286 NE 99 St (10)MIAMI SHORES VILLAGE, FLORIDA /
❑ DATE / - I d 6 ') 1 19
o PERMIT N9 4934 Contracto= s
License No.
ROO j^ ❑
',. " ❑
BUILDING
ELECTRICAL
PLUMBING
Owner of c'X
Building r-` _ / -
Architect f , .r
Contractor
or Builder .> 1_• t -iii , -;
Legal Lot
Description II Bl gam_
II vision
Address of
Building
CONTRACTOR OR BUILDER
rr ? �.�►
r
Work to be performed under this Permit
/
Value of
Project $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance 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 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 statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. /' .'? _ INECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compifan with all ordinances aad" gulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au orities of Miami Shores Village. In ac
cepting this permit I assume responsibility for all work don¢" by 'either, myself, my agent, servant or employee.
BY
Amount of
Permit $
AUTHORITY
ABBOT
Date_, -- 7/
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 ijq co plied with, whether herein specified or not. A copy of approved plans and specifications must be k
building during progress of r
Permit No.
New Building
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION. FOR PLUMBING PERMIT
N '6 ) 2 & street9'
Registered Architect and <•� Engineer-- _— __—_ —_ _ __ _ _ ,,Q/� i�
EmiSloying Plumber's f' < , % No.. 4. -� Street- 7
Location and Legal Description Lot_- _ ______.__. _ Block Subdi
Street and Number where work is to be performed —No 4 Street Vh)�/
State work to be performed and purpose of building (By Floors) __. _
Remodeling Addition --
( Signed) _____
Repairs No. of Stories.
Size Septic Tank_ _ _ - - _- - _ — - Type of Tank
Feet of Drain Tile__ __ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.- ,410 __ �__ _Size of Soakage Pit
fre
Capacity Gals .....
- - -- -
(S ed) -
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 5968, Compiled General Laws of Florida Permanent Supplement, and bus 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 w k to , performed under this 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
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
TUBS
TUBS
SHOWERS
LAVA-
TORIES
SINKS
S
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
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
_.
Date_, -- 7/
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 ijq co plied with, whether herein specified or not. A copy of approved plans and specifications must be k
building during progress of r
Permit No.
New Building
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION. FOR PLUMBING PERMIT
N '6 ) 2 & street9'
Registered Architect and <•� Engineer-- _— __—_ —_ _ __ _ _ ,,Q/� i�
EmiSloying Plumber's f' < , % No.. 4. -� Street- 7
Location and Legal Description Lot_- _ ______.__. _ Block Subdi
Street and Number where work is to be performed —No 4 Street Vh)�/
State work to be performed and purpose of building (By Floors) __. _
Remodeling Addition --
( Signed) _____
Repairs No. of Stories.
Size Septic Tank_ _ _ - - _- - _ — - Type of Tank
Feet of Drain Tile__ __ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.- ,410 __ �__ _Size of Soakage Pit
fre
Capacity Gals .....
- - -- -
(S ed) -
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 5968, Compiled General Laws of Florida Permanent Supplement, and bus 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 w k to , performed under this 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
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or faulty
materials and /or workmanship.