1279 NE 98 St (2)PROCESS NO.
TO: THE PLANNING, ZONING,& BUILDING DEPARTMENT:
Miami Shores Village, Florida
"I hereby agree that the pool being constructed on my property at
7 / " will not be filled with
water until the proper and legal enclosure has been erected around
such pool, and final inspection made and pool and enclosure approved,
and said enclosure will be erected simultaneously with and prior
to completion to the pool, and in accordance with the plans and
specifications submitted."
Owner of
Building
• 70
This permit is granted to the contractor or bur
herefor in strict compliance with all ordinances per
drawings, statements or specifications that may have .
time if the work is not done in compliance with such orao
granted is the understanding that the contractor or
pertaining to the work covered hereby whether shown,
done by his agents, servants or employees.
In consideration of the issuance) to me of
pertaining thereto and in strict conformity with the
In accepting this permit I assume responsibility for
CONTRACTOR OR BUILDER
Amt, of
Parma
:r
MIAMI SHORES VILLAGE In. I
BUILDING 0
ELECTRICAL ° ? 9781
PLUMBING ja, FERMAT
ROOFING C
0 Work to be perk
Architect
Contractor
or Builder
Legal
Description
Address of A
Building
mit I -agta to per
drawings, statements or
ork done by either, myse
•
17
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stye resPons
MIAMI SHORE
BUMDING
ELECTRICAL
PING i-"ER
A
ROOFING 0
Owner of
Building
Architect
Contractor
or Builder
Leger
Description
Address of ;;.
Building
This per
herefor in serice coip
statements er
Is net
nder stai
In ctmsid
pertaining thereto a
to accepting this per
CONTRACTOR OR BUILDER
Permit No
Application is hereby made for the approval of the detailed statement of tilt plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and confor atity 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 nr. nrt. A copy of approved plans and specifications must be kept at
building during progress of work. q
Ownei s Name and Address � r C.�__-- - - -Yr1 _r_tc �. - -t'� 2 - - -.. _ No._._ -_ /.? _ 7_ - - - 2 Street � ✓ c /
. r
Registered Architect and /or Engineer _____ _______________.___ _____
7 l 7 -�' Si
Employing Plumber's Name No._ 3__7.._3 .�___ Street '.____� • 1
Location and Legal Description Lot_ _______
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors).
New Building _ Remodeling___ _____ Addition
Size Septic Tank
S1 ATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VIL?.AGZ
PLUMBING INSPECTION DEPARTMEN'
APPLICATION FOR PLUMBING VI`fi
Type of Tank
Block
(Signed
Date
2- S
- - Subdivision- . ....
Street
Repairs No. of Stories .......
Capacity Gals.
Feet of Drain Tile_ _._____ __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well . ` 1i l t_ __Size of Soakage Pit
Amount of Permit $ ' • e �� (ign ) Gc. /.,
Plumbing Inspector.
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 the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed der this permit, as are
licensed by Miami Shores Village.
A �laster Plumber.
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.
Notary Public, State of Florida
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
TUBE
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tung
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
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
Permit No
Application is hereby made for the approval of the detailed statement of tilt plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and confor atity 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 nr. nrt. A copy of approved plans and specifications must be kept at
building during progress of work. q
Ownei s Name and Address � r C.�__-- - - -Yr1 _r_tc �. - -t'� 2 - - -.. _ No._._ -_ /.? _ 7_ - - - 2 Street � ✓ c /
. r
Registered Architect and /or Engineer _____ _______________.___ _____
7 l 7 -�' Si
Employing Plumber's Name No._ 3__7.._3 .�___ Street '.____� • 1
Location and Legal Description Lot_ _______
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors).
New Building _ Remodeling___ _____ Addition
Size Septic Tank
S1 ATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VIL?.AGZ
PLUMBING INSPECTION DEPARTMEN'
APPLICATION FOR PLUMBING VI`fi
Type of Tank
Block
(Signed
Date
2- S
- - Subdivision- . ....
Street
Repairs No. of Stories .......
Capacity Gals.
Feet of Drain Tile_ _._____ __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well . ` 1i l t_ __Size of Soakage Pit
Amount of Permit $ ' • e �� (ign ) Gc. /.,
Plumbing Inspector.
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 the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed der this permit, as are
licensed by Miami Shores Village.
A �laster Plumber.
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.
Notary Public, State of Florida
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.
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