9710 NE 2 Ave (2)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 13492
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
DATE 195
Signed • BY ..
Contractor's
License No
Amt. of
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
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
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and re
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shor
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
r
Permit No. Date
Applici.tion i, Lcreby 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 Dix i,ion
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. Street .
Registered Architect and /or Engineer
Employing Plumber's Name_ , .. ----------- __ ---_ -___ -- No. Street
Location and Legal Description Lot -__________ ____ _____ ___________ Block_ Subdivision _._
Street and Number where work is to be performed —No. — Street __ _
State work to be performed and purpose of building (By Floors)
New Building . Remodeling . Addition. Repairs No. of Stories
CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
CLOSETS
BATH
Tues
SHOWERS
SEPTIC SEWER DRAIN
TANK CONN. FIELD
LAVA-
TORIES
SOAKAGE
PIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
SINKS
SLOP
SINKS
LAUNDRY
Tues
GREASE
TRAP
URINALS
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
Size Septic Tank - -- - -- -Type of Tank
Feet of Drain Tile - - - -- .Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $ _. (Signed) ___
Pluinbing 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 Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by Lim hi 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.
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
CATCH
BASIN
(Signed)
FLOOR DRINKING
DRAIN FOUNT' NS
_Capacity Gals.
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 Plumber.
TOTAL
FIXTURES
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.
UILDING
LECTRICAL
LUMBING
1
wner of
wilding •'° /' .
rchitect _ -
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 8502
DATE 194,
Contractor's
License No.
Work to be performed under this Permit
: ontractor ; . '
Builder' r ;,
egal Lot BI. Subdi-
•escription vision
ddress of Value of Amt. of
wilding Project 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 appli-
.tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revcked
any time if the work is not clone in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
�rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
,gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
bility for work done by his agents, servants or employees. r
Signed: °� f By '
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
•rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
i accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY