1195 NE 100 St (9)Pernut No
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. ,D
Owner's Name and Address - -Y,a'll .4- SF _ 4- No.__— Street
Registered Architect and /or En4inee E t.3A °K Ca ' 1
Employing Plumbers Name_ 5 ', K 0 ��
___ - -- - -- - No. - - - — Street.
Location and Legal Description Lot.______— ........ _____ ....... __________ Block ._..___.. . ___ Subdivision
Street and Number where work is to be performed —No ____ZZ_f -5" b' S feO Street
State work to be performed and purpose of building (By Floors) _______
New Building - ------ - -- - -- - - - - - -- Remodeling —____ —_ -- Addition
Type of Tank.__ Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well � _- -- ..Size of Soakage Pit
Size Septic Tank
Feet of Drain Tile
32
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING n.miT
(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.
(Signed)
Repairs
Date CO / 4,0
STATE OF FLORIDA, 1
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 Notary Public, State of Florida
No. of Stories
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faul
materials and /or worlmaanship.
CLOSETS
TUBS
TUBS
SHOWERS
LAVA-
TORIES
61NK6
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
Pernut No
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. ,D
Owner's Name and Address - -Y,a'll .4- SF _ 4- No.__— Street
Registered Architect and /or En4inee E t.3A °K Ca ' 1
Employing Plumbers Name_ 5 ', K 0 ��
___ - -- - -- - No. - - - — Street.
Location and Legal Description Lot.______— ........ _____ ....... __________ Block ._..___.. . ___ Subdivision
Street and Number where work is to be performed —No ____ZZ_f -5" b' S feO Street
State work to be performed and purpose of building (By Floors) _______
New Building - ------ - -- - -- - - - - - -- Remodeling —____ —_ -- Addition
Type of Tank.__ Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well � _- -- ..Size of Soakage Pit
Size Septic Tank
Feet of Drain Tile
32
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING n.miT
(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.
(Signed)
Repairs
Date CO / 4,0
STATE OF FLORIDA, 1
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 Notary Public, State of Florida
No. of Stories
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faul
materials and /or worlmaanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
.PERMIT N° 7424
Owner of F.
Building kk.v y '43#
I
Legal Lot 11B1 • Subdi-
Description — vision
Work to be performed under this Permit
'406! to
INSPECTOR
4
DATE -to ' 195
Contractor's 4
License No.
Address of j 4. / _ Value of I Amount of , R- -.......:
Building t +';`- Project $ � � Permit $ "�~ -- This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described i 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 respon ility 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 tements or specifications and thatyhe assumes responsibility for work
done by his agents, servants or employees. . 3 i , 4,-- 1'
In consideration of the issuance to me of this permit I agree to perform the work covered h eunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub ted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agen =sery or employee.
f
b
BY AUTHORITY
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. .. 7 7 Date 5 4 - .. - -. 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owners Name and Address 1 ' ' " - No.__ Street
Registered Architect and /or E gineer
Employing Plumber's Name__ - _._ No Street.___
Location and Legal Description Lot____- • - - -_ -_ Block- _- -__ -_- ck �__`. __.___------------ - - - - -- Subdiv� n
Street and Number where work b to be performed -No __L1 !-_ w G .._ Street
State work to be performed and purpose of building (By Floors)_
New Building Remodeling Addition_- -_- .... . ..... . -- ___ Repairs ...... No. of Stories
Size Septic Tank L -Q --� Type of Tank_ _ / Capacity Gals.
Feet of Drain Tile
.Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City -Well - Size of Soakage Pit
Amount of Permit $
Plumbing Insi;er_tor.
The undersigned applicant for this building permit does hereby certify that he unders ands and accepts his obligations as an- employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 lac
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 foul
materials and /or wohip.
My Commission Expires
(Signed) _
( signed xx 9 �. p
y"!
Notary Public, State of Florida
CLOSETS
BATH
TU BS
SHOWERS
LAVA.
TORIES
S INKS
SLOP
SINKS
LAUNDRY
TUNS
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
60 v
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. .. 7 7 Date 5 4 - .. - -. 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owners Name and Address 1 ' ' " - No.__ Street
Registered Architect and /or E gineer
Employing Plumber's Name__ - _._ No Street.___
Location and Legal Description Lot____- • - - -_ -_ Block- _- -__ -_- ck �__`. __.___------------ - - - - -- Subdiv� n
Street and Number where work b to be performed -No __L1 !-_ w G .._ Street
State work to be performed and purpose of building (By Floors)_
New Building Remodeling Addition_- -_- .... . ..... . -- ___ Repairs ...... No. of Stories
Size Septic Tank L -Q --� Type of Tank_ _ / Capacity Gals.
Feet of Drain Tile
.Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City -Well - Size of Soakage Pit
Amount of Permit $
Plumbing Insi;er_tor.
The undersigned applicant for this building permit does hereby certify that he unders ands and accepts his obligations as an- employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 lac
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 foul
materials and /or wohip.
My Commission Expires
(Signed) _
( signed xx 9 �. p
y"!
Notary Public, State of Florida