688 NE 101 St (14)Permit No
Date-. - -- - -- o___ ci /9 7
Application is hereby made f 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.
Owners Name and Address____Zrd- ieZL=---- - - - -._ No. Street_ ...
� - .1.
Registered Architect and /or Engineer_.__ _L_A__2
Employing Plumber's Name
P Y�8 � _���_�� � _. — No . Street____4/ 1,c7.4
Location and Legal Description Lot Block
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
Size Septic Tank_
Feet of Drain Tile_
Nature of Water Supply: City — Well.____ — _Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank_ Capacity Gals
..Dist. Feet of Tank or Drain Field from Well
Plumbing Spector.
,
(Signed)
Subdivisi - -- - - —
Street_
Repairs No. of Stories . . .... .. .... .. . ....
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e loyer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppleme ,, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him n 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.
A /ia� x/,
r
Master Plumber.
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
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
---
- -.—
CHECK
`'
c , ,z%'
z
Permit No
Date-. - -- - -- o___ ci /9 7
Application is hereby made f 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.
Owners Name and Address____Zrd- ieZL=---- - - - -._ No. Street_ ...
� - .1.
Registered Architect and /or Engineer_.__ _L_A__2
Employing Plumber's Name
P Y�8 � _���_�� � _. — No . Street____4/ 1,c7.4
Location and Legal Description Lot Block
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
Size Septic Tank_
Feet of Drain Tile_
Nature of Water Supply: City — Well.____ — _Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank_ Capacity Gals
..Dist. Feet of Tank or Drain Field from Well
Plumbing Spector.
,
(Signed)
Subdivisi - -- - - —
Street_
Repairs No. of Stories . . .... .. .... .. . ....
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e loyer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppleme ,, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him n 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.
A /ia� x/,
r
Master Plumber.
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.
MIAMI SHORES VILLAGE
Application is hereby mode for the approval of the detailed statement of the plans and specifications herewith submitted for the build
in 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.
Location and legal description of lot to be built on:
Lot ` Block /
Street and Number where work is to be done
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Subdivision
iiefA fee or
State work to be done and purpose of building (by floors) .,.TZ _tfti Jilt . r .O.
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Disapproved
(Signed)
Da e
BuiVding In spec r
Date... . ......._._. ,19.2.6
Owners Name and Address _ . .#:4 k . g � No. .�`f._. ... Street ._.�t�b :_/4/ '
Registered Architect and /or Engineer.... Ii S- .44 .
fk-
Name and address of licensed contractor......4.AI
tf., 7.7*. -
t.,....,,..2,.x_..x. . .x.222.2 2
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 $. 4i Amount of Permit Si.
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 Libor under theFlorida 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 performed under this
pennit, as are licensed by Miami Shores Village. i
d r -. y
Remarks (Signed) L.....'
..... _.. --... " . e t ,
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
ei
•
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.
Permit No _. " ' Date q ° )
to me well known,
LANNINC BOARD _.._.
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 rc 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.