330 NE 97 St (2)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.
Ones a Name and Address_ -._ -:_
Registered Architect and /or Engineer______
Employing Plumber's Name ' '•-• '-' iV ar¢r
Block__ Subdivision
Street and Number where work is to be performed —No / %_ Street
Location and Legal Description Lot.
State work to be performed and purpose of building (By Floors) _
MA AM SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
IFPL8CAT ON FOR PLUMBING PERMIT
Nor:Wiilding-- -- : -_ -- _ -- Remodeling-- __________ —_ —__ Addition.
No.
Size Septic TanlL ___-____------- -- -- ----- -- - - - -- Type of Tank_— Capacity Gals
Feat of Drain Tile.—
Amount of Permit $
_ —Dist. Feet of Tank or Drain Field from Well
My Commission Expires
(Signed)
Date._ _
Street
Repairs____ No. of Stories.
Nature of Water Suppfy' City - Well. ____ __Size of Soakage Pit
(Signed)-
6/....Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
rewired 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.
Notary Public, State of Florida
Nli" i i
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, 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 01.00 will be me •i•: whon such re- inspection is made • necessary by improper notice for inspection, or faulty
materials and /cr iio.Tlm anship.
y
CLOSETS
BATH
TUBBS
SHWGRB
O
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
�:; , / • nom
�' .,, ,
�' �
TOTAL
FIXTURES
CNCSc
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
C.... — .i
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•S
POOL
LIST
L/
C6iICM
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.
Ones a Name and Address_ -._ -:_
Registered Architect and /or Engineer______
Employing Plumber's Name ' '•-• '-' iV ar¢r
Block__ Subdivision
Street and Number where work is to be performed —No / %_ Street
Location and Legal Description Lot.
State work to be performed and purpose of building (By Floors) _
MA AM SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
IFPL8CAT ON FOR PLUMBING PERMIT
Nor:Wiilding-- -- : -_ -- _ -- Remodeling-- __________ —_ —__ Addition.
No.
Size Septic TanlL ___-____------- -- -- ----- -- - - - -- Type of Tank_— Capacity Gals
Feat of Drain Tile.—
Amount of Permit $
_ —Dist. Feet of Tank or Drain Field from Well
My Commission Expires
(Signed)
Date._ _
Street
Repairs____ No. of Stories.
Nature of Water Suppfy' City - Well. ____ __Size of Soakage Pit
(Signed)-
6/....Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
rewired 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.
Notary Public, State of Florida
Nli" i i
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, 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 01.00 will be me •i•: whon such re- inspection is made • necessary by improper notice for inspection, or faulty
materials and /cr iio.Tlm anship.
Penn-.it No .(!:' c
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s bmi 'd 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. -y �``
Owner's Name and Address. _C SJ_ �.______ No. a30 Street A _. _ 9 __7 ...
Registered Architect and /or Engineer ---------------- - - � - __ -- - - — _______- -------- .----- ____ -- --
Employing Plumber's Nama� L_ r sL9 z it .f -� �' �� d��S_ No.� !� -- Street..,
Location and Legal Description Lot_ Block Subdivision - - -_ - :- ---- --- ----- - - ----
Street and Number where work is to be performed —No • 3 3 0 -E-1'• F Street_
State work to be performed and purpose of building (By Floors) ----- - - - -_-
New Building _ -- Remodeling —_ -- ---- _ -__ -- Addition ___- __._._ Repairs -- -- --- -- - - - - -- - -- -- -- No of Stories
Size Septic Tank -- ____ -- A_O __ -= • _Type of Tank-
STATE OF FLORIDA, }
COUNTY OF DARE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit $
Capacity Gals. ____ -7 0 eir
Feet of Drain Tile -__- - = _--- -_ -_ -- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.____,____________— ______ — ____Size of Soakage Pit
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-
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, i. work to be pew ed under this permit. as are
licensed by Miami Shores Village.
'
•
((Signed)._ ed(Signed)._ Sign
Date_
J
>
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
Mast Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall :' 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 Abe foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. �• - t• o. . -
NOTE: A re- inspection fee of $1.00 will be made when such sea - 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
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHEC:Y
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM
POOL
CONTR.
LIST
T --
CHECII
4----
a
Penn-.it No .(!:' c
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s bmi 'd 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. -y �``
Owner's Name and Address. _C SJ_ �.______ No. a30 Street A _. _ 9 __7 ...
Registered Architect and /or Engineer ---------------- - - � - __ -- - - — _______- -------- .----- ____ -- --
Employing Plumber's Nama� L_ r sL9 z it .f -� �' �� d��S_ No.� !� -- Street..,
Location and Legal Description Lot_ Block Subdivision - - -_ - :- ---- --- ----- - - ----
Street and Number where work is to be performed —No • 3 3 0 -E-1'• F Street_
State work to be performed and purpose of building (By Floors) ----- - - - -_-
New Building _ -- Remodeling —_ -- ---- _ -__ -- Addition ___- __._._ Repairs -- -- --- -- - - - - -- - -- -- -- No of Stories
Size Septic Tank -- ____ -- A_O __ -= • _Type of Tank-
STATE OF FLORIDA, }
COUNTY OF DARE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit $
Capacity Gals. ____ -7 0 eir
Feet of Drain Tile -__- - = _--- -_ -_ -- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.____,____________— ______ — ____Size of Soakage Pit
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-
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, i. work to be pew ed under this permit. as are
licensed by Miami Shores Village.
'
•
((Signed)._ ed(Signed)._ Sign
Date_
J
>
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
Mast Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall :' 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 Abe foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. �• - t• o. . -
NOTE: A re- inspection fee of $1.00 will be made when such sea - Inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE, FLA. N2 6967
JOB
ADDRESS
•
0 -- Y\ r
INSPECTION PI? ki
TIME READY - 1, et d
REMARKS •
INSPECTOR
DATE
MIAMI SHORES VILLAGE, FLA. N9 6957
JOB 0,
ADDRESS
INSPECTION
TIME READY
o
REMARKS •
INSPECTOR__
DATE
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Owner of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Bl.
N? 6296
Work to be performed under this Permit__
DATE
Contractor's
License No.
19
Subdi-
vision
Value of I Amount of
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 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 autho-ities. 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 — „E _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 it 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.
BY
AUTHORITY
na !3O vim