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1250 NE 95 St (6)Permit No..._.__ .._ Date of the plans and specifications herewith su��i'iitted for the building or other Application is hereby mad for the approval of the detailed statement p p structure herein described. his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the L ws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village s all be complied with, whether herein specified or not. A copy of approved plans and specifications must he kept at building during progress of work. Owner's Name and Address__ .......... �� No Street CONTR. LIST CHECK CONTR. LIST CHECK CLOSETS SEPTIC TANK Size Septic Tank Registered Architect and /or Engineer p r Employing Plumber's Name ..�--N - 644, -- - vis No .I JJ-? c Street__ /-:. /e -' Location and Legal Description Lot _ __________ Subdivision ---------------- -_—. -- Street and Number where work is to be performed —No /.2 4 - — Street N l 93 .f7` State work to be perforned and purpose of building (By Floors) 2w+' UQ_ee.,•:-t _.. <e - 4 I y ._..2•-. -- New Building Remodeling Addition Repairs ..... . _ _. No. of Stories .......... . .. BATH TUBS SEWER CONN. Nature of Water Supply: SHOWERS DRAIN FIELD LAVA- TORIES SOAKAGE PIT My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT SINKS GREASE TRAP SLOP SINKS SOLAR HEATER LAUNDR TUBS DEEP WELL URINALS SPRKLR. SYSTEM ( Signed) CATCH BASIN SWIM'G POOL FLOOR DRAIN Amount of Permit $ .. - - - - ( Signed) DRINKING FOUNT 'NS Type of Tank__ _ Capacity Gals G O O Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ell — Size of Soakage Pit TOTAL FIXTURES 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 corn- 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 he 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. Master Plumber. STATE OF FLORIDA, 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, a who, being by me first duly sworn, upon oath deposes and says that he is the of the above de < •ed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hin . ated are true. Notary Public, State of Florida NOTE: A re- inspect' ee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or wor ship. IN/ 1 4- C " - z" X Z.41.'10 • L VD • 2.."'C GiG" = /52 V'11 IG'2," 7 02." 1 t7' tes 4I11 75.5? - 4 z'on'- tc1 /17/ 5 JAI 10 to L34/// 3 4,3 Join" zr 5e, - 7/LL (91/7 0 3 0 ,2 . CC& I/ 29 8 57 / /# ` 12/35,5 /3,51 z 28 85/ ft4)116�: // o co 17 4 424 os, 7,4 6/70• s sp6 d .s RE.Property : 1250 N.E. 93rd St. Miami Shores, Fl 33138 Dear Mr. Lubian, ely, Donna Dalton mortgage Processor DO Guarantee Corp. LICENSED MORTGAGE BANKER Miami Shores Village Building & Zoning Dept. 10050 N.E. 2nd Avenue Miami Shores, F1 33138 ATT: Frank Lubian 3/25/92 This letter is to reauest an inspection of the above reference property for a compliance letter for a conversion of the garage to a 4th bedroom. Please be advised this conversion was completed 18 years ago. Or a letter stating this conversion has been grandfathered in. Enclosed is a check for $37.50 for the cost of this inspection. Your prompt attention will be greatly appreciated. 9700 N.E. 2nd AVENUE - MIAMI SHORES, FLORIDA 33138 - 1305] 751 -3232 - FAX (3051 757 -2929 TO: RE: DATE: FROM: FL /sm A iam/ti/ 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138-2382 TELEPHONE (305) 758 - 8000 FAX (305) 756 -8972 WHOM IT MAY CONCERN 1250 N.E. 93 STREET MARCH 31, 1992 FRANK LUBIEN, BUILDING AND ZONING DIRECTOR On March 20, 1992, I inspected the above captioned property which is a three bedroom residence with a garage which has been con- verted into a habitable room. Frank LuBien Building Official Permit No. Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith sub i tted for the building or other structure herein described. his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the L ws 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 Q.� __._ Q_'.! No Street Registered Architect and /or Engineer Employing Plumber's Name _' No 1 - 9 Street .N/ /6 Location and Legal Description Lot -- ______ Block_ Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ,a- ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Street and Number where work is to be performed —No /_.e? s;0 Street N J= 9 J J' State work to be performed and purpose of building (By Floors)____ - - - - - -- 00 ----P '-. New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank ( Signed) (Signed) Date ._/2 19) Subdivision Capacity Gals G O Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ell Size of Soakage Pit 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 perniit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, a who, being by me first duly sworn, upon oath deposes and says that he is the of the above de ed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hin ated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspect' - fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or wor ship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUN DRY TUBS URINALS 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 mad for the approval of the detailed statement of the plans and specifications herewith sub i tted for the building or other structure herein described. his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the L ws 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 Q.� __._ Q_'.! No Street Registered Architect and /or Engineer Employing Plumber's Name _' No 1 - 9 Street .N/ /6 Location and Legal Description Lot -- ______ Block_ Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ,a- ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Street and Number where work is to be performed —No /_.e? s;0 Street N J= 9 J J' State work to be performed and purpose of building (By Floors)____ - - - - - -- 00 ----P '-. New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank ( Signed) (Signed) Date ._/2 19) Subdivision Capacity Gals G O Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ell Size of Soakage Pit 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 perniit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, a who, being by me first duly sworn, upon oath deposes and says that he is the of the above de ed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hin ated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspect' - fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or wor ship. New Building ® " 4 -7 -67 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 building during progress of work. Owner's Name and Address D LithgovQ No. ___ 1250NeEe __ Street 95 St. Registered Architect and /or Engineer Employing Plumber's Name TI'O i a3 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)_ Amount of Permit $_- _ _______ _ a 00 STATE OF FLORIDA, t COUNTY OF DADE. 1 INSTALLED 3 GAS OUTLETS MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ No..__ 540 N . W . Street_ 29 Av e e Remodeling__________________ Addition_________.______ ____._ Repairs No. of Stories _ Type of Tank__ Capacity Gals ..__-..... Size Septic Tank____ Feet of Drain Tile__- _- .__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._______ ....... ____-_______-... -_____ -- _____Size of Soakage Pit (Signed)._ 1 -y's_ 353 lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent 'ji . plement, 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 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. 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 SINKS SLOP SINKS LAUNDRY TUBS RINALS URINALS 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. LIFT CHECK _ New Building ® " 4 -7 -67 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 building during progress of work. Owner's Name and Address D LithgovQ No. ___ 1250NeEe __ Street 95 St. Registered Architect and /or Engineer Employing Plumber's Name TI'O i a3 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)_ Amount of Permit $_- _ _______ _ a 00 STATE OF FLORIDA, t COUNTY OF DADE. 1 INSTALLED 3 GAS OUTLETS MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ No..__ 540 N . W . Street_ 29 Av e e Remodeling__________________ Addition_________.______ ____._ Repairs No. of Stories _ Type of Tank__ Capacity Gals ..__-..... Size Septic Tank____ Feet of Drain Tile__- _- .__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._______ ....... ____-_______-... -_____ -- _____Size of Soakage Pit (Signed)._ 1 -y's_ 353 lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent 'ji . plement, 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 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. 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 MIAMI SHORES VILIAOE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING MLAIT Date September 28 1 959 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____k-4_ant_-_CralSfir tti.QIL- Qali..._._ _..__ No.___ 260 N TV, Street--_ 2 /th Avenue Registered Architect and /or Engineer ______ --_...--------- - Employing Plumber's Name STERN & JAFFER CONSTRUCTION CO . _ N __21111 S. W. Street 3rd Street Location and Legal Description Subdivision_-__,__ Street and Number where work is to be performed —No 1 250 Street 95th Street State work to be performed and purpose of building (By Floors) __.._._ _ x.1.311 11y_IT£11i. New Building Remodeling____ ___.__ Addition_..____. Repairs No. of Stories_ 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....? SUPPli _____ _ _____Size of Soakage Pit Amount of Permit $ 3 00 Capacity Gals (Signed)_ kA- V Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acre is obligations as an employer of Tabor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori %. 'ertnanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contra • ors 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 •rk 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 Hemmed by Miami Shores Village. (signed)--- T.ER L= _CtONSTRUCTION CAL Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac owledgments, 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 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 worlananship. CLOSETS BATH TUBS SHOWER. LAVA- TORIES SINKS N SLOP SINKS LAUNDRY TUBS UR INAL. CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK t SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL co,. TR LI ST CHECK 219 t X '• Permit No MIAMI SHORES VILIAOE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING MLAIT Date September 28 1 959 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____k-4_ant_-_CralSfir tti.QIL- Qali..._._ _..__ No.___ 260 N TV, Street--_ 2 /th Avenue Registered Architect and /or Engineer ______ --_...--------- - Employing Plumber's Name STERN & JAFFER CONSTRUCTION CO . _ N __21111 S. W. Street 3rd Street Location and Legal Description Subdivision_-__,__ Street and Number where work is to be performed —No 1 250 Street 95th Street State work to be performed and purpose of building (By Floors) __.._._ _ x.1.311 11y_IT£11i. New Building Remodeling____ ___.__ Addition_..____. Repairs No. of Stories_ 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....? SUPPli _____ _ _____Size of Soakage Pit Amount of Permit $ 3 00 Capacity Gals (Signed)_ kA- V Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acre is obligations as an employer of Tabor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori %. 'ertnanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contra • ors 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 •rk 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 Hemmed by Miami Shores Village. (signed)--- T.ER L= _CtONSTRUCTION CAL Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac owledgments, 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 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 worlananship. BUILDING DATE - 195 ELECTRICAL 0 PERMIT N° 9360 Contractor's PLUMBING License No. ROOFING Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Lot Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Signed: Subdi- vision Sq. Ft Value of Project To 13Y (A! 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 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 AERN 17 BUILDING ❑ ELECTRICAL ❑ o PLUMBING ❑ PERMIT N. 8592 ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building 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. 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 ,liy either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit DATE Contractor's License No BY AUTHORITY 195 f , 1 ✓ .. c .. / r r n Lot 1 gl Subdi- vision if t f + , ' sq. Ft Amt. of Permit $ 1 `— — Value of Project $ BUILDING ❑ ELECTRICAL ❑ o PLUMBING ❑ PERMIT N. 8592 ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building 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. 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 ,liy either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit DATE Contractor's License No BY AUTHORITY 195 BUILDING ❑ ELECTRICAL ❑ MIAMI SHORES VILLAGE, PLUMBING PERMIT ■° 8663 ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER Bl. r Subdi- vision Sq. Ft Value of Project $ FLORIDA r DATE . Contractor's License No Amt. of Permit $ BY AUTHORITY v lgs Work to be perfonned under this 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. 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. 7 APJ-7 Permit No Size Septic Tank Feet of Drain Tile--_-- -__ Amount of 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 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 9v!_ .__ Z- r_r/> !_ _.__ No. Street Registered Architect and /or Engineer --- ______ — __ 'e 43= - ` ------ - No.- _ `9 I� a Employing Plumber's Name_ _ / e- E ® 4! 92G ' ' Location and Legal Description Lot.___ _____— ____ —____. Block Street and Number where work is to be performed —No /0- St ��S Street State work to be performed and purpose of building (By Floors) New Building -- ✓ - - -- Remodeling____ - -_ - -- Addition_________ Repairs No. of Stories_ Nature of Water Supply: City — Well.-____— _______ _ ..... _---- _----- ...... - _ --- -- ._Size of Soakage Pit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING €b,, to Type of Tank __Dist. Feet of Tank or Drain Field from Well ( Signed) _ (Sign Capacity Gals. Street_ Date r The undersigned applicant for this building permit does hereby certify that he understands and accepts his o under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e performed under this permit; and will post or cause to be posted' for inspection on the site of the work su required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed u licensed by Miami Shores Village. ezia-k iv `R. Notary Public, State of Florida Plumbing Inspector. li :i ons as an employer of labor nt Supplement, and has com- loyed by him in the work to be public notice or notices as are permit, as are Master Plumber. STATE OF FLORIDA, 1 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 -rein by him stated are true. -tion fee of $1.00 will be made when such re- inspection Is made •necessary by improper notice for inspection, or faulty '-ip. CLOSET6 BATH TUBS SHOWER• LAVA- TORIES SINKS SLOP SINKS LAUNDRY TueB U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS f4/i Ci _„. /,V 04 A l i scH TOTAL FIXTURES CONTR. LILT ' O o� 3 6, 2,,, / / / CHECK SEPTIC TANK . SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M' 6 POOL 11 15 11 Sias ati k ile,ctad 2 l % _— - Corm. LIST / / CHECK APJ-7 Permit No Size Septic Tank Feet of Drain Tile--_-- -__ Amount of 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 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 9v!_ .__ Z- r_r/> !_ _.__ No. Street Registered Architect and /or Engineer --- ______ — __ 'e 43= - ` ------ - No.- _ `9 I� a Employing Plumber's Name_ _ / e- E ® 4! 92G ' ' Location and Legal Description Lot.___ _____— ____ —____. Block Street and Number where work is to be performed —No /0- St ��S Street State work to be performed and purpose of building (By Floors) New Building -- ✓ - - -- Remodeling____ - -_ - -- Addition_________ Repairs No. of Stories_ Nature of Water Supply: City — Well.-____— _______ _ ..... _---- _----- ...... - _ --- -- ._Size of Soakage Pit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING €b,, to Type of Tank __Dist. Feet of Tank or Drain Field from Well ( Signed) _ (Sign Capacity Gals. Street_ Date r The undersigned applicant for this building permit does hereby certify that he understands and accepts his o under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e performed under this permit; and will post or cause to be posted' for inspection on the site of the work su required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed u licensed by Miami Shores Village. ezia-k iv `R. Notary Public, State of Florida Plumbing Inspector. li :i ons as an employer of labor nt Supplement, and has com- loyed by him in the work to be public notice or notices as are permit, as are Master Plumber. STATE OF FLORIDA, 1 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 -rein by him stated are true. -tion fee of $1.00 will be made when such re- inspection Is made •necessary by improper notice for inspection, or faulty '-ip. 514 tyge: cf afa ( 0 Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN'.. APPLICATION FOR PLUMBING r:MIT 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_LithgaW No a25.0 Street Isla_ E. 95th St.reet Registered Architect and/or Engineer___ — STERN & JAFFER CONSTRUCTION CO. N 2500 Employing Plumber's Name Street..N° • Mia Location and Legal Description Street and Number where work is to be performed—No._____4-_?5° __ Street N. E. 95th Street State work to be performed and purpose of building (By Floors). New Building Remodeling Addition Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City—Well. City .......... ...... .... Type of Tank Amount of Permit $..._14.t° ( Signed)_ (Signed). Date June 1 52 1959 Subdlvision._._ ------- Repairs No. of Stories Capacity Gals __Dist. Feet of Tank or Drain Field from Well ...Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands an accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o 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. STATE OF FLORIDA, } 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. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUI3S SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN Fri ELI) SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL Drain Well x 1 comm. Lin. X X CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN'.. APPLICATION FOR PLUMBING r:MIT 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_LithgaW No a25.0 Street Isla_ E. 95th St.reet Registered Architect and/or Engineer___ — STERN & JAFFER CONSTRUCTION CO. N 2500 Employing Plumber's Name Street..N° • Mia Location and Legal Description Street and Number where work is to be performed—No._____4-_?5° __ Street N. E. 95th Street State work to be performed and purpose of building (By Floors). New Building Remodeling Addition Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City—Well. City .......... ...... .... Type of Tank Amount of Permit $..._14.t° ( Signed)_ (Signed). Date June 1 52 1959 Subdlvision._._ ------- Repairs No. of Stories Capacity Gals __Dist. Feet of Tank or Drain Field from Well ...Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands an accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o 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. STATE OF FLORIDA, } 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. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or faulty materials and/or workmanship. 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 Registered Architect and /or Engineer Employing Plumber's Name_YL/ � = Location and Legal Description Lot__ Street and Number where work is to be performed -No L 3"`r 0 °'vim / 1' Street_ State work to be performe8 and purpose of building (By Floors) _______ New Building Remodeling Addition Size Septic Tank Feet of Drain Tile. 3t Nature of Water Supply: City -Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLUMBING " ;�M Amount of Permit $ (Signed)- A-oz D _- -__ L i T14- S, _o� My Commission Expires No. - - - - - - Street No.. ._- -- - — Street.. v Block _ ___________..__. Subdivision _Size of Soakage Pit Date - Repairs No. of Stories Type of Tank_ Capacity Gals 0--d Dist. Feet of Tank or Drain Field from Well Plumbin ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Su - . ement, 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) _- Notary Public, State of Florida STATE OF FLORIDA, } 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 worlcmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Twos U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL 1-- CONTR. LIST CHICK 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 Registered Architect and /or Engineer Employing Plumber's Name_YL/ � = Location and Legal Description Lot__ Street and Number where work is to be performed -No L 3"`r 0 °'vim / 1' Street_ State work to be performe8 and purpose of building (By Floors) _______ New Building Remodeling Addition Size Septic Tank Feet of Drain Tile. 3t Nature of Water Supply: City -Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLUMBING " ;�M Amount of Permit $ (Signed)- A-oz D _- -__ L i T14- S, _o� My Commission Expires No. - - - - - - Street No.. ._- -- - — Street.. v Block _ ___________..__. Subdivision _Size of Soakage Pit Date - Repairs No. of Stories Type of Tank_ Capacity Gals 0--d Dist. Feet of Tank or Drain Field from Well Plumbin ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Su - . ement, 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) _- Notary Public, State of Florida STATE OF FLORIDA, } 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 worlcmanship. VJP: FLORIDA STATE BOARD OF HEALTH PERMIT TO DRILL DRAINAGE WELL Issued to Stern & . *ffar COaatruCtiQA&iler) For £ • L 2500 SO. MAUI Avenue (Address) 4S5 M. E. c' tb "t resit vf4Anf i•'.. r4lz r:i�pi� : larir:s? In accordance with the provisions of Chapter 381, Section 387.251, and Chapter 387 orida S •tutes of 1955 and amendments thereto, together with Chapter XXI, Florida State Sanitary Code, perms gr• ted for A aKtor as pia c drilling a drainage well at ' '. c•'"' Proposed Diameter 3" Proposed Well Depth t ;t' Proposed Casing . •.th Inspection has been made of the site of proposed drainage well by a dul • thoriz the State Board of Health and permission is granted for drilling the well with (1) L.31 - 3 •: i : ; 3 141i La LUA:144u oa Jual.L:.i 1riljjlaLiAL' • Upon its completion this well shall in no case be placed in ser has been completed, signed by a duly authorized representative o the Owner. This permit is revokable at any time for failure to comply wit .e •rovisions as stated herein. Granted this Issued BUREAU' OF ( INE Director FLORIDA STA PERMIT TO 0 In accordance with the provisi 1955 and amendments thereto, togethe Daum Liti.9vaw to operate a drainage well located at Subject to the following provi (ti) `oie1 L L:) La ::sthi This feet, drilled T drainage we (Not vali D B. LEE e well is Directo , = eau of Sanitary Engineering BUREAU OF SANITARY ENGINEERING 13- 7822 -59 Jacksonville 1, Florida Permit No r , day A of a yris•ate Maraud ng pon' ran 7., By State Health Officer State Health Officer RD OF HEALTH inches in diameter, feet deep, cased to a depth of 60' epresentative of on that La State Board of until the attached permit to operate St • - Board of Health, and delivered to j a Ly 19 'IL BUREA OF SANITARY ENGINEERING nville 1, Florida Permit No 13 - 2822 - TE DRAINAGE WELL ter 381, Section 381.251 and Chapter 387, Florida Statutes of hapter XXI, Florida State Sanitary Code, permit is granted Owner) 485 N. Z. 54th ;traet, Miami, F1._ (Address) (Name of Driller) (Address of Driller) evokable at any time for failure to comply with the provisions stated herein, or if this at any time contaminate or otherwise affect other waters in the vicinity, or for other cause. is 7th day of t , 19__ ntil countersigned by a duly authorized representative of the Florida State Board of Health.) Approved: WILSON T. SOWDER, M.D. Fla. CUMBIE. PH.G., VICE PRESIDENT QUINCY F. P. MEYER. D.D.S.. MEMBER ST. PETERSBURG BUREAU OF SANITARY ENGINEERING DAVID B. LEE, M.S. IN ENG. DIRECTOR Dear Mr. Well Driller: CHARLES J. COLLINS, M.D., PRESIDENT ORLANDO 3Flortha '#atr guar? of Eraltil WILSON T. SOWDER, M.D., M.P.H., STATE HEALTH OFFICER JACKSONVILLE 1 IN REPLY PLEASE REFER TO n: Enc. (3) - x ,at cc: Owner IY /enc. '"�s �. I1. cc: State Geologist W /enc. C : y Tiff Ilc s tie ATT: rr„ QJ3i °�i cc: ' d elli ShOres Kutibtn?, t�riaio Very truly yours, David 3. ee Director SULLIVAN G. BEDELL. M.D.. MEMBER JACKSONVILLE JOHN D. MILTON. M.D.. MEMBER MIAMI Your application for drainage well at the address shown on the attached form has been approved under the provisions stated on the form. Please notice that the form you are receiving is in two parts; the upper being the drilling permit and the lower one being a permit to operate drainage well. The provisions stated on the drilling permit are intended to guide you in drilling the well in accordance with the regulations of this office. The provisions stated on the operating permit inform the owner of the purpose for which the well is permitted, and of any special treatment which must be provided before waste can be discharged into the drainage well. TELEPHONE ELGIN 4 -0181 POST OFFICE BOX 210 After the well has been completed in accordance with the provisions of the drill- ing permit, you should fill in the blank spaces in the operating permit so that this form will show the actual diameter and depth of casing and the actual depth to which the well is drilled instead of the estimated diameter and depths as given on the upper half of the form. The completed form should then be detached from your drilling permit, which is for your files, and forwarded to the County Health Department of the county in which the well is located in order that they may inspect the well and countersign the permit before delivery to the owner. Information copies of both the drilling and operating permits have been furnished to the owner, to the County Health Department and the State Geologist. You are required to make a record of the log of the well, one copy of which must be furnished to the State Geologist and the other copy to the County Health Depart- ment at the time of the inspection. The State Geologist may also require that you save cuttings from the well for his u;;::. You are requested to notify this office of any change from the provisions of this permit prior to placing them into effect. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 11 ' - PLUMBING ❑ PERMIT N9 8 8 9 5 Contractor's , V ROOFING ❑ License No. Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER Bl. Work to be performed under this Permit— Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ BY AUTHORITY 195 5 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. Signed • ' ` 1 - 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. 17 ^.--^ CLOSETS TUBS TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS INAS URINALS CATCH BASIN FLOOR DRAIN NKI N6 FO FOUNT' NS TOTAL FIXTURES CONTR. LIST / C am.- -- - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK Size Septic Tank Application is hereby iuude 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 Street-! a'! E Registered Architect and /or _------ .-- __ _- _ -._ -_ _ No._�______ Stree Employing Plumber's Name �,[ U�__�1L�T MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Block_ S - - —� - - _/�_- - - - -- Street and Number where work is to be performed —No ��� �? Street. ._-1_A /._ r -___/ v "' S,1 State work to be performed and purpose of building (By Floors)_ -__ New Building _ -- Remodeling -- _- -___ -- Addition 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 $ Capacity Gals._ (Signed)_ Repairs No of Stories Plumbing Inspector. The undersigned applicant for this building pennit does hereby certify that he understands and a ts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flonda 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 , Q 'rr required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performe. . nder this permit, a licensed by Miami Shores Village. (Sign STATE OF FLORIDA, ( �. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments. 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 ti- therein by him stated are true. My Commission Expires Notary Public, Stai NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper n materials and /or workmanship. Date. / Master "