315 NE 101 St (4)Qualifier
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305-795-2204
Date Job Address 3 1C/Lg. /O/ 1C i r Tax Folio
Legal Description n Historically Designated: Yes No
Owner /Lessee/Tenet (0 W LaNn Master Permit #1 .--)( ( / ) 1 ) •
`1 L
Owner's Address J c /0 sr `
Phone 30 1.S7j3 6
Contracting Co. v./ 44161 /..a 1 �`�' Address L a) V f�G C1J- - J Y .i / o
State # ../ >/Ja //D 3
Municipal #
SS# , Phone ..F.36 5 �� �J6✓
/�1' 3 ? Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING TOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL ( PLUMBII,IQ MECHANICAL ROOFING
WORK DESCRIPTION:
5 r Alla/
Square Ft. Estimated Cost (value) 1 L
Signature ofowner and/or Condo ?resident
Notary
My Com
/ma
T r
. • wner a �� ; ' '^' TTi o. I•Z,ORID4
sion Expi s COMMISSION N'O. C.C9•)9u I3
MY COMMISSION EXP. iU'\: 2 00
FEES: PERMIT
APPROVED:
Zoning Building
Mechanical
Date Notary as to
My Commissio
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 ANY 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). 1 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 all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulates construction and zoning. Furthermore, I authorize the above named contractor to do the work stated.
-( 4/ox--)
Date Si nature o' Contractor or Owner Builder Date
or or
ires
1)
/WI
da0 ' 1L SIGN NO. CC9497Y;
COMIVfIS5IONFXN JUNE 25,2004 J
RADON C.C.F A D NOTARY BOND
TOTAL DUE '
Electrical
Plumbing / )lam Structural Engineer
UNIT
R
FEE
ITEM
5 I TCO CUTLETS •
FEE
.
ITEMR - . • • '
SPACE HEATHS . '. •
CHIT
FEE
LIGHT OUTLETS
CENTRA AT I N G
74-ER
I RECEPTACLES
A/C (WIND) •
it
SERVICE TEPCRAAY
A/C (CENT)
D FCIRTTAIH
SERVICE SIZE IH ASPS
p ET WORK
MAIN
SERVICE RE?AIPAEM VA.C£
REFRIGERATION
TRAP
A?PLIAyCE OUTLETS
PROCESS ANO FRESS PIPING L_
7101
I RAW4E TCP
UMERGROUND TANGS
RY
-
OVER
ABOVE GROUND TANKS ,
Y TRAY
RATER /EATER
U.F. FRESSLRE VESSELS - .
S WASHER
MOTORS 0- 1 FP
STEW BAILERS - • - .1
• •
OTCAS OVER 1- 3 FP
HOT RATER BOILERS
P01/3 COMP.
1OTCRS OVER 3- -51•P
MECHANICAL VENTILATION •
• f
RESIOENCE
I MOTORS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
SLOP
- MUM OVER 8- 10 FP
ELEVATCRS/ESCALATCRS
UPY RATER CLOSET
MOTCRS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
WTCRS OVER 25-100 FP
COOLING TGT+ERS
•
CLOSET
. POTCRS OVER 100 FP
I VIOLATION
I
ECT WASTES
A/C WINDOW
REINS?ECTION
.FPLY T0:
AIR COIDITICNERS .
•
. UNIT
I STRIP /EATER
E SPRINKLER
GENERATORS TRANSFCAV AS
•
,TER -HEW I1ST.
I GENERATORS TR..ksFCR.YRS
I I
,TER- REPLACE
) CE:+ERATCRS TRAFCR.4ERS
L
N SPR I H HER -1ti LL
__42) S?EC I AL PLRPCSE
WING PCOL
• OUTLETS COMMERCIAL
I
ER SERVICE
• SIGN TLBES
COMECT IONtS
SIGN TR.L`SFnERS
SIGH TI) ,•E CLOCX
TY -S€' R
Ty-WATER
1 FIXTLRES
C TANA
! AKiENNA
I TELEVISION CUTLETS
I VIOLATION
' IELO, 4' TILE/RES. '
& ABANDON SEPTIC TANK '
REItS?ECTI0H
I
I
:CE PIT CU. FT.
i BASIH
JARGE WELL
STIC WELL
CRAIN
IafT
R WATER /NEATER
STA`iP IPE
PIPING
L,S?R I?0QER SYSTEM
RANGE
:4 SET (GAS)
PIPING
.
. ?LICATIO' FOR BUILDING PE ?� iT :JUST ACCQ?•'?A`.T THIS ADDF2tiDtai. IF A Y_ASTER PE-R.911 'r_kS 3.
iNED, TT.-7E ow ER'S NOTARIZED SIGNATURE /+FED NOT BE PRESENT ON SU3SEQ= APPLICATIONS
PLUMBING
ELECTRICAL
MECHANICAL
atra
main
!mod
ASSOCIATES. LTD.
71, &
PAY
a,1.10e b CP - t
O THE
T y JAW
^
ORDER ih4G i�17,ti J
OF
Jaffer Associates, Ltd.
OPERATING ACCOUNT
2801 N.W. 6 Avenue • Miami, FL 33127 -3937
P.O. Box 370277 • Miami, FL 33137 -0277
Phone: 576 -7363 • Fax: 573 -8711
Sun I rust Bank. N.A.
777 Brickell Avenue
Miann. Flonrla 33131
II' L066 L ?" 1:0660006044 0 L8900 1 L 3 1
63-60
660
106617
DATE CHECK AMOUNT
0
FFER ASSOCIATES,LTD.
Miami Shores Village
10050 NE 2nd Avenue
Plumbing Permit
Phone: 305- 795 -2204 Permit Number: PL2002 -127
Printed: 5/22/2002
Applicant: PAMELA MARMIN
Owner: MARMIN PAMELA
JOB ADDRESS: 315 NE 101 ST
Contractor JAFFER ASSOCIATES LTD Contractor's Address: 2801 NW 6 AVE
Local Phone:
Parcel # 1132060135190
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 14 & LOT 15 BLK 38 LOT SIZE
Vpik o
Cam. -F 0 • (Qo .
C.ej
Total Fees: $0.00
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/18/2002 Construction Value: $500.00
Work: 2" IRRIGATION SUPPLY WELL
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the budding 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 nderstanding 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:
In consideration of then
plans, drawings, stateme
servants or employes.
(INSPECTOR) BY:
of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the
ifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent,
Signed: (Contractor or Builder) BY:
".UILDING
LECTRICAL
'LUMBING
owner of
wilding
Architect `'•
Contractor
�r Builde/ t ( I
Lot
MIAMI SHORES VILLAGE, FLORIDA
RMIT N° 6535
Work to be performed under this Permit
'
rpd ( f 4 I r
f
. / l
Subdi-
vision
BY
DATE 194,
/7 /
Contractor's
License No.
l
Arnt. of
Permit
Legal
Description
Address of ') d / ,,1 . J ! V L Value of
✓ ( 'I /) ., ' Project
This permit is granted to the contractor or buildet,named a.o • to nstruct the building or to install the equipment or .evice described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
fans, 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 die work is not done in compliance with such ordinances or if the plans are changed without authorization. A further conditioruup which this
ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge o ordinances and
9ggu�lations pertaining to the work covered hereby whether shown on the plans or dr ings �Or in s tements or sue ' ications and t � es respon-
ibility for work done by his agents, servants or employees.
Signed lj i j L ` : �� '' ( . /F By
—IN ACM
In consideration of the issuance to me of this permit I agree to perform ie work covered hereunder in compliance with all ordinances and regulations
ertaini* ereto and in s t confo ■ ity with the Tans, drawings, siatermmnts or s rficatio submitted to the proper authorities of Miami Shores Village.
a p ' s permit I ssume r:.. onsib)ktV for a work done by either yself, gent r vant or employee.
c CO 44 R O' iR :UILDER
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building / ,
Architect✓
MIAMI SHORES VILLAGE, FLORIDA
,...t 7 7-
ERMIT N? 6535
Work to be performed
Bl.
.41
der this Permit
DATE
Contractor's
License No.
/( 6 °' jZ
Contract
or Buil
Legal Lot
Description
Address of
Building
This permit is granted to the contractor or builder named a. t. construct the building or to install the equipment o device described in the appli-
cation 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 conditi. . gon which this
permit is granted is the understanding that the contractor or builder named above assumes the resppn bility for a thorough knowledge ordinances and
regulations pertaining to the work covered hereby whether shown on the plan or d(awing(or in the. tatements or oeifications and ':t lie : . mes respon-
sibility for work done by his agents, servants or employees. tt ` /
n c d 0 ' r L� uvsP
Subdi-
vision
Value of
Project
Amt. of .
Permit
By
In consideration of the issuance to me of this permit I agree t perfo a work covered hereunder in compliance with.j11 ordinances and regul }lions
pertainin_ , thereto and in con rmity with the plans, drawings, ents or cificati s submitted to the proper authorities of Miami Shbfes' Village.
In e • _ this permit ,a ssume pons y for Illl work done by either mysel r agen rvant or employee.
4..r..
AUTHORITY
19L
j f
Permit No
r
Location and Legal Description Lot Block Subdivision_
Street and Number where work is to be performed —No 1_
Nature of Water Supply: City —Well
Amount of Permit $
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.
s Name and Address , , i ' r No / .>i Street E / rl . -
Owner's
Architect and /or Engineer ,,,,._, ,
t
:r9 � '
Employing Plumber's Name _ "� . .',. f- _ .;_i �.!.l..j.;No F r` . " "� +
�� ._.�----- -- -,-- - -'� -� -- L' � tr e e
;. �____M�_
• _ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs 1.- __ ___ . No. of Stories
Size Septic Tank Type of Tank Capacity Gals
1
Feet of Drain Tile Y__s.i___...a Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
C_A ' (Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
Master Plumber.
STATE OF FLORIDA, 1
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to one well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA -
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
j f
Permit No
r
Location and Legal Description Lot Block Subdivision_
Street and Number where work is to be performed —No 1_
Nature of Water Supply: City —Well
Amount of Permit $
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.
s Name and Address , , i ' r No / .>i Street E / rl . -
Owner's
Architect and /or Engineer ,,,,._, ,
t
:r9 � '
Employing Plumber's Name _ "� . .',. f- _ .;_i �.!.l..j.;No F r` . " "� +
�� ._.�----- -- -,-- - -'� -� -- L' � tr e e
;. �____M�_
• _ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs 1.- __ ___ . No. of Stories
Size Septic Tank Type of Tank Capacity Gals
1
Feet of Drain Tile Y__s.i___...a Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
C_A ' (Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
Master Plumber.
STATE OF FLORIDA, 1
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to one well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder 644.
Legal Lot
Description r Z 1 11 0.
Address of
Building '2 (
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 5234
Work to be performed under this Permi
t
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w'th 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 chang • . witho au ization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assun the.onsi. 'iya thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or . •r specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. j��"f
TO
In consideration of the issuance to me of this permit I agree to perform the wor 've e.' ereunder in compliance with all ordinances aid regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specificati. s 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.
410)1
Bl.
Signed:
Subdi-
vision
BY
DATE
Contractor's
License No / 7 C.
Ai. 15
Value of c ''�Ni1 Amt. of j �~ V
Project / D Penrut
By
v
AUTHORITY
1947_
Feet of Drain Tile
Amount of Permit $
Permit No. 4
1/ V
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 Engineer (�
Employing Plumber's Name
Location and Legal Description Lot
x,5`4 %v- 1 11 19
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors) 4k2 - - -- - --- -
No. of Stories grigQ °°
o 0
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
(Signed)
(Signed)
Date
/_s
p No: -� � [% Street 1 1 f
Block d` Y -- -• Subdivision
New Building Remodeling Addition_.__.l C _ Repairs
treet
Size Septic Tank Type of Tank T Capacity Gals
�.
Street / d 1-4-1
• -4
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 contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. 1
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
the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
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
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
-
CONTR.
LIST
I
10.
CHECK
Feet of Drain Tile
Amount of Permit $
Permit No. 4
1/ V
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 Engineer (�
Employing Plumber's Name
Location and Legal Description Lot
x,5`4 %v- 1 11 19
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors) 4k2 - - -- - --- -
No. of Stories grigQ °°
o 0
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
(Signed)
(Signed)
Date
/_s
p No: -� � [% Street 1 1 f
Block d` Y -- -• Subdivision
New Building Remodeling Addition_.__.l C _ Repairs
treet
Size Septic Tank Type of Tank T Capacity Gals
�.
Street / d 1-4-1
• -4
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 contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. 1
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
the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
,, L'LECTRICAL
PLUMBING
Owner of
Building
Architect k�
vv
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 5234
Work to be performed under this Permi
dr"""• t
Contractor t", r, ,*^ 444A.
or Builder otoil .
Legal Lot t ' Bl. Subdi Y
' Description '"f / vision l I
Address of H f Value of Amt. of j or
Building " C� , ,� `, 0 tc Project Permit 1
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 chang d withotft a rization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assuy the jponst8ilit of a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or dr ... ri the t, jsits,,,or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. ? ' . i
Signed
�y ` ' By 5� '
SEECTOR
In consideration of the issuance to me of this permit I agree to perform the worlZvereyrhereunder in compliance with all ordinances dnd regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authori ties of Miami Shores Villge.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. "T 0- • r f /�
k, t mo.
I./ t . .n : ,t , if ..A. e,
CONTRACTOR O R BUILDER BY AUTHORITY
DATE
Contractor's
License No
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
4
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE 194_
ERMIT N9 3515
Work to be performed under this Permit
Subdi-
vision
Address of -- e- <' Value of Amt. o
Building ! t, Project �
3 -r Permit /- E
LY t y A
Bl.
1J`,!■:R`•'otT: TI3is Cefigtruolon tfujt he in violation of
";:at Ptoaeutnn •tvA m:Li:A ons era , nv
tl& SI (dIt)I,0tt4,i to wO!'Fzilit ?<L,' Wi9
Onzre LI:iica ilOtO O agriov4
'; ::R r.rtnit
Contractor's
License No.
This perms granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application hereforin strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statemeMsor- cpeci.cationsthat 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
— on 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 • 1 " ' By
IN§PECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with ailipadinances and teupia0
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au ties of Miami thofess
Village. In accepting thjs permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
ERMIT N9 3515
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Subdi-
vision
DATE ` 194
Contractor's
License No
to* NAsitAifil ?Rio C!0
4.44 Q(:a W9,,4 *A4`ri «i rfA4 *,,9," ~ `n
m B i�?41
Legal Lot Bl.
Description
Address of _ Value of
Building i "' Project
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 t . 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.
Amt. of
Permit
CONTRACTOR OR BUILDER BY AUTHORITY
DATE
ISSUED TO
SEWER
to install the following described pluTbing, in accordance'with
the laws, statute and rogulatinns cf Miami Shores Village,
FiorMa and the State of :da, govol'hing . 1pumbing and drain-
age work done in Miami Shores Village, Florida.
FOR A STORY
AT
FIXTURES
SEPTIC TANK / 2
MIAMI SHORES VILLAGE FLA.
PLUMBING PERMIT
or:
TOTAL ,i13, / 0..
FIXTURES
NO.
r: 555
BUILDING
Payment Received
0-
By 0 A
Village numbing Inspejt --
This permit issued subject to approval of County Plumbing Inspector
•
'ISSUED TO 1 111.
$4 ee
FOR A
AT
FIXTURES
SEWER
SEPTIC TANK
STORY
MIAMI SHORES VILLAGE FLA.
TOTAL 4 0 / # 4.
PLUMBING PERMIT
RIXTURT,S
NO.
555
to install the fclirming omscribed pluTbing, in accordance with
the laws, statute9 and rogIllatinns o Miami Shores Village,
Florjaa and the Stato of Tl'xolda, governing plumbing and drain-
age work done in Miami Sho Vi1iage, Florida,
Payment Received
BUILDING
Village P.Lumbing - Inspector
This permit issued subject to approval of County Plumbing Inspector
•