1230 NE 102 St (7)i -'
CLOSETS
BATH
Tun•
SHOWERS
NOW
LAVA•
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N•
TI OTAL
',slues,
CONTR.
LIST
I
I
I
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM
POOL
Covert.
LIST
r-
CHICK
23 /0 /e 3366
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Location and Legal Description Lot
Amount of Permit $
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank._ -Type of Tank__
Feet of Drain Tile Dill- Feet of Tank or Drain Field from Well ..-_.
Nature of Water Supply: City—Well Size of Soakage Pit
tY ) A V l
( Signed) _ _�
(Si
Na.
Permit No Date... /D
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 VI • • e:ulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not.
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Estploying Plumber's Name �� , 'c ed
copy of approved plans and
.._......�...,.... itrMt...
Street and Number where work is to be performed —No /a - yE Street.._.. 0
State work to be performed and purpose of building (By Floors)- _C-- .eE.-'.��!G': �..-
New Building .. -__._.— ___- . ..... ..... --- Remodeling—_X______ Addition.
Repairs No. of Stories - .......
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 h,cm com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort- to be
performed under this permit; and will post or cause to be posted' for inspection on the site r • the work such publi ... ce os notices as err
required by the Act. The undersigned agrees to employ only such sub - contractors, on k to be j p /nd. perl . ' as are
licensed by Miami Shores Village.
:14) 11.11riPt
Master Plumber.
STATE OF FLORIDA, }
u.
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 bas carefully read the foregoing application, and that be 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 whits such su'M iaolien is made'aaoassery by improper notice for ihlapaetlon, or faulty
materials and /or workmanship.
cpt at
Plumbing Inspector.
•
(3 al c;.4
Disapproved
(Signed)
Name and address of licensed contactor —
IAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
1 I
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement ur we 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.
/ Lt II Date..._..
Owner's Name and Address . .......
Registered Architect and /or Engineer •,,,,, ,.•• 4,...,MRR1,R.•.
Date
Building Inspector
4.00 0.40
Location and legal description of lot to be built on:
Lot . Block Subdivision
Street and Number where work is to be done J)3 D_ - � '�' i Z 5 _.._...._
State work to be done and purpose of building (by floors) re-J?1O d 1_ r # ∎ F h 5 a R h r 4 o wt _ oft q _f�cL
ac.t.eSSO11Q Pry •- G��� .�..� ....ka-p a.cx PsTet
_.. _..�..__ _..... ».:......and for no other purpose.
Ncw Building Remodeling Addition Repairs No. of Stories I _
To be constructed of kind off ndation Roof hovering
Estimated Total cost of improvements $ 3 S e° O 0 Amount of Permit & 314'
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 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 po .d for inspection on the site of the work such uhlic notice
or notices as are required by the Act. The undersigned agrees to employ only s h subcontractors, on to be performe under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed
Chair :nan
Member —
Member _....._._..- .– . - - - -_ ...._.._..
Council Approved Date
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 e yy true..
Permit No .Z /�(a
. /4 Date ..l ........_._ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
to me well known,
Member
Member ....... _...._..._..........
.
Member
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 hoard.
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 anti /or workmanship.
Permit No. ? b
4 ,
Service Overhead Size Feeders
Underground
Amount of Permit $
1 /3So
Ss.# ii(7- 0 -9s96
MIAMI SHORES VILLAGE .P 01,2G 2/�ct 230
ELECTRICAL INSPECTION DEPARTMENT b 1 J
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building on 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;`wiiether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. ,yin
Owner's Name and Address L' �,, �J�, No / 1 /c / 3° Street NE � °a - sr
�'� X/""' "�
Registered Architect and /or Engineer /VW — � /S ? QJLG . 4 / jr--/V) (/9 a. 77 /i y� 1 n/ •
Employing Electrician's Name.. .... No /3 sro Street.... 0- (, �rl V�/�1 1�
Location and Legal Description Lot // Block Subdivision
Street and Number where work is to be performed— No....... /A.30
State work to be performed and purpose of building (By Floors)
New Building Remodeling
6 .p
r
094 't'Z..Re •airs No. of Stories
Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing......... B.X.L Metal Moulding
A, t it
(Signed)..... ( t J 5
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.
(Signed)(
Date. ...... /1.l"' 0 -PO-
Street ,ill`+ / 57 —
Electrical Inspector.
4 Master Electrician.
STATE OF FLORIDA, }
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, 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
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
R OE
OU
RA i
ONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
t
i J Tj-
CHECK
ENT.
SW.
DIST.
CAS.
' SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
•
Permit No. ? b
4 ,
Service Overhead Size Feeders
Underground
Amount of Permit $
1 /3So
Ss.# ii(7- 0 -9s96
MIAMI SHORES VILLAGE .P 01,2G 2/�ct 230
ELECTRICAL INSPECTION DEPARTMENT b 1 J
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building on 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;`wiiether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. ,yin
Owner's Name and Address L' �,, �J�, No / 1 /c / 3° Street NE � °a - sr
�'� X/""' "�
Registered Architect and /or Engineer /VW — � /S ? QJLG . 4 / jr--/V) (/9 a. 77 /i y� 1 n/ •
Employing Electrician's Name.. .... No /3 sro Street.... 0- (, �rl V�/�1 1�
Location and Legal Description Lot // Block Subdivision
Street and Number where work is to be performed— No....... /A.30
State work to be performed and purpose of building (By Floors)
New Building Remodeling
6 .p
r
094 't'Z..Re •airs No. of Stories
Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing......... B.X.L Metal Moulding
A, t it
(Signed)..... ( t J 5
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.
(Signed)(
Date. ...... /1.l"' 0 -PO-
Street ,ill`+ / 57 —
Electrical Inspector.
4 Master Electrician.
STATE OF FLORIDA, }
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, 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.
1L sy— 0 0 1,6 �
°t
(3 4- 0