431 NE 100 St (4)Permit No 1_ s " )
Owner's Name and Address
New Building Remodeling_
Nature of Water Supply: City—Well.
. 0 4 e . CP
Amount of Permit $
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.
a-e4
Registered Architect and/or En ineer
‘ IN ...A °14 e.
Employing Phunber's Name 1/49__ 541A.0 • g laY 14 . 4 . •
•
No. Street
Location and Legal Description Lot__ Bloelt
Street and Number where work is to be performed—No
State,work to be performed and purpose of building (By Floors)
Addition. Repairs No. of Stories.
Size Septic Tank.. Type of Tank. Capacity Gals.
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
(Signed).___
•24.%%.") 3.
Date
No At 'CD • Street S o S.‘co •
Subdivision
Street
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 are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, }
as.
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.
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.
CLOG cre
BATH
- r
. USS
SHOWERS
LAVA-
T ome s
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
IIIMEBEIr
HEATER
DEEP
WELL
--
SPRKLR.
SYSTEM
SW I M 'G
POOL.
—
CONTR.
LIST
—
V at).: °MLA"
41 M•X•
CHECK
Permit No 1_ s " )
Owner's Name and Address
New Building Remodeling_
Nature of Water Supply: City—Well.
. 0 4 e . CP
Amount of Permit $
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.
a-e4
Registered Architect and/or En ineer
‘ IN ...A °14 e.
Employing Phunber's Name 1/49__ 541A.0 • g laY 14 . 4 . •
•
No. Street
Location and Legal Description Lot__ Bloelt
Street and Number where work is to be performed—No
State,work to be performed and purpose of building (By Floors)
Addition. Repairs No. of Stories.
Size Septic Tank.. Type of Tank. Capacity Gals.
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
(Signed).___
•24.%%.") 3.
Date
No At 'CD • Street S o S.‘co •
Subdivision
Street
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 are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, }
as.
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.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
F. H. A. N0. 0 9- 0 51 2 94
C$RTIFIOATE` OF APPR :IAL OF PLUMING
Th #a will certify that final inapeotion of plumbing
installation a 431 N. 2. 100th Street j L to 16 & 17,
Black 90 Miami Shores Seethe 41144 has been made 'and
found to comply with Code requirement. of Miaai horee
9iUft es.
Fixtures 1 - •5y
Septiet Tank 810
1
JOHN D.HANSSLL
Building and ZonAl I*reotar
'Permit No. l 2 )
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 coliiplied 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_
Registered Architect and /or Engineer
Employing Plumber's Name e No ' , 4 Street_Gh 4 / C � -
Location and Legal Description Lot 1 Block Subdivision
i/
' ' , ' E Street ® .t. E, ✓ ,
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
e B ilding Remodeling Addition Repairs No. of Stories
Size Septic Tank r r Type of Tank Capacity Gals
Feet of Drain Tile 1 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supplyyjty —Well Size of Soakage Pit 1 Y .`4
Amount of Permit $__/12___7 ( 5
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig io s as 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 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.
STATE OF FLORIDA, 1
COUNTY OF DADE.
s s.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed) r- st° 4 7 y 0 ,0 •
,Plumbing Inspector.
(Signed)
Date
No Street
, 4
p c
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
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
FOU NT' NS
f
✓,. 12
TOTAL
FIXTURES
CONTR.
LIST
/`�
/
/
3
1
I
`
�S
'
--
-
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
.
'Permit No. l 2 )
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 coliiplied 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_
Registered Architect and /or Engineer
Employing Plumber's Name e No ' , 4 Street_Gh 4 / C � -
Location and Legal Description Lot 1 Block Subdivision
i/
' ' , ' E Street ® .t. E, ✓ ,
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
e B ilding Remodeling Addition Repairs No. of Stories
Size Septic Tank r r Type of Tank Capacity Gals
Feet of Drain Tile 1 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supplyyjty —Well Size of Soakage Pit 1 Y .`4
Amount of Permit $__/12___7 ( 5
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig io s as 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 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.
STATE OF FLORIDA, 1
COUNTY OF DADE.
s s.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed) r- st° 4 7 y 0 ,0 •
,Plumbing Inspector.
(Signed)
Date
No Street
, 4
p c
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
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.
Permit No.__ "2- �.
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 M .... q_g. 0 No._Yi_.L__A .e__1 Q Street
Registered Architect and /or _.____ ___.____:
Employing Plumber's Name rd f#_� � S_..( ��_ / No. 7. •,/ AL IA/. Simi_
Location and Legal Description Lot
Street and Number where work is to be performed —No 3 / OV....1.f ! D 0 Street
State work to be performed and purpose of building (By Floors)_ _
New Building Remodeling_____ Addition__._____._______ _____. Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Ainount of Permit $
STATE OF FLORIDA,
as.
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING
Date
Block_ _ _ _ __.._.____. Subdivision
d o - v.t - Ni-
Size of Soakage Pit
(Signed)_
Plumbing)nspector.
The undersigned applicant for this building permit does hereby certify that he understands and his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of o ' • a Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -co r . actors 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.
(Signed)._- - -1- ^�
Master Plumber.
Before rue, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well ]mown, 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.
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 worlonanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SIN KS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
F OUNT'NB
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
1
Permit No.__ "2- �.
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 M .... q_g. 0 No._Yi_.L__A .e__1 Q Street
Registered Architect and /or _.____ ___.____:
Employing Plumber's Name rd f#_� � S_..( ��_ / No. 7. •,/ AL IA/. Simi_
Location and Legal Description Lot
Street and Number where work is to be performed —No 3 / OV....1.f ! D 0 Street
State work to be performed and purpose of building (By Floors)_ _
New Building Remodeling_____ Addition__._____._______ _____. Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Ainount of Permit $
STATE OF FLORIDA,
as.
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING
Date
Block_ _ _ _ __.._.____. Subdivision
d o - v.t - Ni-
Size of Soakage Pit
(Signed)_
Plumbing)nspector.
The undersigned applicant for this building permit does hereby certify that he understands and his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of o ' • a Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -co r . actors 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.
(Signed)._- - -1- ^�
Master Plumber.
Before rue, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well ]mown, 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.
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 worlonanship.
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ DATE
PERMIT N° 8925
PLUMBING.
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
alz
CONTRACTOR OR BUILDER
Bl.
Contractor's .
License No '4
of .g
V
Work to be performed under this Permit
Subdi-
vision
Sq. Ft
Value of
Project $
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 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 • `r 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.
BY AUTHORITY
BUILDING ❑
ELECTRICAL I PERMIT IN? 13567
PLUMBING
ROOFING [l Work to be performed under this Permit
Owner of �•--
Building
Architect
Contractor
or Builder
Legal
Description.
Lot
Address of
Building .;
Lef-
MIAMI SHORES VILLAGE, FLORIDA
Bl.
Subdi-
vision
CONTRACTOR OR BUILDER BY
Value of
Project .. $
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. i N ""
Signed- , 1✓ti "' -" .. BY .. 1 i I ,..4-
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.
DATE
,- H
Contractor's
License No
Amt. of
Permit $
AUTHORITY
C 1'195
Permit No. / 4
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 provis:ions 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 al
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer __
Employing Plumber's Name ' `! : ^- '1 No
Location and Legal Descriptio ot_ Block_— ----- _- - - -_ - --- _ -__ -_ Subdiv►sio
Street and Number where work is to be performed —No - -Z`, -3 / _____ ___ Street /0
Amount of Permit $
State work to be performed and purpose of building (By Floors)
New Building emodelin _ Addition_
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
�?" 1-y No Street
Date ! _-//
4 __.__-.- ____ -- Street./1/Ai 7
Repairs No. of Stories
Size Septic Tank • Type of Tank_ _ Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L
_Size of Soakage Pit
(Signed) _ ________ -.
(Signed)-
Notary Public, State of Florida
07
J Plumbing Inspector.
The undersigned applica for this building permit does hereby certify that he understands and accepts his obligations as an'employer of labor
under the Florida Workme''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 are
licensed by Miami Shores Village.
-,! aster Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before rne, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me ell 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 fac
therei by him stated are true.
- My Commission Expires
� TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul
m at als and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURE!
CONTR.
LIST
/
/
--
CHECK
J/
/ 6 v
7----
/_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
_
/ C .) 0
•
./ O Q
Permit No. / 4
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 provis:ions 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 al
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer __
Employing Plumber's Name ' `! : ^- '1 No
Location and Legal Descriptio ot_ Block_— ----- _- - - -_ - --- _ -__ -_ Subdiv►sio
Street and Number where work is to be performed —No - -Z`, -3 / _____ ___ Street /0
Amount of Permit $
State work to be performed and purpose of building (By Floors)
New Building emodelin _ Addition_
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
�?" 1-y No Street
Date ! _-//
4 __.__-.- ____ -- Street./1/Ai 7
Repairs No. of Stories
Size Septic Tank • Type of Tank_ _ Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L
_Size of Soakage Pit
(Signed) _ ________ -.
(Signed)-
Notary Public, State of Florida
07
J Plumbing Inspector.
The undersigned applica for this building permit does hereby certify that he understands and accepts his obligations as an'employer of labor
under the Florida Workme''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 are
licensed by Miami Shores Village.
-,! aster Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before rne, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me ell 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 fac
therei by him stated are true.
- My Commission Expires
� TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul
m at als and /or workmanship.
FHA No. 09- 051294
Mortgagor: Gordon, Stuart end Peggy
Address of Property: 431 N 100th Street
Legal: Lots 16 and 17 Block 90 Miami. Shores Sec 4c
Plumber: Seventh Avenµe Plumbing Company
Mortgagee: Mead Brothers
Broker: Henry E. Wolff,1019 Pan Amer., Bk. Bldg.
Please forward plumbing certificate to FHA.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder,—
Legal Lot
Description
Address of ,.
Building
Y ..
1
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE _ r c:. / 195f—
Contractor's
License No
PERMIT N° 9925
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
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 stateme or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
INSPECTOR
In consideration of the issuance to me of this permit I agree to pdrform the work covered hereunder in compliance with all.'ordina es and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of M Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Subdi-
vision
Value of
Project $
t .. { ,.. BY
BY
Amt. of
Permit
AUTHORITY
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