PLUMBINGBUILDING ❑
ELECTRICAL ❑
PLUMBING
ROOFING ❑
0
•
CONTRACTOR OR
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
;ti L I •
n.. T
N° 7389
BY
DATE
Contractor's
License No.
-c,. 19 G(
Work to be performed under this Permit
Owner of
Building
Architect
Contractor a;
or Builder N - Tit i 4 t
Legal Lot Subdl-
Description II Bl vision
Address of r - C y 7 ''_`"' L Value of Amount of -Z 0,
Building 3'ss IJ �- I ! " Project $ 1 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. y ' +
Signed ( __L /? .- /. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complian with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au rities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
A•110T
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
N
MIAMI SHORES VILLAGE, FLORIDA �,
DATE. 19 et
PERMIT N9 7419
0
In consideration of the issuance to me
pertaining thereto and in strict conformity with
cepting thiss permit I assume responsibility for
I I! `
CONTRACTOR OR BUILDER
Work to be performed under this Permit
4
C
v - 24
Contractor's f .1,. f
License No.
/2
Subdi-
vision
Value of I Amount of
Project $ I 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.
Signed. l
of this permit I agree to perform the work covered hereunder in compliance with
the plans, drawings, statements or specifications submitted to the proper authorities
ell work done by either, myself, my agent, servant or employee.
I rte' r, s,,, t ,�•�
BY ; AUTHORITY
INSPECTOR
ordinances and regulations
ami Shores Village. In as
Ae eOT "eii*
�j
2.6er;.9.3 j'TCI
Sim Septic Tank
Feet of Drain Tile___ -_
Nature of Water Supply City Well
Amount of Permit S
- 3
o
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed) _
Date..._ .A..1 LQ —
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. 3 ev -
Owner's Name and Address C " C‘\._ ,7 c \Ailikkik- •••••
Location and Legal Description Lot________If Block_ I Le_ subdivision:iii&i?sit;L.at- I I
Street and Number where work is to be performed —No 3 S' S 'N ,E - . . � Street. a:0
State work to be performed and purpose of building (By Floors )-_ __ ........... --------- _ ____ -_ -_
New Building L' Remodeling___ _ __ Addition______-_._ ............ Repairs No. of Stories_
______Type of Tank
_ Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
,._.Capacity Gals
mbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S ement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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 are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this pennit, are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
as
as
(Signed)_ __ 13— <V -- & .L. J
Master Plumber.
STATE OF FLORIDA, I
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.
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.
CLO /!T/
BATH
TUBS
SHOWER/
LAVA.
Toms
SINKS
SLOP
SINKS
LAUNDRY
TuDB
URINAL/
CATCH
BA /IN
FLOOR
DRAIN
DRINKING
FOUNT'NB
TOTAL
FIXTURES
comfit.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
AMNIA
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'o
POOL
t/-)_
CONTR.
LIST
CHECK
t
1
`
_____
�j
2.6er;.9.3 j'TCI
Sim Septic Tank
Feet of Drain Tile___ -_
Nature of Water Supply City Well
Amount of Permit S
- 3
o
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed) _
Date..._ .A..1 LQ —
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. 3 ev -
Owner's Name and Address C " C‘\._ ,7 c \Ailikkik- •••••
Location and Legal Description Lot________If Block_ I Le_ subdivision:iii&i?sit;L.at- I I
Street and Number where work is to be performed —No 3 S' S 'N ,E - . . � Street. a:0
State work to be performed and purpose of building (By Floors )-_ __ ........... --------- _ ____ -_ -_
New Building L' Remodeling___ _ __ Addition______-_._ ............ Repairs No. of Stories_
______Type of Tank
_ Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
,._.Capacity Gals
mbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S ement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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 are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this pennit, are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
as
as
(Signed)_ __ 13— <V -- & .L. J
Master Plumber.
STATE OF FLORIDA, I
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.
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.
U l' •
ruP X'