765 NE 96 St (12)Permit No _
Application is hereby made for the approval of the detailed statement of the plans and specificatiohs herewith submit
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Sho
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of
of Miami Shores Village shall be complied with, whether �frein ified or not. A copy of approved plans and specific
building during progress of wor
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name ____ !___!_es No Street be performed—No r7O Br Location and Legal Description Lot
Street Subixli isio
Street and Number where work is to
State work to be pej 4!med and purpose of building (By Floors)
New Building
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT"'
Date_
�.1.90
Street_
Remodeling___ Addition Repairs
_Capacity Gals __ •
Size Septic Tank_ __(f_ _ _____ Type of Tank q
Feet of Drain Tile__ ___ __ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: Cit)4Weli Size of Soakage Pit
Amount of Permit S- ‘
The undersigned applicant
under the Florida Workmen's Compensation
plied with the provisions thereof, and will
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. er.
My Commission Expires
- (Signed)
for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
require similar compliance from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices u ate
sub - contractors, on work to be performed
(Signed)
Notary Public, State of Florida
ding or odic
Village, Florida,
Building Division
:ons must be kept at
under
No. of Stories__
Plumbing Inspsc
Master Plumber.
is permit, as an
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.
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
Fl%MUtn
CONTR.
LIST
CHECK
SEPTI
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
CONTR.
LIST
CHECK
,
Permit No _
Application is hereby made for the approval of the detailed statement of the plans and specificatiohs herewith submit
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Sho
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of
of Miami Shores Village shall be complied with, whether �frein ified or not. A copy of approved plans and specific
building during progress of wor
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name ____ !___!_es No Street be performed—No r7O Br Location and Legal Description Lot
Street Subixli isio
Street and Number where work is to
State work to be pej 4!med and purpose of building (By Floors)
New Building
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT"'
Date_
�.1.90
Street_
Remodeling___ Addition Repairs
_Capacity Gals __ •
Size Septic Tank_ __(f_ _ _____ Type of Tank q
Feet of Drain Tile__ ___ __ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: Cit)4Weli Size of Soakage Pit
Amount of Permit S- ‘
The undersigned applicant
under the Florida Workmen's Compensation
plied with the provisions thereof, and will
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. er.
My Commission Expires
- (Signed)
for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
require similar compliance from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices u ate
sub - contractors, on work to be performed
(Signed)
Notary Public, State of Florida
ding or odic
Village, Florida,
Building Division
:ons must be kept at
under
No. of Stories__
Plumbing Inspsc
Master Plumber.
is permit, as an
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.
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 ❑
PLUMBING ❑ PERMIT
ROOFING ❑
MIAMI SHORES VILLAGE, FLORIDA
DATE 1..' 3 191L.0
N° 7200
❑ Work to be performed under this Permit
Owner of �,. if
Building A a ' % 6.# •l A. �. ` s, i)Jf',. , /
Architect 7k t «• " t ' s Or'■. • ~ r..
Contractor t
r � "''' � or Builder a a.- . — � . e / �d , .� . c.. 1 7� .
V
Legal Lot Subdi-
Description Bl. vision
Address of �, tit ` 74- Value of Amount of
Building 7� J
Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described i the app lica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in comp with any
pl ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be rev oked
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 statement r specificatiIs and that assumes respon-
sibility for work done by his agents, servants or employees. (� ( %�
w
Contractor's
License No. M►
Signed. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submi d to the proper autho es of Miami Shores Village. In ao
ceptinq this permit I assume responsibility for all work done by either, myself, my afient, servant employee.
AUTHORITY