PLUMBING PERMITBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor
or Builder -
Legal Lot
Description
Architect,
Work to be performed under this Permit
MIAMI SHORES VILLAGE, FLORIDA
DATE �y 194
Contractor's
,License No.
/
i4 1
PERMIT N? 7340
BI/
Subdi-
vision
BY
Address of / \� . ,, . 4,' Value of Amt. of �
Building . , Project 1 \ O Q,� 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 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 r popsibility for a thorough knowled sof the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or'dra 'gs or tlfe statemen d t,h the assumes respon-
sibility for work done by his agents, servants or employees. �' i �'` �
Signed: t 6 /'d :Y �° , By , / +-
\, INSPECTOR
In consideration of the issuance to me of this permit I agree to perfo the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the Tans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
?e
In accepting this it I assume_resp sibility for al'work. done by either myself, my agent, servant or employee.
--1- s, ---
CP OR O BU DER V
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Build
Legal Lot Bl.
Description
Address of // 0 di k /0/
Building / .
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 w th 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 sponsibility for a thorough knowled 6 the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings o in the` s le
at /� nts or spec' 'cations y tha he assumes respon-
t
sibility for work done by his agents, servants or employees. �°�� / l /
Signed / INSPECT / / OR V� By
In consideration of the issuance to me of this permit I agree to perform t work covered hereunder in compliance with all ordinances and regulations
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 responsibility for. all work done by either myself, my agent, servant or employee.
�, ° _ -' i
s
Work to Fit perf 'rmed under this Perini
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE / _ 19480
RMIT N? 7332
Value of
Project
BY
Contractor's
License No.
Amt. ofy
Permit -
AUTHORITY
Owner's Name and Address
Registered Architect and /or Engineer.........
Name and address of licensed contracto
Location and legal description of lot td-bee built on:
Lot....
Street and Number where work is to be done
State work to be done and purpose of buildjng (by floors)
New Building
To be constructed of____
Estimated Total cost of
Zone cubage required
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING 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 regula-
tions 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 the work.
Block_______ _ Subdivision
/J
Remodeling
— _ —__ —__ Kind of .
improvements $ ... —� ______Amount of Permit $
Addition
--Plan Cubage
- _____ -- 19 7D
No.___ —__ —__ Street— __—___
_and for no oche
Repairs -No. of Stories_______________
— ve ring - -- - - - - - --
Distance to next nearest building__- __— ______—___________—_________ —_Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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 complied 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 i spe the Site of the work such public notice'
or notices as are required by the Act. The undersigned agrees to employ only such su • . • tracto soon wor %td ,lie" performed under this
permit, as are licensed by Miami Shores Village. / �
Remarks - (Signe .)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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.
Permit No.
Disapproved ___________ _________ —___ Date
(Signed)
Building Inspector
Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires_ —_—__
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved_ Date Disapproved
to me well known,
—Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
APPLICATION FOR PLUMBING PERMIT
Permit No Date
Application is l ereby 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. 7
Owner's Name and Address _
Registered Architect and /or Engineer/
A
Employing Plumber's Name v -
Location and Legal Description Lot
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $
,+> MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
4,
-m
0
I No
Block •
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
4
Type of Tank
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Street
( Signed)
Street l77 `.
Subdivision
Street
Capacity Gals
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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed
) —c
Master Plumber.
STATE OF FLORIDA, l ss.
COUNTY OF DADE. J
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.
u t/'
5
CLOSETS
BATH
TUBS
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
SW IM'G
POOL
CONTR.
LIST
•
CHECK
APPLICATION FOR PLUMBING PERMIT
Permit No Date
Application is l ereby 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. 7
Owner's Name and Address _
Registered Architect and /or Engineer/
A
Employing Plumber's Name v -
Location and Legal Description Lot
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $
,+> MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
4,
-m
0
I No
Block •
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
4
Type of Tank
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Street
( Signed)
Street l77 `.
Subdivision
Street
Capacity Gals
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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed
) —c
Master Plumber.
STATE OF FLORIDA, l ss.
COUNTY OF DADE. J
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.
u t/'
5
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect%'
Contractor
or Builder x' r .
Legal Lot
Description
Work t 4e pe for
f< • h
� a
4
PERMIT N° 6203
MIAMI SHORES VILLAGE, FLORIDA
f ed unde h
.4')
Signed.
Permi
DATE
a By
ASTO
194
Contrac
ttes
License
Subdi-
vision
Address of 1 Value of Amt. of
Building — .,;..,;f'; Project Permit i r......•..
This permit is granted to ti 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 . e-qr. an
ces and ,�
regulations pertaining to the work covered hereby whether shown on the plans or drawings r in a atements or sp 8ifications and t e .•. umes respon-
sibility for work done by his agents, servants or employees. Wit=�,.
In consideration of the issuance to me of this permit I agree to perform the work covered here der in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, state • is or specifications submitted to the proper authoritE of Miami Shorys7illsge. .
In accep ng this permit I assume responsibility for all work done b t -. - - myself, my agent, servant or employee.
AUTHORITY
1
Application'ts' 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 w / , t
a
U 4 ,> /12® e 1('
Owner's Name and Address _ _ ; ' No.__ ___ ____ Street
Registered Architect and /or En ineer _
Employing Plumber's Name C k-AA- -cA_2 -A - _ �� ? *-' No. _ 72__7 Street__
Location and Legal Description Lot - Block ) 7 t7
Street and Number where work is to be performed—No. _ __2 :)
State work to be performed and urpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
(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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street
( ,
Date
Subdivisioni1____
•
My Commission Expires Notary Public, State of Florida
r
/n Master Plumber.
Before me, the undersigned authority, a notary public, dtdy 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
� �P
1VI M
AAA "'lll
TOTAL
FIXTURES
COI TR.
L.
/
y �
O
94
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
•
-y.,.
�"
G UST
LIST
�i
CHECK
Application'ts' 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 w / , t
a
U 4 ,> /12® e 1('
Owner's Name and Address _ _ ; ' No.__ ___ ____ Street
Registered Architect and /or En ineer _
Employing Plumber's Name C k-AA- -cA_2 -A - _ �� ? *-' No. _ 72__7 Street__
Location and Legal Description Lot - Block ) 7 t7
Street and Number where work is to be performed—No. _ __2 :)
State work to be performed and urpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
(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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street
( ,
Date
Subdivisioni1____
•
My Commission Expires Notary Public, State of Florida
r
/n Master Plumber.
Before me, the undersigned authority, a notary public, dtdy 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.
•
/ /Lo /',c,/6 /.ate
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
,
Permit No..-/A
Date- - - - -- - • - -• -• - - - - - -• - - - -.._
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. j (�
Owners Name and Address_ ___ ! l J. W. 12. _ .. -- _ No._ 1.1 _ 1_..L" C— Street. _ (0
Registered Architect and /or Engine ... _ --
�-______- .- _ _ - _____- ________ --- -- -___ _ -- - _-
- --
Employing Plumber's Name ...1 6 -- 1 f LJ „ � No.. _ —[Y_. Street -
Location and Legal Description Lot _____- __._.______._._._____-_._._ Block__._ Subdivision.
Street and Number where work is to be performed —No - -1_l___ //t/i /o/ street -._ _ _ _ _..__- - -.
State work to be performed and purpose of building (By Floors).... ___ .. ....
New Building _- Remodeling ___ -- _ - -- -• -- Addition.
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City—Well
Amount of Permit $
rj eD
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
Type of Tank
Repairs_
.. __ ______Dist. Feet of Tank or Drain Field from Well
. Size of Soakage Pit
(Signed)
No. of Stories .
.Capacity Gals. _ . _ -- -• -- -- .. --
'R'
_ Plumbing In.pecto.
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 5968, Compiled General Laws of Florida Permanent Supplement, and leas 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 no'ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed 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 acknowledgments, personal!: 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 him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N$
TOTAL
FIXTURES
CONTR.
LIST
T—
..
CHECK
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
PI E ` LD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYfaTEM
SWIM•G
POOL
CONTR.
Lin
CHECK
; 51
--
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
,
Permit No..-/A
Date- - - - -- - • - -• -• - - - - - -• - - - -.._
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. j (�
Owners Name and Address_ ___ ! l J. W. 12. _ .. -- _ No._ 1.1 _ 1_..L" C— Street. _ (0
Registered Architect and /or Engine ... _ --
�-______- .- _ _ - _____- ________ --- -- -___ _ -- - _-
- --
Employing Plumber's Name ...1 6 -- 1 f LJ „ � No.. _ —[Y_. Street -
Location and Legal Description Lot _____- __._.______._._._____-_._._ Block__._ Subdivision.
Street and Number where work is to be performed —No - -1_l___ //t/i /o/ street -._ _ _ _ _..__- - -.
State work to be performed and purpose of building (By Floors).... ___ .. ....
New Building _- Remodeling ___ -- _ - -- -• -- Addition.
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City—Well
Amount of Permit $
rj eD
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
Type of Tank
Repairs_
.. __ ______Dist. Feet of Tank or Drain Field from Well
. Size of Soakage Pit
(Signed)
No. of Stories .
.Capacity Gals. _ . _ -- -• -- -- .. --
'R'
_ Plumbing In.pecto.
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 5968, Compiled General Laws of Florida Permanent Supplement, and leas 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 no'ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed 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 acknowledgments, personal!: 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 him stated are true.
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.
BUILDING
ELECTRICAL
PLUMBING.
Owner of i
Building
Architect
Contractor
or Builder ' - /;-
Legal Lot
Description
Address of ��
Building t�-� lr' p /
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or d vice 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 to the work covered hereby whether shown on the plans pr drawings or in y thVstatements or specifications and that'he assumes respon-
sibility for work done by his agents, servants or employees.` " t/ %
s , ,' i' ' .'
Signed
n consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with,gj1ordinances and,,,,rregyl4tjons7
`dining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authon°°tres of Miami Shoes ge.3
accepting this ermit I ass e responsibility for all work done by either myself, my agent, servant or employee.
/ .,--
felLed
CON TOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
PERMIT N? 6379
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project
BY
INSPE OR
By
AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA 1
r
BUILDING ❑ Date A 19
ELECTRICAL ❑
PLUMBING go PERMIT N? 10491
ROOFING ❑
Owner of
Building
Architect
Contractor J =
or Builder it I
1I
II Bl
�Aa
Address of ,
Legal Lot
Description
Building k 4 I tic 1 f f i.
CONTRACTOR or BUILDER
Work to be performed under this Permit
Contractor's —
License No.
Subdi-
vision
Sq. Ft.
Value of x II Amount of
Project $ ° "� 11 Permit $ _f �
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 applica-
tion 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 he assumes respon-
sibility for work done by his agents, serRnts or employees.
d
Signed +� r1. J K "(INSPECTOR) BY
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
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.
1t �p
BY AUTHORITY