1280 NE 101 St (6)Permit No 1
Owners Name and Address
Registered Architect and /or E
Employing Plumber's Name ALL
Location and Legal Description Lot_ r �� �,
Street and Number where work is to be performed -No 1 1 Street_
State work to be performed and purpose of building (By Floors)
New Building -_ -.___ Remodeling __ -_ Addition
Size Septic Tank
Feet of Drain Tile.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Repairs
(Signed)-
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 wor
No. Street.
t -- ��! CL_1M'- No. - - - - -- _. Street —_
Block
No. of Stories . . ............... . ...
�_ _�_- Type of Tank
_______- �_= ____ = -1 —Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City -Well.
Capacity Gals.__
_______Size of Soakage Pit
umbingInspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati• Tas an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane : upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl'- ed 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.
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.
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 inspt• t:• n, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
INK6
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
INALS
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
- - -
Permit No 1
Owners Name and Address
Registered Architect and /or E
Employing Plumber's Name ALL
Location and Legal Description Lot_ r �� �,
Street and Number where work is to be performed -No 1 1 Street_
State work to be performed and purpose of building (By Floors)
New Building -_ -.___ Remodeling __ -_ Addition
Size Septic Tank
Feet of Drain Tile.
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Repairs
(Signed)-
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 wor
No. Street.
t -- ��! CL_1M'- No. - - - - -- _. Street —_
Block
No. of Stories . . ............... . ...
�_ _�_- Type of Tank
_______- �_= ____ = -1 —Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City -Well.
Capacity Gals.__
_______Size of Soakage Pit
umbingInspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati• Tas an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane : upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl'- ed 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.
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.
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 inspt• t:• n, or faulty
materials and /or workmanship.
Permit No 1 7 V 2 - 0
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.
Fc& 7 J rz
Registered Architect and /or Engineer
Employing Plumbors Namo._ . '" � _
Size Septic Tank_
Feet of Drain Tile
Owner's Name and Address
N O,. Street.323.17...IIIMMIL.B8LIMIMMS. ,,:. ...,,�, -..
Location and Legal Description Lot_ Bloch Subdivision
Street and Number where work is to be performed —No 1 - 1 3 U K' street- J S .
State work to be performed and purpose of building (By Floors)_
New Building _ _ _ ._..._.. Remodeling _..__ Addition.- ._..._ Repairs No. of Stories.
Nature of Water Supply: City—Well.
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank_
Dat ... Z5 ? s'
No 1 Street..P iv <
Capacity
Dist- Feet of Tank or Drain Field from Well ..._._. - -_ — ___ •
Size of Soakage PIt.
(Signed) _
(Signed)
444
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obh s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinan: . upplement, 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 die 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.
Ad@ -4. vu4(<
Mast Plumber. '.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclawwledgments, 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.
materNialOTE: re-inspection fee of $1.00 will be made when such re - Inapection is made necessary by improper notice for inspection, or faulty
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
�SINK6
SLOP
SINKa
LAUNDRY
TUa/
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
I
TOTAL
FIXTURES
CONTR.
LIST
CHECK
—.-
•
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H CATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
Come.
LIST
CHECK
^
Permit No 1 7 V 2 - 0
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.
Fc& 7 J rz
Registered Architect and /or Engineer
Employing Plumbors Namo._ . '" � _
Size Septic Tank_
Feet of Drain Tile
Owner's Name and Address
N O,. Street.323.17...IIIMMIL.B8LIMIMMS. ,,:. ...,,�, -..
Location and Legal Description Lot_ Bloch Subdivision
Street and Number where work is to be performed —No 1 - 1 3 U K' street- J S .
State work to be performed and purpose of building (By Floors)_
New Building _ _ _ ._..._.. Remodeling _..__ Addition.- ._..._ Repairs No. of Stories.
Nature of Water Supply: City—Well.
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank_
Dat ... Z5 ? s'
No 1 Street..P iv <
Capacity
Dist- Feet of Tank or Drain Field from Well ..._._. - -_ — ___ •
Size of Soakage PIt.
(Signed) _
(Signed)
444
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obh s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinan: . upplement, 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 die 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.
Ad@ -4. vu4(<
Mast Plumber. '.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclawwledgments, 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.
materNialOTE: re-inspection fee of $1.00 will be made when such re - Inapection is made necessary by improper notice for inspection, or faulty
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.
h
Owner's Name and Address �:_____�% U � ,(✓ No �� Street_X.4 ie
Registered Architect and /or Engineer .....
____ _______�____�__._____� _
Employing Plumber's Name,11,4'12 kV 11/_l, L& 5E,�7 / C Z4 4r Co. No.L r_1 L _ Street_l6 -- - - - -- f -- --
Location and Legal Description Lot. _.______... ___________ — __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._
Size Septic Tank
Feet of Drain Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
( Signed)
Date
Repairs
(Signed) -
Subdivision
Street
Capacity Gals
My Commission Expires Notary Public, State of Florida
No. of Stories
.Dist. Feet of Tank or Drain Field from Well
._Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hi 'gallons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe Inanent 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.
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 $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or worlananship.
CLOSlTB
BATH
Tuss
SHOWERS
LAVA-
TORIES
S INK6
SLOP
SINKS
LAUNDRY
Twm,
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
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
-
- - —
--
--
- - -- -
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.
h
Owner's Name and Address �:_____�% U � ,(✓ No �� Street_X.4 ie
Registered Architect and /or Engineer .....
____ _______�____�__._____� _
Employing Plumber's Name,11,4'12 kV 11/_l, L& 5E,�7 / C Z4 4r Co. No.L r_1 L _ Street_l6 -- - - - -- f -- --
Location and Legal Description Lot. _.______... ___________ — __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._
Size Septic Tank
Feet of Drain Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
( Signed)
Date
Repairs
(Signed) -
Subdivision
Street
Capacity Gals
My Commission Expires Notary Public, State of Florida
No. of Stories
.Dist. Feet of Tank or Drain Field from Well
._Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hi 'gallons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe Inanent 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.
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 $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or worlananship.
Permit No ....
Size Septic Tank
Feet of Drain Tile_,
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING man
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. //'' �p� C /
Owner's Name and Address___ _______.P/ ___1_ -!! 271_ -. - -_ No. _ - 5'a
-_ - Streetfr
Registered Architect and /or Engineer____---__ —_ -- / ---------- _•----- _..______
Employing Plumber's Name, .o.W, /ALL " _ fk4 2% L___ l�fe _ Street__
Location and Legal Description Lot ____._._ ...... __. ._______ — ._�
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
Block__
Amount of Permit $ ----------------------- - - - - -- ( Signed) _
Date
Subdivision_.__._:
Street
Type of Tank
_ _Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Capacity Gals
mbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio . : as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and Ilas 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on work to ormed under this permit, as are
licensed by Miami Shores Village.
M Commission Expires Notary Public, State of Florida
Mas ' lumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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
OWBRB
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TU88
U
CATCH
BASIN
FLOOR
DRAIN
DRINK NG
FOUNT'NB
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•O
POOL
CONTR.
LIST
_
CHICK
Permit No ....
Size Septic Tank
Feet of Drain Tile_,
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING man
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. //'' �p� C /
Owner's Name and Address___ _______.P/ ___1_ -!! 271_ -. - -_ No. _ - 5'a
-_ - Streetfr
Registered Architect and /or Engineer____---__ —_ -- / ---------- _•----- _..______
Employing Plumber's Name, .o.W, /ALL " _ fk4 2% L___ l�fe _ Street__
Location and Legal Description Lot ____._._ ...... __. ._______ — ._�
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
Block__
Amount of Permit $ ----------------------- - - - - -- ( Signed) _
Date
Subdivision_.__._:
Street
Type of Tank
_ _Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Capacity Gals
mbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio . : as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and Ilas 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on work to ormed under this permit, as are
licensed by Miami Shores Village.
M Commission Expires Notary Public, State of Florida
Mas ' lumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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.
IG
3ICAL
PLUMt3ING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
e ;pi
t
•CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 7313
Lot
B1
e
Contractor's
License No.
195
Work to be performed under this Permit
" J '--
e
G �1
Subdi-
vision
Value of
Project $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. , � f a u
a.. y
Signed. e _ 3 I3
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 an4,, in strict conformity with the plans, drawings, statements or specifications s{�ibmitted to the proper authorities of Miami Shores Village. In ac•
cepting this permit4 assume responsibility for all workgdone by either, myself, my agent, se)vant or employee.
P
BY AUTHORITY
6
Architect
Contractor
or Builder i +'i: t�j' �'' J`/
Legal Lot II BI. Subdi-
Description vision
Address of r
Building +�.,; ` ;w. J ,. It F ,rit
BUILDING ❑ q DATE 195
ELECTRICAL El PERMIT N? 15119 Contractor's
PLUMBING ❑ License No -
ROOFING ❑ Work to be performed under this Permit
Owner of II
Building t' < e
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Value of
Project
BY
t 4440;10
Amt. of
Permit $ ; %. t . , t")
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 for work
done by his agents, servants or employees.
Signed t ; f• 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.
E _.
AUTHORITY
JOB:
r
BUILDING.,
ELECTRICAL
• PLUMBING • ▪ REQUESTED
The following is ready for Inspection:
•
•
•
•
•
•
•
•
Inspector's Report:
• WORK
• DONE B`.
•
•
•
z i
WILL BE. READY
•
•