640 NE 101 St (16)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building'
Archi tect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
❑ DATE 195
❑ PERMIT N° 5350 Contractor's ,,�
License No. r
❑ Work to be performed under this Permit
Bl.
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 f, 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 assume responsibility for all work done by either, myself, my agent, servant or employee.
Subdi-
vision
Value of -
Project $
Amount of
Permit $
BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING [l
ELECTRICAL ❑ DAT1! w ` -: 195
PLUMBING ❑ PERMIT N° 3462 Contractor's
License No.
ROOFING ❑
❑ Work to be performed under this Permit
Owner of ,�-
Building L.
Architect '
Contractor
or Builder
Legal Lot
Description
Address of
Building /' '/
CONTRACTOR OR BUILD
B1
BY
Value of
Project $
Subdi-
vision
Amount of
Permit $
1
r
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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. y Y" ,e'
Signed. BY
INSPECTOR
aeration of the issuan • me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertain frig : o • nd in strict conformity ith the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting per•'. I ass Ae responsibi pr for all work done by either, myself, my agent, servant or employee.
AUTHORITY
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
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.
Date.. t �� . - ..
O wner ' s Name and Address .... ...` �......x_.... „� ._.. • .h ......._.
Registered Architect and /or lyngineer.... . = = =•• 1,... =, ______ -* ., =.. =K.
C , t �•- �' r -: r Cam.
Name and address of licensed contractor._ t :, C- - _ g - t— �•••' '�— ` _A.- a
Location and legal of lot to be built on:
Lot - E. .S Block �..1 "... Subddivision' -�-ry
Street and Number where work is to be done 6 ..\\. -= Q.: `D.J + \t ,,. ..
State work to be done and purpose of building ha•
(by floorsltry - .. 1A -....
I her
be sent
__..._ ._. and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories 1 _
To be constructed of C- ‘. 5 Kind of foundation Roof Covering - " - G - ,. ....
Estimated Total cost of improvements $ 14 L? Amount of Permit $....),b 1 �'
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
MSaxirnum live load to be borne by each floor
mit all the plans and for said building. All notices with reference to the building and its construction may
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 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 s •ntr ctors n w• to be performed under this
permit, as are licensed by Miami Shores Village. f' c-
Remarks �___._ (Si • • R �� \d .s_..;a :•.-, -.
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, said that all facts
therein by him stated are true. y -
Permit No � . =_. " ® 1 Date �t Read, Sworn to and Subscribed before me.
Disapproved y . ate._
(Signed) C1.2) . -
( 7 2_ ,..4.__,..... ` Notary Public, State of Florida
._...��
Building nspcctor X Commission Expires
PLANNING BOARD _.._ DATE
Chairman Member
\ferober 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 frrnn
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 anti /or workmanship.
BUILDING INSPECTION DEPARTMENT
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.
Date..._..._....... X 1....._— _......__ ........ ,192
Owners Name and Address . .
,it)r
.._
ai _ No .............._....__. Street,...
Registered Architect and /or Engineer ti; „,„"„•,„,,„ .t, 1 , -.. ..
Name and address of licensed contractor.... . %'. L : .. Q ' 9Z /U • -
Location and legal description of lot to be built on:
Lot Block ��{{ Subdiivission
Street and Number where work is to be done C � -�� 1 i'1 Ai
State work to be done purpose of building (by floors)
-s.2-1 —
Permit No .._../
Disapproved
(Signed) .....
New Building Remodeling
MIAMI SHORES VILLAGE
Building nspcctor
Addition
f,z
and for no other purpose.
Repairs y No. of Stories /
To be constructed of Kind of foundn Roof Covering
Estimated Total cost of improvements 5•...60
Zone Cubage required
Amount of Permit $.
_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 perinit 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 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 rformed jinder -
pennit, 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 --- . . - -. - .
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.
Date. f-/ 7- 7 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
to me well known,
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 $1.00 will be charged when rush re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
F
Permit No
`L
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed) G J.�.
Date
1 zsr - zz
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.
/�► '� E Al No. ` 445 S treei._N �E.... 1 ° 1 - _-t •
Owner's Name and Address V) •Ca -- • • -
Registered Architect and /or Engineer —
Employing Plumber's Name M t C°41-1`4% t It ! i °I E 7 ? .P16-woti C " - ? '4.:1 .,.,,,,_ S eet. .N:R E" ',n,2. , A •se . —..
Location and Legal Description Lot Block Subdivision.-- ...__ -_ _ —__ _
Street and Number where work is to be performed —No L • N
4 • e. Isal J
i - 1 Street j — _..._-
State work to be performed and purpose of building (By Floors) - - w► b " 1_ -b r re M o 4 e 1; } k g.4% Q A. _ -
New Building Remodeling___ — ._.. -_ -- Addition._. -_ -.- Repair 1 No. of Stories
Size Septic Tank -------- - - - - -- — - - -- T ype of Tank__
Feet of Drain Tile._. -- — — __Dist. Feet of Tank or Drain Field from Well ..._. - • - - - -- ---....----__--
Nature of Water Supply: City —We1L __Size of Soakage Pit
Capacity Cali...-- --- ....... - -- ..... ..._ - -----
Notary Public, State of Florida
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 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) Sea 141.+4Le.40 d -
G.�{ Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. b
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 be has carefully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when suer ts•iospeetioo is mods' necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SINKS
SLOP
SINKS
LAUNDRY
Tune
UR INALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIKTURES
CLOUTS
BATH
Tue.
"
LAVA-
TOMS
1- R �w/�
I Se4
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
N EATER
DIED
WILL
SPRKLR.
SYSTEM
SWIM•O
POOL
a jiv. t
1 ■ 346 •1 ^.
Cowrie.
/- Q ....'
R
'--
1_ Se 3.
LIST
CHICK
F
Permit No
`L
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed) G J.�.
Date
1 zsr - zz
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.
/�► '� E Al No. ` 445 S treei._N �E.... 1 ° 1 - _-t •
Owner's Name and Address V) •Ca -- • • -
Registered Architect and /or Engineer —
Employing Plumber's Name M t C°41-1`4% t It ! i °I E 7 ? .P16-woti C " - ? '4.:1 .,.,,,,_ S eet. .N:R E" ',n,2. , A •se . —..
Location and Legal Description Lot Block Subdivision.-- ...__ -_ _ —__ _
Street and Number where work is to be performed —No L • N
4 • e. Isal J
i - 1 Street j — _..._-
State work to be performed and purpose of building (By Floors) - - w► b " 1_ -b r re M o 4 e 1; } k g.4% Q A. _ -
New Building Remodeling___ — ._.. -_ -- Addition._. -_ -.- Repair 1 No. of Stories
Size Septic Tank -------- - - - - -- — - - -- T ype of Tank__
Feet of Drain Tile._. -- — — __Dist. Feet of Tank or Drain Field from Well ..._. - • - - - -- ---....----__--
Nature of Water Supply: City —We1L __Size of Soakage Pit
Capacity Cali...-- --- ....... - -- ..... ..._ - -----
Notary Public, State of Florida
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 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) Sea 141.+4Le.40 d -
G.�{ Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. b
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 be has carefully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when suer ts•iospeetioo is mods' necessary by improper notice for inspection, or faulty
materials and /or workmanship.
A -C4 , e- A re'
1
L. /4 TL--7 A/
1/ XZ" /d /
G /q fg,e s tti
I
je) / W lc1117 A'iz in
Ai 6
g c , e / 9 c= /4
/1, 6- 42 in T gr I e 7 i;
c5;4/577/e("-(--