246 NE 100 St (8)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
❑ DATF7 195
PERM IT N? 6736 Contractor's
License No.
❑ Work to be performed under this Permit
Owner of /
Building
Archi tect
CONTRACTOR OR BUILDER
B1
If
Subdi-
vision
Value of
Project
BY AUTHORITY
Amount of l Ems
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 or in the statements or specifications and that he assumes responsibility for 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
!)-el
MIAMI SHORES VILLAGE, FLA.
JOB L. 4 S
N? 7313
ADDRESS -1.-4 A) - C 0
INSPECTION �LA ..) i_ G-
TIME READY
REMARKS
2 - 75
INSPECTOR DATE ��
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 .. — ------ . - - - -- No.____ Street
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING C' ;.MIT
Employing Plumber's Name Ark SEF99e $..` _ No._____.__.___. Street_
Location and Legal Description Lotgpa__E. ._z._ _ � Block Subdivision
Street and Number where work is to be performed —No £ � ,, treet
Amount of Permi $ 4
State work to be performed and purpose of building (By Floors)._
New B _- _.-_-- Remodeling_____ __.____ Addition._____._ Repairs No. of Stories.
Size Septic Tank Q Type of Tank_- Capacity Gals
Feet of Drain Tile_ &""° "i' /_�� Dist Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well ____Size of Soakage Pit
(Signed)_
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 pplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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).
Date
.9 / 7 ,
Master Plumber.
STATE OF FLORIDA, l
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 Expos 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
Tues
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NG
FOUNT' NS
TOTAL
,FIXTURES
CONTR.
LIST
--
C CHICK
ti
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'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.
Owner's Name and Address .. — ------ . - - - -- No.____ Street
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING C' ;.MIT
Employing Plumber's Name Ark SEF99e $..` _ No._____.__.___. Street_
Location and Legal Description Lotgpa__E. ._z._ _ � Block Subdivision
Street and Number where work is to be performed —No £ � ,, treet
Amount of Permi $ 4
State work to be performed and purpose of building (By Floors)._
New B _- _.-_-- Remodeling_____ __.____ Addition._____._ Repairs No. of Stories.
Size Septic Tank Q Type of Tank_- Capacity Gals
Feet of Drain Tile_ &""° "i' /_�� Dist Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well ____Size of Soakage Pit
(Signed)_
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 pplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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).
Date
.9 / 7 ,
Master Plumber.
STATE OF FLORIDA, l
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 Expos 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.