1189 NE 102 St (14)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Type Insp'n
Permit No. 2. 2. D
Name
Address
r
Comps 4
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
if (o2 S -r Tax Folio 1 ('520 01 •• D) 0
SeC g
Legal Description I 0 l�(RZ / 15 M Silo('(' Historically Designated: Yes No
Date '1 /C)J [02.- Job Address
Owner /Lessee/Tenet Geforti�' G1 act b i r
Owner's Address 1 l fg/ NE E 1 02
Contracting Co. SeeC W(i r11C I t ` ' h C
Qualifier rt T G s 0 m SS#
State # SA' (2° U 0 7 4
Permit Type (circle one): BUILDING ELECTRICAL
( 1 u N
1 I
L` !,
Signatur own: .►I aC and
i t SOLOMON
C( � MV c • 1 IPSION # CO 054606
EXPIRES: Jul 16, 2003
yy� •T %II Iji I ce 6 Bonding Co.
Not Owner an
My Commission Expire
ondo President
FEES: PERMIT 0 ., RADON
APPROVED:
Zoning Building
Mechanical Plumbing
796 -87 x
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
2 3
Date
C.C.F
Yo
Master Permit # 4 ' 6 : 7 V-ta c
Phone (34 5) 7 5 —I la I
Address WOO f■rU 2 A 4P ,Av t ay
a 69
Phone
Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
WORK DESCRIPTION: 3
reDvic t 1101 (.1A
Square Ft. t Estimated Cost (value) 402150'
MECHANICAL ROOFING
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 ANY 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 all disciplines.
OWNERS AFFIDAVIT: 1 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.
i •∎∎∎• rrl %W9�11MIl '
•
or
23
Date Signatur
c7Z
so
•
•
of Contracto or
RY
wrier B d.
e
OFFICIAL • I,. Y
i
�� �� *_ �C r ,
_ 4. lii iC,1,li1 rrr NGELA
....... ��. .Lr
Nota� as to Can ra'cf13 2 %Amer B uilder 86697
Commission x
Ex" ifre'l c�`° A'' cam l
. s.. .:h ^rFl a
p `'F Fly NC' . , •
NOTARY
S ' 0 0 BON3 O"
Structural Engineer
TOTAL DUE 3F b v
ate
Date
Electrical
Phone: 305 - 795 -2204
7 Printed: 8/20/2002
c Applicant: ALICE
f Owner: GLADDING
JOB ADDRESS: 1189 NE 102
f Contractor SEPTIC CONNECTIONS INC
Local Phone: (305)661 -6633
PAY
TO THE
DER OF.
ACH R/T 063100277
Miami Shores Village
10050 NE 2nd Avenue
Parcel # 1132050190100
Plumbing Permit
Permit Number: PL2002 -218
Contractor's Address: 2485 NW 93 TERR
Legal Description: MIAMI SHORES SEC 8 REV PB 43 -67 LOT 10
Fees:
FEE2002 -4621
FEE2002 -4622
FEE2002 -4623
FEE2002 -4624
Description
Buildier's Bond
CCF
Notary Fee
Building Fee
Total Fees:
Amount
$300.00
$1.80
$5.00
$80.00
$386.80
Total Fees: $386.80
Total Receipts: $0.00
Permit Status:
Approved
STATEWIDE SEPTIC CONNECTIONS INC. 05
18800 NW 2ND AVE SUITE 223
MIAMI, FL 33188
Permit Expiration:
0 L0 4 31 1:0 6 30000 4 71: 00 3
2/16/2003
Work: INSTAI 1 A11-1A1 1-AAIL/ o — —
�ps y ej doc r. Se r 1' c /„ n.•rail >. _
M (P 1 -4:3—S- (M/
��+�� �./ -
BankofAmeriCL . ..
dZ
DATE
__ .. %,, LJUIlUel
GLADDING
ALICE
ST
Construction VaIiIA•
$2 - 1.rn nn
DD
BY:
1043
63 -4/630 fL
) $ 2-)46,6>o
799
DOLLARS 8 m°d
Page 1 of 1
Re- inspection
BLK 175 LOT SIZE
plication herefor in strict compliance with all
3cifications that may have been submitted to
;es or if the plans are changed without
sponsibility for a thorough knowledge of the
d that he assumes responsibility for work done
`ons pertaining thereto and in strict conformity
responisibility for all work done by either
fil Job Address �} S C'
Date � � � "1 � E" .r 102- S Tax Folio ( � � ✓ �-�� —� "-
0 1 q
Legal Description 1.- C' `(1 (6k. 115 t`1SNt ^' S Sec 1 Historicall y Designated: Yes No
Owner /Lessee/Tenet - rii-P. Q` 0 cid I K Master Permit #
Owner's Address
Contracting Co.v( ►`Ci ('0r1r\Pr1'` ri r\A
Qualifier T e 4 esq&A Y ''C
State # &NO O 1 10 ' i `+
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): RA-1Y\ ELECTRICAL ' LUMBING MECHANICAL ROOFING
I ,r 7 gc rdO
WORK DESCRIPTION:
Square Ft.
(aq 7f \ol
Notary as to Owner and/or Condo President
My Commission Expires
Municipal #
FEES: PERMIT c' O RADON
APPROVED:
Zoning Building
Mechanical Plumbing
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Date
Address 1 S &Oa NltO '2 l' r ( - z - 2 rs k+ r'�►
Phone
Competency # Ins. Co.
Estimated Cost (value)
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 ANY 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 all disciplines.
OWNERS 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.
I 4 O 2
Signature of owner and/or ondo President Date t ignatur•�. Contractor or Ow 1e jt uil' a to
otary as to
My Commission
� c 4 o ,
�1PC 'U OrFlCIAI, Mp�
_�' C�'ac75C97
GF FL OG- n�' �i+�§. 1.. ,7i x ^•y -'?
NOTARY - BOND
Phone C ` ' 6 ° S 0 IS 1 I t L.
TOTAL DUE _ . 0 U
Electrical
Structural Engineer
PAY
TO THE
DER OF
Miami Shores Village
10050 NE 2nd Avenue
Plumbing Permit
Phone: 305 - 795 -2204 Permit Number: PL2002 -217
Printed: 8/20/2002
Applicant: ALICE GLADDING
Owner: GLADDING ALICE
JOB ADDRESS: 1189 NE 102 ST
Contractor SEPTIC CONNECTIONS INC
Local Phone: (305)661 -6633
0 Parcel # 1132050190100
po
Fees: Description
FEE2002 -4616 Building Fee
Total Fees:
Amount
$80.00
$80.00
Total Fees: $80.00
Total Receipts: $0.00
Permit Status:
Work: PUMP & ABANDON EXISITING TANK
STATEWIDE SEPTIC CONNECTIONS INC.
18800 NW 2ND AVE SUITE 223
MIAMI, FL 33189
ACH R/7083100277
FOR (l( t
APPROVED Permit Expiration: 2/16 /2003
05-02
t 1t_
Bank of America,
OZ
0 104311' 1:06300004 71: 003
Contractor's Address: 2485 NW 93 TERR
Legal Description: MIAMI SHORES SEC 8 REV PB 43 - LOT 10 BLK 175 LOT SIZE
Construction Value:
DATE
02/02-.
$200.00
1043
63-4/630 FL
. 799
$ Li o
DOLLARS el tS .n.
Page 1 of 1
Re- inspection
cation herefor in strict compliance with all
ifications that may have been submitted to
s or if the plans are changed without
)onsibility for a thorough knowledge of the
that he assumes responsibility for work done
ms pertaining thereto and in strict conformity
responisibility for all work done by either
ei•
11 t "•3
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t
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date )1 lizic1G Job Address f t '9 NE 102 ((rE T Tax Folio 11 So 1 g O I pQ
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant SCUT F R EN CAA Master Permit # q61 40-4,
Owner's Address 118q N E 10Z STREET Phone 151 _ 0
Contractin Co. LL0 \ 1D - r Oe TN ,7 StPn C Address bOo NW III STREET N-41 PdA 1 331M
Qualifier ( N N IS t E f L k. E ss# - Phone I51 -1 W76
State # 025 p Municipal # Competency # )20 Ins. Co. rem ECt S/C-S 1 F
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAI�LUMBIlJ MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION T, -U. @ SVl Ff DIZA-NRFID
Square Ft. 800
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 • tha all wor .e done in compliance with all applicable
laws regulating construction id zoning, Furthermore, I authorize the above -n .. ed eon actor . do the ork stated.
ature of owner and/or Condo President Date
a 11I1
as to Owner an C ndo President D to
My Commission E 1r s: , ttwti 55twAt «mticEtwo«moStm;
.copy Po Teresa J. Felder
o
Notary Public, State of Florida
1 ° l o Comrnieun /io. CC 4SOP07
' F of re My Commission Expites 07/16/99
FEES: PERMIT
APPROVED:
35 RADON
0
C.C.F.
Estimated Cost (value) C 115 Q `-
I• NOTARY
Electrical
r Owner- Builder Date
12 6
er- Builder Date
> o � P wv P„ Tereza J. Felder
c" Notary Public, Slate of Florida
Commiuicn CC 480E07
of re My Cot/mission Expires 07/16/99
1.800.3•NOTARY • Fla Norry h n: , & aozAng Cu. r;
TOTAL DUE 3 b.
tP•d1V
Engineering
PROPERTY STREET ADDRESS: // y/.e /O z
LOT: BLOCK: 6/ A SUBDIVISION:
PROPERTY ID # v /�G
/432CUS /
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
CONSTRUCTION PERMIT
Authority: Chapter 381, FS & Chapter 10D -6, FAC
PERMIT #
DATE PAID
FEE PAID $
RECEIPT #
CONS,TRUCTION PERMIT
[ /F'] New System [A/] xisting System [ Holding Tank [ Temporary /Experimental
[ Repair [Abandonment [At. her(Specify)
APPLICANT: / ^ ey AGENT: ` /a`fb- /110 KT ' D&ICE
/,� a [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC
REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS
EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY
PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A
BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH
MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
SYSTEM DESIGN AND SP ATIONS
. /, _
T [f4 J�GALLONS / D] SEPTIC TANK /AF�,ROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ]
A [ ] [GALLONS / GPD] �. CAPACITY MULTI- CHAMBERED /IN SERIES:[ ]
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ]
0
T
H
E
R
SPECIFICATIONS BY:
APPROVED BY:
D [ 0.1.1 QUARE FEET RIMARY DRAINFIELD SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [ ] BED [ [
F LOCATION OF BENCHMARK: ÷ i ..S 1,/
/ �
I ELEVATION OF PROPOSED SYSTEM SITE [co. J [INCHES /FT] [ABOVE /BELOW] BENCHMARK /R ENCE PPO Ihf�
E BOTTOM OF DRAINFIELD TO BE [ a3 Q FTJ [ABOV BELOW] ENCHMAR FERENCE POINT
L
D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [:34 INCHES
DATE ISSUED :
TITLE:
HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used)
(Stock Number: 5744 - 001 - 4016 -0)
/
EXPIRATION DATE:
INSTALLER /CONTRACTOR
CPHU
Page 1 of 2
�.�._...... LJ. �.:a�.Y' .. .,____; ir�C al.:� r•V,:?..:::._ :f. �Sy •._."
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7 no add:eca for L it ! .i ... ADD::2�SS: .O. bwt or stY'e.:t naili_. agent.
g
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a..:C� .,.. . .'er n. ..:'.:_ _ : property. (i:.J.� yD
e - 7" i ens ~�i d u � o e J � .� _..tsar•', n � �c_., a}r, n. +:.�. 0 or
SYS a2..M :J. SIGN AND
5P. C1LECA°: °_ONS:
'P,ti'o(: Minimum specifications from C:iaptc ::0s -6, 1:AC.
J Ir, "R:rl Ly:
Minimum specifications from Chapter ;rAC.
O:her spccificatio ts, such operating p ;:rs!ii :ac,ui :ar,_cnts, aurh toilets, va;'anc'' JY'C'd2!]D
SPEC! ?XCAT1ONS 3)1: Name of individual providing specifications. If casigned by r registered engineer must be rea'.cd.
APPRO \' 3Y: County .'ublic _lealth Unit (CPI-Ill) perronaei :.viewing and approving permit.
;DAI'3 ISSUED: Date permit is issued by CP:tiu.
E.XPL 1A :ON DATE: One year from date issued if tha system bra no: bean installed. ` armiu :o: system repairs become void 90 :;aye : " -o- slaw
issued.
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Site Plan Submittedb
Plan Approved
STATE OF FLORIDA
EPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
PART II • SITE PLAN
Notes P 11 F ; 02 STk
b D Sr o tN
Not pproved
Permit Application Number
FFE: 10'5 MSI
P--f - O - 7/9 6
5 / P &.., if c.(%, .�
_.// r �� r 70'
SIGNATU �� /4 - / 2
By iff
ALL C NGES MUST BE APPROVED THE COUNTY PUBLIC HEALTH UNIT
HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used)
(Stock Number: 5744- 002 - 4015 -6)
County Public Unit
Page 2of3
Permit No 7157
Owners Name and Address
Registered Architect and /or Engineer__
Employing Plumber's NameJ 4 s t87
1.
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performe8 and purpose of building (By Floor)
New Building
Remodeling
My Commission Expires
J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN
APPLICATION FOR PLUMBING p' •L '1i@
C;Z: 9 :1-
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.
_c it _ _ - -_._ No
Size Septic Tank ..... J—_ _ ._ -� -- _.Type of Tank_
Feet of Drain Tile- _.__._ ...... _- .___. —._ -- -Drat Feet of Tank or Drain Field from Well
Natute of Water Supply: City —Well ___._._ _ __ _..Size of Soakage Pit
Date_.
l_ Street-___ E / 0 L 7
.LE No._--_ ._... 17-6— Street AL
/ 1 street.._. N CI 0 Z Si
.111 A// L4 kij 21.- L.0 cif
Addition -. -r_ _.__ Repairs [ /. No. of Stories
.Capacity Cals..
(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 Cenral Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- oontractors emplo 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 sue ubli or notices as are
required by the Act. The undersigned agrees to employ only such sub -oontr to be I 1 -. u . this permit, as are
licensed by Miami Shores Village.
(Signed )
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.
STATE OF FLORIDA, l
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to oaths and take acknowledgments, personally appeared
Notary Public, State of Florida
Muter Plumber.
NOTE: A re inspection fee of $1.00 will be made when such re-inspection L made•neeesssry by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUee
H
SEIIS
OW
LAVA.
TORIEm
SINKS
SLOP
$INKS
LAUNDRY
TUaa
UR
CATCH
eASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
Dam
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
I mo_
Corms.
LIST
CHECK
Permit No 7157
Owners Name and Address
Registered Architect and /or Engineer__
Employing Plumber's NameJ 4 s t87
1.
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performe8 and purpose of building (By Floor)
New Building
Remodeling
My Commission Expires
J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN
APPLICATION FOR PLUMBING p' •L '1i@
C;Z: 9 :1-
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.
_c it _ _ - -_._ No
Size Septic Tank ..... J—_ _ ._ -� -- _.Type of Tank_
Feet of Drain Tile- _.__._ ...... _- .___. —._ -- -Drat Feet of Tank or Drain Field from Well
Natute of Water Supply: City —Well ___._._ _ __ _..Size of Soakage Pit
Date_.
l_ Street-___ E / 0 L 7
.LE No._--_ ._... 17-6— Street AL
/ 1 street.._. N CI 0 Z Si
.111 A// L4 kij 21.- L.0 cif
Addition -. -r_ _.__ Repairs [ /. No. of Stories
.Capacity Cals..
(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 Cenral Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- oontractors emplo 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 sue ubli or notices as are
required by the Act. The undersigned agrees to employ only such sub -oontr to be I 1 -. u . this permit, as are
licensed by Miami Shores Village.
(Signed )
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.
STATE OF FLORIDA, l
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to oaths and take acknowledgments, personally appeared
Notary Public, State of Florida
Muter Plumber.
NOTE: A re inspection fee of $1.00 will be made when such re-inspection L made•neeesssry by improper notice for inspection, or faulty
materials and /or workmanship.
UILDING
_ ;LECTRICAL
' LUMBING
:OOFING
Dwner of
; uilding
`architect
MIAMI SHORES VILLAGE. FLORIDA
❑
❑ PERMIT N° 4558 Contractor s
❑ License No.
0
contractor
ar Builder v
•egal Lot
)escription
CONTRACTOR OR BUILDER
Bl
address of 9
wilding ii 1 r i 437 / r 2 .�
Work to be performed under this Permit
4
2" 4J T
BY
• •
fa 2
f I •
DATE 1 - ► 195/_
Subdi-
vision
Value of .. • r Amount of
Project $ S e 0 — Permit $
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
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
trawings, 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
'ertaining 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
one by his agents, servants or employees.
Signed•% ,2
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work cove = . hereunder in compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications s mitted 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.
? --
AUTHORITY s
BUILDING ❑
ELECTRICAL ❑
PLUMBING
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
ft4
4 t ti e..,. -
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE ! -
PERMIT N9
09
Bl.
Address of
Building II e' `1
9197
Work to be performed under this Permit
1
. a..
Subdi-
vision
Sq. Ft
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 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 states or specifications apd that he assumes responsibility for work
done by his agents, servants or employees. i
Signed • .j'
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereun4e'r 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant for employee.
BY
Contractor's
License No
%
17 .ijC4e,
Amt. of
Permit $
aI
AUTHORITY
195 7
Permit No. / 4 1_
Nature of Water Supply: City —Well.
Amount of Permit $
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 1
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 No.// f Nx / a Y Street
Registered Architect and /or Engineer ___
Employing Plumber's Name No Street
Location and Legal Description Lot Block Subdivision
11
Street
•
New Building Remodeling Addition 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
Size of Soakage Pit 1f A X 1
(Signed)
Plumbing Inspector. I
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lab
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has co
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to
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
required by the Act. The undersigned agrees to employ only such sub contractors, on work to be performed under this permit, as
licensed by Miami Shores Village.
ss.
( Signed)
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 apt
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 a
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,
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
ax �xlo
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
7 r
/�J
CHECK
Permit No. / 4 1_
Nature of Water Supply: City —Well.
Amount of Permit $
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 1
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 No.// f Nx / a Y Street
Registered Architect and /or Engineer ___
Employing Plumber's Name No Street
Location and Legal Description Lot Block Subdivision
11
Street
•
New Building Remodeling Addition 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
Size of Soakage Pit 1f A X 1
(Signed)
Plumbing Inspector. I
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lab
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has co
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to
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
required by the Act. The undersigned agrees to employ only such sub contractors, on work to be performed under this permit, as
licensed by Miami Shores Village.
ss.
( Signed)
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 apt
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 a
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,
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
fl
PERMIT
n Work to be performed under this Permit
fit•,...
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
BL
IN?: 12618
This permit is grant 1 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.
INSPECTOR w.
In consideration of the issuance to me of this permit I agree to perfogp 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Signed
Value of
Project $
BY
DATE
BY
Amt. of
Permit $
` 0 l"' 195
Contractor's
License No
AUTHORITY
BUILDING 1
ELECTRICAL I 1 PERMIT
PLUMBING f1
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
IT? 12642
❑ Work to be performed under this Permit
Lot • i� BI
�
Value of
1 g ,, Project $ t"i /
p E t'
This permit is granted tothe 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. .
CONTRACTOR OR BUILDER
Signed:
Subdi-
vision
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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
•
•
DATE
Contractor's
License No
1
f
r
1 't
Amt. of
Permit $
v x.-195
BY --
BY AUTHORITY
757
cocksktetatft
"fats thereto oad talt.tfat C0400V
fotigait t 4631atad felPet
A
Permit No._ _L e
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 specified or not. A copy of approved plans and specifications must be kept at
building during progress of ( worms
Owner's Name and Address \+,• ! • I l v t 4 '9 No. Street
Registered Architect and /or Engineer
Employing Plumber's Name 1 Zi ______ 4106 — !`= ODA/CP - No Street
Location and Legal Description Lot f_ y Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By, Floors) f- /1 ? f v / 402 4
New Building Remodeling Addition Repairs No. of or
Size Septic Tank
Feet of Drain Tile
Amount of Permit $
ss.
Q
' !or workmanship.
Type of Tank
Dist. Feet' of Tank or Drain Field from Well
Nature of Water Supply: City —Nell Size of Soakage Pit
_C "` - Capacity Gals
( Signed)
The undersigned applicant for this b permit does hereby certify that he u tands 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, O'h w to ,be perform under thi permit, as are
licensed by Miami Shores Village.
(Signed)
Street
D
/ 9- ?C3
STATE OF FLORIDA, t
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
Master P1
Plumbing e-ctor.
�� : A re- inspection fee of $1.00 will be made, when such re- inspection is made necessary by imp e notice for inspection, or faulty
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
/
CHECK
/OO
,„,..•
•
.
Permit No._ _L e
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 specified or not. A copy of approved plans and specifications must be kept at
building during progress of ( worms
Owner's Name and Address \+,• ! • I l v t 4 '9 No. Street
Registered Architect and /or Engineer
Employing Plumber's Name 1 Zi ______ 4106 — !`= ODA/CP - No Street
Location and Legal Description Lot f_ y Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By, Floors) f- /1 ? f v / 402 4
New Building Remodeling Addition Repairs No. of or
Size Septic Tank
Feet of Drain Tile
Amount of Permit $
ss.
Q
' !or workmanship.
Type of Tank
Dist. Feet' of Tank or Drain Field from Well
Nature of Water Supply: City —Nell Size of Soakage Pit
_C "` - Capacity Gals
( Signed)
The undersigned applicant for this b permit does hereby certify that he u tands 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, O'h w to ,be perform under thi permit, as are
licensed by Miami Shores Village.
(Signed)
Street
D
/ 9- ?C3
STATE OF FLORIDA, t
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
Master P1
Plumbing e-ctor.
�� : A re- inspection fee of $1.00 will be made, when such re- inspection is made necessary by imp e notice for inspection, or faulty