456 NE 100 St (8)BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE - 1 94
was
Contractor's l
License No. / T
PERMIT N?' 44
Work to be performed under this Permit
• /
a i - .4.,0 L, rr+- 1,0
Architect
Contractor -2 N
or Builder - '
Legal Lot Bl. Subdi- j
Description vision
Address of i � _ �r �"" i Value of Amt. of e
Building i 1I Project Permit 5
This permit is to the contractor or builder named above to construct the building or to install the equipment or device described in a 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, state ents 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 thp• 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. ,}r, `�'
Signed• G w ''':4 , ' By t"."'
INSPECTOR
In consideration ot 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. S
CONTRACTOR OR BUILDER BY
AUTHORITY
Permit No._!#' •
ss.
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 ubinitted 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. 4 _ /
Owner's Name and Address %__i9f� No giT
Registered Architect and /or Engineer___
�4 Xi' / Employing Plumber's Name_ _L _ Nod`' ' :!' Street ' i ° b
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —Np 1 15 - 4 Street hi ,L
State work to be performed and purpose of building (By Floors) L/
New Building i.. Remodeling Addition Repairs No. of Stories
Street "T
My Commission Expires .Notary Public, State of Florida
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—Weil Size of Soakage Pit
Amount of Permit $ (Signe ' '
Pluinbing 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.
Master Plumber.
STATE OF FLORIDA, t
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LI ST
3
/
/
0
!/
7
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._!#' •
ss.
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 ubinitted 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. 4 _ /
Owner's Name and Address %__i9f� No giT
Registered Architect and /or Engineer___
�4 Xi' / Employing Plumber's Name_ _L _ Nod`' ' :!' Street ' i ° b
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —Np 1 15 - 4 Street hi ,L
State work to be performed and purpose of building (By Floors) L/
New Building i.. Remodeling Addition Repairs No. of Stories
Street "T
My Commission Expires .Notary Public, State of Florida
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—Weil Size of Soakage Pit
Amount of Permit $ (Signe ' '
Pluinbing 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.
Master Plumber.
STATE OF FLORIDA, t
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.
ADDRESS 456 NE 100th St
MS #4
LEGAL W2' 3- 4 -E122' 5 Blk 89 R GARBAGE TAX
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
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Alex)
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ADDRESS 456 NE 100th St
MS #4
LEGAL W2' 3- 4 -E122' 5 Blk 89 R GARBAGE TAX
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building /'"
RACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? ` 4358
Work to be performed under this Permit l
Pty
Architect
Contractor
or Builder
Legal Lot t « � t jt ` ,� j . � �+ Bl.
Description f j +tif r Y t
Adess r 7tl ' , .
Budilding of 4 : J`; i
Subdi-
vision
Value of
Project
DATE
Contractor's
License No
. R
Signed • By
INSPECTO
3 /20 tit',
Joel /71
err ".4. I Amt. of
'Q o I Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device describ i i e appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compli . • e 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.
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 acce., • g this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY
456 NE 100th St MS #4
ADDRESS LEGAL � 2 ' 3- 4 -E122' 5 Blk 89 REC
PAID BY
YEAR ANNUAL TAX
r . - •, • ■ v . -- % 1..d 1■ 1 /1.n.
PERIOD USED AMOUNT PAID
DATE PAID
RECEIP
NUMBE R
Middlema s A l
r
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• S , r NM X 2.00
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456 NE 100th St MS #4
ADDRESS LEGAL � 2 ' 3- 4 -E122' 5 Blk 89 REC