10853Permit No /o' g Date Feb. 14
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 Shores Presbyterian Church No. 602 Street N.E. 96 Street
Registered Architect and /or Engineer -
Employing Plumber's Name .pr ink ler Co. No 880 Street N.j,., 54th. St.
Location and Legal Description Lot Blonk Subdivision
Street and Number where work is to be performed --No 2,. 602 Street N.8. 96 Street
State work to be performe8 and purpose of building (By Floors)
New Builrllng sor Remodeling Addition Repairs______-_ -______ -__ No. of Stories.__ _.__.__-- ___
Size Septic Tank
Feet of Drain Tile
Amount of Permit $ 8.00
STATE OF FLORIDA, t as.
COUNTY OF DADE.
NOTE: A re-
materials and /or
Expires
ihno
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
r
Dist. beet of Tank or Drain Field from Well
Nature of Water Supply: City —W11 Sive of Soakage Pit_____
( sped)
Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o Itions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P :; : • t Supplement, and has com-
plier with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him hi the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the wor such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on " r armed under - _ : 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
therein the above state
dede Construction, that be bas carefully read the regoing application, and that he did sign the same, and that all facts
Notary Public, State of Florida
Plumbing Inspector.
Plumber.
fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
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Permit No /o' g Date Feb. 14
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 Shores Presbyterian Church No. 602 Street N.E. 96 Street
Registered Architect and /or Engineer -
Employing Plumber's Name .pr ink ler Co. No 880 Street N.j,., 54th. St.
Location and Legal Description Lot Blonk Subdivision
Street and Number where work is to be performed --No 2,. 602 Street N.8. 96 Street
State work to be performe8 and purpose of building (By Floors)
New Builrllng sor Remodeling Addition Repairs______-_ -______ -__ No. of Stories.__ _.__.__-- ___
Size Septic Tank
Feet of Drain Tile
Amount of Permit $ 8.00
STATE OF FLORIDA, t as.
COUNTY OF DADE.
NOTE: A re-
materials and /or
Expires
ihno
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
r
Dist. beet of Tank or Drain Field from Well
Nature of Water Supply: City —W11 Sive of Soakage Pit_____
( sped)
Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o Itions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P :; : • t Supplement, and has com-
plier with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him hi the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the wor such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on " r armed under - _ : 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
therein the above state
dede Construction, that be bas carefully read the regoing application, and that he did sign the same, and that all facts
Notary Public, State of Florida
Plumbing Inspector.
Plumber.
fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty