553 NE 101 St (3)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement ur cne 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.
��// C Date.. 2 0 / ° __.. ,19L2
Owner's Name and Address . JAM S....e l .a../..OT l___.a._.__ — No..._5 3— . Street 6. / O 1 5 T
Registered Architect and /or Engineer 0:,. III "If a VITDTtQ1,.•PH,,,... VTI -tt,.
Name and address of licensed contractor Dili 1 R..._..,
Locatioaapa legal desscriipt' n of lot to be bu on: //
Lot. •i i /. Block d f � Subdivision A1•AP � �. iL
� 3(7-o6 1
Street and Number where work is to be done 55 N.E. .... _ . . 10/ _...5 / > .__..... �._....__
State work to be done and purpose of building (by floors)....4/ON- C()e _ z . .A.10.a.._... 0.:T .
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation �_ n Rgo�f vering
Estimated Total cost of improvements $ 370 0 Amount of Permit S. t!�
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 rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performe 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks... (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 e true.
Permit No.. Read, Sworn to and Subscribed before me.
/ Date
Disapproved . A �T\ L:. Date
Notary Public, State of Florida
(Signed)
Lidding Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Ntcrr,bcr 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 hero 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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No i '144& Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submftted foi the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vlllage, 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 _%J.k61..ES.--6...A.T.C5...._ No. S Street.O.L.6 SL
Registered Architect and/or Engineer
Employing Plumber's Name W MEtt,
Location and Legal Description Lot Block—
Street and Number where work is to be performed—No Street.
State work to be performed and purpose of building (By Floon)______ALTrairnQA.
New Building________ Remodeling Addition.
Size Septic Tank-_ Type of Tank____
Feet of Drain Tile — Feet of Tank oe Drain Field from
Nature of Water Supply: City—Well. Size of Soakage Pit
Amount of Permit s_r6
(signed) Y
My Commission Expires
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 Permanent Supplement, and limn com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor i. 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 is are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, tis are
licensed by Miami Shores Village.
(Signed)
Notary Public, State of Florida
.1ne ■••••1110111111110•011. • • erl,e • •
Repairs No. of Stories .... .
STATE OF FLORIDA, }
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admcnvIedgments, 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 be did slips the same, and that all facts
therein by him stated are true.
NOTE: A re fee of $L00 will be made wham 11111011 ro4sapettion M made.necessery by bnproper notice for inspecdon, or faulty
materials and/or worlonanship.
CLOSETS
BATH
TU•Il
gi
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tu88
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK I NG
FOUNT' NS
TOTAL
FIXTURE,
Camera.
LIST
1
1
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP'
SOLAR
H [ATKA
DEEP
WELL
SPR KUL
8 M
SW 1140
POOL
1 ...
CONT.
UST
I
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No i '144& Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submftted foi the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vlllage, 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 _%J.k61..ES.--6...A.T.C5...._ No. S Street.O.L.6 SL
Registered Architect and/or Engineer
Employing Plumber's Name W MEtt,
Location and Legal Description Lot Block—
Street and Number where work is to be performed—No Street.
State work to be performed and purpose of building (By Floon)______ALTrairnQA.
New Building________ Remodeling Addition.
Size Septic Tank-_ Type of Tank____
Feet of Drain Tile — Feet of Tank oe Drain Field from
Nature of Water Supply: City—Well. Size of Soakage Pit
Amount of Permit s_r6
(signed) Y
My Commission Expires
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 Permanent Supplement, and limn com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor i. 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 is are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, tis are
licensed by Miami Shores Village.
(Signed)
Notary Public, State of Florida
.1ne ■••••1110111111110•011. • • erl,e • •
Repairs No. of Stories .... .
STATE OF FLORIDA, }
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admcnvIedgments, 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 be did slips the same, and that all facts
therein by him stated are true.
NOTE: A re fee of $L00 will be made wham 11111011 ro4sapettion M made.necessery by bnproper notice for inspecdon, or faulty
materials and/or worlonanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT p
Permit No.. "/ L^ Date ,)-Q ....Q
Application is hereby made for the approval of the detailed statement of the plans and specifications herewit subm ed for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work. `
Owner's Name and Address 0.1.ES ..... x:IA....YA7"e 5 No 557.3 Street iE• 101 ST.
Registered Architect and /or Engineer
Employing Electricia6's Name W `''r\ No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) .........
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
Electric41 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
t
STATE OF FLORIDA, l
j se.
COUNTY OF DADE.
Street
(Signed)W!/
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
O
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
1 p
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.0 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT p
Permit No.. "/ L^ Date ,)-Q ....Q
Application is hereby made for the approval of the detailed statement of the plans and specifications herewit subm ed for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at
building during progress of work. `
Owner's Name and Address 0.1.ES ..... x:IA....YA7"e 5 No 557.3 Street iE• 101 ST.
Registered Architect and /or Engineer
Employing Electricia6's Name W `''r\ No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) .........
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
Electric41 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
t
STATE OF FLORIDA, l
j se.
COUNTY OF DADE.
Street
(Signed)W!/
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
EXISTING DINIIUG ROOM
EXISTING OUTLET
Ex15TING WALL
7
34-"
EXISTING BEDROOM
EXISTING WALL
•
24X 4 AWNING WINDOW
l 2 "x If BLOCK
THESE PLANS ARE APPROVED FOR
ISSUANCE OF A BUILDING PERMIT
VARIANCE(S) LISTED IN "REMARKS"
MIAMI SHORES BUILDING AND ZONING
UNLESS SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMPLIED
Authorized Signature Date
• WITH NO VARIANCES • WITH
NO OTHER DEVIATIONS FROM THE
ORDINANCES WILL BE PERMITTED,
ALL OTHER APPLICABLE STATE
WITH BY ALL PARTIES.
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
BUILDING DIRECTOR
PLANNING & ZONING CO . ;..
VILLAGE COUNCIL
APPROVAL
PRELIMINARY: FINAL:
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB CONTRACTORS .V " `., - K'•!OWLEDGE OF ALI. BUILD-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.