297 NE 97 St (6)A /
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address --A-NA Aio - No.__ Y . 7...72
Registered Architect and /or Engineer
Employing Plumber's Name .....i Ar�9: L__ ' �� E±Nli �?� ( �! L7 S
Block
Street_ I..6• '/ 7 Si ._._..._.
Repairs No. of Stories.. .......
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 icons)__.._. L_ \ -t
New Building Remodeling __-• - -.._. _ ...__ Addition.
Size Septic Tanis_.— .`------- - - - - -- - -- - - Typo of 'E' salt__------- . . ..........._._._
Feet of Drain Tile._.___ _ _-_- _____Dist. Feat of Tank or Drain Field from Well.
Nature of Water Supply: City - Well. __ -- - -_- • - - - -• - - __ __ -- ..Size of Soakage Pit
Pi u ing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations aJ'an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perm t Supplement, and liar com-
plied with the provisions thereof, and will require similar ccmpi aace from all contractors or sub - contractor mpi yed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on th e of the wor such ublic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contracto s, on work to , r y ed un • this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, D
COUNTY OF DADE.
Before me, the undersigned authority, e. notary pub? c, duly authorized to ; ... •,aster oaths and take acknowledges tor, personally appeared
to me well known, and who, being by me first duly sworn, upnn oath deposes and says that he is the .._.............- • . . . . . .. .. ...._ _..
of the above described construction, that he has carefully read tho foregoing application, and that he did sFgn the same, and that all facts
therein by him stated are true.
My Commission Expires
NOTE: A re- inspection fee of $1." wl1 be made when speetio® iV mode•neoessary by improper notice for inspection, or faulty
materials and /or warlamanship.
Date
Capacity Cals._._ ........... -- --
Notary Public, S ;ate of Florida
CLe.ETS
BATH
TUBS
SHOWER.
LAVA-
TORISS
SINKS
SLOP
SINK.
LAUNDRY
Tus.
URINAL.
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' fill
TOTAL
FIXTURES
CONTA.
LIST
......
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
COLAS
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
-
CONTR.
LIST
-
e ,,......,
CHECK
A /
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address --A-NA Aio - No.__ Y . 7...72
Registered Architect and /or Engineer
Employing Plumber's Name .....i Ar�9: L__ ' �� E±Nli �?� ( �! L7 S
Block
Street_ I..6• '/ 7 Si ._._..._.
Repairs No. of Stories.. .......
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 icons)__.._. L_ \ -t
New Building Remodeling __-• - -.._. _ ...__ Addition.
Size Septic Tanis_.— .`------- - - - - -- - -- - - Typo of 'E' salt__------- . . ..........._._._
Feet of Drain Tile._.___ _ _-_- _____Dist. Feat of Tank or Drain Field from Well.
Nature of Water Supply: City - Well. __ -- - -_- • - - - -• - - __ __ -- ..Size of Soakage Pit
Pi u ing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations aJ'an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perm t Supplement, and liar com-
plied with the provisions thereof, and will require similar ccmpi aace from all contractors or sub - contractor mpi yed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on th e of the wor such ublic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contracto s, on work to , r y ed un • this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, D
COUNTY OF DADE.
Before me, the undersigned authority, e. notary pub? c, duly authorized to ; ... •,aster oaths and take acknowledges tor, personally appeared
to me well known, and who, being by me first duly sworn, upnn oath deposes and says that he is the .._.............- • . . . . . .. .. ...._ _..
of the above described construction, that he has carefully read tho foregoing application, and that he did sFgn the same, and that all facts
therein by him stated are true.
My Commission Expires
NOTE: A re- inspection fee of $1." wl1 be made when speetio® iV mode•neoessary by improper notice for inspection, or faulty
materials and /or warlamanship.
Date
Capacity Cals._._ ........... -- --
Notary Public, S ;ate of Florida
Permit No.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otht•1
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
. -- - -- --
Owner's Name and Address ' �'ti �_ =- � �-- �=-- � -' = - -� �� -- �- " No. _ Street
Registered Architect and / or Engineer _ - -. _ -- - -__ -- _-- •- _- __..- - - - -• _ -- _-- -_ - -- -- _---- _._____
Employing Plumber's Name
No.
Street -
Subdivision
Street and Number where work is to be performed —No. _= ..:m.._ f e- • Street__...: I ..
State work to be performed and purpose of building (By Floors)__
New Building __._ - Remodeling Addition__._ Repairs
Location and Legal Description Lot_..__._._.____
Size Septic Tank_ . Type of Tank_
Feet of Drain Tile - _ Dist. Feet of Tank or Drain Field from Well
Nature of Water Suly: City. - Well __________ __ -__ Size of Soakage Pit__
Amount of Permit $.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
__Block
_ .---- _- --_ - �_ ____ (Signed) -_—
-- c `- �,
Date _.. ... •
Capacity Cals. •
i ,.
My Commission Expires Notary Public, State of Florida
No. of Stories
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as au employer
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and h. r.••
plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 ac are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this r as are
licensed by Miami Shores Village.
f •
(Signed)41 _
Master Plumber.
STATE OF FLORIDA, �,
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ,ippeare
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 tat.
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 f,.ul
materials and /or workmanship. .
CLOSETS
BATH
TUBS
S
SH"E"
LAVA-
TORIES
1NK
SINKS
SLOP
SINKS
LAUNDRY
'rues
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
;� .
� ,A - -....s
TD71L
tllt[t
LIST
CHECK
•
0- I s
LS
11 ..
1.1
_,_
SPRKLR.
SYSTEM
SWIM - G
POOL
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
iOLJVR
HEATER
DEEP
WILL
CONTR.
Lurr
CNECK
r _
•i
Permit No.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otht•1
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
. -- - -- --
Owner's Name and Address ' �'ti �_ =- � �-- �=-- � -' = - -� �� -- �- " No. _ Street
Registered Architect and / or Engineer _ - -. _ -- - -__ -- _-- •- _- __..- - - - -• _ -- _-- -_ - -- -- _---- _._____
Employing Plumber's Name
No.
Street -
Subdivision
Street and Number where work is to be performed —No. _= ..:m.._ f e- • Street__...: I ..
State work to be performed and purpose of building (By Floors)__
New Building __._ - Remodeling Addition__._ Repairs
Location and Legal Description Lot_..__._._.____
Size Septic Tank_ . Type of Tank_
Feet of Drain Tile - _ Dist. Feet of Tank or Drain Field from Well
Nature of Water Suly: City. - Well __________ __ -__ Size of Soakage Pit__
Amount of Permit $.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
__Block
_ .---- _- --_ - �_ ____ (Signed) -_—
-- c `- �,
Date _.. ... •
Capacity Cals. •
i ,.
My Commission Expires Notary Public, State of Florida
No. of Stories
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as au employer
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and h. r.••
plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 ac are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this r as are
licensed by Miami Shores Village.
f •
(Signed)41 _
Master Plumber.
STATE OF FLORIDA, �,
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ,ippeare
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 tat.
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 f,.ul
materials and /or workmanship. .
mceaaa £P/umbinj
H. G. McCANN, OWNER
330 N. W. 715T STREET
MIAMI, FLORIDA
PHONE
9 93
7
7 -- ) 5'7
r
1
"
• C .0 .
Permit No._. if " _._.
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 ell 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
ba ding during progress of work.
Opener's Name and Address No._- _- _- -�1__. _ Street ._- •--- r�.. -_ -
Registered Architect and /or Engineer
Size Septic Tank
Feet of Drain Tile
Amount of Permit $-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
New Building __.._. _._.- -- - -- - --__ -- Remodeling
Employing Plumber's Name P" �1_0_1_ 1 = z - 5 - 1.-- ..T_ v"I?^ eNo.._ Street.-
Location and Legal Description Lot____________________—.— Block- Subdivision
U E. , ` e 7, r
Street and Number where work is to be performed -No ?-4"7 ' - 1 `` �i Street.
,
So-t to work to be performed and purpose of building (By Floors)__.___. ..... _ - ___ -_ u o Z-c.- - -4 %€a- Nv_ 4 i_.Q. -=.>...:_
Addition____ Repairs No. of Stories . . ...
Type of Tank___ Capacity Gals
_ ._.___. __Dist. Feet of Tank or Drain Field from Well
Nature of Water .... _______ ... ___- -_ - - -- -Size of Soakage Pit
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi; ty�fions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin erlt Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp oyed 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
req^. red 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)._
Date-- _ iry
STATE OF FLORIDA,
es.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.___
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
/4'1 -
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re - inspection is made•necessary by improper notice for inspection, or faulty
ri tcals and /or workmsrnahip.
Cl�Cigf"S
_
BATH
TUB6
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
comm.
C
d_,:os
C14 tK
--
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CaNSR.
LIST
CHECK
Permit No._. if " _._.
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 ell 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
ba ding during progress of work.
Opener's Name and Address No._- _- _- -�1__. _ Street ._- •--- r�.. -_ -
Registered Architect and /or Engineer
Size Septic Tank
Feet of Drain Tile
Amount of Permit $-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
New Building __.._. _._.- -- - -- - --__ -- Remodeling
Employing Plumber's Name P" �1_0_1_ 1 = z - 5 - 1.-- ..T_ v"I?^ eNo.._ Street.-
Location and Legal Description Lot____________________—.— Block- Subdivision
U E. , ` e 7, r
Street and Number where work is to be performed -No ?-4"7 ' - 1 `` �i Street.
,
So-t to work to be performed and purpose of building (By Floors)__.___. ..... _ - ___ -_ u o Z-c.- - -4 %€a- Nv_ 4 i_.Q. -=.>...:_
Addition____ Repairs No. of Stories . . ...
Type of Tank___ Capacity Gals
_ ._.___. __Dist. Feet of Tank or Drain Field from Well
Nature of Water .... _______ ... ___- -_ - - -- -Size of Soakage Pit
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi; ty�fions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin erlt Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp oyed 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
req^. red 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)._
Date-- _ iry
STATE OF FLORIDA,
es.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.___
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
/4'1 -
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re - inspection is made•necessary by improper notice for inspection, or faulty
ri tcals and /or workmsrnahip.
,,,,,"4
Permit No. a
><"'
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
I 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work. / y
No
Owner's Name and Address
Street
Date_
Registered Architect and /or Engineer .._. _____ _ .4_
^ `Y f � ° ^, )
Employing Plumber's Name. - ..... df ..- Le 3 - - -J _
Location and Legal Description Lot
Street and Number where work is to be performed —No _,J2 . 1 ..../.:__,i Street I -
State work to be performed and purpose of building (By Floors)_
Building Remodeling, ____ _____ ______ __._____ Addition_______ ___ Repairs. No. of Stories
Size Septic Tank. Type of Tank_
Feet of Drain T 1e ______ _.__.___ __ .. Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well , ____ Size of Soakage Pit.
Street
81oc _ Subdivision/
Capacity Gals.
Oc)
,
Amount of Permit $_ _.__. _ I - -- ( Signed )______�
Plumbing Insi, ector.
i
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as at, employer of labor
under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ec,n-
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 jo be performed under this permit, as an
licensed by Miami Shores Village.
--
(Signed) - -X- 2'_. - .___. = _
Master Plumber.
STATE OF FLORIDA, �.
COUNTY OF DADE. i
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare
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 tac
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 f..ul
materials and /or workmanship
CLOSETS
BATH
TUBS
SNOWBRS
LAVA.
TORIES
SINKS
SLOP
SINK•
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT NS
TOTAL
FIXTURE!
- - -
CONTR.
LIST
CHECK
--_-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
SYSTEM
SWIM 0
POOL
CONTR.
LIST
/ � k
CHECK
,,,,,"4
Permit No. a
><"'
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
I 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work. / y
No
Owner's Name and Address
Street
Date_
Registered Architect and /or Engineer .._. _____ _ .4_
^ `Y f � ° ^, )
Employing Plumber's Name. - ..... df ..- Le 3 - - -J _
Location and Legal Description Lot
Street and Number where work is to be performed —No _,J2 . 1 ..../.:__,i Street I -
State work to be performed and purpose of building (By Floors)_
Building Remodeling, ____ _____ ______ __._____ Addition_______ ___ Repairs. No. of Stories
Size Septic Tank. Type of Tank_
Feet of Drain T 1e ______ _.__.___ __ .. Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well , ____ Size of Soakage Pit.
Street
81oc _ Subdivision/
Capacity Gals.
Oc)
,
Amount of Permit $_ _.__. _ I - -- ( Signed )______�
Plumbing Insi, ector.
i
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as at, employer of labor
under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ec,n-
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 jo be performed under this permit, as an
licensed by Miami Shores Village.
--
(Signed) - -X- 2'_. - .___. = _
Master Plumber.
STATE OF FLORIDA, �.
COUNTY OF DADE. i
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare
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 tac
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 f..ul
materials and /or workmanship
BUILDING
ELEcarRicAL
PLUMBING
ROOFING
Owner of
Building
▪ PERMIT N? 14028
❑ Work to be performed under this Permit
Architect
Contractor t
or Builder
Leggy Lot II Bl .
Description,
Address of
Building
CONTRACka OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Signed•
Subdi-
vision
Value of
Project $
BY
DATE 1 " 2-- 195
Contractor's
License No
Amt. of
Permit $
r is
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. (
Ae i i i R Aril.
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 • pe g thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In ng 161 permit 1 eassu e responsib for all work done, by ei y myself,, my agent, servant or employee.
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 13994
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot II Bl.
Description
Address of
Building i i ` ! i
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project $
DATE l s - _ - j-- 195
Contractor's
License No
Amt. of
Permit
BY AUTHORITY
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • `�:. \ ' CTOR B ......
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
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