1240 NE 100 St (6)Liq
Permit 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.
Owner's Name and Address
Registered Architect and /or Engineer ___
Employing Plumber's Name
Location and Legal Description Lot_____—
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
. / No. • ._ -- Street 1 . 1�!_ . _./.iC�4
�-+�___ Block_ Subdivision -_ -- — __—
Street and Number where work is to be performed —No V Street J-___ A-- —
State work to be performed and purpose of building (By Floors) _
New Building - -- _ -- Remodeling —__ - _ -_ - - -- _._._ Addition
Date
Repairs__.
3
l f-- ---- __ -_ - __ StreeW_ _Q.
No. of Stories... ..... ...... ...
Size Septic Tank_
Feet of Drain Tile_ ______
Nature of Water Supply: City —Well
Amount of Permit $ ��
STATE OF FLORIDA,
COUNTY OF DADE. J
Type of Tank
__Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed) _
_ Capacity Gals.
My Commission Expires Notary Public, State of Florida
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.
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
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
-
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
,SW IM'G
POOL
CONTR.
LIST
-- -
CHECK
Liq
Permit 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.
Owner's Name and Address
Registered Architect and /or Engineer ___
Employing Plumber's Name
Location and Legal Description Lot_____—
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
. / No. • ._ -- Street 1 . 1�!_ . _./.iC�4
�-+�___ Block_ Subdivision -_ -- — __—
Street and Number where work is to be performed —No V Street J-___ A-- —
State work to be performed and purpose of building (By Floors) _
New Building - -- _ -- Remodeling —__ - _ -_ - - -- _._._ Addition
Date
Repairs__.
3
l f-- ---- __ -_ - __ StreeW_ _Q.
No. of Stories... ..... ...... ...
Size Septic Tank_
Feet of Drain Tile_ ______
Nature of Water Supply: City —Well
Amount of Permit $ ��
STATE OF FLORIDA,
COUNTY OF DADE. J
Type of Tank
__Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed) _
_ Capacity Gals.
My Commission Expires Notary Public, State of Florida
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.
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 ❑ PERMIT
PLUMBING
ROOFING
Owner of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
N° 15220
DATF / 195
Contractor's
License No
❑ Work to be performed under this Permit
Architect
Contractor
or Builder Aii ^w ., , ',../',
Legal Lot II Bl. Subdi-
Description. vision
Address of
Building 1 . fir '` i / to ; Y.) 3
Value of
Project $
Amt. of
Permit $
AUTHORITY
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
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 responsibility r work
done by his agents, servants or employees.
Signed BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
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.
jj jj
BY
Permit No / S e,
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subnVitted 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 ___ ''f -'~' � ' ' No.__ C Stuitt
Registered Architect and /or Engineer
Employing Plumber's Name_ 1.44 " d. v No._
Location and Legal Description Lot 1 Block ,,,,� /
Street and Number where work is to be performed—No./0 _ Street__!__ i I' i .e!___ ___i ___ Cs
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
STATE OF FLORIDA, }
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water' Su ly: Cit�
ss.
Well.
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size of Soakage Pit
(Signed)
I Stmt e t et'
Date__
t..
Subdivision_4 _ate
Notary Public, State of Florida
,'
No. of Stories !
Plumbing Inspector.
The undersigned appl' nt for this building permit does hereby certify that he understands and co pts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl rida 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. /',yS '
(Si ____ __
2j b `' Master Plumber.
1.7
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. •
N • E: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
mater '. s 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
2
/
/
2-
is - c)
+ ' `
.ryy
7s.,
—�
--
CHECK
) �l ,J
7,
�y/ ( +
/..
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
M ,
CONTR.
L I 6T
/
f ` �
CHECK
/ e V
`
'�
Permit No / S e,
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subnVitted 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 ___ ''f -'~' � ' ' No.__ C Stuitt
Registered Architect and /or Engineer
Employing Plumber's Name_ 1.44 " d. v No._
Location and Legal Description Lot 1 Block ,,,,� /
Street and Number where work is to be performed—No./0 _ Street__!__ i I' i .e!___ ___i ___ Cs
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
STATE OF FLORIDA, }
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water' Su ly: Cit�
ss.
Well.
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size of Soakage Pit
(Signed)
I Stmt e t et'
Date__
t..
Subdivision_4 _ate
Notary Public, State of Florida
,'
No. of Stories !
Plumbing Inspector.
The undersigned appl' nt for this building permit does hereby certify that he understands and co pts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl rida 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. /',yS '
(Si ____ __
2j b `' Master Plumber.
1.7
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. •
N • E: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
mater '. s and /or workmanship.
A