863 NE 99 StVillage of Miami Shores N° 3717
JOB � �� 5 <
/11 E 22- 4 ,17 - 1
ADDRESS
INSPECTION �A 4) . tee-- j
TIMF�- 1 ADY �A' ll
REMARKS �J
INSPECTOR DATE Z -/S
MUILDING
, LECTRICAL
' LUMBING
GOOFING
?wner of
wilding
`architect
contractor
)r Builder
.egal
)escription
Iddress of
; uilding
t
Lot
CONTRACTOR ORrf3tJILDER
MIAMI SHORES VILLAGE. FLORIDA
0
❑ DATE
❑ PERMIT To . 3225
Value of
Project $
Signed. BY
INSPECTOR
Contractor's
License No.
Work to be performed under this Permit
II Subdi-
B1 vision
Amount 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
Lerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining 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
one by his agents, servants or employees.
195
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
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
3pting, this Permit. I / assume ilit for all work done by either, myself, my agent, servant or employee.
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MIAMI SHORES VILLAGE
PLUMISING INSPECTION DEPARTMEN'.'
APPLICATION FOR PLUMBING
_ 3 z
Permit •
Date -&; 19\Ce
Application is hereby made for the appnwal of the danded statement of the plans and specifhxitions herewith submitted for the budding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vdlage, Florida,
and all provisions of the Laws of the State of Florida. ordinances of Miami Sres V8Uag sod all roles and regulaticus of d* &Adis% Division
of Miami Shores Village shall be complied with, whether herein specified or not. A coo of approved plans and specifications must be kept at
building during progress of work. •
Owner's Name and Addreu.--.....:---eLe6-Wi No. 3 stmt. ,AitT
Registered Architect and/or Engineer
Employing Plumbees NameMJAM
Location and Legal Description LOt
Street and Number where wok I.to be proicented—No
- *fftte work to be Performed 0tt04 ($y 111011)
Budalnil 11•6 011 Addlake-
• ., • Sepsis. • „I.!". •-Na al Stades.
Size Septic Tank— ‘ ' .....-- — Type el Tank........ . •. ...............
Feet of Drain Tde -, ‘ , •
' .................Dist. Feet . .ii Tank or Drain VW frouIWIFIL 40.orMes.••••••••••••••• • ' . .
Nature of Water Supply: City..-Well—
.:: * • ' ,
. . ,
Amotmt of Permit $
The undersigned sPPliC10
under the Florida Wcrlcmen. .Cos •_"
plied with the provisions the::.
i
pennit clas,ltarebr.cartlfy that be undreamed, ited oceiptulds **kw as se employer of Mei
8,!#1 riespded Gonna Laws et; Phnide Polotalieiiktoppisipaist, an d h
, from =Waders or seli4ZOISSaori niPlOynk by hit" in atm wollt to lir
perforated under this permit; and will pest tx cause to be fie inspection on the • the milk public =doe or notices as are
required by the Act. The midernined agrees to employ only web sub•oontraeten, to twin doh permit,: as are
Domed by Wend Shores Vag&
•
STATE OF FLORIDA,
COUNTY or DADE.
• 4 ti .
•••••■•••••■••••■•••••••••••••••••••••
. •
5 f.t.!....: 555 ••••••••••••• 55 :
• 5 '". ;."1'..■•• ,e e 5
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ur csa
oweeir ( cwt. 7 de, No 17C sts ,„ t _yi - ,s -- 4
5 .. • 5
' t
saw
Mt
.2 4-S
Capacity Gds.
Size of Soakage ....
(SOW
Before me, the undersigned sudsority. a notary public, duly authadited te oaths and take erinewledgeutats. parentally appeared
• •
to me wM known, and Who, being by me OW duly swork_upon oath AWN= antheyp that ha Moths-- — . .
of the above desaibed Construction, that be has carefully Ned the bragging ftdoss, set *at lw and eh;
therein by him stated are Irin.
NOTE: A minipection fee of 91.00 wM be made when sulk sonbuitoodos atiolo‘ootootitty by kaptegar negro Im, ilopectim or faultY
materials and/or wodoneaship.
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