8300•
Permit No._ 3 °� D / 9J;;9
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 Or ce of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shares 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• S P, E sgYTE/P /AM/ O//UfC// ‘ o ' /(/E- Street----
Registered Architect and /or Engineer
Employing Plumber's Name/Ater/ l " --CPe1? /A/KLER' C4 , No 3 70 / /I/, 4 e)ii / E
Location and Legal Description Lot Blot* Subdivision
Street and Number where work is to be performed—No. ae 2 '" ' Sr • Street
State work to be performe5 and purpose of building (By Floors) 4 /kVA/ $0g//d//!!16"/Z 5,e51 17
New Bl,tiding Remodeling Addition Repairs.._...,.. - ... .. No. of Stories
Amount of Permit #
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING
Size Septic Tank___ Type of Tank a Capacity Gals.__ _ _ ___ - -• - -- _
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City Wen FX /51YA/4 Size of Soakage Pit
Plumbing tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oy :. ons 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 time Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
lid by Miami Shores Village.
( signed
�!�i . ��.�...
a
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath oses and.says that he is the_...__._
of the above des rbed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
My Commission Expires Notary Publics, State of Florida
NOTE: A re-inspection fee of 61.00 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty
materials and /or wox'lc mashtp.
CLOSETS
BATH
TUBS
SNOWERS
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
Prr
GREASE'
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIN'O
POOL
CONTR.
LIST
CHECK
— �
- -
-
/e)4941
V 0°,01 .
•
Permit No._ 3 °� D / 9J;;9
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 Or ce of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shares 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• S P, E sgYTE/P /AM/ O//UfC// ‘ o ' /(/E- Street----
Registered Architect and /or Engineer
Employing Plumber's Name/Ater/ l " --CPe1? /A/KLER' C4 , No 3 70 / /I/, 4 e)ii / E
Location and Legal Description Lot Blot* Subdivision
Street and Number where work is to be performed—No. ae 2 '" ' Sr • Street
State work to be performe5 and purpose of building (By Floors) 4 /kVA/ $0g//d//!!16"/Z 5,e51 17
New Bl,tiding Remodeling Addition Repairs.._...,.. - ... .. No. of Stories
Amount of Permit #
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING
Size Septic Tank___ Type of Tank a Capacity Gals.__ _ _ ___ - -• - -- _
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City Wen FX /51YA/4 Size of Soakage Pit
Plumbing tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oy :. ons 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 time Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
lid by Miami Shores Village.
( signed
�!�i . ��.�...
a
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath oses and.says that he is the_...__._
of the above des rbed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
My Commission Expires Notary Publics, State of Florida
NOTE: A re-inspection fee of 61.00 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty
materials and /or wox'lc mashtp.
BUILDING
ELECIBICAL
PLUIVIB]NG
ROO
ArchiteCt
Contractor
0
0
a
G D
CONTRACTOR ,OR BUILDER
PERMIT N9 8300
Owner of - a
MIAMI SHORES VILLAGE. FLORIDA,
DATE ` .
Contractor's
Lipense No
Work to be, performed under this Permit I. r
Sq. Ft.
Value of
Project
Amt of
Permit $
RUTH ®RITY
or Buil.d'er ' �: . , • .. 5 r `;r ' m " "'
Legal
Description
Address of
Building
This permit is ted to the contractor or budder named above to construct the building or to install the equipment or device des 'bed in the api4lication
herefor in strict comp ce with all ordinances pertaining thereto and with the understanding that the work will be performed in co pliance 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 u on which this permit is
granted ir$ the understanding that the contractor or 'builder named above assumes the responsibility for a thorough knowledge of the or antes and regulations
pertaining to the work covered h ereby whether shown on the plans or drawings or in the statements or specifica and ;that he assumes responsibility for work
done by is ; agents, servants or employees.
Signed: } ..�
INSPECTOR
Ini consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all o ' • antes and regtalations
pertainin thereto and in 'strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Stores Village.
In accept4ng this permit I assume responsibility .for all work done by either,' myself, my agent, servant or employee.