59 NE 92 St (2)v'
Permit No.... ..._.
Date.
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
budding during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Namo..'1.1...t.-1...,,.
Location and Legal Description Lot.
Street and Number where work is to be performed —No
Amount of Permit $
STATE OF FLORIDA, }
es.
COUNTY OF DADE.
Remodeling Addition.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
No
No...e...,a..J11 7 .
S 9 Street
State work to be performed and purpose of building (By Floors)_.___--•-3._2- ' __.,_ L CK
New Building_
(Signed)_
Street. A/.. • .9._
Repairs --r°
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
Street...... �3
Subdivision
Capacity Gals.
filfrned )97
Z. 7:
No. of Stories.
Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli 5 as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perman t 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 e • • e work such pu • otice or notices as
required by the Act. The undersigned agrees to employ only such sub- contractors, , , work •. be perfo *. der this permit, as
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oa : 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.
materials
NOTE: A r a inshectio hipn ee of $1.00 will be made when such re- Inspection is made necessary by improper notice for inspection, or faulty
CLOSETS
BATH
TUGS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINK/
LAUNDRY
Twos
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT-NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
—.
SEPTIC
TANK
SEWER
Comm
DRAIN
FIELD
SOAKAGI
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
v'
Permit No.... ..._.
Date.
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
budding during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Namo..'1.1...t.-1...,,.
Location and Legal Description Lot.
Street and Number where work is to be performed —No
Amount of Permit $
STATE OF FLORIDA, }
es.
COUNTY OF DADE.
Remodeling Addition.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
No
No...e...,a..J11 7 .
S 9 Street
State work to be performed and purpose of building (By Floors)_.___--•-3._2- ' __.,_ L CK
New Building_
(Signed)_
Street. A/.. • .9._
Repairs --r°
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
Street...... �3
Subdivision
Capacity Gals.
filfrned )97
Z. 7:
No. of Stories.
Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli 5 as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perman t 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 e • • e work such pu • otice or notices as
required by the Act. The undersigned agrees to employ only such sub- contractors, , , work •. be perfo *. der this permit, as
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oa : 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.
materials
NOTE: A r a inshectio hipn ee of $1.00 will be made when such re- Inspection is made necessary by improper notice for inspection, or faulty
BUILDING ❑
ELECTRICAL ❑ PERMIT N? 15641
PLUMBING
ROOFING
Owner of
Building
CONTRACTOR OR BUILDER
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot II Bl.
Description.
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
DATE
Contractor's
License No
°� r �"
Address of Value of Amt. of
�^ �,� , � " �
+ * ' / Project $ Permit $
Building - �..�� ,. � 4...,...
This permit is anted to t contractor builder named above t construct the building or to install the equipment or device descri bed in the application
herefor in strict com lance with all ordinanc pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statement or specifications that ma have been submitted to and approved by the proper mu{Iicipal authorities. This Permit may be revoked at any
time if the work i � of done in compliance with such ordinances or if the plans are charnged without au o ation. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the %responsj ty f ,,,'thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or inthe sta or specifications an that he assume�ssiPe nsibility for work
done by his agents, servants or employees. •mw •^' 'k,
Signed;
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
BY AUTHORITY
195LL