1301 NE 101 StBUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
architect
3ontractor
?r Builder
Legal
description
address of
wilding
Lot
MIAMI SHO RES VILLAGE. FLORIDA
❑ DATE '
PERMIT N9 _2 9 0 5 Contractor's
License No '� v
PO , • Ci``.
Work to be performed under this Permit
Bl
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
ime 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
;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
,ertaining 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
one by his agents, servants or employees. ,�� ��• ,
'"-
Subdi-
vision
Value of p
Project $ o
BY
Amount of
Permit $
195 -
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work cover'd 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 ac-
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY 6
�j
Permit No ` D S
Registered Architect and /or Enginee _ ___— ____— __ —___
Employing Plumber's Name /�_ ,,!____1_X_
Location and Legal Description Lot_
Amount of Permit $ / '
STATE OF FLORIDA,
COUNTY OF DADE.
- -- - - - - -_ — My Commission Expires
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.
Owners Name and Address____ No.__ / - •--- .--- __ -___ Street ti. C- l 0 ! S-?
Addition._
12x/1- 1 -DQd:� Street -!3!� _ ��—
Block_ Subdivision •------- __._.---------- __ -_ -�
(Signed)._
Street and Number where work is to be performed —No / 3 O ! ,' C / / — Street
State work to be performed and purpose of building (By Floors) 2. 1)L27 sic c-
New Building Remodeling
Repairs
Date - • / - ---- Z s
No. of Stories
Size Septic Tank — _- _----- -___ -- Type of Tank
Feet of Drain Tile____ ..... - ................... ----- - - - - -- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.____________________________ .__ .Size of Soakage Pit
Capacity Gals.
(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 bus 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 w k to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
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 hire 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
SHOWER°
LAVA..
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUB
URINALS
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
�j
Permit No ` D S
Registered Architect and /or Enginee _ ___— ____— __ —___
Employing Plumber's Name /�_ ,,!____1_X_
Location and Legal Description Lot_
Amount of Permit $ / '
STATE OF FLORIDA,
COUNTY OF DADE.
- -- - - - - -_ — My Commission Expires
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.
Owners Name and Address____ No.__ / - •--- .--- __ -___ Street ti. C- l 0 ! S-?
Addition._
12x/1- 1 -DQd:� Street -!3!� _ ��—
Block_ Subdivision •------- __._.---------- __ -_ -�
(Signed)._
Street and Number where work is to be performed —No / 3 O ! ,' C / / — Street
State work to be performed and purpose of building (By Floors) 2. 1)L27 sic c-
New Building Remodeling
Repairs
Date - • / - ---- Z s
No. of Stories
Size Septic Tank — _- _----- -___ -- Type of Tank
Feet of Drain Tile____ ..... - ................... ----- - - - - -- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.____________________________ .__ .Size of Soakage Pit
Capacity Gals.
(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 bus 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 w k to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
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 hire 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.
., <
Permit No..... _ v
Owner's Name and Address ��, v`
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
Date
/ 3 ,/
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othin
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 at
building during progress of work.
Street '1 la
Employing Plumber's Name No . 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
Nature of Water Supply: City —Well.
Amount of Permit $ - ---------- - - - - -- --- (Signed) _
My Commission Expires
Block_ _______
(Signed)._
Street
Subdivision
Size Septic Tank Type of Tank__ _ Capacity Gals.
Feet of Drain Tile. Dist. Feet of Tank or Drain Field from WeIL
Size of Soakage Pit
No. of Stories_ ..... .______......... __
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 arc
licensed by Miami Shores Village.
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, �.
COUNTY OF DADE. j
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 Etc
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 full
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SS
INK
SLOP
SINKS
LAUNDRY
TUBS
URINALS
I NAS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT 'NS
TOTAL
FIXTURE:
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
L
WELL.
SPRKLR.
SYSTEM
SW IM 'G
POOL
CONTR.
LIST
CHECK
., <
Permit No..... _ v
Owner's Name and Address ��, v`
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
Date
/ 3 ,/
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othin
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 at
building during progress of work.
Street '1 la
Employing Plumber's Name No . 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
Nature of Water Supply: City —Well.
Amount of Permit $ - ---------- - - - - -- --- (Signed) _
My Commission Expires
Block_ _______
(Signed)._
Street
Subdivision
Size Septic Tank Type of Tank__ _ Capacity Gals.
Feet of Drain Tile. Dist. Feet of Tank or Drain Field from WeIL
Size of Soakage Pit
No. of Stories_ ..... .______......... __
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 arc
licensed by Miami Shores Village.
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, �.
COUNTY OF DADE. j
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 Etc
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 full
materials and /or workmanship.
Permit No 9
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 and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer_—_—__— ______._. __ g
Employing Plumber's Name .(.4441 —� `j' • !' Street__
Location and Legal Description Lot - Block_ Subdivision ------------- ._.._------ ... _4_4
44/ Street
Street and Number where work is to be performed —No 431.6 ?-)'E
State work to be performed and purpose'of building (By Floors)_ ___________
New Building __ -- _ -- Remodeling ___ -- Addition
Size Septic Tank ------- _-- -__ - -- -_Type of Tank_
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 $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
(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 wor jt• be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)._
plans
Street
Repairs No. of Stories ... ......................
Capacity Gals
My Commission Expires Notary Public, State of Florida
Lc CO la
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
TUBE
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
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM •G
POOL
CONTR.
LIST
- --
CHECK
Permit No 9
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 and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer_—_—__— ______._. __ g
Employing Plumber's Name .(.4441 —� `j' • !' Street__
Location and Legal Description Lot - Block_ Subdivision ------------- ._.._------ ... _4_4
44/ Street
Street and Number where work is to be performed —No 431.6 ?-)'E
State work to be performed and purpose'of building (By Floors)_ ___________
New Building __ -- _ -- Remodeling ___ -- Addition
Size Septic Tank ------- _-- -__ - -- -_Type of Tank_
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 $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
(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 wor jt• be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)._
plans
Street
Repairs No. of Stories ... ......................
Capacity Gals
My Commission Expires Notary Public, State of Florida
Lc CO la
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.