745 NE 96 St (7)Permit No * Date. u C1
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 ordinance of Mianri 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 Dopy of approved plans and specifications must be kept at
building during progress of work. Pl
Owner's Name and Address��0 k DD \4 No. 1 � LL Street 01 9 . e . \62n+.
l
Registered Architect and /or Engineer
Employing Plumber's Now
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot_ , t Bkn� S vision
Stree ....
.._.
Street and Number where work is to be performed —No. t J t . L � d J.:. _:1.
C " `
State work to be performed) and purpose of building (By Floors)
New Building........____ __ _ Remodeling
Addition Repairs.
Site Septic Tar&
Feet of Drain Tile
Nature of Water Supply: City —We1L
Amount of Permit $
My Commission Expires
Type of Tan&
nlst. Feet of Tank cm Drain Field from Well
Size of Soakage Pit.
No. of Stories
Capacity Gals.
Notary Public, State of Florida
=thing . . tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige / 's as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent upplement, 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under thh perinit, as are
licensed by Miami Shares Village.
Master Plumber. ...
STATE OF FLORIDA.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, drily 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 be did sign the same, and that all fads
therein by him stated are true.
NOTE: A re inspection fee of $L00 will be toads when mit misspend= is made•esesstary by Improper notice for lion, or faulty
materials and /or w orlmanship.
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Permit No * Date. u C1
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 ordinance of Mianri 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 Dopy of approved plans and specifications must be kept at
building during progress of work. Pl
Owner's Name and Address��0 k DD \4 No. 1 � LL Street 01 9 . e . \62n+.
l
Registered Architect and /or Engineer
Employing Plumber's Now
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot_ , t Bkn� S vision
Stree ....
.._.
Street and Number where work is to be performed —No. t J t . L � d J.:. _:1.
C " `
State work to be performed) and purpose of building (By Floors)
New Building........____ __ _ Remodeling
Addition Repairs.
Site Septic Tar&
Feet of Drain Tile
Nature of Water Supply: City —We1L
Amount of Permit $
My Commission Expires
Type of Tan&
nlst. Feet of Tank cm Drain Field from Well
Size of Soakage Pit.
No. of Stories
Capacity Gals.
Notary Public, State of Florida
=thing . . tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige / 's as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent upplement, 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under thh perinit, as are
licensed by Miami Shares Village.
Master Plumber. ...
STATE OF FLORIDA.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, drily 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 be did sign the same, and that all fads
therein by him stated are true.
NOTE: A re inspection fee of $L00 will be toads when mit misspend= is made•esesstary by Improper notice for lion, or faulty
materials and /or w orlmanship.
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,(41114 COfdlIN*Iallftlf Afts'irthill 8 0 0 111, 4 5908 ConlAlled Cl00 Laws 0 floridn'Perinanont Supplement, null I no come
tho riwidars• 0%0114 gM4 !JAI; fq, 1014:001114 0(,IMPtionoo from off controotor4 or lob•cootroOori employed by Win in ilto work to be
*d od p A nd *01 polo, sums to bo pinto for inspoetion on the Ate . of tho ' ouch pultliootice or notices as aro
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*
flulY fQ fic.4nin!atelfil P4 wlodipmeato. PertionallY appeared
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•
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS
INSPECTION
TIME READY
REMARKS 2 ---65 3 7(
INSPECTOR
4 t 1 DAT
No
1286