5 NE 99 St (6)Permit No __P
Application i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Dr' sion
of Mtanii 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. y � w �
Owners Name and Address_ 1 __ _ _ .___ No._ _ Street _l/1_ %
Registered Architect and. or Engi eer
Employing Plumber's Nama. � / - _ — No.. 3-Z.1.2_KW _ Street . __
Location and Legal Description Lot__,_ Block_ / Suubdivtsion.
Street and Number where work is to be performed —No _ ^ Street % Z . (. - '`
State work to be performed and purpose of building (By Floors)_
New Building_
Size Septic Tank.. - --
Feet of Drain Tile_
Nature of Water Supply- City—Well.
Amount of Permit $ _
STATE OF FLORIDA,
COUNTY OF DADE. j
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Remodeling_—___ .._ __ _ _ _ Addition____ _ __ ____ - .�epairs_
-- _Dist. Feet of Tank or Drain Field from Well..
_- _ Si - of Soakage Pit
(Signed). l..c.
..mb' ig In:pecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig :. ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin: • nt Supplement, rind I as , cm-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are
required by tlie Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are
licensed by Miami Shores Village.
Date
Capacity Gals.
_ _107
No. of Stories _ .. _
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 . acts
therein by Iran 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 /as workmanship.
CLOSETS
BATH
TUBE
SHOWER•
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tu•s
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU'T'NS
f ��
p L �(�.
TOTAL
F XTURES
CL
LIST
/
/
/
---
—,L—_
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WE_L
SPRKLR
SYSTEM
SW IM'G
POOL
comm.
LIFT
CHECK
Permit No __P
Application i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Dr' sion
of Mtanii 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. y � w �
Owners Name and Address_ 1 __ _ _ .___ No._ _ Street _l/1_ %
Registered Architect and. or Engi eer
Employing Plumber's Nama. � / - _ — No.. 3-Z.1.2_KW _ Street . __
Location and Legal Description Lot__,_ Block_ / Suubdivtsion.
Street and Number where work is to be performed —No _ ^ Street % Z . (. - '`
State work to be performed and purpose of building (By Floors)_
New Building_
Size Septic Tank.. - --
Feet of Drain Tile_
Nature of Water Supply- City—Well.
Amount of Permit $ _
STATE OF FLORIDA,
COUNTY OF DADE. j
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Remodeling_—___ .._ __ _ _ _ Addition____ _ __ ____ - .�epairs_
-- _Dist. Feet of Tank or Drain Field from Well..
_- _ Si - of Soakage Pit
(Signed). l..c.
..mb' ig In:pecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig :. ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin: • nt Supplement, rind I as , cm-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are
required by tlie Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are
licensed by Miami Shores Village.
Date
Capacity Gals.
_ _107
No. of Stories _ .. _
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 . acts
therein by Iran 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 /as workmanship.
BUILDING 0
ELECTRICAL C]
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
isf e
Signed.
In consideration of the issuance to
pertaining thereto and in strict conformity with
In accepting this permit I assume responsibility fo
PERMIT 9243
Work to be performed tinder, ais Permit
This permit is granted to the contractor or builder named above to construct tt
tion herefor in strict compliance with all ordinances pertaining thereto and with the
plans, drawings, statements or specifications that may have been submitted to and ap
at any time if the work is not done it compliance with finch ordinances or if the
permit is granted is the understanding that the oontraoter or builder named above .
regulations pertaining to the work covered hereby whether shown on the plans er dr* 't4
sibility for work done by his agents, servants or em*
CONTRACTOR or BUILDER BY
MIAMI SHORES VILLAGE" FLOIIDA
AP.
Cos4c#or's #
License No.
I NSPECTf BY .r
pe rform the work co ed hereunder in eompltace
r gs, atafeme or specifications submitted to the Wiper authorities
o , dose by either, nsys my ageot, servant or e4
14 t er device descried it4 a
l b8
donned in _, x , t
This P mar be revoked
sadistic w on. A f coaditlsn'ers& oh dais
ow of the °camases and
he ammo reepos
Subdi-
vision
Soo Ft.
Value
Pro
•
BUILDING p
ELECTRICAL 0
PLUMBING
ROOFING 0
0
Owner of
Building
Architect
Contractor
or Builder 1
Legal Lot
Description
Address of
Building
MIAMI S
ER I i,.
1
S 'VI , FLORIDA
Dole
N+ 9272
Work to be performed under thi s Pei
This permit is granted to the contractor or bwilder named above to construct the buildio
tion herefor in strict compliance with alifif.diliasses pertaining thereto and with the uederstao
plans, drawings, statements or specificatibts have been submitted to and approved by i
at any time if the work is not done in ctiatafthae with - soh ordinances or if the plans are c _
permit is granted is the understanding that the contractor or Wilder named above assumes the responsibi
regulations pertaining to the work covered hereby wh_:x shown OR the plans or drawings or in the stat
sibitity for work done by his agents, s
the work cover
is or specifications
myself, my agent, s
Signed.
In consideration of the issuance to Me
pertaining thereto and in strict conformity with the pl
In accepting this permit I assume responsibility for a
CONTRACTOR or BU
BY
Cordrodoes
License No. •
vision
Sq. Ft.
Value of
Project
Amoun
II Permit
set or device described the applica-
be performed in aeoti«e any
authoritia9. This Permit be r
B. A furor coeditien eimeitaildtth thb
of i „ acid
that he aesutosl9r apter-
}
hereeader is cejpliaece with a>l etdiaasses am
ubrmitted to the proper authorities of Miami Sher
rvant or employee.
q
Application i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Dr. lion
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.
Owner's Name and Address_ .41 29.2 � iK ._ - _ __ No. f _. Street _ ?Y___ _ S /
Registered Architect and /or Engineer _ . ��___ _____ —�_ — _
Employing _ No._ g� a_.._.,a.LJ Street
l er A �
Ape-
_ Block__ _ Subdivision... _. .
4 ( _ _ __.___ Street ;t _ J_ ..
Size Septic Tank._ _
Feet of Drain Tile_ __.
Nature of Water Supply. City
Amount of Permit $ _
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
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
New Building - ____ -- _ - -- _ -_ - -_ Remodeling_ —___
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_ Addition____ _ ___ ____ . _ Repairs_
My Commission Expires
__ Type of Tank ______ _ __ ._ __ _
__ _Dist. Feet of Tank or Drain Field from Well..
.6 !z ! hl 4/r1 f ' - of Soakage Pit S_ y • 4.. k �i.
_ ( Signed)
Date
__ Capacity Gals.
(Si y
No. of Stories - _.
Notary Public, State of Florida
Master Plumber.
mb ,g In .pecto.
The undersigned applicant for this building permit does hereby certify that he understands and acc- ; , ts hig obhga'ion/ an enployer of labor
under the Florida Workmen's Compensatio., Act, bemg Section 5966, Compiled General Laws of Florida Permanent pk ment, nn,1 1 is om
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are
required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 be has carefully read the foregoing application, and that he did sign the same, and that all •acts
therein by hnn stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATC -$
BASIN
FLOOR
DRAW
DRINKING
FOU 'T'N5
TOTAL
F XTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WE -L
SPRKLR
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
q
Application i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Dr. lion
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.
Owner's Name and Address_ .41 29.2 � iK ._ - _ __ No. f _. Street _ ?Y___ _ S /
Registered Architect and /or Engineer _ . ��___ _____ —�_ — _
Employing _ No._ g� a_.._.,a.LJ Street
l er A �
Ape-
_ Block__ _ Subdivision... _. .
4 ( _ _ __.___ Street ;t _ J_ ..
Size Septic Tank._ _
Feet of Drain Tile_ __.
Nature of Water Supply. City
Amount of Permit $ _
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
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
New Building - ____ -- _ - -- _ -_ - -_ Remodeling_ —___
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_ Addition____ _ ___ ____ . _ Repairs_
My Commission Expires
__ Type of Tank ______ _ __ ._ __ _
__ _Dist. Feet of Tank or Drain Field from Well..
.6 !z ! hl 4/r1 f ' - of Soakage Pit S_ y • 4.. k �i.
_ ( Signed)
Date
__ Capacity Gals.
(Si y
No. of Stories - _.
Notary Public, State of Florida
Master Plumber.
mb ,g In .pecto.
The undersigned applicant for this building permit does hereby certify that he understands and acc- ; , ts hig obhga'ion/ an enployer of labor
under the Florida Workmen's Compensatio., Act, bemg Section 5966, Compiled General Laws of Florida Permanent pk ment, nn,1 1 is om
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are
required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 be has carefully read the foregoing application, and that he did sign the same, and that all •acts
therein by hnn 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.
L
Ye