157 NW 98 St (7)JOB: f AD:
BUILDING
ELECTRICAL
PLUMBING
• • • •
WORK
DONE BY:
• • •
The following is ready for Inspection:
Inspector's Report:
REQUESTED
•
•
• •
•
• •
•
•
•
• • •
•
: WILL BE READY
JOB: 1--11
BUILDING
ELECTRICAL
PLUMBING ;'-'` --
Inspector's Report:
::
WORK
• DONE BY:
•
•
. REQUESTED
• ▪ • r'
•
•
/ • •
•
The following is ready for Inspection:
AD: / — 7, , W
74
4A-a-4 1 )
•
: WILL BE READY
•
Permit No
•
Amount of Permit
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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. ?
r F
Owner's Name and Address ___i � 4 _ _ - r ) -L.___ Street- - S,. c 2
Registered Architect and /or Engineer - ,w___w__.-
Employing Plumber's Name ___ - _ _ -- - - - }} -- L - = - - -- --- -1 '" r �--. No / 6' j Street_
Location and Legal Description Lot_a `.___ j- - Block-_ ,___ .- -_ Subdivision
Street and Number where work is to be performed —No ) 5 7 l Lz 1�3r ' ,a____- Street
State work to be performed and purpose of building (By Floors) '!'* ' "Y -L;
New Building 1.----- Remodeling Addition Repai
My Commission Expires
Type of Tank . Capacity Gals. _.__-_
Dist. Feet of Tank or Drain Field from Well
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well Size of Soakage Pit.
_(Signed)
No.
Notary Public. State of Florida
of Stories--- L____._
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer o
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, u are
licensed by Miami Shores Village. '.')
(Signed) /
- . t,Zt_. ms s �). 4.* - .,
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personaily
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.
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. L
LIST
LIST
/
/
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No
•
Amount of Permit
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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. ?
r F
Owner's Name and Address ___i � 4 _ _ - r ) -L.___ Street- - S,. c 2
Registered Architect and /or Engineer - ,w___w__.-
Employing Plumber's Name ___ - _ _ -- - - - }} -- L - = - - -- --- -1 '" r �--. No / 6' j Street_
Location and Legal Description Lot_a `.___ j- - Block-_ ,___ .- -_ Subdivision
Street and Number where work is to be performed —No ) 5 7 l Lz 1�3r ' ,a____- Street
State work to be performed and purpose of building (By Floors) '!'* ' "Y -L;
New Building 1.----- Remodeling Addition Repai
My Commission Expires
Type of Tank . Capacity Gals. _.__-_
Dist. Feet of Tank or Drain Field from Well
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well Size of Soakage Pit.
_(Signed)
No.
Notary Public. State of Florida
of Stories--- L____._
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer o
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, u are
licensed by Miami Shores Village. '.')
(Signed) /
- . t,Zt_. ms s �). 4.* - .,
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personaily
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.
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.
f
APPLICATION FOR PLUMBING PERMIT
f
Permit Noi ' Date` Lr'"
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of mi 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 erein specified or not. A copy of approved plans and specifications must be kept at
building during progress of L
work. / '
Owner's Name and Address __' ._�__�c,
or ineer
Amount of Permit $- ___ <__t__
STATE OF FLORIDA,
COUNTY OF DADE.
es.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Registered Architect and / 8
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No.
State work to be perfllned and purpose of building (By Floors
Size Septic Tank_
Feet of Drain Tile______
_Block
(Signed)
(Signed
No.__ _ orS.4 Street__ .( f
No
Subdivision__
Y__ VC • ~^ Street___
Street
LS.
New Building_ K ______________ Remodeling Addition Repairs No. of Stories__—_______
Type of Tank . �
. Capacity Gals._.. T/
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: CityWell. Size of Soakage Pit
Notary Public. State of Florida
Plumbing Ins r.
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.
— — 7144 - i—
stet Plumber.
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.
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
J
f
APPLICATION FOR PLUMBING PERMIT
f
Permit Noi ' Date` Lr'"
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of mi 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 erein specified or not. A copy of approved plans and specifications must be kept at
building during progress of L
work. / '
Owner's Name and Address __' ._�__�c,
or ineer
Amount of Permit $- ___ <__t__
STATE OF FLORIDA,
COUNTY OF DADE.
es.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Registered Architect and / 8
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No.
State work to be perfllned and purpose of building (By Floors
Size Septic Tank_
Feet of Drain Tile______
_Block
(Signed)
(Signed
No.__ _ orS.4 Street__ .( f
No
Subdivision__
Y__ VC • ~^ Street___
Street
LS.
New Building_ K ______________ Remodeling Addition Repairs No. of Stories__—_______
Type of Tank . �
. Capacity Gals._.. T/
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: CityWell. Size of Soakage Pit
Notary Public. State of Florida
Plumbing Ins r.
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.
— — 7144 - i—
stet Plumber.
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.
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.
s
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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.
Owner's Name and Address R. L.,....41_11411_ No 1527 ______
Registered Architect and /or Engineer
Employing Plumber's Name ..le.orga_c_reattprd No . 310
Location and Legal Description .1
Street and Number where work is to be performed— No.___ 7__-N 9_8.th1__.Lat a.
State work to be performed and purpose of building (By Floors) 'natal], Solar
New Building ________________________w_ Remodeling Addition
Amount of Permit $---2,00.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
My Commission Expires
- (Signed
(Signed)
George
Street__ __NA _9 1'1 St.
Street NW 25th St
Subdivision- MiB1fli__ :88._...
rawtord
Notary Public. State of Florida
Repairs No. of Stories____--____
Size Septic Tank______ _ __ _..____M_ _ ______ Type of Tank . Capacity Gals.__ .132 _gallon
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well -_- -_--______-_-- -____ ____ _
Nature of Water Supply: City —Well. ______________.Size of Soakage Pit.
Plumbing In tor.
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.
ber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, penonally
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.
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
X
s
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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.
Owner's Name and Address R. L.,....41_11411_ No 1527 ______
Registered Architect and /or Engineer
Employing Plumber's Name ..le.orga_c_reattprd No . 310
Location and Legal Description .1
Street and Number where work is to be performed— No.___ 7__-N 9_8.th1__.Lat a.
State work to be performed and purpose of building (By Floors) 'natal], Solar
New Building ________________________w_ Remodeling Addition
Amount of Permit $---2,00.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
My Commission Expires
- (Signed
(Signed)
George
Street__ __NA _9 1'1 St.
Street NW 25th St
Subdivision- MiB1fli__ :88._...
rawtord
Notary Public. State of Florida
Repairs No. of Stories____--____
Size Septic Tank______ _ __ _..____M_ _ ______ Type of Tank . Capacity Gals.__ .132 _gallon
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well -_- -_--______-_-- -____ ____ _
Nature of Water Supply: City —Well. ______________.Size of Soakage Pit.
Plumbing In tor.
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.
ber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, penonally
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.
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.
BUILDING ❑
ELECTRICAL ❑ o PERMIT
PLUMBING D N. 9855
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
a. 1
Bl.
MIAMI SHORES VILLAGE. FLORIDA
Work to be performed under this Permit_
Subdi-
vision
DATE ` t
Sq. Ft
Value of
Project $
Contractor's
License No
of
Permit $ t
19
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 statements or specifications and that be assumes responsibility for work
done by his agents, servants or employees.
Signed • BY y
INSPECTOR
In consideration of the issuance ti me of permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto astsl in strict conformity its a .lans, drawings, statements or specifications pubmitted to the proper authorities of Miami Shores Village.
In accepting this ienmt I assume respo ili , f all work done by either, myself, my agent,. 'servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
:• Date-. — —
nppiication is hereby .ride for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
s:ru: :::'re herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and ail 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 kilirmi Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
ha' 'I,:, r?urin progress of work.
No.--- /C
Street ` 1. q
Registered A:ch test and /or Engin er _____
- - - � - _ - - - - -- -- - -_ -
Employing Plumber's Name .. LS
was s Name and Address
Size Septic Tank_
Feet of Drain 1__,
Amount of Permit $ -
S fAT1: OF FLORIDA, 113.
COUNTY OF DADE.
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition
c
Location and Legal Description Lot ...... _ _ _ _ Block..
St ect and Number where work is to be performed —No._ ._— $ Street
:4c wcsk to 'Le performed : nd purpose of building (By Flaors )____.__.... - __.- __________.
New Building —_ _.. -.- --. _ - __ - --- Remodeling
Subdivision
Repairs No. of Stories
Type of Tank-_
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Capacity Gals
(steed) - -- '
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 • • . ce o ot}ces as e
required by the Act. The undersigned agrees to employ only such sub- contractors, on w' L' be perform under p Imt , . re
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
-
Plumbing Inspector.
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
41 aterials and /or workman uiip
- 1
-"BATE BATE
TU36
SERS
HOW
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
LIT - _
CHICIZ
_ -. --
_���
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
LIST
CHECK
:• Date-. — —
nppiication is hereby .ride for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
s:ru: :::'re herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and ail 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 kilirmi Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
ha' 'I,:, r?urin progress of work.
No.--- /C
Street ` 1. q
Registered A:ch test and /or Engin er _____
- - - � - _ - - - - -- -- - -_ -
Employing Plumber's Name .. LS
was s Name and Address
Size Septic Tank_
Feet of Drain 1__,
Amount of Permit $ -
S fAT1: OF FLORIDA, 113.
COUNTY OF DADE.
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition
c
Location and Legal Description Lot ...... _ _ _ _ Block..
St ect and Number where work is to be performed —No._ ._— $ Street
:4c wcsk to 'Le performed : nd purpose of building (By Flaors )____.__.... - __.- __________.
New Building —_ _.. -.- --. _ - __ - --- Remodeling
Subdivision
Repairs No. of Stories
Type of Tank-_
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Capacity Gals
(steed) - -- '
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 • • . ce o ot}ces as e
required by the Act. The undersigned agrees to employ only such sub- contractors, on w' L' be perform under p Imt , . re
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
-
Plumbing Inspector.
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
41 aterials and /or workman uiip
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
- -1r Builder
Description
Address of it.,.°7
Building
1/
PERMIT N° 2445
Work to be ornied under this Perini
-
A
ip?
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
No.
Value of
Project
• e
CONIRALTOR (41YerILDER
Amt. of
Permit
y
AUTHORITY
This permit is grtted to the contractor or builder named above to construct the building or to install the equipment or device described in du
'ication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in cansillanno
any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. Thielt Natif
:4 any time if the work is not done in compliance with such ordinances or if the plans are changed without authorisation. A fuuh Cftos
_t which this permit is granted is the understanding that the contractor or builder n above assumes the responsibility for a thorough
;ordinances and regulations pertaining to the work covered hereby whether shown s,or rwhg, or in the statements or
'at he assumes responsibility for work done by his agents, servants or employees.
Signed.
INS
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinawes and regale.
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miand Shores
Village. In accepting this permit 1sume rsponaIbllp fo au work done by either myself, my agent, servant or loyee.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description °
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No.
PERMIT N° 2437
Work to be perform7I tinder this Permit
Address of
�' ; �'F'� r , r
Building `' .. y- _ f
.....
This permit is grlhted 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 hat the work will be performed in
_ with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. Thhik Pariah 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 furthsucandithiti
non which this permit is granted is the understanding that the contractor or build m ed es the responsibility for a thorough 7d p a of
ordinances and regulations pertaining to the work covered here whether sho s d
he assumes responsibility for work clone by his agents, servants or employ ,
Si
By
Amt. of
Permit
ngs or in the statements or
',✓ B
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances
;:cons pertaining thereto and in strict conformity with the plane, drawings, statements or specifications submitted to the proper authorities of
Village. In accepting this it I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
194_7
DATE
PERMIT N9 2463 Contractor's
✓ License No. ' -
Work to be performed under this Permit
Architect
Contractor
or Builder
Subdi-
vision
Value of
Project
Legal Lot / BI.
Description
Address of
Building iz
This per is nted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor i 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 responsibility for work done by his agents, servants or employees. ,/ -'
� �
Signed- / / . B '
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance witl-. 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 assume responsibility for all work done by either myself, my agent, servant or employee.
Amt. of
Permit
CONTRACTOR OR BUILDER BY AUTHORITY
Permit No.
Owner's Name and Address ___
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date__
Application is hereby made for the approval of the detailed statement of the plans and specifications her ewith submit�te of 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. A
A „,,
/Je-(1
No 1: )
Streetit e.___ 4
Registered Architect and /or Engineer
Employing Plumber's Name _-__
Location and Legal Description Lot_2q_/-.1
Street and Number where work is to be performed —N
State work to be performed and purpose of building (By oors
New Building____________________ Remodeling Addition Repai No. of Stories_-
Size Septic Tank
Feet of Drain Tile_
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit S-
lam r ing •
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of.iIbot
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.
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
Type of Tank . Capacity
Dist. Feet of Tank or Drain Field from Well
(Signed)
(Signed) ____
^oe
Notary Public. State of Florida
Master Plumber.
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
TUGS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUNS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
/
_Z_____
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
IST
LIST
CHECK
Permit No.
Owner's Name and Address ___
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date__
Application is hereby made for the approval of the detailed statement of the plans and specifications her ewith submit�te of 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. A
A „,,
/Je-(1
No 1: )
Streetit e.___ 4
Registered Architect and /or Engineer
Employing Plumber's Name _-__
Location and Legal Description Lot_2q_/-.1
Street and Number where work is to be performed —N
State work to be performed and purpose of building (By oors
New Building____________________ Remodeling Addition Repai No. of Stories_-
Size Septic Tank
Feet of Drain Tile_
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit S-
lam r ing •
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of.iIbot
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.
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
Type of Tank . Capacity
Dist. Feet of Tank or Drain Field from Well
(Signed)
(Signed) ____
^oe
Notary Public. State of Florida
Master Plumber.
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.
APPLICATION FOR PLUMBING PERMIT
Permit No
Size Septic Tank__ j_
Feet of Drain Tile______
Owner's Name and Address`.
Registered Architect and /or gineer
Employing Plumber's Name __ r
Location and Legal Description Lot___ L!r'P ' "
Street and Number where work is to be performed —No
Nature of Water Supply:Cit4Well
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned
appeared
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
(Signed
No
Jed -- ---- --
Amount of Permit S___ _t__ .t_ (Signed)
a--
Dist. Feet of Tank or Drain Field from Well
4eke
Date
v . t Street
Street
Subdivisio
Size of Soakage Pit
Notary Public. State of Florida
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of i Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula ions of the Building Division
of Miami Shores Village shall be complied with, whether •erein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Street_
State work to be per ed and purpose of building (By Floors)
New Building__ Remodeling Addition Repairs No. of Storite_______---__.
__ Type of Tank .. Capacity Gals.
Plumbing Inapector.
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 u ate
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as ate
licensed by Miami Shores Village.
authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
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.
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
Tuss
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT' 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
APPLICATION FOR PLUMBING PERMIT
Permit No
Size Septic Tank__ j_
Feet of Drain Tile______
Owner's Name and Address`.
Registered Architect and /or gineer
Employing Plumber's Name __ r
Location and Legal Description Lot___ L!r'P ' "
Street and Number where work is to be performed —No
Nature of Water Supply:Cit4Well
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned
appeared
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
(Signed
No
Jed -- ---- --
Amount of Permit S___ _t__ .t_ (Signed)
a--
Dist. Feet of Tank or Drain Field from Well
4eke
Date
v . t Street
Street
Subdivisio
Size of Soakage Pit
Notary Public. State of Florida
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of i Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula ions of the Building Division
of Miami Shores Village shall be complied with, whether •erein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Street_
State work to be per ed and purpose of building (By Floors)
New Building__ Remodeling Addition Repairs No. of Storite_______---__.
__ Type of Tank .. Capacity Gals.
Plumbing Inapector.
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 u ate
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as ate
licensed by Miami Shores Village.
authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
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.
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.
BUILDING
ELECTRICAL
PLUMBING
PERMIT N° 2463
k to performed under this Permit ' `'.' c` t ...• t.,../
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE
Legal Lot Bl.
Description' ' - � :.a ' °�
Address _c - ° : Value of
Amt. of 2
Building v �' _ , F r Project Permit ...... .. "„d to
This pyriit is nted to the contractor or builder named above'to construct the building or to install the equipment or device described in the
application Rerefor 1 strict compliance with all ordinances pertaining thereto and with the IsWitOtanding that the work will be perform /d is eceophaues
with any plans, drawings, statements or specifications that may have been submitted to atlil, ap ved by the proper municipal authorities. ?Lila eidt Me*
be revoked at any time if the work is not done in compliance with such ordinances or lithe ans are changed without authorization. A further condition ''
upon which this permit is granted is the understanding that the contractor or builder'na ab the responsibility for a thorough
the ordinances and regulations pertaining to the work covered hereby whether shown op a ing�s r in the statem,
that he assumes responsibility for work done by his agents, servants or employed f . ,!' , / " y ,,.
Signsch "'By
INSPEETOR "
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulta
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 assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY
Contractor's
License No.
AUTHORITY
Permit No
Registered Architect and /or E
Employing Plumber's Nome
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 phut, and specifications must I kept at
building during progress of work.
Owner's Name and Address No. A�2 �� �
Street ..._. ..,........_.._... ..._..._ ...
Location and Legal Description Lot. Bloch
/
Street and Number where work is to be performed —No (/ / e57 ! 1-1/ ��S 5 f� <
State work to be performed and purpose of building (By Floors)_- __.___ -..
New Building. _.__ - -- _ - -_ -- Remodeling __.._. _ Addition.-- - - -.__ .._ Repairs
Size Septic Tank__ Type of Tank-_
Feet of Drain Tile
_____-_Dist. Feet of Tank or Drain Field from Well
Nature of Water upply: C — Well._ ! � of Pi
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
(Signed)
No. of Stories. ,1......... _. .
Capacity
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 5988, 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 undersigned 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.
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.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when snob reinspeotion Is made•neceuary by improper notice for inspection, or faulty
materials and /or worlananship.
GLOBRB
BATH
TUBS
LAVA.
TORIES
SINK•
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DR INKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
J MOWER$
�—
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM *0
POOL
CONTR.
LtwT
�[
/ \
CHECK
Permit No
Registered Architect and /or E
Employing Plumber's Nome
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 phut, and specifications must I kept at
building during progress of work.
Owner's Name and Address No. A�2 �� �
Street ..._. ..,........_.._... ..._..._ ...
Location and Legal Description Lot. Bloch
/
Street and Number where work is to be performed —No (/ / e57 ! 1-1/ ��S 5 f� <
State work to be performed and purpose of building (By Floors)_- __.___ -..
New Building. _.__ - -- _ - -_ -- Remodeling __.._. _ Addition.-- - - -.__ .._ Repairs
Size Septic Tank__ Type of Tank-_
Feet of Drain Tile
_____-_Dist. Feet of Tank or Drain Field from Well
Nature of Water upply: C — Well._ ! � of Pi
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
(Signed)
No. of Stories. ,1......... _. .
Capacity
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 5988, 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 undersigned 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.
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.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when snob reinspeotion Is made•neceuary by improper notice for inspection, or faulty
materials and /or worlananship.
S gnatur
Date:
My C
3
t1
**
APPROVED:
sio xpires:
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 42b 19 ( i Job Address 1C t L) S Tax Folio ) 1 3Jf /(,//O
Legal Description La l /, - 2 3 4- z4 Bits. 1 to 1'1'1Gt!` r R
Owner / Lessee / Tenant V ► 1) 0
Owner's Address l r J (-5 Phone 7S I 39 4 0
Contracting Co. t- )?20 Address c Y? 2
Qualifier qjVC\`LAAL. ‘4 V 2 ?�y
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL P NG MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION (LAnN1U' Tl ti1_A
Square Ft. - 300 Estimated Cost(value) I - an C
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -name contractor to do the work stated.
Jea Arias Marius, Notary Public
State of Florida
ly Comiission expires 1347/95 *
FEES: PERMIT l't1"*N14WW '
o President
SS4# Phone 9 Y 0 U :i
Building
Mechanical Plumbing tS
FLP—
Signature of Contractor or e j- -Buil e?
1 /, c Y
Date:
Notary
My Commission
E
* * *
C.C.P. t•
Fire Other
* * *
NOTARY /..M
.. 'e 78
Master Permit #
35
c
11014DED BY SERVICI mice
toot CCI 7770i
TOTAL DUE 11 1 6d
Electrical
/ '[?ngineering