290 NE 100 St (2)Permit No
Owner's Name and Address
..iegistered Architect and /or Engineer
3mploying Plumber's Name iniffM
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____ __.- - -._ Ad
Amount of Permit $ �•�
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
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 regulation of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spedficatlons must be kept at
building during progress of work.
v G l-1 7(/2 k � lle�yy �j
= >�.�. 1 - ..._.._. No '� 9 S.L Street.._l
@meet% /Iic o?( 1 91e Al kgs
Bloch
6 Street _ A/ lOe
A/.2.9(.2,59 - pi,
dition...__.._ Repairs L �
Size Septic Task — -- - - — — — - - -- - Type of Tank__ - - — — -- - Capacity Gab.
Feet of Drain Tile.____ — ____Dist. Feet of Tank or Drain Field from Well ..._..._...__.._
Nature of Water Supply: City —Well. _________...__.__r __ __ — _._Size of Soakage Pit
(Shed)_ L 4 rr
(Si
Date
My Commission Expires Notary Public, State of Florida
No. of Stories
.. -r... .
Plumbing r
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nploycr of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent :upi.lement, and !Iasi com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in !•e work
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publi- notice or no'icer as are
required by die Act. The undersigned agrees to employ only such sub - contractors, on work to be formed this p.mrinic, as as ,
licensed by Miami Shores Village.
Masts Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal;; eppearea
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is t h e _..
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and tint all 6acts
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.
CLOUTS
BATH
TUB[
6HOW[Ra
LAVA•
TORIES
SINKS
SLOP
SINK[
LAUNDRY
TU[•
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FISTeR[[
CONTR.
LIOT
—_
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•O
POOL
CONTR .
LIST
CHECK
Permit No
Owner's Name and Address
..iegistered Architect and /or Engineer
3mploying Plumber's Name iniffM
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____ __.- - -._ Ad
Amount of Permit $ �•�
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
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 regulation of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spedficatlons must be kept at
building during progress of work.
v G l-1 7(/2 k � lle�yy �j
= >�.�. 1 - ..._.._. No '� 9 S.L Street.._l
@meet% /Iic o?( 1 91e Al kgs
Bloch
6 Street _ A/ lOe
A/.2.9(.2,59 - pi,
dition...__.._ Repairs L �
Size Septic Task — -- - - — — — - - -- - Type of Tank__ - - — — -- - Capacity Gab.
Feet of Drain Tile.____ — ____Dist. Feet of Tank or Drain Field from Well ..._..._...__.._
Nature of Water Supply: City —Well. _________...__.__r __ __ — _._Size of Soakage Pit
(Shed)_ L 4 rr
(Si
Date
My Commission Expires Notary Public, State of Florida
No. of Stories
.. -r... .
Plumbing r
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nploycr of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent :upi.lement, and !Iasi com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in !•e work
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publi- notice or no'icer as are
required by die Act. The undersigned agrees to employ only such sub - contractors, on work to be formed this p.mrinic, as as ,
licensed by Miami Shores Village.
Masts Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal;; eppearea
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is t h e _..
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and tint all 6acts
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.
;UILDING ❑
TLEcTxlcxL ❑
'LUMBING PERMIT
El
tiOOFING t ❑
)„,,,,/v_ j. f
El
architect
,ontractor
T Builder
.egal
Description
address of
uilding
Lot
r
MIAMI SHORES VILLAGE. FLORIDA
honer of
7
N? 4007
CONTRACTOR OR BUILDER BY
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
DATE 195'
Contractor's
License No.
Amount of
Permit $
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me 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 c; in the statements or spec ications and that he assumes responsibility for work
one 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
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
� this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of 4'
Building ti
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision
Address of i Value of Amt. o?'r f 1
Building ;. J �-" t� 1 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 in the appli-
cation 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 respon-
sibility for work done by his agents, servants or employees. ,°' \, 4,
/�
Signed ,r�! ` t fr? B A
INSPECTOR
In consideratio of the issuance to me of this permit I agree to perforn the ork covered hereunder in compliance with all ordina es d regulations
pertaining thereto add ` m' strict conformity with the plans, drawings, statemLnts- r specifications submitted to the proper authotitits of M mi Shotls, j4�ljge.
In accepting this a6sgrne responsibility for a work done by either myself, my agent, servant or employee.
{i CONTRACTOR OR ILDER
MIAMI SHORES VILLAGE, FLORIDA •
DATE ° ' .�✓ / 194
Ctractor's
License No.
4tractor's
PERMIT N? 7523
Work to be performed under this Permit
BY
AUTHORITY