702 NE 95 St (10)Date
Type Insp'n
Permit No.
Name
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Reque
Time
Address 2 62:)'? ( VG -
Company \ / /) V
Phone #
For Inspector:
Appro ) ?
Con: ectio
Re- Insp'n Fee
o
Da
Type Insp'n
Permit No.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Reque
Name
Address
Company
Phone #
For Inspector: ,4
Approved
Correction
Re- Insp'n Fee
9
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: PL2003 -118
Printed: 5/2/2003
Applicant:
Owner:
JOB ADDRESS: 702 NE 95
Contractor ARFA PLUMBING CORP
Local Phone: 305 - 552 -8410
Parcel # 1132060141930
Permit Status: APPROVED Permit Expiration: 10/29/2003 Construction Value:
Work: fire repair see scope of work
Signed:
(INSPECTOR)
Plumbing Permit
ST
Contractor's Address: 11325 SW 46 ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 12 & 13 BLK 67 LOT SIZE 123.230 X
Fees: Description Amount
FEE2003 -2620 Building Fee $90.00
Total Fees: $90.00
Total Fees: $90.00
Total Receipts: $0.00
$450.00
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 responisibility for all work
done by either myself, my agent, servants or employes.
(Contractor or Builder) BY:
CONTRACTOR
Name ARFA PLUMBING CORP.
License No. 97- P- 000043
Address 9361 S.W. 30 TER.
MIAMI -DADE, FL. 33165
Telephone (305) 552 -841` SAME
Qualifier Name GILBERTO CABRERA
PROPERTY OWNER
New Construction
Name N kAAS cri9A t:C'SC 72 ./a
Alteration Exterior
Address 7a - N C q -
Ad/ C#(D 2 3 '-/
� /
c �
X
Home Telephone ,v 75 /Q D /_„
Demolish
Business Telephone 3675: 7 _.- p f j7
7 r
Relocation of Structure
Fax
Foundation Only
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
Step 1.
CRECEO V ED
APR 1 8 2003
Address Apt.
Folio Number /t 37-.9 Cv b / Y /Q zi O
Lot /Z IZ 13 Block Ce7
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Flood Zone
Master Permit No.
Subsidiary Permit No.
PERMIT APPLICATION
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: 76 Z / 1 / . ? 't ' #a l ;Y t9/2 b S L, ► - 5 - 5 / 3 V
State
City
Description of Work 626 /4 - %/2 c6"
<''//c 11) is
Subdivision PB /0 PG 37 Zoning Linear Feet
I
Current Use of Property /2F4 /0 E4) ri L Square Feet J,Jnits Floors
/ 1)(1 Proposed Use of Property ( C- 010/E 'r Value of Work t J 0 , Bldg Value
Tenant Information
Tax Assessed/Appraised Value
Zip
Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, I" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FLQRIDA, COUNTY OF MIAMI -DADE
gnat e of Owner
Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida
STA
SEAL: SEAL:
Personally known
Signature of Contractor / Qua trier
PERMIT APPLICATION
OU -DADE
Print Name Main '' 1�2(il0
and subscribed before me this ' 1 day of
d
1 I Ire
t ure of Notary Publi State of Florida
,,p� wr Yamtle S Borroto
* *My Commission CC635722
% Expires May 11, 2003
OR, Produced Identification Personally known V OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
ELECTRICAL
TVI'L
Minimum Fee
QTY.
'I'YI'E
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
"1'N I'1:
Service Repair
QTY.
A/C Central 1 -3 Ton
/
Fan
Outlet, Wall
/
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
T},1,1;
Minimum Fee
QTY.
.1.}.1,1;
Condensate Drain
QTY.
TvI'I;
Generator
Q'I'V
TYPE
Refrigeration, Tons
Q.1.V
A/C Central, Tons
/
Cooling Tower
Heating Strips, each
/
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLUMBING
nil:.
A/C Condensate
QTY.
TVI'E
Drains, Roof
Q'fV.
TYPE
Miscellaneous Fixture
QTY.
'1
'I'VI'G:
Soakage Pit
(fry.
Bath Tub
/
Drinking Fountain
Miscellaneous Repairs
/
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CHECKLIST
O OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
i
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
( x .6U 1000
)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
dV
TOTAL $ ki •
CONDITION OFAPPRO\'AL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
Permit No...Ve —
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 S • L • C amP
Registered Architect and/or Engineer
. ourae Rose Septic Tank Co. 887-559 I■M
,
91 IhreeLl■ • SEW • IN .14.11011.131, ••••• •
/1 s aPo E ry h tr g ef i L ipti - P c. . (;) 3 a 1 e h , 33
Subdiisio.74iie2
Street.
Street and Number where work is to be performed—No 702 N. F. 95 StrPPt
State work to be performed and purpose of building (By Floors) ____
New Building.._.—_ _ _ Remodeling_____—__ Addition..
Size Septic Tank_ __Type of Tank__
Feet of Drain Tile __Dist Feet of Tank or Drain Field from ..
Nature of Water Supply: City—WelL Size of Soakage Pit
25.00
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(sigued) _4.14-yert-K,
(Signed
_
Repairs No. of Stories ....... ....
Notary Public, State of Flosida
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 59138, Compiled General Laws of Florida Permanent Supplement, and hav 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 be posted' for inspection on the site of the work such public notice or notices as
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,
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well Imown, and who, being by me first duly sworn, upon oath depose. and says that be is the
of the above described construction, that be 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 mob minspeolita seade.neosseary by Improper soda, for Isepection, or faulty
materials and/or workmanabip.
CLOSETS
BATH
TUBS
S "'" aft.
LAVA.
Tonic'
SIN"
SLOP
$INKS
LAUNDRY
TUIPS
"NA"
CATCH
BASIN
FLOOR
DRAM
DRINKING
FOUNT'NS
TOTAL
FuTUIRIO
Com
LIST
CHICK
.....
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGIL
PIT
G
TRAP
SOLAR
HEATCH
DRIP
%%feu.
SPRILLS.
SYSTEM
!LWOW°
POOL.
CONTI.
LIST
1
CHICK
200 so.ft.
Permit No...Ve —
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 S • L • C amP
Registered Architect and/or Engineer
. ourae Rose Septic Tank Co. 887-559 I■M
,
91 IhreeLl■ • SEW • IN .14.11011.131, ••••• •
/1 s aPo E ry h tr g ef i L ipti - P c. . (;) 3 a 1 e h , 33
Subdiisio.74iie2
Street.
Street and Number where work is to be performed—No 702 N. F. 95 StrPPt
State work to be performed and purpose of building (By Floors) ____
New Building.._.—_ _ _ Remodeling_____—__ Addition..
Size Septic Tank_ __Type of Tank__
Feet of Drain Tile __Dist Feet of Tank or Drain Field from ..
Nature of Water Supply: City—WelL Size of Soakage Pit
25.00
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(sigued) _4.14-yert-K,
(Signed
_
Repairs No. of Stories ....... ....
Notary Public, State of Flosida
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 59138, Compiled General Laws of Florida Permanent Supplement, and hav 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 be posted' for inspection on the site of the work such public notice or notices as
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,
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well Imown, and who, being by me first duly sworn, upon oath depose. and says that be is the
of the above described construction, that be 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 mob minspeolita seade.neosseary by Improper soda, for Isepection, or faulty
materials and/or workmanabip.
Permit No Cit c(L'
Registered Architect and /or Engineer______________—
Employing Plumber's Name
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEi
APPLICATION FOR PLUMBING - ,,,AMT
Date l O
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 nut. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address_ ` __________.__ No._ Street.
Location and Legal Descriptio ___________ ___ _ _ _ Block
~
Street and Number where work is to be performed —No._ �_ ®7 : �1 1 ___.. Street
State work to be performed and purpose of building (By Floors)_
New Building ____ Remodeling_ ___-.--- _- -- -_ -- -_ Addition__
Subdivision
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
1l
Nature of Water Supply: City __& ___Size of Soakage Pit
Amount of Permit $-- ......... ______________________ — --- (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 5968, Compiled General Laws of Florida Permanent Supplement, and Ilas 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 )________ 5J
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.
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 worl®anship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
INK
SINKS
SLOP
SINKS
LAUNDRY
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
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit No Cit c(L'
Registered Architect and /or Engineer______________—
Employing Plumber's Name
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEi
APPLICATION FOR PLUMBING - ,,,AMT
Date l O
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 nut. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address_ ` __________.__ No._ Street.
Location and Legal Descriptio ___________ ___ _ _ _ Block
~
Street and Number where work is to be performed —No._ �_ ®7 : �1 1 ___.. Street
State work to be performed and purpose of building (By Floors)_
New Building ____ Remodeling_ ___-.--- _- -- -_ -- -_ Addition__
Subdivision
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
1l
Nature of Water Supply: City __& ___Size of Soakage Pit
Amount of Permit $-- ......... ______________________ — --- (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 5968, Compiled General Laws of Florida Permanent Supplement, and Ilas 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 )________ 5J
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.
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 worl®anship.
Permit No
Owner's Name and Address_�J�____-i!__
Registered Architect and /or En neer__ ___
Employing Plumber's Name. -
Nature of Water Supply: City —Well.
STATE OF FLORIDA, t
COUNTY OF DADE. J
MIAMI SHORES VIL".:AG
PLUMBING INSPECTION DEPARTMEi < ::
APPLICATION FOR PLUMBING
Type of Tank_
Date
- No . Street
Amount of Permit $ (Signed) _
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s..mitted 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 nrt. A copy of approved plans and specifications must be kept at
building during progress of wo
No Street____
Location and Legal Description Lot_.___-._-.___. _________ Block_ ,..__._.- _ _ ubdivisi _ -__ -•
Street and Number where work is to be performed— No.__•-__ Street �
State work to be performed and purpose of building (By Floors)
New Building _ __- Remodeling __________ __ -__ Addition______ -_. -_ Repairs No. of Stories_
Size Septic Tank - -- --- - --
Feet of Drain Tile v ll __________Dist. Feet of Tank or Drain Field from Well
Capacity Gals
Size of Soakage Pit
lumbing 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 tlie Act. The undersigned agrees to employ only such sub- contractors • wor to be performed under this permit, as are
licensed by Miami Shores Village. I a
(Signed)_ di'
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to ma 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
er 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
URINALS
UR
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
Owner's Name and Address_�J�____-i!__
Registered Architect and /or En neer__ ___
Employing Plumber's Name. -
Nature of Water Supply: City —Well.
STATE OF FLORIDA, t
COUNTY OF DADE. J
MIAMI SHORES VIL".:AG
PLUMBING INSPECTION DEPARTMEi < ::
APPLICATION FOR PLUMBING
Type of Tank_
Date
- No . Street
Amount of Permit $ (Signed) _
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s..mitted 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 nrt. A copy of approved plans and specifications must be kept at
building during progress of wo
No Street____
Location and Legal Description Lot_.___-._-.___. _________ Block_ ,..__._.- _ _ ubdivisi _ -__ -•
Street and Number where work is to be performed— No.__•-__ Street �
State work to be performed and purpose of building (By Floors)
New Building _ __- Remodeling __________ __ -__ Addition______ -_. -_ Repairs No. of Stories_
Size Septic Tank - -- --- - --
Feet of Drain Tile v ll __________Dist. Feet of Tank or Drain Field from Well
Capacity Gals
Size of Soakage Pit
lumbing 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 tlie Act. The undersigned agrees to employ only such sub- contractors • wor to be performed under this permit, as are
licensed by Miami Shores Village. I a
(Signed)_ di'
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to ma 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
er 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.___.
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. AR , C,a,. P
Owners Name and Address . _ -______ ___ ___________________ No.________ ___ ...... _____ Street
Registered Architect and /or Engineer___-_—__
Employing Plumber's Name
Size Septic Tank__ _
Feet of Drain Tile_______
Nature of Water Supply Well.
Amount of Permit $ _ > 3 00
STATE OF FLORIDA, i
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ 9 L" tree7
CO'
Location and Legal Descrip t_____1 ) / 3 Block CO 7 Subdivision Q' {1___�
Street and Number where work is to be performed —No 7 0 �E 9 Street
State work to be performed and purpose of building (By Floors) _
New Building_ L-"" Remodeling Addition_
Type of Tank
Dist. Feet of Tank or Drain Field from Well
-------- _- ._ - -_ -_- Size of Soakage Pit
(signed) N . F 1 re K
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 Pennanent Supplement, and bus 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)____
Repairs
Date o — —
My Commission Expires Notary Public, State of Florida
No. of Stories.
Capacity Gals.
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.
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
SHOWER•
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
{�{R
TOTAL
FIXTURES
CONTR.
LIST
1
/
d`�
V'
-.-12..-,.
I
1
--
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
Fri MD
SOAKAGE
PIT
GREASE
TRAP
SWkAR-
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
co. NTR
LIST
/
___ _----
_Li_
--
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. AR , C,a,. P
Owners Name and Address . _ -______ ___ ___________________ No.________ ___ ...... _____ Street
Registered Architect and /or Engineer___-_—__
Employing Plumber's Name
Size Septic Tank__ _
Feet of Drain Tile_______
Nature of Water Supply Well.
Amount of Permit $ _ > 3 00
STATE OF FLORIDA, i
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ 9 L" tree7
CO'
Location and Legal Descrip t_____1 ) / 3 Block CO 7 Subdivision Q' {1___�
Street and Number where work is to be performed —No 7 0 �E 9 Street
State work to be performed and purpose of building (By Floors) _
New Building_ L-"" Remodeling Addition_
Type of Tank
Dist. Feet of Tank or Drain Field from Well
-------- _- ._ - -_ -_- Size of Soakage Pit
(signed) N . F 1 re K
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 Pennanent Supplement, and bus 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)____
Repairs
Date o — —
My Commission Expires Notary Public, State of Florida
No. of Stories.
Capacity Gals.
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.
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor i' i ("` t /� / /�� L W f
or Builder Q!` '�`' c t'J ) t i t Jt/V 'L
❑ MIAMI SHORES VILLAGE, FLORIDA
DATE 6( 19
°/ PERMIT Na 6313
❑ Work to be performed under this Permi ( £�'"C�•
v
Legal " Lot
Description II Bl Subdi.
vision
Address of C, c C Value of 1 Amount of
Building 1_•• ,� 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 t e applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance vith 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 .. t .. "� ` . i `-.'✓ 4,} INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a ordinances an regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of iamf Shores Village. In ac
cepting this permit I assume responsibility for work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
Contractor's
License No. '7 g
BY AUTHORITY
AYIOT
BUILDING
ELECTRICAL
PLUMBING
ROOF:4
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA _
0 DATE - 1 1 ('' ";19
° PERMIT N9 6489 Contractor's
B/ License No.
V y
L.
Architect
Contractor •
or Builder C NI- cS- - c,
Legal Lot t3 ,
Description I Bl
Work to be performed under this Permit
•
6 f
Subdi-
vision
Address of ,, , t Value of ,� 1 Amount of 5 �.. ,
Building ) f Proiect $— / ( c '" 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.
LI
P
Signed M F f i�`��" ""l �"� INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance With all ordin ces 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 ae
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employes.
CONTRACTOR OR BUILDER BY AUTHORITY ABBOT
MIAMI SHORES VILLAGE, FLA. N9 6839
JOB
ADDRESS
r7 9
INSPECTION -
TIME READY 05 - 7 "1
-
REMARKS •
INSPECTOR
DATE
Permit No &a 1i 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.
Owners Name and Address_-_ - .1_ _ / - - -- No.--- p-� - `I
- -- - - -r'�� —� � Street - -- - �� .. � ..!
Registered Architect and /or Engir3eer
Employing Plumber's Name . / D /v �s /j
Location and Legal Description Lot ______________________.__
Street and Number where work is to be performed —No
SS to work to be performed and purpose of building (By P1
New Building_ Remodeling
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
Size Septic Tank_
Feet of Drain Tile ________
/y
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
______Type of Tank_
Block
_ ___moist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____.,__.... _____________Size of Soakage Pit
(Signed) _
Plumb t g 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).
Subdivision_ - -- .,- ___- --_-_ -- -
Street
Repairs_. No. of Stories..
_ Capacity Gals.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
materials
NOTE: Arrwor��tilananspee of $1.00 will be made when such re-inspection is made• necessary by improper notice for inspection, or faulty
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKB
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
5://44
/
TOTAL
FIXTURES
G
UST
LIST
/
/
q
J\
/
CHECK
--
-- ----
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
1
/
--__�
CHECK
Permit No &a 1i 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.
Owners Name and Address_-_ - .1_ _ / - - -- No.--- p-� - `I
- -- - - -r'�� —� � Street - -- - �� .. � ..!
Registered Architect and /or Engir3eer
Employing Plumber's Name . / D /v �s /j
Location and Legal Description Lot ______________________.__
Street and Number where work is to be performed —No
SS to work to be performed and purpose of building (By P1
New Building_ Remodeling
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
Size Septic Tank_
Feet of Drain Tile ________
/y
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
______Type of Tank_
Block
_ ___moist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____.,__.... _____________Size of Soakage Pit
(Signed) _
Plumb t g 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).
Subdivision_ - -- .,- ___- --_-_ -- -
Street
Repairs_. No. of Stories..
_ Capacity Gals.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
materials
NOTE: Arrwor��tilananspee of $1.00 will be made when such re-inspection is made• necessary by improper notice for inspection, or faulty
Permit No.__ .0_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sebmitted 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 Shore§ Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept
building during progress of work.
Owner's Name and Address_ - ___ a_` . . 11_ s _ -- ------ _- -• -_ -. No._ _ 6 .__ -- Street _ _ - - - -•
I gi `_- �!
- - - - - --
Registered Architect and /or Engineer
Employing Plumber's Nam 1.f .,4/_M Ll� 4 Street
Location and Legal Description Lot Block Subdivision- �.____ -
State work to be performed and purpose of building (By Floors) _________. -_ -- - _ ____ - --
New Building _ _ Remodeling_._ .�-_ Addition
Street and Number where work is to be performed —No 7 __q _ST Street
Size Septic Tank fs_ U L _._--_Type of Tank _j' / L - C/4 S T
Feet of Drain Tile.__
Nature of Water Supply: City —Well.
Amount of Permit $_________-
STATE OF FLORIDA, I
COUNTY OF DADE.
My Commission Expires
(Signed)-
(Signed
to -fr" kge
Repairs__ No. of Stories . . . ....... . .
- Capacity Gals..___ . _70 O
Feet of Tank or Drain Field from Well .
Size of Soakage Pit
Notary Public, State of Florida
Plumbingpector.
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 5968, Compiled General Laws of Florida Pennanent 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 sit "i• the work such blic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors work to be per 1 y. under this pe nit. as are
licensed by Miami Shores Village.
M :.. ter 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.
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.
at
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
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
SW IM'G
POOL
CONTR.
LIST
CHECK
`
G• /
Permit No.__ .0_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sebmitted 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 Shore§ Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept
building during progress of work.
Owner's Name and Address_ - ___ a_` . . 11_ s _ -- ------ _- -• -_ -. No._ _ 6 .__ -- Street _ _ - - - -•
I gi `_- �!
- - - - - --
Registered Architect and /or Engineer
Employing Plumber's Nam 1.f .,4/_M Ll� 4 Street
Location and Legal Description Lot Block Subdivision- �.____ -
State work to be performed and purpose of building (By Floors) _________. -_ -- - _ ____ - --
New Building _ _ Remodeling_._ .�-_ Addition
Street and Number where work is to be performed —No 7 __q _ST Street
Size Septic Tank fs_ U L _._--_Type of Tank _j' / L - C/4 S T
Feet of Drain Tile.__
Nature of Water Supply: City —Well.
Amount of Permit $_________-
STATE OF FLORIDA, I
COUNTY OF DADE.
My Commission Expires
(Signed)-
(Signed
to -fr" kge
Repairs__ No. of Stories . . . ....... . .
- Capacity Gals..___ . _70 O
Feet of Tank or Drain Field from Well .
Size of Soakage Pit
Notary Public, State of Florida
Plumbingpector.
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 5968, Compiled General Laws of Florida Pennanent 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 sit "i• the work such blic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors work to be per 1 y. under this pe nit. as are
licensed by Miami Shores Village.
M :.. ter 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.
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.
at
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/ Lid C ti /., / qii
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 B lading Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Villagend all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy 9 approved plans and specifications must be kept at
building during progress of work 0 1 / 2 :7S LSt
Owners Name and Address 1`/ l it' - ___ -_._ -_ - No..- -.L. - y - _ - - - -- _ Street--- _ - .• --
Registered Architect and /or Engineer. ___ / _ _ .— _ —_ --_- •-
Employing Plumber's Name j_t- LI.4116.i-11.11LO L- `.Ph eZ 1 c_ / r ._ No..__. / Z c _ - -_ -. street__ it Ns 6 . 5'7
Location and Legal Description Lot. Block-- Subdivision. -
Street and Number where work is to be performed -No / Street. ...__.. �S/
State work to be performed and purpose of building (By Floors)_ --_•-___ .... __4 - .114.- &!✓Ft EL-6
New Building..______._ ...-- ._ - - -• .- __ - -.. Remodeling ._.._.__ Addition - - - - -_ -- __ —... Repairs.-_ No. of Stories. _ ....
Permit Na__._.I
Size Septic TasdL.- -_ - - -- ---------------- -• - - -- -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 $
Date
Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and a
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida
plied with the provisions thereof, and will require similar compliance from all contractors or sub -contr
performed under this permit; and will post or cause to be posted for inspection on )he -s of the
required by the Act. The undersigned agrees to employ only such sub - contra
licensed by Miami Shores Village.
is his obligations as an employer of labor
ent Supplement, and has ann-
oyed by him in the work to be
public notice or notices as • are
�.= ormed under this permit, as
.., ?:1
STATE OF FLORIDA, se.
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 fforegoing 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
Plumbing Inspector.
are
NOTE: A re- inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSZTU
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
A
URINALS
CATCH
DASIN
FLOOR
DRAIN
DRINKING
FOUNT 'NB
TOTAL
FIXTURES
CONTIL
LIST
CHICK
1
$LPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAOt
PIT
GREASE'
TRAP
SOLAR
HEATER
DELP
WILL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
List
CHICK
-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/ Lid C ti /., / qii
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 B lading Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Villagend all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy 9 approved plans and specifications must be kept at
building during progress of work 0 1 / 2 :7S LSt
Owners Name and Address 1`/ l it' - ___ -_._ -_ - No..- -.L. - y - _ - - - -- _ Street--- _ - .• --
Registered Architect and /or Engineer. ___ / _ _ .— _ —_ --_- •-
Employing Plumber's Name j_t- LI.4116.i-11.11LO L- `.Ph eZ 1 c_ / r ._ No..__. / Z c _ - -_ -. street__ it Ns 6 . 5'7
Location and Legal Description Lot. Block-- Subdivision. -
Street and Number where work is to be performed -No / Street. ...__.. �S/
State work to be performed and purpose of building (By Floors)_ --_•-___ .... __4 - .114.- &!✓Ft EL-6
New Building..______._ ...-- ._ - - -• .- __ - -.. Remodeling ._.._.__ Addition - - - - -_ -- __ —... Repairs.-_ No. of Stories. _ ....
Permit Na__._.I
Size Septic TasdL.- -_ - - -- ---------------- -• - - -- -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 $
Date
Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and a
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida
plied with the provisions thereof, and will require similar compliance from all contractors or sub -contr
performed under this permit; and will post or cause to be posted for inspection on )he -s of the
required by the Act. The undersigned agrees to employ only such sub - contra
licensed by Miami Shores Village.
is his obligations as an employer of labor
ent Supplement, and has ann-
oyed by him in the work to be
public notice or notices as • are
�.= ormed under this permit, as
.., ?:1
STATE OF FLORIDA, se.
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 fforegoing 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
Plumbing Inspector.
are
NOTE: A re- inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
rv1IAMI SHORES VILLAGE, FLA.
JOB
ADDRESS / 0 a Lt
INSPECTION
TIME READY _
REMARKS
14 a
■
N° 5085
Village
JOB
INSPECTOR
of Miami Shores N° 4881
ADDRESS
INSPECTION
TIME READY
REMARKS
4 , - 57
01
z/ei/a
DATE
Village of Miami Shores
JOB �& -
N° 4782
ADDRESS 7 0 a- t , C 9 �-'�`'
INSPECTION r:?o 0:4
TIME READY
REMARKS 'C (<'t
UILDING
LECTRICAL
LUMBING
OOFING
)caner of
uilding
rchitect
ontractor
Builder
ogal
escription
ddress of
Jilding
Lot
El
MIAMI SHORES VILLAGE. FLORIDA
PERMIT 11T° 4156
Work to be performed under this Permit
B1
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
=refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
swings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ue 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
anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
:rtaining to the work covered hereby whether shown on the plans or cdreiwin or in the statements or specif o itio and that he assumes responsibility for work
,ne by his agents, servants or employees. a '� / f � , ;
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
rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
rpting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
DATE
Contractor's
License No.
.,i _ .
Subdi-
vision
Value of Amount of
Project $ 11 Permit $ ' •"`
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA V
❑ DATE / C — /
❑ PERMIT 11T° 4480 Contractor s
License No. / 4 / I /
Owner of `'
Building 1 * t
, ./
Architect
Contractor
or Builder
Legal Lot
Description Bl
Address of t • r X r
Building
CONTRACTOR OR BUILDER
Work to be performed under this Permit
1_
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 e statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed.
INSPECTOR
"2"
▪ t
N
195Jan_
Subdi-
vision
Value of
Project $
In consideration of the issuance to me of this permit I agree to perform the work covered . ereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications s itted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my jent, sra or employee.
e
BY
Amount of
Permit $
AUTHORITY e4
Permit No / 5 2 2__
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 L• CS11llp __ .... _________ -__ Street L.. A- __95th Street . --
Registered Architect and /or Engineer._ —__— —_— _ __ _ _
Employing Plumber's Name O'Neal Septie_Tank C o. ^_�__._ No._.LeQs__BQX._ Street_ Travel pmi- Station__
Location and Legal Description Lot
Street and Number where work is to be performed —No
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
replacement
o a
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
?02
Blooti
State work to be performed and purpose of building (By Floors) __--_--- ---------_-------------_--
New Building Remodeling Addition____ Repairs X No. of Stories.... _ _. .......
Size Septic Ta nk _ -__ --
750 _Size of Tank
Feet of Drain Tile______ 5 __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.________________________ _____Size of Soakage Pit
Subdivision _.._. ----- _-_-- -..- - -- --- - -�
Street N • E . 9.5tt1_ -Street
Capacity Gals.
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 5988, Compiled General Laws of Florida Permanent Supplement, and has com-
plier 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 )--- - -- e• e
750
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 insp • t ' n, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
INK
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
CHICK
X
Permit No / 5 2 2__
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 L• CS11llp __ .... _________ -__ Street L.. A- __95th Street . --
Registered Architect and /or Engineer._ —__— —_— _ __ _ _
Employing Plumber's Name O'Neal Septie_Tank C o. ^_�__._ No._.LeQs__BQX._ Street_ Travel pmi- Station__
Location and Legal Description Lot
Street and Number where work is to be performed —No
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
replacement
o a
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
?02
Blooti
State work to be performed and purpose of building (By Floors) __--_--- ---------_-------------_--
New Building Remodeling Addition____ Repairs X No. of Stories.... _ _. .......
Size Septic Ta nk _ -__ --
750 _Size of Tank
Feet of Drain Tile______ 5 __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.________________________ _____Size of Soakage Pit
Subdivision _.._. ----- _-_-- -..- - -- --- - -�
Street N • E . 9.5tt1_ -Street
Capacity Gals.
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 5988, Compiled General Laws of Florida Permanent Supplement, and has com-
plier 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 )--- - -- e• e
750
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 insp • t ' n, or faulty
materials and /or workmanship.
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date ... 12 -26 -72 _.._.._._..._....__ ......__..._.....
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 Dr. S. L. Camp No 702 N.E. 95 Street
Street..._.
Registered Architect and /or Engineer ._
E_ p S American Sprinkler Co. 2430 N.W. 79th Street
to Fly N..... �..- _--- -- ------ ------ - -- - ... --_-,- ,�:c.n No , ,,...,,�r... ...
ss..=.,.�.. 81i
.la „re: A:.._eme, -.._
Location and Legal Description Lot B1o4 Subdivision
702 Street. _..___.._. N E. 95th Street
._._
State work to be performed and purpose of building (By Floors)_ Lawn Installation
New Building --__--.__._.____-... -.._. Remodeling _ Addition -- ._.___.__ Repairs_._..._.... No. of Stories
Street and Number where work is to be performed —No
Size Septic Tanlr
Feet of Drain Tile
Nature of Water Supply: City—Well.
Capacity Gsls..• - - -- _.__._.� .__..._.___
nisi. Feet of Tank or Drain Field from Well__. _ ._ _._ . _ ti .
Size of Soakage Pit.
_.
Type of
Amount of Permit $ 8.00 (Signed)_
STATE OF FLORIDA, I
COUNTY OF DADE.
(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 Worlanen's Compensation Act, being Section 5988, 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.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclawwledgments, 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 be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A
material and /or tepee of $1.00 will be made when such re-Inspection is made'neomary by improper notice for inspection, or faulty
CLOSETS
BATH
TUBS
SHOWER[
LAVA TORIES
SINK[
SLOP
SINK[
LAUNDRY
Tug[
URINALS
CATCH
BASIN
FLOOR
DRAIN
__
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
F IELD
SOAKAGE
PIT
GR[AS[
TRAP
SOLAR
H EATER
DEEP
W[LL
SRRKLR.
SYSTEM
SWIM•0
POOL
CONTR.
LIST
CHICK
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date ... 12 -26 -72 _.._.._._..._....__ ......__..._.....
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 Dr. S. L. Camp No 702 N.E. 95 Street
Street..._.
Registered Architect and /or Engineer ._
E_ p S American Sprinkler Co. 2430 N.W. 79th Street
to Fly N..... �..- _--- -- ------ ------ - -- - ... --_-,- ,�:c.n No , ,,...,,�r... ...
ss..=.,.�.. 81i
.la „re: A:.._eme, -.._
Location and Legal Description Lot B1o4 Subdivision
702 Street. _..___.._. N E. 95th Street
._._
State work to be performed and purpose of building (By Floors)_ Lawn Installation
New Building --__--.__._.____-... -.._. Remodeling _ Addition -- ._.___.__ Repairs_._..._.... No. of Stories
Street and Number where work is to be performed —No
Size Septic Tanlr
Feet of Drain Tile
Nature of Water Supply: City—Well.
Capacity Gsls..• - - -- _.__._.� .__..._.___
nisi. Feet of Tank or Drain Field from Well__. _ ._ _._ . _ ti .
Size of Soakage Pit.
_.
Type of
Amount of Permit $ 8.00 (Signed)_
STATE OF FLORIDA, I
COUNTY OF DADE.
(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 Worlanen's Compensation Act, being Section 5988, 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.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclawwledgments, 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 be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A
material and /or tepee of $1.00 will be made when such re-Inspection is made'neomary by improper notice for inspection, or faulty