511 NE 101 St (12)MIAMI SHORES VIL' AG
PLUMBING INSPECTION DEPARTMEN
APPLICATION FOR PLUMBING " ,�•�,9�°
Permit No. _ —_ Date )'— 3 ) d 5 6
Application is hereby made for the approval of 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 .!_('CYe t[>_A!L______ ,Ey_.Et,d/3s .�' No .__. S/ /
Registered Architect and /or Engineer______— .___- __ �________..__________
Size Septic Tank
Feet of Drain Tile.
Nature of Water Supply: City —Well
Amount of Permit $
- (Signed)_
(Signed)._
Master Plumber.
Street. !l/et (0/
Employing Plumber's Name No Street __
Location and Legal Description Lot. _ I _ 6 q 4_ .• - ____ Subdivision.i 1 10.1___S_ P. ? C S'
Street and Number where work is to be performed —No s t i ,A). Street- ( U t 11 57 •
State work to be performed and purpose of building (By Floors)__.._ AA.__ C.Algie.C.T.LAQ
New Building- .--------------- _ - - - -- - -• - - -- Remodeling —____ --- ____ -- Addition_.____ -_ Repairs No. of Stories
Type of Tank__ Capacity Gals.
_ -Dist. Feet of Tank or Drain Field from 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.
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.
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
INK
SLOP
SINKS
LAUNDRY
TUBS
R INALS
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
_.
CHECK
MIAMI SHORES VIL' AG
PLUMBING INSPECTION DEPARTMEN
APPLICATION FOR PLUMBING " ,�•�,9�°
Permit No. _ —_ Date )'— 3 ) d 5 6
Application is hereby made for the approval of 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 .!_('CYe t[>_A!L______ ,Ey_.Et,d/3s .�' No .__. S/ /
Registered Architect and /or Engineer______— .___- __ �________..__________
Size Septic Tank
Feet of Drain Tile.
Nature of Water Supply: City —Well
Amount of Permit $
- (Signed)_
(Signed)._
Master Plumber.
Street. !l/et (0/
Employing Plumber's Name No Street __
Location and Legal Description Lot. _ I _ 6 q 4_ .• - ____ Subdivision.i 1 10.1___S_ P. ? C S'
Street and Number where work is to be performed —No s t i ,A). Street- ( U t 11 57 •
State work to be performed and purpose of building (By Floors)__.._ AA.__ C.Algie.C.T.LAQ
New Building- .--------------- _ - - - -- - -• - - -- Remodeling —____ --- ____ -- Addition_.____ -_ Repairs No. of Stories
Type of Tank__ Capacity Gals.
_ -Dist. Feet of Tank or Drain Field from 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.
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.
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.
Permit No..--/z %
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors) _
New Building __ Remodeling _ _ ________ Addition__
Date 6
No.__— _._-- .-- ___ --- __ Street_
Employing Plumber's Name i _tip '� _ 6 k No._ _2,-5 �
_� _ ' &Feet _ e
Location and Legal Description Lot____._—_____ —__— ___ —_.. __Block_ Subdivision
—
Street and Number where work is to be performed —No 7l A/4 Street 1 /
Repairs 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: Cit Well Size of Soakage Pit
Amount of Permit $
(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. e. , t)
-o ff
Master Plumber.
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.
My Commission Expires
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
W
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
L•1�, ?
TOTAL
FIXTURES
LIST
G UST
4
/
j
q
� -
..-1_
CHICK
--
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE'
TRAP
COCRR
NEATER
DEEP
WELL
SPR KLR.
SYSTEM
SW IM'
POOL
;was,' i
pgs$
i 0 a '' &
CONTR.
LIST
/
/
CHICK
Permit No..--/z %
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors) _
New Building __ Remodeling _ _ ________ Addition__
Date 6
No.__— _._-- .-- ___ --- __ Street_
Employing Plumber's Name i _tip '� _ 6 k No._ _2,-5 �
_� _ ' &Feet _ e
Location and Legal Description Lot____._—_____ —__— ___ —_.. __Block_ Subdivision
—
Street and Number where work is to be performed —No 7l A/4 Street 1 /
Repairs 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: Cit Well Size of Soakage Pit
Amount of Permit $
(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. e. , t)
-o ff
Master Plumber.
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.
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.
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.
f y� 4
Owner's Name and Address.. rn l U �� ) 1 y Date No V l / Street ' ` / 6 J .
Registered t d Ar ht ec and/or t d/ Engineer
State work to be done and purpose of building ( oors) IS
,
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
C re - 1 Co )0 y
...... ... .....
Name and address of licensed contractor._ .__ /
Location and legal description of lot to be built on:
Lot Block Subdivision ,.{�
Street and Number where work is to be done `f � 1 7j ft / 5 / `r l
Q 9.1'7 (I/
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit $
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, 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 cinder this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA, I
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Village .of Miami Shores N° 3805
.c
JOB k s. re, n, c,> e �S
ADDRESS // A 'a'' s%` e-T
INSPECTION io-° 6v''-
TIME READY -4 2 7 ti o-�.J
REMARKS
INSPECTOR
4,
DATE — 2- 7 —
'Village of Miami Shores
JOB
ADDRESS J� ® /.
INSPECTION �i►2,1
TIME READY / , / ! •
N° 3632
REMARKS
INSPECTOR DATE 2"--.2""5.#0
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of f'
Building --"
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
0
PERMIT 11T° 3617
0
•V
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE,
Bl.
1
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
F O
P .
License No Y
DATE
Contractor's
BY AUTHORITY
195
_ e
Amount of /
L —
Permit $
This permit is granted to the contractor or builder named above to construc 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
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 regulations
pertaining thereto and in , strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I ast e responsibility for atl word': done by either, myself, my agent, servant or employee.
r/4.1e
BBUILDING
ELECTRICAL
!LUMBING
ROOFING
Owner of
Building
.rchitect
-,ontractor
Dr Builder
Legal
Description
Address of
3uilding
Lot
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 3123
II B 1
Signed.
Work to be performed under this Permit
J -
Subdi-
vision
Value of
Project $
BY •"
DATE
Amount of
Permit $
j
195'
Contractor's
License No.
This permit is granted to the contractor or builder named above to construc 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,
irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
;ranted 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 cr in the statements or specifications and that he assumes responsibility for work
one by his agents, servants or employees.
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 regulations
Dertaining thereto and in strict conformity with the plans, "drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
;epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY a
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA 1/
❑
❑ DATE //7 195
PERMIT N° 3046 Contractors ,►
License No. .
...4
Lot
I Bl.
/ fij f-.1
CONTRACTOR OR BUILDER
/ Al.: ;.00
Signed BY it
BY
Subdi-
vision
Value of
Project $
Amount of
Permit $
AUTHORITY
Work to be performed under this Permit
This permit is granted to the contractor or builder named above to construc 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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
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 regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.