574 NE 96 St (3)CONTR
LIST
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
..
,
TOTAL
FIXTURES
CHECK
CONTR.
LIST
CHECK
SEPTIC
TANK
f
SEWER
CONN.
-
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL.
SPRKLR.
SYSTEM
SWIM'G
POOL
Perm,.
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
Amount of Permit $ _
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
. 1 No Street_.
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
New Building . -- Remodeling Addition
No.
Block
Street and Number where work is to be performed —No Street__._.
State work to be performed and purpose of building (By Floors) ____
Type of Tank
_ Dist. Feet of Tank or Drain Field from Well
'e Septic Tank .. _ ._..
et of Drain Tile
ire of Water Supply: City —Well Size of Soakage Pit
Repairs
Date
Street
Subdivision
Chtlacity Gals._ ..
(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 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 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)
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
No. of Stories _
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Owner of
Building --
N? 7437
Work to be performed under this Permit__
DATE
19 ` ,
Contractor's ••
License No. f
Architect
Contractor
or Builder
Legal Lot Subdi-
Description Bl vision
Address of � r Value of I Amount of j s3
Building r; /`1 c Project 11 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 drawitk;s or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed " w t - 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
AflOT
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 9795
Contractor's
License No _
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
DATE 195
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 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 • 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Pit No
Owaaa a Name and Address .....
l_ %__
Registered Architect and /or E eer___—
Employfg Plumber's Name i/ f r�
Location aaad Legal Description Lot.
Sit and Number where work is to be performed —No
St„ Septic Tank--- ---- •- --- ..... --- _____------ - -- -Type of Tank --
Amount of Permit 0
STATE 00 FLO]RIIDA,
COUNTY OF ADE.
anO zl=mnEs V�BLQG�
FLU lENISPECTION DEPART M NT
a p n . ca40Cm F O C 3 1 L MBB L M T T
(Signed) _
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
bull during progress of work.
sbeetil
C / "
B1 SUbdlvisio
1� �e
Street 7
State work to br performed and purpose of building (By Floars) -__ - - - - - -• —
New Building - - - - -- -,._ _ -- Remodeling— _________ _ __ AddiHo i- 'i? / Repairs No. of Stories - - • - -- -• -- •
Capacity Gals.
t
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations
undez the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S
— 7
My Commission Expires Notary Public, State of Florida
Feet of Drain Tile______ ______Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: of Soakage Pit
P1 " bing Inspector.
employer of labor
ment, and has corn-
plied wi the proves ons thereof, and will require similar compliance from all contractors or sub - contractors employed i him in the work to be
performµ', under this permit; and will post or cause to be posted inspection on the site of the work such public notice or notices as are
by die Act. The undersigned agrees to employ only such sub - contra `s, on work to be performed under thi permit, as are
licensed by Mfgml Skurre Village.
n . r / .
(Signed — -- - -- - _ ..... _ ..... � -- - -'• -- ......... .
u Master Plumber.
Before me, the undersigned authority, a notary public, club, 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 reigp tion fee of 01.0 1) will be made when Gala so-inspection la snade'neeessary by improper notica for ins! - 'n, or faulty
materials andl /cr weerannAlaip.
CLOSETS
®AYH
MUDS
S.>HOWERD
roam) LAVA
TORS
S
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
DRAIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTU.
L1DV
Cx3ei
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
C^GAM72.
LIST
/ n G am/
°I
'
__.—
CHECK
Pit No
Owaaa a Name and Address .....
l_ %__
Registered Architect and /or E eer___—
Employfg Plumber's Name i/ f r�
Location aaad Legal Description Lot.
Sit and Number where work is to be performed —No
St„ Septic Tank--- ---- •- --- ..... --- _____------ - -- -Type of Tank --
Amount of Permit 0
STATE 00 FLO]RIIDA,
COUNTY OF ADE.
anO zl=mnEs V�BLQG�
FLU lENISPECTION DEPART M NT
a p n . ca40Cm F O C 3 1 L MBB L M T T
(Signed) _
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
bull during progress of work.
sbeetil
C / "
B1 SUbdlvisio
1� �e
Street 7
State work to br performed and purpose of building (By Floars) -__ - - - - - -• —
New Building - - - - -- -,._ _ -- Remodeling— _________ _ __ AddiHo i- 'i? / Repairs No. of Stories - - • - -- -• -- •
Capacity Gals.
t
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations
undez the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S
— 7
My Commission Expires Notary Public, State of Florida
Feet of Drain Tile______ ______Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: of Soakage Pit
P1 " bing Inspector.
employer of labor
ment, and has corn-
plied wi the proves ons thereof, and will require similar compliance from all contractors or sub - contractors employed i him in the work to be
performµ', under this permit; and will post or cause to be posted inspection on the site of the work such public notice or notices as are
by die Act. The undersigned agrees to employ only such sub - contra `s, on work to be performed under thi permit, as are
licensed by Mfgml Skurre Village.
n . r / .
(Signed — -- - -- - _ ..... _ ..... � -- - -'• -- ......... .
u Master Plumber.
Before me, the undersigned authority, a notary public, club, 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 reigp tion fee of 01.0 1) will be made when Gala so-inspection la snade'neeessary by improper notica for ins! - 'n, or faulty
materials andl /cr weerannAlaip.