85 NE 94 St (9)BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA
PERMIT
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
Bl.
N? 4349
Subdi-
vision
Value of
Project $
DATF -
Contractor's
License No.
Work to be performed under this Permit
Amount of
Permit $
• a
195
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. ,� "
Signed'
I. / 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY 0 �
BUILDING
ELECTRICAL
PLUMBING
ROOFING
❑ Work to be performed under this Permit
Owner of , •
Building •
/ a ` l''' e
/
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
❑ .>
❑ DATE 195
PERMIT N° 6878 Contractor's
License No. c_ r
0
CONTRACTOR OA BUILDER
B1
(
/l
Subdi-
vision
Value of
Project $
Amount 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 stateintsnts or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed BY
INSPECTOR
In on i'deration o they issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining there d iz strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this $ it aisum4/ responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
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. - -- -.. _ ' - - - - -- o _� No._ -_- -..,3 AI _ Street ._.__9
Registered Architect and /or Engineer ________________ ___.________._
Employing Plumber's Name
Location and Legal Description Lot. ___.__
Street and Number where work is to be performed -No.__
State work to be performed and purpose of building (By Floors) ___.
New Building _----- -.._ -_ _•-- __ -_ -- Remodeling____ -- __ -- Addition.---- _ -_.__ Repairs No. of Stories
Size Septic Tank
h n
Feet of Drain -_.0 _ 1!
Nature of Water Supply: City -Well
----- -------- -- - - - --
Amount of Permit $ /
r�
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Peri
plied with the provisions thereof, and will require similar compliance from all contractor
performed under this permit; and will post or cause to be posted' for inspection on the
required by the Act. The undersigned agrees to employ only such sub- contractor
licensed by Miami Shores Village.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING Nt,AIT
5
Type of Tank
eet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed )-
( Signed)
o.___________ Street__
Subdivision
Street
Capacity Gals.
ub- contrac
the wo
rk to
Plumbing Inspector.
gations as an employer of labor
anent Supplement, and has coin-
employed by him in the work to be
fuch public •otl •e or notices as are
perf this permit, as are
STATE OF FLORIDA,
GIL
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.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUDE
SHOWERS
LAVA-
TORIES
NK
SINKS
SLOP
SINKS
LAUNDRY
Tune
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
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'O
POOL
CONTR.
LIOT
CHECK
s
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. - -- -.. _ ' - - - - -- o _� No._ -_- -..,3 AI _ Street ._.__9
Registered Architect and /or Engineer ________________ ___.________._
Employing Plumber's Name
Location and Legal Description Lot. ___.__
Street and Number where work is to be performed -No.__
State work to be performed and purpose of building (By Floors) ___.
New Building _----- -.._ -_ _•-- __ -_ -- Remodeling____ -- __ -- Addition.---- _ -_.__ Repairs No. of Stories
Size Septic Tank
h n
Feet of Drain -_.0 _ 1!
Nature of Water Supply: City -Well
----- -------- -- - - - --
Amount of Permit $ /
r�
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Peri
plied with the provisions thereof, and will require similar compliance from all contractor
performed under this permit; and will post or cause to be posted' for inspection on the
required by the Act. The undersigned agrees to employ only such sub- contractor
licensed by Miami Shores Village.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING Nt,AIT
5
Type of Tank
eet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed )-
( Signed)
o.___________ Street__
Subdivision
Street
Capacity Gals.
ub- contrac
the wo
rk to
Plumbing Inspector.
gations as an employer of labor
anent Supplement, and has coin-
employed by him in the work to be
fuch public •otl •e or notices as are
perf this permit, as are
STATE OF FLORIDA,
GIL
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.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Village of Miami Shores
JOB i -S 7
ADDRESS b /0. e .
N° 4478
INSPECTION ��=^ >� 1 � � � �. k PC
TIME READY
REMARKS / c�� ° (n e
INSPECTOR DATE 6- 7 `�
J.
I