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE.
EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN
THE TERM 'ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS
ARCHITECTS SHALL VERIFY ZONING REGULATIONS. RESTRICTIONS AND SETBACKS AND THEY WILL
BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR
APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION. UNI. ESC OTIICHWISE
NOTED, THIS FIRM HAS NOT AT TEMPTED TO LOCATE FOOTINGS AND/OR FOUNDATIONS
F.R.C. = POINT OF REVERSE
CURVE.
PROP. COR. - PROPERTY
CORNER.
P.C. PEA I BOOK.
PC - PAGE.
P': /Y = PARKWAY.
f'fiM . PERMANENT REFERENCE
MONUMENT. '
P L S. - PROFESSIONAL LAND
SURVEYOR.
f1 - RECORDED DISTANCE.
1111... RAILROAD.
RLS. = RESIDENCE.
WW. = RIGHT -OF -WAY.
RAD. = RADIUS OR RADIAL.
H P. = RADIUS POINT.
TICE.. RANGE.
SEC.. SECTION.
STY.. STORY.
S'WK. = SIDEWALK.
SIP. = SET IRON PIPE L.8 86044
S.. SOUTH.
S N.D.. SET NAIL 8 DISK L 8.86044.
S?... SCREENED PORCH.
SECONDS.
T.. TANGENT.
IMP. - TOWNSHIP.
LIE.. UTILITY EASEMENT.
U1IL. - UTILITY.
LI P. = UTILITY POLE.
W IA WATER METER.
W F.. WOOD FENCE
W S. WOOD SHED.
A •• CENTRAL ANGLE.
W. - WEST
C - CENTER LINE.
�(• = ANGLE.
JUHVt'i NO.
SHEET NO
LF.G UD TYPICAL
7t
0.00 X
%1 RVEYORSap10TE$1.1). IF SHOWN, BEARINGS ARE
REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT
IN THE DESCRIPTION OF THE PROPERTY. IF NOT,
THEN BEARINGS ARE REFERRED TO COUNTY
TOWNSHIP MAPS.
2) IF SHOWN, ELEVATIONS ARE REFERRED TO
B.M a ELEV
OF N O.V.D. OF 1929
3) THIS IS A SPECIFIC PURPOSE SURVEY.
Date: 0.3/26/200
WOOD FENCE.
CHAIN LINK FENCE.
C.B.S. WALL (C.B.W.)
EXISTING ELEVATIONS.
PROPOSED ELEVATIONS.
4). THE CLOSURE IN THE BOUNDARY SURVEY IS
ABOVE 1:7500 FT.
I HEREBY CERTIFY: THAT THIS 'BOUNDARY SURVEY'
OF THE PROPERTY DESCRIBED HEREON, AS
RECENTLY SURVEYED AND DRAWN UNDER MY
SUPERVISION. COMPLIES WITH THE MINIMUM
TECHNICAL STANDARDS AS SET FORTH BY
THE FLORIDA BOARD OF PROFESSIONAL LAND
SURVEYORS IN CHAPTER 61017-6, FLORIDA
ADMINISTRATIVE CODE PURSUANT
TO 472.027, FLORIDA STATUTES.
BY. � 3
35�44.) •IBARRA (DATE OF FIELD WORK).
PROFESSI AL LAND SURVEYOR NO. SZ •y
STATE OF FLORIDA. (VALID COPIES OF THIS SURVEY WILL
BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND
SURVEYOR)
REVISED ON
REVISEDON
BUILDING
ELECTRIGU
PLUMBINB
ft, ADD: ( o
iv : WORK
: DONE BI
R,UESTED
5. /irdc)
The following is ready for inspection:-
Inspector's Report:-
•
WILL Ba READY
/1 14 1 W'a
JOB:
BUILDING
ELECTRICAL
PLUMBING
The following is ready for inspection:
•
•
•
•
•
Inspe r's Report: -
AD:
•
• REQUESTED
--
WILT/BE READY
CONTR. TUBS TORIES —I— SINKS TUBS BASIN DRAIN FOUNT' NS FIXTURES
LIST :.\:1
CHECK
SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G
TANK CONN. FIELD PIT TRAP H EATER WELL SYSTEM POOL
CONTR.
LIST 1
CHECK
1 _ a
APPLICATION FOR PLUMBING PERMIT
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 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 Engine r
Employing Plumber's Name
Location and Legal Description 4. ot L �_
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
GU J No. --- a Street-- AS / -
State work to be performed and purpose of building (By Floors)
No.
Block__,[ j
New Building X Remodeling Addition
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City—'f11.
Amount of Permit $
_h
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Type of Tank
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.
My Commission Expires
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
Street
Repairs No. of Stories
Capacity Gals.__S!__"
�f-
d
-- -------- ----- - - -- - - - - --
Street___ _l1^ __
Subdi ision____S
/V ' At/ /
umbing Inspector.
rtify that he understands and accepts his obligatio s as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has corn-
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) E r
Master Plumber.
authorized to administer oaths and take acknowledgments, personally
Before me, the undersigned authority, a notary public, duly
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
therein by him stated are true.
Notary Public. State of Florida
the same, 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 S
BATH L
SHOWERS S
LAVA-
SINKS
SLOP L
LAUNDRY
URINALS C
CATCH F
FLOOR D
DRINKING T
TOTAL
APPLICATION FOR PLUMBING PERMIT
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 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 Engine r
Employing Plumber's Name
Location and Legal Description 4. ot L �_
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
GU J No. --- a Street-- AS / -
State work to be performed and purpose of building (By Floors)
No.
Block__,[ j
New Building X Remodeling Addition
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City—'f11.
Amount of Permit $
_h
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Type of Tank
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.
My Commission Expires
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
Street
Repairs No. of Stories
Capacity Gals.__S!__"
�f-
d
-- -------- ----- - - -- - - - - --
Street___ _l1^ __
Subdi ision____S
/V ' At/ /
umbing Inspector.
rtify that he understands and accepts his obligatio s as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has corn-
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) E r
Master Plumber.
authorized to administer oaths and take acknowledgments, personally
Before me, the undersigned authority, a notary public, duly
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
therein by him stated are true.
Notary Public. State of Florida
the same, 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.
Permit No
w
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f 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 c plied 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
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed—No. /162 E 9
State work to be performed and purpose of building (By Floors) _
Amount of Permit $- ,4 A
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR PLUMBING PERMIT
ss.
Cam/
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No Street
Block__ __ / Q Subdivision_
Street_
No./
.'
(Signed)
Date
hia
New Building Remodeling Addition Rep 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 Size of Soakage Pit.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contracto •. or sub - contractors employed by him in the york to be
performed under this permit; and will post or cause to be posted for inspection on t /site of the work such, ublic notice or &ices as are __
required by the Act. The under signed agrees to employ only such sub - contracto on work /to be perfolm d Yigd r th' ' t
licensed by Miami Shores Village.
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.
(Signed) e, '7
Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
£EP
ELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No
w
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f 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 c plied 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
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed—No. /162 E 9
State work to be performed and purpose of building (By Floors) _
Amount of Permit $- ,4 A
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR PLUMBING PERMIT
ss.
Cam/
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No Street
Block__ __ / Q Subdivision_
Street_
No./
.'
(Signed)
Date
hia
New Building Remodeling Addition Rep 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 Size of Soakage Pit.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contracto •. or sub - contractors employed by him in the york to be
performed under this permit; and will post or cause to be posted for inspection on t /site of the work such, ublic notice or &ices as are __
required by the Act. The under signed agrees to employ only such sub - contracto on work /to be perfolm d Yigd r th' ' t
licensed by Miami Shores Village.
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.
(Signed) e, '7
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.
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 c9mplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. //., f
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name _ No
so
Location and Legal Description Lot B lock___ _ ' _c Subdivision_
T- A 1 ,.,
,, 4. —
Street and Number where work is to be performed— No. __ _Str
N
/ f 1.
State work to be performed and purpose of building (By Floors) ___S- r1 !_!'__
New Building Remodeling Addition Rep
Amount of Permit $_ �"'`
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.
as.
My Commission Expires
(Signed)
Street
reef_.
Type of Tank Capacity Gals._______—
Notary Public. State of Florida
et
Size Septic Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
No. of Stories.
1 , s f `
(Signed), g _ Y ' • •
,.✓ Plumbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
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 t ` site of the work such '.ublic notice or1'.tices • are
sub- contracto on w to be perf. jH ed /I nder th' :r. • m t . re
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
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 DEEP
H EATER WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
LIST
G UST
�,v�
/
Y
CHECK
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 c9mplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. //., f
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name _ No
so
Location and Legal Description Lot B lock___ _ ' _c Subdivision_
T- A 1 ,.,
,, 4. —
Street and Number where work is to be performed— No. __ _Str
N
/ f 1.
State work to be performed and purpose of building (By Floors) ___S- r1 !_!'__
New Building Remodeling Addition Rep
Amount of Permit $_ �"'`
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.
as.
My Commission Expires
(Signed)
Street
reef_.
Type of Tank Capacity Gals._______—
Notary Public. State of Florida
et
Size Septic Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
No. of Stories.
1 , s f `
(Signed), g _ Y ' • •
,.✓ Plumbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
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 t ` site of the work such '.ublic notice or1'.tices • are
sub- contracto on w to be perf. jH ed /I nder th' :r. • m t . re
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
•
Permit No
Owner's Name and Address
Registered Architect and /or Enginegr ___
7 `
a,. <
Employing Plumber's Name ._�, _____;__y_____ i
Location and Legal Description Lot__
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City-- -We
Amount of Permit $
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 not. A copy of approved plans and specifications must be kept at
building during progress of work.
TT v
1.ff No.
Block__JS
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building 24 Remodeling Addition Repairs No. of Stories
Type of Tank
No.__ ' Street__
S /
Street___4?
Subdivision_ _la
f I( / -_N'
Street___L
Capacity Gals.__1QJ_'_
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
umbing 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.
Notary Public, State of Florida
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
FIXT
CONTR.
LIST
/
I f .F./
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
I
�I / f
CONTR.
LIST
y
CHECK
( I f y
•
Permit No
Owner's Name and Address
Registered Architect and /or Enginegr ___
7 `
a,. <
Employing Plumber's Name ._�, _____;__y_____ i
Location and Legal Description Lot__
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City-- -We
Amount of Permit $
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 not. A copy of approved plans and specifications must be kept at
building during progress of work.
TT v
1.ff No.
Block__JS
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building 24 Remodeling Addition Repairs No. of Stories
Type of Tank
No.__ ' Street__
S /
Street___4?
Subdivision_ _la
f I( / -_N'
Street___L
Capacity Gals.__1QJ_'_
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
umbing 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.
Notary Public, State of Florida
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.
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 1590
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of .
Building .j
Subdi-
vision
Value of
Project
DATE 1 / 7 19
Contractor's •
License No.
.n.
vor-
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed. +' By t 1/4 1,
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 pertt�tt'ning thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village.,An accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
R i
CONTRACTOR OR BUILDER
✓�.. Y f f,
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of
Building F'
CO t RACTOR OR 13U}(DER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 1543
Subdi-
vision
Value of
Project
Work to be performed under this Permit
DATE ` 194_
Contractor's
License No.
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans ar,drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees. _, r
Signed r 0 ... By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and 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. .�
BY ,AkATHOLITY