590 NE 96 St (10)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
PERMIT 1ST? 12361
1
Work t
Architect
Contractor i
or Builder
Legal Lot
O ti
Bl.
This permit is grante to the contractor or builder ed above to co
herefor in strict compliant ith all ordinances pertainin ereto and with
drawings, statements or sp fications that may have been bmitted to and ap ro
time if the work is not do in compliance with such ordi ces or if the plans e
granted is the understanding that the contractor or builder named above assume
pertaining to the work covered hereby whether shown on the plans or drawings
done by his agents, servants or employees. ��...
CONTRACTOR OR BUILDER
performed under this Permit
low
e work covered hereunder in compliance with . rdinances a
specifications submitted to the proper auth es of Miami
l my agent, servant or employee.
Signed:
In consideration of the is dance to me of this permit I agree to perform
pertaining thereto and in strict #onformity with the plans, drawings, statements
In accepting this permit I assn a responsibility for wor done ither
vision
alue of
oject $
ved by
Than
the
in
DATE
Ow w
Contractor's
License No
Amt. of
Permit $
•
ct the building or to install the equipment or device described in •lfcation
understanding that the work will be performe• ,i compliance with. n• ns,
municipal authgriy_ ._ ^ •.'ti, , ..'t may be revoked at
thorization. . •. .upian which this permit is
- i` x$fnances and regulations
or s• ; • ;� ` _ e• on.' ' ity f work
BY AUnIORITY
195_4
regulations
ores Village.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
" CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
'ERMIT N9 3570
Work to be performed under this Permit `
Bl.
'Address of ¢-° s , �* Project Value of 11, Amt. of
Bu
.,. • ,
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 conditin
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 finances and mg pp
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au ies of Miami MS
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
•
+i 1 F x
w
•
DATE 194
Contractor's
License No.
Thts Construction may N M t c
[roar Sroductlan Natd general Umitaliorrs (+. .•• rl
YIN as ciatiaad p Cannot yow War Pro::ucacan
Wye qeiid tM auk aitberiia4 In
Ns Omit
Subdi-
vision
.1✓ s..At Y. �rwok"
BY AUTHORITY
1. MIAMI SHORES VILLAGE -r
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/�
Permit No..___3__S r _
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
Registered Architect and /or Engineer
Employing Plumber's Name _� ' C ' ' _ C ' �' _ �"` No. ,{
Location and Legal Description Lot_____ _/ _______ __!`! `v!__� __ Subdivisio
Street and Number where work is to be performed —No ' c`� ""'' __ 1^) _e{ t- 4.Street
State work to be performed and purpose of building (By Floors) __________________
New Building___________ _____ Remodeling Addition______.
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to admin
ss.
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that
of the above described construction, that he has carefully read the foregoing application,
therein by him stated are true.
My Commission Expires
(Signed
No.54 0 - )3 _'_ _. Street__ - - 6 14 ' Si-
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made
materials and /or workmanship.
Street_
Repairs No. of Stories_
Size Septic Tank_ Type of Tank
Feet of Drain Tile________— ____________ —___ Dist. Feet of Tank or Drain Field from Well_____
Nature of Water Supply: City —Well. .Size of Soakage Pit.___
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
plied with the provisions thereof, and will require similar compliance from all contractors or
performed under this permit; and will post or cause to be posted for inspection on the site
required by the Act. The under signed agrees to employ only such sub - contractors, on w
licensed by Miami Shores Village.
Date_
y
•
.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
3
_a____
3
/
/
1/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
/
CHECK
1. MIAMI SHORES VILLAGE -r
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/�
Permit No..___3__S r _
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
Registered Architect and /or Engineer
Employing Plumber's Name _� ' C ' ' _ C ' �' _ �"` No. ,{
Location and Legal Description Lot_____ _/ _______ __!`! `v!__� __ Subdivisio
Street and Number where work is to be performed —No ' c`� ""'' __ 1^) _e{ t- 4.Street
State work to be performed and purpose of building (By Floors) __________________
New Building___________ _____ Remodeling Addition______.
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to admin
ss.
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that
of the above described construction, that he has carefully read the foregoing application,
therein by him stated are true.
My Commission Expires
(Signed
No.54 0 - )3 _'_ _. Street__ - - 6 14 ' Si-
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made
materials and /or workmanship.
Street_
Repairs No. of Stories_
Size Septic Tank_ Type of Tank
Feet of Drain Tile________— ____________ —___ Dist. Feet of Tank or Drain Field from Well_____
Nature of Water Supply: City —Well. .Size of Soakage Pit.___
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
plied with the provisions thereof, and will require similar compliance from all contractors or
performed under this permit; and will post or cause to be posted for inspection on the site
required by the Act. The under signed agrees to employ only such sub - contractors, on w
licensed by Miami Shores Village.
Date_
y
•
.
z
�t . C..:.l" 7 i C ...
e‘cy0e>
/ /))
3-- 9- �s
T
Permit No 6 21,35 Date.l f- --- - —
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 et
building during progress of work. /
Owner's Name and Address . P1.t" 4 c-o Pt L
Registered Architect and /or Engineer
loyin Plum s N 1 :41_AZti '� s l �c _ P40 .�eF...:/ �' iZ s ....... I �' G-... 2.40
l / £ p eso iral� � //f� �'
Location and Legal Description Lot. _� rJ'.� 2 B lom y S 7 Subdivision. � - -„ '
/r
Street and Number where work is to be performed —No 59 0 C / n � Street ..-- .-- .__... - -•. -.
State work to be performed and purpose of building (By Floors)__._f E $L__ -_ -.
New Building .__..__. —__._ - -...- - ... - -- Remodeling—_-_-__.___ Addition
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No. - street .5 /1'
Repairs No. of Stories.. L ......
Size Septic Tank— Type of Tank C 0.4 C ... ______Capacity Gals...______
Feet of Drain Tile mist- Feet of Tank re Drain Field from Well.-- -. - - -- __ -_.
Nature of Water Supply: City — Well — sr C 1 Size of Soakage Pit
0 0
Amount of Permit i
(Signed)
4-
Plumbing Ini
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 5989, Compiled General Laws of Florida Permanent Supplement, and hail 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, on work to be performed under this permit, ea are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, 1 µ
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, lly read the foregoing application, and that be did slim the same, and that all facts
therein by him tfaRedYakiArue.SYCP f�, that he has carefu -
:. ;Oi::;dos %P;
.3tfnwl) K[!S„ 1J1'ti�
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when swab swiespectloe is ssssde by improper mum for inpection, or faulty
materials and /or workmanship.
CLesrrs
BATH
Turns
II/4
LAVA.
TORIES
SINK[
SLOP
SINKS
LAUNDRY
Tu.•
URINALa
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT•N•
TOTAL
/IITUKES
CONTR.
LIST
--
CHICK
°�
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAO[
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SIRKLR.
SYSTEM
SW IM•O
POOL
L
C LIST
��-
S
r�
CNECK
Permit No 6 21,35 Date.l f- --- - —
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 et
building during progress of work. /
Owner's Name and Address . P1.t" 4 c-o Pt L
Registered Architect and /or Engineer
loyin Plum s N 1 :41_AZti '� s l �c _ P40 .�eF...:/ �' iZ s ....... I �' G-... 2.40
l / £ p eso iral� � //f� �'
Location and Legal Description Lot. _� rJ'.� 2 B lom y S 7 Subdivision. � - -„ '
/r
Street and Number where work is to be performed —No 59 0 C / n � Street ..-- .-- .__... - -•. -.
State work to be performed and purpose of building (By Floors)__._f E $L__ -_ -.
New Building .__..__. —__._ - -...- - ... - -- Remodeling—_-_-__.___ Addition
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No. - street .5 /1'
Repairs No. of Stories.. L ......
Size Septic Tank— Type of Tank C 0.4 C ... ______Capacity Gals...______
Feet of Drain Tile mist- Feet of Tank re Drain Field from Well.-- -. - - -- __ -_.
Nature of Water Supply: City — Well — sr C 1 Size of Soakage Pit
0 0
Amount of Permit i
(Signed)
4-
Plumbing Ini
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 5989, Compiled General Laws of Florida Permanent Supplement, and hail 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, on work to be performed under this permit, ea are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, 1 µ
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, lly read the foregoing application, and that be did slim the same, and that all facts
therein by him tfaRedYakiArue.SYCP f�, that he has carefu -
:. ;Oi::;dos %P;
.3tfnwl) K[!S„ 1J1'ti�
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when swab swiespectloe is ssssde by improper mum for inpection, or faulty
materials and /or workmanship.
Permit No. _i_g
Size Septic Tank
Feet of Drain Tile______
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
I Date �l
Application is here ' made for the approval of the detailed statement of the plans and specifications herewith sub ted for th uilding 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 AM. e_ ; M. ` lii
Registered Architect and /or En i er
Employing Plumber's Name
be R- 6' A k II /5.. $ No
Location and 'Legal Description Lot __________________— _______ Block_ _
Street and Nu{nber where work is to be performed —No SY `, J�
State work; to be performed and purpose of building (By Floors) 4` (
New Building Remodeling Addition Repairs
Type of Tank Cap. Gals
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. — Size of Soakage Pit
No _____ Street , f!__ __ 5? 6 L__!
(Signed)
_ Street - - -_.#11E\17: _ — /
The undersigned app l ant for this b ermi hereby certify that he . erstands and accepts his obligations a . n employer of labo
under the Florida Workmen's Compensation Act, eing Section 5988, C. •' • neral Laws of Florida Permanent Sup ment, and has co
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 tl e work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on or to be p •.rmed un his pernrit, as are
licensed by Miami Shores Village.
Subdivision
Street__ _ __l t! 2. 4 _____
/Tit. , /,9p
No. of Stories
Notary Public, State of Florida
ber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and to e 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CL fiTS
QS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
w
Permit No. _i_g
Size Septic Tank
Feet of Drain Tile______
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
I Date �l
Application is here ' made for the approval of the detailed statement of the plans and specifications herewith sub ted for th uilding 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 AM. e_ ; M. ` lii
Registered Architect and /or En i er
Employing Plumber's Name
be R- 6' A k II /5.. $ No
Location and 'Legal Description Lot __________________— _______ Block_ _
Street and Nu{nber where work is to be performed —No SY `, J�
State work; to be performed and purpose of building (By Floors) 4` (
New Building Remodeling Addition Repairs
Type of Tank Cap. Gals
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. — Size of Soakage Pit
No _____ Street , f!__ __ 5? 6 L__!
(Signed)
_ Street - - -_.#11E\17: _ — /
The undersigned app l ant for this b ermi hereby certify that he . erstands and accepts his obligations a . n employer of labo
under the Florida Workmen's Compensation Act, eing Section 5988, C. •' • neral Laws of Florida Permanent Sup ment, and has co
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 tl e work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on or to be p •.rmed un his pernrit, as are
licensed by Miami Shores Village.
Subdivision
Street__ _ __l t! 2. 4 _____
/Tit. , /,9p
No. of Stories
Notary Public, State of Florida
ber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and to e 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
0,
Permit No. -__7
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.
Amount of Permit $-
Size Septic Tank----_---
Feet of Drain
Nature of Water Supply: ty —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
9Y /__...._ street / d
Owner's Name and Address
Registered Architect and /or En ineer __ —__
I .11
Employing Plumber's N e -I . -• -- •_ _/►!' ' i:__ __ 0 -- =C. 1 No. _ - _--- _- -_.. _i1 /n ' 111 Street_A _ —_-
q Su divisioon
Street and Number where work is to be performed —No ! /, 4i r .- • Street �
State work to be performed and purpose of building (By Floors) E �
New Building Remodeling__, -- -- --_- -- Addition
Location and Legal Description Lot: Block._
_______ -Type of Tank_
!_Dis Feet of Tank or Drain Field from Well
Size of Soakage Pit
.._ - - -- (Signed)-
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
required by tlae 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)_
Repairs No. of Stories
Capacity Gals
STATE OF FLORIDA, 1
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
Plumb . g Inspector.
lumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty
mat€rials and /or workmanship.
C1.o ZTrz
qr. TH
TUBS
SHOWERS
LAVA•
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
TOTAL
FIXTURES
CONTR.
LIST
—
CHE +K
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
—
ee.HTK.
LIST
- --
CHECK
0,
Permit No. -__7
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.
Amount of Permit $-
Size Septic Tank----_---
Feet of Drain
Nature of Water Supply: ty —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
9Y /__...._ street / d
Owner's Name and Address
Registered Architect and /or En ineer __ —__
I .11
Employing Plumber's N e -I . -• -- •_ _/►!' ' i:__ __ 0 -- =C. 1 No. _ - _--- _- -_.. _i1 /n ' 111 Street_A _ —_-
q Su divisioon
Street and Number where work is to be performed —No ! /, 4i r .- • Street �
State work to be performed and purpose of building (By Floors) E �
New Building Remodeling__, -- -- --_- -- Addition
Location and Legal Description Lot: Block._
_______ -Type of Tank_
!_Dis Feet of Tank or Drain Field from Well
Size of Soakage Pit
.._ - - -- (Signed)-
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
required by tlae 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)_
Repairs No. of Stories
Capacity Gals
STATE OF FLORIDA, 1
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
Plumb . g Inspector.
lumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty
mat€rials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Work to be performed under this Permit
Owner of t " f
Building
Architect
Contractor
or Builder
1
•` f
MIAMI SHORES VILLAGE, FLORIDA i
PERMIT N° 3818 A
Subdi-
vision
Value of
Project
1 {S perm
-DATE 194—
Contractor's
License No.
Amt. of
Permit
I',OQur.t :a.' SJdid a ;tent i rn;tdt`pi75 J et 1 -41
You are c &dt!Li,td 1).; thsr f' u,,, too
Borrd office before starting the work at tkOr Ltd M
Legal Lot BI.
Description
Address of f
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
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 regula-
tions 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.
CONTRACTOR OR BUIL .DER BY AUTHORITY
r
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of ,— ;
Building ') ....I
CONTR
Work to be performed under this 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• r By h .A.
INBACTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions 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 1 assume responsibility for all work done by either myself, my agent, servant or employee.
t.-,
BY AUTHORITY
CTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE - � 1 � 194 . w
ERMIT N9 3570
Bl.
4
t 1
Subdi-
vision
• s: itus COt Sttuetien nosy br in
Wai Piotlttction &NW Gaud Limitation (i • • dt
Y
Board slha Mtge to c eer4 pm wit Awci;un
ON
shift le OM allosiesil
C
Contractor's
License No.
•
Value of Amt. of
Project i 1 f; Permit
- P