09-4025-028-1900164
d
lJ
d
CITY OF SOUTH MIAMI
rta,.I�a
orFlct OF aUIcnING �Nsr,,CTo•
APPLICATION FOR BUILDING PERMIT
IA copy of this Appluuun• together with one m
VY of plane and 'p<nflcatiun,, the work). muu he kept aI br:l!d,nR during progress of
Appb;scion a Mr<by nuJe i r the apprusvl or the 'seeded s[aement of the plans and specifications herewith submitted for the
building ur other stnutur< hrrem d,—1,ed This appication is made m compliance
ante of the (sty ,If South Moral, Florida, and all D u and conformity arch the Budding Ordm.
irs of the Qty
td South Munn and all rules and Drowarous of the Law, of the State of Flond
regu;atsorn o! the Budding Department of the City u( South Man" -'hall nbe ccomplud with.
offxtout M- .And .11 a na.
(`wnn's Name slid Addrew
NDa L=-_�- 194
/
�-- t'_roL�L
aisc sa' Wdreas a( contra— or builder_.__b/f�'�' - to --/i --- --- ---
arson --
s y �fl Rai Dtwn of bt rn be butt tin: --' -
lat _ Biuck_ _1 64 _
Subdooston_�/-E a.. r `rt -. • f i •��/ ..t-t
9lreat and Number where work u m be dune_- _ -- j I Or_ /y'
hate wort to he done and purpose of budding :ley floor) t'Q'�_
f' <
N _
Add and for au other purpose. •t � - Ilemodeing lnun _._ _
'�o kit rtttst'*Ied ----Repairs_ _ -- - No of Stories
sw of s - _a-. .Kind of foundation , _
�!tAtatrd .uw M onprov mausta f a _. R-Q ' ) Plumbing `N _ .Roof Covering
t P.lec
:}Iwanu now
I not-
<aara building. Sir, .,1 Build _- i
L I h<r.bv, a11Y t an the plan. and sPeohcatmm for said .nnmlaAll rug t notices with reference to the building and its con
► ' .uucttyn ga.Y hr sea/t+I
w IShgned)
•e B.iure nu, tie o.J,rwgn,d authority. ronall — - - _
' i'r- y appcared. who . to me well known•
rM raa.kat h< •the
of the shove dr¢nhed om.truction. that he ha, carefOly read
the Imra.Img g1P6aat.In And Ihn he did n the sa R e, and that >J fun theron by hum stated arc t - Rand NNStliwnheJ I,r" tie
-- (Sigaad) _
Txb •. _ -- ----- - - - -
This spa« represents the Lot. od-tr uildmt m space shy n,
/ C S Mthe'.ranee furls W line- seal ether huddmg,.
uir 14'.
-",a Am ,hirer aPp1w.ft-
fListiranrhn
OtagFraveJ _ -
Raatalta
- Itutlint In.roa1N
In.p<euv.s
I •af a
:nd
ti
W '] NOL" "O"CR '"QUIRED ON ALL WWQV9S,S FOat IY21ECrIONS
IammyLgr
• 0
CITY OF SOU 71'H MIAMI
FLORIDA
APPLICATION FOR BUILDING PERMIT
(A copy of this Application to
gether will, one cop, i pin, .::,I ,•
u lneai,..:as• r:.us: Gt krly at Willing during prof.
ices of the work.)
Applicatiun is 11"'by made for the aporocal of the detailed-tatement of the Plans and s
mined for the building ar other structure herein described This application ih
the Building Ordinance of the City of South \liami FIurIJa. and all p i Peance boos herewith with
ordinances of the Cityof , made m composed Std a ofsv,itity with
South Sliami. and all rules and regulatiuns of the Bo; If the erar a( the State of Fbri'a, an
Sfiami, shall be complied with, Whether Lere'.n sP"if:ed or not.
� Idir.d I)crann r of the City of South
fTs•ner's \a r :end .4ddrres ,) -_' Tla --f *L
'�
A rrhitert •' j'"- -No.' $trrt6d.._
.`lame and adder- of contrarto � _.. Address
r ur builder.-..
regal d,ccription of lot to `
l he built n
/o___
Lot _ r (xs 1.. L.'Y��-- Black `
is �-•L--_.�._ S ii - 7.. _ - � _
_l. —tt
Street and h;t+mbrr where work to be doors`_
State vrork Abe done. donensi* and T
PurfH>s111054-1
e of ildina
r or 0 -
\cw Building_ Rer. r a for ao other oarpoy
.. ipg_._.__._�_.--Ad.il ftin_ i
To be ,0esImcted oLL.-.lsegai Vo. of Stu
I'sl
.._._Kind of �rypdanon- . _ _. /•
:inuted east of imptoyet cuts __.._.--...__ R tf fire
(list Z� -�..r IumbinfS l _...~, }thus kf nest r.exeq buddin_ klrc'.
- I hereby subtna an tile plans ands _Sire of B•tildirg 1•ot
pecifications for said budduIR. All notices w' !t re(erenet -
L. c..nstrtuti"n may be '"I to.___--.---`.__.—_ -- to the b uldmg sty
fkfnre (Signed)
rase, she andersi authorit'` �'caer
h Y. personally app:•arM __ __ - '"---
states that he is the- •- to me well knnwa.
read JaR�
foreg o .... _ -- ns
If the above described cutreactwn, that he h
aDvvlstation. and that he did sign the umr, and that all (arts�erem>bf fir a aanfu9y
Head an ribed bef� rat n star y
4ae R
(Signed)
.�
record uu al.rye bcalion.
❑.6fi"atinn ZONING DEPARTMENT I
Dc
1= HM&S NOTICE REQUIRED ON ALL REOU a" FOR ;NtrECT"$
IMPORTANT - SEE OTHER •WlE
tttttt�l� � � � �-A:�►
0
Date ..1 CITY OF SOUTH MIAMI. FLGRIDA I'lmtbing Pen it No. 3M
PL�MBING INSPECTION DAION Bui!dmg Permit No
—
I hereby make alrphcation 1„r a plumLmg Pernut to install cr change plumbing in or on the premises described below, ana
I agree tocomply with all the rules and regulations governing Plumbing installations in the City of South Miami.
l;mPhrying Humber
Address
W,.rk executed by
For a New ( ) Old (✓f Stay
Dwelling Store ( ��
e
(Pwnet or Agent.—
liudder or C"ntra tor_i
Address
Addition r )
( ) Apartment ( ) Hotel i
iiemodeled
C�
--- -Pnc Tank (a) --___gal; _ft. ___~ _._-..�.--.._.
Grease Trap(s); t> ; We,:(s)
Couectian(s): To talating Septic Tank(s) ( ) To new Septic Tank(s)
Sao
:r Sink Iwaf Im,sl,1 I pr:nkler Floor S1' I Wat
g er 1\'ashir 4ras
„ter Dram Sink II Shower Water Safe Connec-8 }{eater Wute y� Machines Piping
I
le .iteratwm THIS SPACE FOk F L.E�'AT10N SKETCH
tau'OK work sh- the old work in red ink and the new in Flack ink Letter each stack to
correspond snth the openmK shown in floor plan or around plan,
i charge .( fl (MI wdl i,e made for correcting any mnaccuraciq in the foregoing information
,:.IA)K THIS IS F(N+ THE, U<f: OF THE l)VI I SIGN OF PLUMBING TNSPECTION ONLY.
lmaft
ROUGH -IN INSPEL-nw, SF.1'TlU' TAYK INSPECTION
l�.e
+d `� R.y►.le N,, Bed Room FINAL I\S1'EC7ION
Tank ---
I Ann FWW Fs
— — i
4/pwed 14"
1� — 1
—_AMrtwW (pE
bmirs notice respired a all requests for inapectXM9
I
11
LION
'At
10
or
erZ7
" a • �'.d-•- - .. � - _- —•Rim.
1
I �I• M On1i. //ems � 1
42
1 , ILa g
�_ _ {ICI -���[i2��/iCe a•i�vParlC ._-}=-� . /2. •!•/•—i !�
it
VVVA'/ON P1.4n/'.
Jc�/e f7r' •rp /037
sf..i t•
' I I N�4.0 /N FiAI>Ri/ �N/�s�CT• .
y LoTf �4x!/�f%'B I/{ IN vnife J3'�•��•1+
Yl
r
e.
/
•1
�nm' I I tm le7
Cj I
LO J
T�
r
BLOCK PLAN
SCALE: 1M"100'
PAEPARTO FJR:
EM' H, Do r1, ASSOCGIATES
SE►TEMEER 15'
Jo• No. 69-4`07
i
I
LOTS 5' 6, AAo 7' LESS ITME rioaTM 5 fEET. AND LOTS 101 111 AND 129
LEE$ THE WEST 15 fEEw Of o/ LOT 10. BLOCK 14
TO'WNSITE GF LA-KINS
1 ,
1.' 7
DRAWING 'IEVI$EO To A00 ASOMMILT
►ATEMEMTI soFE'MSER le• 1969
I
LLk
r
at O. 1
�� • _ s'f
SURVEY SKETCH
SCALE: 1M040'
4
i
1
I
I
II
u
A