828 NE 99 St (9)MIAMI SHORES VILLAGE, FLORIDA
TILDING ❑ DATE " - 195
.FCTRICAL ❑ PERMIT 'N? 11361 Contractor's
-UMBING n License No
)OFING ❑ Work to be perforated under this Permit
'ner of "" , `
lding _.. 1
hitect
tractor
al
wilder
ription
tress of
ding
Lot
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of
Project $
BY
Amt. of
Permit $
AUTHORITY
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
or in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
ings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
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
ted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
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 covered hereunder in compliance with all ordinances and regulations
ning thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
epting, "this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Permit No.__ j__
/
Registered Architect and /or Engineer t
Employing Plumber's Name___
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
My Comm on Expires
Block_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
_ (Signed)
Size Septic Tank ° `' ` Type of Tank ` '' Capacity Gals
'7 )- / . /
Date
Application is hereby mad 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. jf, r ;,S� (`' ) y 40, j, 0174e4.0$
a
Owner's Name and Address No.___.__: �__ ___ Street L
Street
Subdivision oh 6 ;
Street and Number where work is to be performed —No ' ' Street
State work to be performed and purpose of building (By Floors) �
New Building Remodeling Addition Repairs No. of Stories
Notary Public, State of Florida
Feet of Drain Tile <<I___: Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
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 wi poster 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 ' ed green to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. : °
/1`
e
( Signed)
Master Plumber.
Before me, the undersigned authorit „a try public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known and who, bein �. orn, upon oath deposes and says that he is the
of the above descs E` uc ion, that he carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. n
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
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SEPTIC
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SEWER
CONN.
DRAIN
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SOAKAGE
PIT
GREASE
TRAP
SOLAR
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DEEP
WELL
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..-7
Permit No.__ j__
/
Registered Architect and /or Engineer t
Employing Plumber's Name___
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
My Comm on Expires
Block_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
_ (Signed)
Size Septic Tank ° `' ` Type of Tank ` '' Capacity Gals
'7 )- / . /
Date
Application is hereby mad 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. jf, r ;,S� (`' ) y 40, j, 0174e4.0$
a
Owner's Name and Address No.___.__: �__ ___ Street L
Street
Subdivision oh 6 ;
Street and Number where work is to be performed —No ' ' Street
State work to be performed and purpose of building (By Floors) �
New Building Remodeling Addition Repairs No. of Stories
Notary Public, State of Florida
Feet of Drain Tile <<I___: Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
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 wi poster 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 ' ed green to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. : °
/1`
e
( Signed)
Master Plumber.
Before me, the undersigned authorit „a try public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known and who, bein �. orn, upon oath deposes and says that he is the
of the above descs E` uc ion, that he carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. n
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.
1111111111F
\ -
„, •