PLUMBING PERMITSApplication 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 the work.
/ O
yy� Date F(I7* .'/ y rw� N t--/€71704-7`14/71-19
Owner's Name and Address 4/7/11,71,7 S 1 ,6S CU , u 7 r No. 9 A Street S'7
d i /0 o
l ' � G° . =�i"
51 /97..4. 4bi00 4' 700 5. u, - S7 sT 57
Registered Architect andior Engineer
Name and address of licensed contractor
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Location and legal description of lot to be built on: // 07013/ / '! -S e ��
Lot /C� /V Nv Block& ( 9 "- - 647 //A'fubdivision 2 0 ' 6 ST e 6`a_4/ e /60 • 7- 70
Street and Number where work is to be done odd Nd� /41 5r. /7)./2/?all S��a�S ��•
State work to be done and purpose of building (by floors). state exterior colors (submit samples) v i - 774-~/. , =NS 7 - 4 /4? >fodt)
(2) / /bay U,S. r, rSc 4 //4s
/ n and for no other purpose.
„
New Building ! r //� Remodeling Addition Repairs No. of Stories
To be constructed of N// ,,y Kind of foundation Roof Covering
Estimated Total cost of improvements S _ _4 9o-D -" Amount of Permit S r
Zone cubage required /y //B Plan Cubage
,
Distance to next nearest building /Oo Size of Building Lot
Maximum live load to be borne by each floor /✓//¢
I hereby submit all 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 obligatons 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 emplo only such subcontractors onerformed
under this permit. 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 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.
Permit No. Jc ? ? Date
Disapprovedd� Date
(Signed) 4 I7-Q-.*4 ",--/
Building Inspector My Commission Expires
Read. Sworn to and Subscribed before me.
PLANNING BOARD DATE
Notary Public. State of Florida
G■op dr2 ! iT7 /lit
J4c?e . 33328
/%3
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship.
Sales, Service and Installation
of Petroleum Equipment
State License #
CGC040108 PTC000539
FAX # (305) 791 -0650
4700 S.W. 51st St. (Bldg. 202), Davie, FL 33314
Nick Funk Sales' Manager
Permit No._ - -_. ///
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 ,
y�-�
Owner's Name and Address.!_! to . air__ ?i No. _ / .._.. Street. N E "" / d o r
Registered Architect and /or Engineer_..__._.....
Employing Plumber's Name f , 2 " '"� L No.___ / Stree
Y 7 YJ t u J �S r
-- �--- - - - - -- t _--------------- ... - - - --
Location and Legal Description Lot._
.Street and Number where work is to be performed —No Street.
State work to be performed and of building (By Floors
C hew Building.
Size Septic Tank_ .Type of Tank__ __
Feet of Drain Tile._. _._..__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply
ell. Size of Soakage Pit.
Amount of Permit $
PI mbing 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 General Laws of Florida Pennanent 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 pennit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t es.
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
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•aeoessary. by improper notice for inspection, or faulty
materials and /or workmanship. :
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Bloom
odeling Addition Repairs.
--------- ._.....__. ( Signed)
(Signed)
Capacity Gals
- e v
Date 7
No. of Stories
Master Plumber.
CLOSETS
BATH
Tuee
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
NA
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FI%TURes
CONTR.
LIST
CHECK
8[PTIC
TANK
SEWER
CONN.
DRAIN .
FIELD
SOAKAGE
PIT
GREASE
TRAP
•
EATER
DRIP
WELL
SPRKLR.
SYSTEM
Swiwa
POOL
I_
CONTR.
LIST
/
CHECK
v
v
Permit No._ - -_. ///
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 ,
y�-�
Owner's Name and Address.!_! to . air__ ?i No. _ / .._.. Street. N E "" / d o r
Registered Architect and /or Engineer_..__._.....
Employing Plumber's Name f , 2 " '"� L No.___ / Stree
Y 7 YJ t u J �S r
-- �--- - - - - -- t _--------------- ... - - - --
Location and Legal Description Lot._
.Street and Number where work is to be performed —No Street.
State work to be performed and of building (By Floors
C hew Building.
Size Septic Tank_ .Type of Tank__ __
Feet of Drain Tile._. _._..__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply
ell. Size of Soakage Pit.
Amount of Permit $
PI mbing 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 General Laws of Florida Pennanent 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 pennit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t es.
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
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•aeoessary. by improper notice for inspection, or faulty
materials and /or workmanship. :
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Bloom
odeling Addition Repairs.
--------- ._.....__. ( Signed)
(Signed)
Capacity Gals
- e v
Date 7
No. of Stories
Master Plumber.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
Address of p'
Building f
MIAMI SHORES VILLAGE, FLORIDA
DATE �- ' > 19 t
0
PERMIT 302 Contractor s
License No.
❑ Work to be performed under this Permit
,
II
Signed•
6 ..
Value of
Project $
INSPECTOR
r
,
•
Subdi-
vision
II Amount of
II 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
- BY•
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 pssume r9sponsibility fpr sil work done by either, ,.myself, my agent, "servant ,er employee. ,
CONTRACTOR 'OR BUILDER BY AUTHORITY ABBOT PRINT