636 NE 101 St (6)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
( OWNER TO RETAIN COPY )
Date J C P Job Address c 3 p lea/ S7'
Legal DescriptionP 9#14,-- 84 7 ,4 f g y t a.st-er Permit # 3
Owner / Lessee / Tenant DCni ,'Ji9 (34z/vv
Owner's Address
Contracting Co. '• 4 /g' _ � S
Qual if ieC 40,2/ 5 ✓ . / hyG- . ,
Phone j -r2 '
1 1/ v Ins. Co.
Phone
BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
Estimated Cost 2-S °
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.
OWNER'S 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 zoning.
Furthermore, I authorize the above -named contractor to do the work stated.
e_
Signature of Contractor or Owner- Builder
Date:
J ev...94.4 Y
ary as to Contractor or Owner- Builder
Commission Ex aged ... �,
* * * * *
wry
Electrical
*
�� pp�� eI
`\3 !)Eng ineering
PgS 1 237 Aev 11/79
r
s •
`34 NE 101 5-1
L b C 1 W -f '/z o f. 5
Clock 1
(V1 A niN" , S In o rc S Sec. -f q
Ort. - to rA IS iN (,r44,1 $PAC(
2.'1 o f 3 /q "c /L.
NE 101
N
SECTION
SCALE C
CAn. BY
Pl cbras GAS SYSTEM ,Inc.
f),- „ (_,e. •Sec-0 G -to 6.3( •j lvi
DATE
_�{
3- -) 5 6 1
SHEET
of
J.O.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
building
CONTRACTOR •R BUILD
MIAMI SHORES VILLAGE, FLORIDA
DATE
ERMIT N° 4483
Work to be performed under this Permit
X 111 # IAA-7141;74.
ie-(41 �. :
Lot Bl. Subdi-
/ �.* `j r �l vision
G s f 1 /114.11 Value of
� Project
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described • e appli-
cation __f__ in strict compliance with all o rdinan c e s pertaining thereto and w th the understanding that the work will be performed in compli: - with any
plans, drawings, statements or specifications that may have been submitted to and approved by e proper municipal authorities. This Permit be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are 1 without authorization. A further condi.. • . which this
't ' anted is the understanding that the contractor or builder named above assumes the s onsibility for a thorough knowledge of : ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or i the statements or specifications and that h • assumes respon-
sibility for work done by his agents, servants or employees. i
Signed.
BY
Contractor's
License No.
1 194
Amt. of
Permit
c
S
e By 7Ykd
INSPECTOR
In consideration of the issuance to me of this permit T agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining ther • and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In acceptin ..; 27 't I a e respq»j .fora work done by either myself, my agent, servant or employee.
.r
AUTHORITY
OWNER
LOT
BLOCK
SUBDIVISION
r f.
Date
Issued to
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a story building at
Fixtures rr
Fixtures
Sewer
�hores9llage
F L O R D A
PLUMBING PERMIT N9 794
$
Septic Tank $
Total $ //
Village Plumbing Inspector
Received Payment by
i
ate
ssued to
dd1iami fliores9 llage
F L 0 R 1 D A
PLUMBING PERMIT N° 818
Z / - LX .t L L! Za4 c
SUBDIVISION
OWNER LOT BLOCK
r )
to instill the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a story building at
Fixtures
Fixtures $
Sewer $
eptic Tank $/ �
Total $ / " `
Village Plumbing Inspector
Received Payment by
. / .. f
•
OWNER
LOT
BLOCK
SUBDIVISION
cShores D llage
F L O R A
PLUMBING PERMIT N? 818
Date /
Issued to
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a story building at
Fixtures
Fixtures $
Sewer $
Septic Tank $,
Total $
Village Plumbing Inspector
Received Payment by
e
ssued to
‚ tic Tank $
Total $
iami Jhores9llage
F L O A D A
PLUMBING PERMIT N9 794
Received Payment by
•
to instal he follow' described plumbing, in accordance with the laws, statutes and regu-
lations f Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
,
For a 'story - building at r / . ' j f
Fixtures ", • t f /4444. 1 / - . r c r '' -4‘ / (% r - c 11. 4 .► t r. /, c t ..
7 - :4 -� • --,c,
Fixtures $ / , T 7 S
Sewer $ / r
•
Village Plumbing Inspector _____
v oWNER
LOT
BLOCK
SUBDIVISION
1
f
- ,�/
(,�
r -
"
' f ,
e
ssued to
‚ tic Tank $
Total $
iami Jhores9llage
F L O A D A
PLUMBING PERMIT N9 794
Received Payment by
•
to instal he follow' described plumbing, in accordance with the laws, statutes and regu-
lations f Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
,
For a 'story - building at r / . ' j f
Fixtures ", • t f /4444. 1 / - . r c r '' -4‘ / (% r - c 11. 4 .► t r. /, c t ..
7 - :4 -� • --,c,
Fixtures $ / , T 7 S
Sewer $ / r
•
Village Plumbing Inspector _____
THIS SPACE FOR ELEVATION SKETCH
In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to
correspond with the opening shown in floor plan or ground plan on opposite page.
T
1
"IC; a
F1 L I L.
L �
!w -
A PERSPECTIVE SKETCH WILL BE SUFFICIENT
PROVIDED THE WORK CAN BE CLEARLY SHOWN
T
THIS SPACE FOR PLAN SKETCH
Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the
stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw
floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal
soil and waste pipes, in reference to same.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTAINS
TOTAL
FIXTURES
`'
/
/
/
1
Sketch position of building and lot lines in square (which represents an entire city block), showing on which
street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic
tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate
layout of all underground pipes for future references.
WEST
NORTH
A
SOUTH
EAST
Remarks:
NORTH
SOUTH
A-244 5 -35 5M
I herewith submit the following plan of
Employing Plumber
New
For a
Dwelling
Owner or Agent
fd
Builder or Contractor is
Lot No.
Address
DIVISION O T R LUMBING INSPECTION
DEPAR M;ENT OF PUBLIC SERVICE
IAMI, FLORIDA qq S 19
d -
, bing for approval:
Work executed by
Store ❑ Garage ❑
C+1
Date
ROUGH -IN INSPECTION
Ground Rough -In Rain Leader
A M P M.
Approved by
Condemned by
REMARKS
Old ❑ Story
? .
Block No. ' Subdivision
SEWER INSPECTION
A M P M.
Approved by
Condemned by
REMARKS
Plan No Sewer Permit No
Apartment ❑ Hotel ❑
Address
Address
Addition ❑ Re modeled ❑
Office Bldg. ❑
Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bld. sewer ❑
To septic tank ❑ Existing bldg. drain ❑ To dry well ❑
A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information.
DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY.
Datp
Date
FINAL INSPECTION
A M. P. M.
Approved by
Condemned by
REMARKS