PLUMBING PERMITPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY) `! RS4 q
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Tax Folio if /5 ia907
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late �.,�9 — Job Address
)wner's Address
'ontracting Co.
?ualifier
;tate# 61)7 -93
rchitect /Engineer
Ionding Company
lortgagor
.egal Description /St/14 Z5
)caner / Lessee / Tenant G Reg9-
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Square Ft. scar O,h
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signature of Owner and/or
)at
rotary as to Owner and /-or CondopPres>id'enti Public
ly Commission Expire+ L 1 'rc k ccd t.D.❑
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ti C 0
'ERMIT FEE: APPROVEDID ;�(;
; an 'oath , or Fire
[ sip ; vOT take an oath.
Co PRiNd olorida
My Commission Expires 9/18/92
Bonded Thru Stembier� dams & Swixt
S ST b 4v cv
MIAMI PIONEER SEPTIC TANK CLEANERS, INC.
D/B/A A 1 SEPTIC TANK CLEANERS
J d NJ NI. 2n /EU 3 S MIAMI; FLA. -
Address
Address
Address
Address
Notary
My
*
1 iV I Zoning Building
`r 7 0146 Mechanical Plumbing 3 Y'
aster Permit # ,P
Phone
Phone S
Competency# 1 , C• 22. 4/(,% Ins. Co.- ilef7f t7W1L •
'ermit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
YORK DESCRIPTION Rex AY h i ki -(a)• gcvvt
Estimated Cost
1 � - 7s -
YARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
)O SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
CNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT).
1pplication is hereby made to obtain a permit to do work and installation as indicated above, and
)n 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
)er:nits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
AMER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
rill be done in compliance with all applicable laws regulating construction and zoning.
'urthermore, I authorize the above —named contractor to do the
work stated.
of ContractchotamfuNftlides.Biliaider
My Commission Expires 9/18/92
Bonded Thru Stembler -Adams & Sweet
as to Cont racteillt r,EOwettTI-JBUi1 't aryYublc
Commission Expires T kno%vn ❑CR P ro d uced ID.❑
* * nd n :her of 1.1,j t -.. -
*
Other
Electrical
0 5)qX/
Enineering
SF —2-817
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. - -
Owner's Name and Address J.E. Iffooding No._._____._ 5_______ Street. N.E. 91 St.
Registered Architect and /or Engineer_________ _____
MIAMI SHORES VILR.:AGZ
PLUMBING INSPECTION DEPARTMEi .'
APPLICATION FOR PLUMBING
Employing Plumber's Name Stem $ —4IFtf ft:re CQ_3•trni,+i n Co., No. .25QQ- .__�diami._Avt -_
Location and Legal Description Lot--___--_ ......... _-.... _ _ ___ _ Block___— ___.___.. Subdivision
Street and Number where work is to be performed— No.__— _—_3Q5 — _______ _ Street N.E-a_.QL.-_St.e.
State work to be performed and purpose of building (By Floors)_
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 ...5QT
2n
Nature of Water Supply: etty - Well...... _— ___ __Size of Soakage Pit
STATE OF FLORIDA, }
COUNTY OF DADE.
fer-watiering - 1awn -
Amount of Permit $ $ 1 .5 0 ------ ----------- _.__ --, (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 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, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Ol�
Date April 21
Master Plumber.
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.
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA•
TORIES
INKS
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
U
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
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. - -
Owner's Name and Address J.E. Iffooding No._._____._ 5_______ Street. N.E. 91 St.
Registered Architect and /or Engineer_________ _____
MIAMI SHORES VILR.:AGZ
PLUMBING INSPECTION DEPARTMEi .'
APPLICATION FOR PLUMBING
Employing Plumber's Name Stem $ —4IFtf ft:re CQ_3•trni,+i n Co., No. .25QQ- .__�diami._Avt -_
Location and Legal Description Lot--___--_ ......... _-.... _ _ ___ _ Block___— ___.___.. Subdivision
Street and Number where work is to be performed— No.__— _—_3Q5 — _______ _ Street N.E-a_.QL.-_St.e.
State work to be performed and purpose of building (By Floors)_
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 ...5QT
2n
Nature of Water Supply: etty - Well...... _— ___ __Size of Soakage Pit
STATE OF FLORIDA, }
COUNTY OF DADE.
fer-watiering - 1awn -
Amount of Permit $ $ 1 .5 0 ------ ----------- _.__ --, (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 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, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Ol�
Date April 21
Master Plumber.
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.
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.
Permit No.. -! /
STATE OF FLORIDA,
COUNTY OF DADE.
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work. �j�
Owner's Name and Address- t R'
Registered Architect and /or Engineer t
Employing Plumber's Name. __ __E_ -_
Location and Legal Description Lot Block - - Subdivj
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)- _.___i _
New Building _ Remodeling _- Addition Repairs ___ No. of Stories
Amount of Permit $
No 3 6
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
t - • -- No._____...- ; � _`.L ANStreet_ -7
-- (Signed) _ - __._
Date
� r /W Street- 7
Capacity Gals.
rfriyA\li
My Commission Expires Notary Public, State of Florida
114 V g 5 6
4rt,
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 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, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 tat.
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
NKS
SINKS
SLOP
SINKS
LAUNDRY
Turns
URINALS
CATCH
SABIN
FLOOR
DRAIN
DR NKIMO
FOUNT •NS
- 4
�. ✓.
' '
TOTAL
FIXTURE!
--
CONTR.
LIST
CHECK
6
1
_ --
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
NBATLR
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
CHECK
Permit No.. -! /
STATE OF FLORIDA,
COUNTY OF DADE.
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work. �j�
Owner's Name and Address- t R'
Registered Architect and /or Engineer t
Employing Plumber's Name. __ __E_ -_
Location and Legal Description Lot Block - - Subdivj
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)- _.___i _
New Building _ Remodeling _- Addition Repairs ___ No. of Stories
Amount of Permit $
No 3 6
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
t - • -- No._____...- ; � _`.L ANStreet_ -7
-- (Signed) _ - __._
Date
� r /W Street- 7
Capacity Gals.
rfriyA\li
My Commission Expires Notary Public, State of Florida
114 V g 5 6
4rt,
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 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, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 tat.
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul
materials and /or workmanship.
Date 1 7 (\
Application is hereby made for the approval of the detailed statement of the plans and specifications hergwith 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.
Permit No
New Building
Nature of Water Supply: City —Well
Amount of Permit $ ___(l_ ; �
STATE OF FLORIDA, •
ss.
COUNTY OF DADE.
Owner's Name and Address
Registered Architect and /or l ngine
Employing Plumber's Name ✓? / ,�/ No.__ -
Location and Legal Description Lot 1 __f____I Block _
Street and Number where work is to be performed —No
f—/
,MIAMI SHORES VILLAGE
PLUMBING INSPIieTTo1 DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
%L� No _ __ 3 -
State work to be performed and purpose of building (By Floors)
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
(Signed)
( Signed)
Street
Street
Subdivision
My Commission Expires Notary Public, State of Florida
WIPP'
Master Plumber.
/27,e, 9/
Street_ __ t 7
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 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, on work to be perf led under this permit, as are
licensed by Miami Shores Village.
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.
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
aterials and /or workmanship.
OSETS
• CLOSETS
BATH
TUBS
SHOWERS
LAVA -
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT' NS
I/ '
TOTAL
FIXTURES
C ONTR.
LIST
S 7
r
1.
/
___L___
•
/ G.
CHECK
V
-
///
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
1 L
CONTR.
LIST
CHECK
Date 1 7 (\
Application is hereby made for the approval of the detailed statement of the plans and specifications hergwith 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.
Permit No
New Building
Nature of Water Supply: City —Well
Amount of Permit $ ___(l_ ; �
STATE OF FLORIDA, •
ss.
COUNTY OF DADE.
Owner's Name and Address
Registered Architect and /or l ngine
Employing Plumber's Name ✓? / ,�/ No.__ -
Location and Legal Description Lot 1 __f____I Block _
Street and Number where work is to be performed —No
f—/
,MIAMI SHORES VILLAGE
PLUMBING INSPIieTTo1 DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
%L� No _ __ 3 -
State work to be performed and purpose of building (By Floors)
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
(Signed)
( Signed)
Street
Street
Subdivision
My Commission Expires Notary Public, State of Florida
WIPP'
Master Plumber.
/27,e, 9/
Street_ __ t 7
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 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, on work to be perf led under this permit, as are
licensed by Miami Shores Village.
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.
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
aterials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal/
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
IT N9
Work to be perforn}ed under this Permit
This perms is granted to the contractor or uilder named above to construct the building or to install the equipment or evice . escribed in the appli-
cation 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 Pennit !nay 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 upor,,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 stat_ts or specifications and that he "a umes respon-
sibility for work done by his agents, servants or employees. -t «�1'�
•
By
SPECTO,.
In consideration of the issuance to me of this permit I agree to perform the work covered hereun er in compliance with all- dinances a d tegu;Iattons'
pertaining thereto and in strict ^conformity,_ with the plans, drawings, statements or specifications submitted to the proper authoritieeof Miami Shores 'jillage.
In accenting this permit I assume responsibility for all w.rk .. a by either myself, ply agent, servant or employee. •
CONTRACTOR OR BUIL ► %. BY
6074
Signed.
DATE / ; 194 ( 4 °
Co ractor's
License No.
AUTHORITY
•
BUILDING ❑
ELECTRICAL ❑ PERMIT N? 15432
PLUMBING ',❑
ROOFING ❑ Work to be performed under this Permit
Owner of r
Building % '� .•; �. . ^` _.
Architect
Contractor
or Builder
Legal Lot I II Bl. Subdi-
Description vision
Address of
Building
This permit is grant he contractor or builder named above to construct the building or to install the equipment or device described in the a f ' lion
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any p hs,
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 re ulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility or work
•
done by his agents, servants or employees.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Signed:
Value of
Project $
BY
DATE. ` $ 195
Contractor's
License No
Amt. of
Permit $
a '" BY
INSPEQTOR
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.
AUTHORITY
1
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE. FLORIDA
0
DATF
0
EL
fr
n
Architect
Contractor
or Builder
Legal Lot
Description Bl
Address of ` Y
Building'
PERMIT 1`T° 3572
Work to be performed under this Permit
This permit is granted to the contractor or builder named above to construc 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. r.
'
Signed- BY r .-;
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant p employee.
Value of ) Amount of
Project $ I Permit $
'2; t ; 1 95
Contractor's
License No.
Subdi-
vision
7,
CONTRACTOR OR BUILDER BY AUTHORITY e4>
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE f 194_
P RMIT N? 6074
Work to be performed under this Permit
NSA -
Bl.
Subdi-
vision
Contractor's
License No
Address of ' .1 of Amt. of i . h`
Building ! Y , u" Project Permit f s '
' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or devic described in the appal
cation herefor in strict compliance with all ordinances pertaining thereto and w'th 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 statgleAls or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. 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
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.
BY AUTHORITY