350 NE 100 St (2)Lot " BZock Subdivision "" Number Street
, ._.. � ._.. �.5 yid .ta/
Owner , Name Lic. No. Address -.or Phone
Gener l -' ' Contractor
Zone Rod : - Cii . Ft. / P'":3 - 4te
Plat Restriction Chkd. By
Tb PTaririirig`Board Approved Rejected
.Re- Submitted to P.B. __. „Approved.. : Rejected.:
'Plan & Spec. Checked By Date
TO Council Approved Re j ected_
Bldg. Permit Igo. /5/,2 Date / /• /a-le6 Fee Cos C,3",<1 v
Type Q
New Const.'
Plumbing Permit N
Septic Tank
Sewer
Miscel.
New Const,'
Li c;. No. Address or Phone
- Cub. Cont. /4/ l By
Stories Roof
Alterations '
Date Fee
'
n
If
•Alteration
Electrical Permit No. /G 6 2 Dat ed !f - Fee g• -
Fixtures /6 6 V 11
Heater If
._ ..._.. fi r .. .. .....,.....
Motors a it.
Misc' 1. _ - z - n
New Const. a 't u- 1
Alteration Repairs
Bldg. Insp. ...Date By Re- Insp. By Re- Insp.?
Foundation.
Beams &. Linter -
Final
Final Clean -Up.
Plumbing Insp. ._ Date By - - Re -Insp. By Re- Insp.By
Roughing
Fixtures
Sewer
Septic Tank / -r q. /s
Solar Heater
Final Cert.
E1 ectrical .Insp.... - -.,.
Date •Bir Re-Insp. _'. .. Re-Insp. by
Rough - _ 1 7 - -4 7 , /1„1
P(
Fixtures
Fi
Service 0. K. to Power o (µJ�
BUILDING
ELECTRICAL
PLUMBING
Owner of
3uilding
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 1797
Work to be perforfpJ under this Permit
Architect
Contractor , / /
or Builder
I ,
Legal Lot r Bl.
Description
Address of
juilding
s v�
}j
Subdi-
vision
Value of
roject
DATE 194_
Contractor's
License No.
Amt. 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
,placation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
`ith any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
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
pon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
.e ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
`.at he assumes responsibility for work done by his agents, servants or employees.
Signed. ,. / `k. By if .t it
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 regula-
ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
llage. In accepting this permit I assume )responsibility for all work done by either myself, my agent, servant or employee.
( I - ,. `
CONTRACTOR OR BUILDER 3 BY t AUTHORITY
Permit No. .___J _ P
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 wofk.
Owner's Name and Address
Registered Architect and /or Engi r
Employing Plumber's Name _ it1
Location and Legal Description Lot_
Street and Number where work is to be performed —No
Size Septic Tank G_ L) Type of Tank
------- ---- - - - - -- //
Amount of Permit $__ /1_ V ''
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
appeared
ss.
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
6 _{ Street
Subdivision ___________________________
Street
Block
State work to be performed and purpose of building (By Floors)
New Building_ —_____ __ Remodeling Addition Repairs No. of Stories_
Capacity Gals.___—
Feet of Drain Tile_! _1� 6 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well. ~ Size of Soakage Pit
(Signed) ,wI!"I `1_ - .__�,. "._ -
,- Plumbing Inspector.
rtify tha understands and accepts his obli (ations as an employer of labor
Date 1 //
Street__
� a
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices are
work to be performed under this permit, as
sub - contractors, on
(Signed)
e l f ,
authorized to administer oaths and take authorized to administer oaths and take acknowledgments, personally
deposes and says that he is the
foregoing application, and that he did sign tot same, and that all facts
Notary Public. State of Florida
Master Plumber.
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
URINALS
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
CHECK
Permit No. .___J _ P
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 wofk.
Owner's Name and Address
Registered Architect and /or Engi r
Employing Plumber's Name _ it1
Location and Legal Description Lot_
Street and Number where work is to be performed —No
Size Septic Tank G_ L) Type of Tank
------- ---- - - - - -- //
Amount of Permit $__ /1_ V ''
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
appeared
ss.
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
6 _{ Street
Subdivision ___________________________
Street
Block
State work to be performed and purpose of building (By Floors)
New Building_ —_____ __ Remodeling Addition Repairs No. of Stories_
Capacity Gals.___—
Feet of Drain Tile_! _1� 6 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well. ~ Size of Soakage Pit
(Signed) ,wI!"I `1_ - .__�,. "._ -
,- Plumbing Inspector.
rtify tha understands and accepts his obli (ations as an employer of labor
Date 1 //
Street__
� a
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices are
work to be performed under this permit, as
sub - contractors, on
(Signed)
e l f ,
authorized to administer oaths and take authorized to administer oaths and take acknowledgments, personally
deposes and says that he is the
foregoing application, and that he did sign tot same, and that all facts
Notary Public. State of Florida
Master Plumber.
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.