286 NE 99 St (7)BUILDING
ELECTRICAL
PLUMBII"t;
Owner of
Building
Architect
Contractor
or Builder -- >.}
Legal Lot
Description
f
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE �� / a 19
Contractor's
License No.
PERMIT N? 7610
Work to be performed under this Permit
Subdi-
vision
Building s of
6 /, 7 ,S
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 appli-
cation 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 t� 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 • 'Z-sa- r+&4 By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perfo tjte work covered hereunder in compliance with all ordinaaes and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authors es of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
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Value of Amt. of
Project Permit
AUTHORITY
c. U J
REQUEST FOR INSPECTION
° Company 24-.4", C
;.)
PHONE
Job -- (,)e-
1 `
Address *"‘") e°
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\..
Inspection - et,
// .-- -
akM a?
Time Ready , „,..- -- 22 P.M.
...--
Date Ready '-? liroliot,
Closets
Bath
Tubs
Showers
Lava-
tories
Sinks
Slop
Sinks
Laundry
Tubs
Urinals
Catch
Basin
Floor
Drain
Drinking
Fountains
Total
Fixtures
/
Lot No.
Address
• . bIVISION OF PLUMBING INSPECTION
I herewith submit the following plan of plumbing for approval:
New ❑
Employing Plumber " Worked executed by (2 el/ L._-
Old ❑
For a
Dwelling ❑ Store ❑
Owner or Agent .
Builder or Contract eis
Block No.
0 t0
Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
Existing bldg. drain ❑ To dry well ❑
Date
ROUGH -IN INSPECTION
Ground Rough -In Rain Leader
A. M. P. M.
Approved by
Condemned by
Plan No
REMARKS
DEPARTMENT OF PUBLIC SERVICE
VILLAGE O S FLORIDA
i C
' Story ❑
Garage ❑
t- . 744'7 /
Subdivision
Date
Apartment ❑ Hotel ❑ Office Bldg. ❑
Address cf r"' cO..;: ;70"
Address /-71/e . /! i1 ;
To septic tank ❑
SEWER INSPECTION
A M. P. M.
Approved by
Condemned by
REMARKS
Sewer Permit No
Addition ❑
REMARKS
Remodeled •�`
A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information.
DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY.
Date
FINAL INSPECTION
A. M. __.. P. M.
Approved by
Condemned by
Sketch position of building and lot lines in square (which represents an entire city block)
street the building and lot faces; also show exact location of "Y" in street and position
tank. Show sewer and any change in direction same may make. The purpose of this
accurate layout of all underground pipes for future references.
F
cn
w
WEST
NORTH
A
•
EAST
Remarks :
NORTH
SOUTH
, showing on which
of lateral or septic
plan is to have BA
h1
H
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
architect
' ontractor
or Builder►'
Legal Lot Bl.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE - ° 1 194
PERMIT N9 3426
Work to be performed under this Permit
Subdi-
vision
Value of
Project
Contractor's'
License No.
WARNING: this Construction may be In violation of
War Prod ut.last 8 uara General Limrlduorfs Order L•41
You are cautioned to consult your War Production
Board office oerors Scatting use wog K autnor.zeu in
this permit.
Amt. of
Permit
•
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
application 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 statementrcr specific and
that he assumes responsibility for work done by his agents, servants or employees. ` - -.
Signed- \ By (_ ;,-
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I aseot resp risibility for all work done by either myself, my agent, servant or employee.
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f i r
1;
CONTRACTOR dR BUILDER BY " AUTHORITY
Owner's Name and Address
State work to be performed and purpose of building (By Floors)
Amount of Permit
00
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No Date_ __A.
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 be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
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No ` u _ i✓ Street lit- f ----- - -r - -- ° ,
Registered Architect and /or Engineer ,
Employing Plumber's Name 4:\ __42. __4_ _2 4 __ :.— - ` No._72 'Z & Street .,44- 4 __,.. .
Location and Legal Description Lot______ Block Subdivision_ __ _______ — _______________________
Street and Number where work is to be performed —No :z.„:: ' Street__1__ __ ____
New Building Remodeling Addition Repairs —___ No. of Stories
Size Septic Tank ______ ___ Type of Tank . Capacity Gals
Feet of Drain Tile__________ s1 ________ —__—__ Dist. Feet of Tank or Drain Field from Well __________—
Nature of Water Supply: City —Well Size of Soakage Pit.
_(Signed) - - - - -- — -- -- — -- — -- -- — ----------------------------
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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
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 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
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
Owner's Name and Address
State work to be performed and purpose of building (By Floors)
Amount of Permit
00
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No Date_ __A.
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 be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
` ,/ c
No ` u _ i✓ Street lit- f ----- - -r - -- ° ,
Registered Architect and /or Engineer ,
Employing Plumber's Name 4:\ __42. __4_ _2 4 __ :.— - ` No._72 'Z & Street .,44- 4 __,.. .
Location and Legal Description Lot______ Block Subdivision_ __ _______ — _______________________
Street and Number where work is to be performed —No :z.„:: ' Street__1__ __ ____
New Building Remodeling Addition Repairs —___ No. of Stories
Size Septic Tank ______ ___ Type of Tank . Capacity Gals
Feet of Drain Tile__________ s1 ________ —__—__ Dist. Feet of Tank or Drain Field from Well __________—
Nature of Water Supply: City —Well Size of Soakage Pit.
_(Signed) - - - - -- — -- -- — -- — -- -- — ----------------------------
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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
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 necessary by improper notice for inspection, or faulty
materials and /or workmanship.