1075 NE 96 St (6)Rxmit
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.
,--1',/,‘--1,/ ----- No. -- - _ -� _ • Street_ "" 4
Owner's Name and Address '�� ___— ____ � �- � - �� � J�� ' ' ' 58
Registered Architect and /or Engineer_ - _____---- _--- - -_ - -- ---- ___ - --
-
Employing Plumber's Name _Ni'.� " ''C _ _" ')‘7( % t ,-11 e, No. - -_ d )) // __ 11:x' Street_ & Y__ vi
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
Sloe Septic Tank ------------------- _______— Type of Tank
i �
F�3 of Drain Tile.___.? ?_�t.__.�� _- �_��isE. F t of Tank or Drain Field from Well
Nature of Water Supply: City— Well.____ ___________.______— ___.__ -- - --- Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
Street_ C ": c.2)
Capacity Gals.
(Signed)-
Repairs No. of Stories_ . ............ ....
Date.
Subdivision_
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblifons 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-
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
Hlo n ed by Mimi Shores Village.
( Signed
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 Conunmssion 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•neeessary by improper notice for inspection, or faulty
materials and /or worlananship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTE.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
C LIM' ONTR.
CHECK
( FIELD
_ � J
Rxmit
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.
,--1',/,‘--1,/ ----- No. -- - _ -� _ • Street_ "" 4
Owner's Name and Address '�� ___— ____ � �- � - �� � J�� ' ' ' 58
Registered Architect and /or Engineer_ - _____---- _--- - -_ - -- ---- ___ - --
-
Employing Plumber's Name _Ni'.� " ''C _ _" ')‘7( % t ,-11 e, No. - -_ d )) // __ 11:x' Street_ & Y__ vi
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
Sloe Septic Tank ------------------- _______— Type of Tank
i �
F�3 of Drain Tile.___.? ?_�t.__.�� _- �_��isE. F t of Tank or Drain Field from Well
Nature of Water Supply: City— Well.____ ___________.______— ___.__ -- - --- Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
Street_ C ": c.2)
Capacity Gals.
(Signed)-
Repairs No. of Stories_ . ............ ....
Date.
Subdivision_
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblifons 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-
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
Hlo n ed by Mimi Shores Village.
( Signed
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 Conunmssion 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•neeessary by improper notice for inspection, or faulty
materials and /or worlananship.
Permit No.
Application is ''.creby 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 he complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
t../
Owner's Name and Address •ly . No. . Street._
Registered Architect and /or Engineer .
n •
Plumber's Name `'� . - (
Employin No. Street -
� _ � - _ -- - -:- -- -- - -- - - -- -
Location and Legal Description Lot 4 £ I ` ___- _._ - -__ Block _. ems. Subdivision
Street and Number where work is to be performed —No 1 0 / �✓ ! t G _ Street _.- -
State work to be performed and purpose of building (By Floors)
New Building - Remodeling Addition __ Repairs
CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
BATH
CLOSETS. TUBS SHOWERS
SEPTIC •
TANK
SEWER DRAIN
CONN. , FIELD
Size Septic Tank______- - C
Feet of Drain Tile _r- _ --
Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA, I
ss.
COUNTY OF DADE.
LAVA-
TORIES
SOAKAGE
PIT
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
-
APPLICATION FOR PLUMBING PERMIT
SINKS
SLOP
SINKS
GREASE SOLAR
TRAP HEATER
LAUNORY
TUBS
DEEP
WELL
(Signed)
URINALS
SPRKLR.
SYSTEM
- Type of Tank - - A _ .G: l! ... ._
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
CATCH j FLOOR DRINKING
BASIN DRAIN FOUNT'NS
SWIM'G
POOL
Date
If
No. of Stories .
Capacity Gals. Ca 2 f�
TOTAL
FIXTURES
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 115 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 hint in the work to be
performed under this pennit; 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 \vork to be performed under this permit, as are
licensed by Miami Shores Village.
I r
(Signed) ( '�
(.. ` .. ` -
Master Plumber.
Notary Public, State of Florida
L
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 hint stated are true.
NOTE: A re- inspection ice 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
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 6865
DATE
194_
Contractor's
License No.
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Work to be performed under this Permit
Value of
Project
CONTRACTOR QR BUILDER BY
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
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A — further con
permit is granted is the understanding that the contractor or builder named above assumes the responsibility fora thorough knowledg
pli-
witl� any
revoked
ioif lol'pp��ric thi
of fite 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. , - B
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances andiregiila2ions
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.
AUTHORITY
CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
CLOSETS
SEPTIC
TANK
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.
r
Owner's Name and Address . - _ t . ! _ -- __ - -- -- -- a. _ / No. --- Street
Registered Architect and /or Engineer
Employing Plumber's Name . ___________ _ __ __ No.___ _ Street _
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)
New Building ___- __ Remodeling ___ ___ Addition . Repairs No. of Stories
BATH SHOWERS
Tuas
SEWER DRAIN
CONN. FIELD
Size Septic Tank
Feet of Drain Tile ._.___
Nature of Water Supply: City —Well.
STATE OF FLORIDA, i
COUNTY OF DADE.
ss.
LAVA-
TORIES
SOAKAGE
PIT
MIAMI SHORES VILLAGE
PLUMBING 9ISPEC;IQN DEPARTMENT
APPLICATION' Pi' PERMIT
SINKS
GREASE
TRAP
SLOP
SINKS
SOLAR
H EATER
l
LAUNDRY
Tuos
DEEP
WELL
URINALS
Type of Tank
Dist. Feet of Tank or Drain Field from Well .
Size of Soakage Pit .. _
Amount of Permit $ -. -- (Signed)
(Signed
CATCH
BASIN
SPRKLR. SW IM'G
SYSTEM POOL
FLOOR DRINKING
DRAIN FOUNT'NS
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 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 he
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 Conunission Expires Notary Public, State of Florida
Master Plumber.
TOTAL
FIXTURES
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
Architect
Contractor
or Builder
Work to be performed under this Permit
Owner of
Building
Legal Lot Bl.
Description
Address of
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications And that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. 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 co ormity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In ccepting this permit I assum esponsibility for all work done by et' er myself, my agent, servant or employee.
if j ` e . : t .. , -- - ` r ' ` it t . ♦ w ..r,,,... f } ,. .
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 7068
f;
Subdi-
vision
Value of
Project
Contractor's
License No.
Amt. of
Permit