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77 NE 100 St (2)Date 11/21/95 Job Address 77 NE 100 STREET Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant JOERGENSEN Owner's Address Ml$RTNXKKKEXSEKTI XTKNK 77 NE 100 STREET Contracting Co. Square Ft. 300 SQ FT R Notars,t6 Owner a Con My Commission Expir ;tttty PERMIT APPLICATION FOR MIAMI SHORES VILLAGE NORTH DADE SEPTIC TANK Qualifier DENNIS NEVILLE SS# Phone 754 -3375 State # 025836 -8 Municipal # Competency # 12842 Ins. Co. TRAVELERS /ESIF Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION INSTALL DRAINFEILD WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate an .... all work will be .:.e in compliance with all applicable laws r g construction and zoning. Furthermore, I authorize the above -nam- . • . ctor to do the ork .tated. 0 1 ` ' %tS 11/21/95 • a a f owner and/or Condo President Date FEES: PERMIT ac. RADON C 1 1 /21 /95 6 President Date �tttt s.vmsw.stttttttttttt ms.s. tt s.w. P 1P Y P � Teresa J. Felder Ne:ary Public, State of Florida ''' "'` o Commission No. CC 480807 of FL ° My Commission Expires 07/16/99 I. 800- 3•NOTARY - Fla. Notary Serviee & Bonding Co. ?7 eateetreeeeeeeeeeeteeeae a eeeeeeee eeeeee eeee r APPROVED: Zoning Building Mechanical Plumbing Estimated Cost (value) $1000.00 Si C.C.F. . NOTARY Master Permit # Phone N&at to Contracp6r)or My Commission Exp esa Electrical X'S *M756 759 -1182 Address 800 NW 111 STREET, MIAdi 33168 r or Own: - Builder 387t) Date rf A1 11121/95 - Builder D ate tKtttttttttttttttttKtttttsss s ttttt pt *pY PUB Teresa J. Felder s ° Notary Public, State of Florida o Commission No CC 480807 > "e'oF s.o My Commission Expires 07/16/99. 1 .800.3- NOTARY . Fla. Notary Service & Bonding Co. • TOTAL DUE , 3s Engineering APPLICATION FOR: [ N] New System [N] Existing System [ N] Holding Tank [ N] Temporary /Experimental [ y] Repair VN] Abandonment [ NI Other(Specify) APPLICANT: AGENT: JOERGENSEN MAILING ADDRESS: 800 NW 111 STREET, MIAMI 33168 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE r SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 10D -6, FLORIDA ADMINISTRATIVE CODE. PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED] d LOT: PROPERTY ID #: PROPERTY SIZE: ACRES [Sqft /43560] PROPERTY STREET ADDRESS: 77 NE 100 STREET, 33138 DIRECTIONS TO PROPERTY: BUILDING INFORMATION 1 2 3 4 SFR APPLICANT'S SIGNATURE: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authority: Chapter'381, FS & Chapter 10D -6, FAC NORTH DADE SEPTIC TANK BLOCK: SUBDIVISION: DATE OF X BEFORE 72 SUBDIVISION: [Section /Township /Range /Parcel No.] ZONING: PROPERTY WATER SUPPLY: [ ] PRIVATE Qom] PUBLIC [ X] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building # Persons No Establishment Bedrooms Area Sqft Served 3 BEDROOMS [ N] Garbage Grinders /Dispo -: [ NI Spas /Hot Tubs [ N] Ultra -low Volume Flu . • - [ N] Other (Specify) HRS-H Form 4015, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4015 -1) TELEPHONE: 759 -1182 cis 344/6 PERMIT # DATE PAID //' ! ' f$ FEE PAID $ RECEIPT # 754 -3375 Business Activity For Commercial Only DATE:.: 11 /21/95 [ N] Floor /Equipment Drains Page 1 of 3 INSTRUCTIONS: APPLECATION FOR: Check type of permit, if "Other" specify type in blank. APPL"UCANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street, city, state and zip code moiling address for applicant or agent. LOT, BLOCK, SUBDWISION: 1.?.:3OP.ER s Y ::DM 27 character number for property. (CPFIU may require property coprcieer IID 0 or cectiovJtowna?tip /..-:n;e /parcel number. PROPERTY SeZE: WATER SUPPLY: Check private or public. PROPERTY ADDRESS: Street address for property. For lots without an assigned street address, indicate street or road and locale in county. DIRECTIONS: Provide detailed instructions to lot or attach an area map showing lot location. BUILDING INFORMATION: Check residential or commercial. NO. BEDROOMS: Count all rooms designed primarily for sleeping and those areas expected to routinely provide sleeping accommodations for occupants. PERSONS: Number of persons residing, using, or working in establishment. For residential establishment, 2 per"cone per bedac m are assumed. SIC:NATURE: Signature of applicant or agent. Date application one day submitted to the CP} U with rpprop_ r.:r: fees cad cttcchmen +.a. . : 1 .00:91c7 (tattle: era) rhowing .,.,_ of c:;d_ _ tag c.. ,,: ea;.aOltEnmL`L t::, c:zg) are.._. .., ✓ :..Jlr._. .... I ��__, .. .$ ri .. , t.... ri .... fecturca r : : :ccL 'ry :o f: <e's: ;t;a cc_ :icJsi ?;cam Lot, block, and subdivision for lot (recorded or unrecorded subdivision). If lot is not in a recorded aubdivision, o copy of the lot legal description or deed must be attached. DATE OP SUB?JIV:SaON: Official date of subdivision recorded in county plat books (month /day /year) or date lot originally regarded. Div :c ing cn approved lot into two or more parcels for the purpose of conveying ownership shall be considered a subdivision of the lot. Net usable area of property in acres (etiuc a footage divided by 43,560 square feet) exclusive of all p .ved areas and ;rcpared road beds within public rights -of way or easements and exclusive of atreama, lakes, normally wet drainafr c itehea, iinIMhea, or other such bodies of water. Contiguous unpaved and noncompacted road rights -of -way end easements will: no subsurface obstructions may be included in calculating lot area. TYPE ESTABLISHMENT: List type of establishment from Table ?I, Chapter 1OD-6, FAC. Examples: single family, single wide mobile hon te, restaurant, doctor's office. '3U .. :ZINC A.'2EA: Total square footage of enclosed habitable area of dwelling unit, excluding garage, carport, exterior storage shed, or open or fully screened patios or decks. Based on outside measurements for each story of structure. BUS: NESS ACTIVITY: For commercial applications only. List number of employees, ahilis, and hours of operation, or other information required by Table II, Chapter 10D -6, FAC. ii J a : Mark each listed fixture with number installed or "NA" if not applicable. A site plan drawn to scale, showing boundaries with dimensions, locations of residences o_ builc'? t a wi mini pools, zecorcicti easements, onsite sewage disposal syster' components end lecction, elope of propeily, rry l;ui +tin ; o; p aNO :sl :d wells, drainage feature's, filled r.r, :',a, obstructed areas, c'Ni c'rfcce we ?e;.'. :u ectron of s. h3, one tnv nswrr , F 7 3:;i'^, :... ... yet.. other pertinent facilities or features on adjacent property, if °.hc fRC:F.. ac c:h with /5 feC? 3 : :._., ry; :licn;r_ :.: t. ..cr. °.:o o %'y public wall within 2C0 eat et lot. APPLICANT: JOERGENSEN PROPERTY ID #: NSA 0 T H E R SPECIFICATIONS BY: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL•SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC CONSTRUCTION PERMIT FOR: [N ] New System [N ] Existing System [ y ] Repair [ N ] Abandonment . PROPERTY STREET ADDRESS: 77 NE 100 STREET, MIAMISHORES, 33138 LOT: 4 BLOCK: NA SUBDIVISION: APPROVED BY: — TITLE: DATE ISSUED: _ A4 THE_SEPT TANK SHALL BE PUMPED AND A soup DEFLECTION DEVICE INSTALLED ON TIjE OUTLET TEE. wRS -H Form 4016, Mar 92 (Obsoletes.previous editions which may not be used) Number: 5744 - 001 - 4016 -0) hIPPLOCAf`]T PERMIT # DATE PAID // --tat° Ys FEE PAID $ RECEIPT # 11/1e [NI-Holding Tank [N ] Temporary /Experimental [N ] Other(Specify) AGENT: NORTH DADE SEPTIC [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS EXISTING T [9(K) ] [GALLONS no ] SEPTIC TANKAMMAT(' NWAT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [GALLONS / GPD]. CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D [300 ] SQUARE FEET NLIta'R DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [X ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X ] BED [ 1 F LOCATION OF BENCHMARK: F °F.E° : ®• �� /�+�..I o I ELEVATION OF PROPOSED SYSTEM SITE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT L D FILL REQUIRED: [/J /a1 ] INCHES EXCAVATION REQUIRED: {0(!1 ] INCHES INSTALL 12 OF LOAMY COARSE SAND UNDER BOTTOM OF DRAINFIELD SUBMIT BENGRK BEFORE INSPECTION. THIS PERMIT IS NOT FOR ADDITION(S). INVERT ELEVATION: 7° < S'.0 _ _,. BOTTOM OF DRAINFIELD RLFVATION: /V, L. ; 6 ,5' ,04r§ FA i¢ CPHU EXPIRATION DATE /! Page 1 of 2 ENSTRUCTIONS: paw NUMBER: Permit tracking number assigned by CPHU. APPLICATION FOR: Check type of permit, if "Other* specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID#: 27 character id number for property. (CPHU may require property appraiser ID t/ or section /township /range /parcel number) SYSTEM DESIGN AND SPECIFICATIONS: TANK:. Minimum specifications from Chapter 10D -6, FAC. DRAINFIELD: Minimum specifications from Chapter 10D -6, FAC. OTHER: Other specifications, such as operating permit requirements, low - volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Public Health Unit (CPHU) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CPHU. EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. Notes: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATIONFOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number 95—= PART II - SITE PLAN MM!�N• immumegimm A ■ MINN s �A ■RWU ■ ■U'"■„'■' RI"MM.' 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Ian ]_ ! 1 I ■ ■ � _ ■ ■ i ■ ■ t f i I 1 ■1' � - n I I _ ■ ,i s ■ ! . ■r■ ■ memo* 1 ■ XII _� ■• ■ I ■ •U ll ° . r ■■ •* taint■■■ ■ 0 ■ L 1J ' ■r a• ammo am CI' n s: t alias . 1 • I t ■■ M■ ' L P � . , WM ■■ • F r uu• •o■■ • ■ ••• • • i�• Ken!r MX mil MN � •U•� • immillimm se •••• • • ■ • • . ■ • • • ■j t . 1 X In JOERGENSEN: 77 NE 100 STREET. 33138 OLD SSYTEM OVERFLOWING. Site Plan •Submittedby: •O�� Plan Approved 1 Not Approved .A4 ■ By G._ per r1 A CHANS U ST BE - APPROVD BYrTHE C GE UNTY PUBLIC HEALTH UNIT orevious editions which may not be used) SIGNATURE TITLE Date County Public Unit Page 2 of 3 APPLICANT: JOEGENSEN LOT: V P° SITE EVALUATED BY: (Stock Number: 5744 - 003 - 4015 -1) STATE OF FLORIDA DEPARTMENT, OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS BLOCK: Ifl.) 9C SUBDIVISION: PROPERTY ID #: 77 NE 100 STREET, 33188 SOIL PROFILE INFORMATION SITE 1 PROPERTY SIZE CONFORMS TO SITE P�: [Vj YES [ ] Sae' TOTAL ESTIMATED SEWAGE FLOW: a GALLONS AUTHORIZED SEWAGE FLOW: S73 GALLONS UNOBSTRUCTED AREA AVAILABLE: /OPT® SQFT Munsell # /Color Texture BROWN SANDY USDA SOIL SERIES: SANDY 0" Depth to to to to to to to to to 72" e TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. HRS -H Form 4015, Mar 92 (Obsoletes previous edi 'ons;which may no"titfe'used) AGENT: NORTH DADE SPETT& A K/ [Section /Township /Range /Parcel No. or Tax ID Number] NO NET USABLE AREA AVAILABLE: .a.a.9 ACRES PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE] /r UNOBSTRUCTED AREA REQUIRED: C; O SQFT BENCHMARK /REFERENCE POINT LOCATION: FFF /0. /� S , ELEVATION OF PROPOSED SYSTEM SITE IS 41. [INCHES /a [ABOVE/ItgORTIP BENCHMARK/EFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: 100+ FT DITCHES /SWALES: FT NORMALLY WET? [ ] YES (ct NO WELLS: PUBLIC: 100 FT LIMITED USE: -_ FT PRIVATE: -_ FT NON - POTABLE: _ FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 1S FT SITE SUBJECT TO FREQUENT FLOODING : : [ ] YES [X] NO 10 YEAR FLOOD. ELEVATION FOR SITE: W.T. 4.0 ;rr /NGVD SIT 0 / 10 YEAR FLOODING? [ ] YES 6 0] ] NO E ELEVATION: 8 - ® NGVD SOIL PROFILE INFORMATION SITE 2 PERMIT ,# �29�/� Munsell # /Color Texture BROWN SANDY USDA SOIL SERIES: SANDY Depth 0" to 72" to to to to to to to to OBSERVED WATER TABLE: INCHES [$l / BELOW] EXISTING GRADE. TYPE: [g m ? / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: 108 INCHES [ Amyx / BELOW ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [X] NO MOTTLING: [ ] YES [X] NO DEPTH: ¢,ahr INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: 1.25 DEPTH OF EXCAVATION: 30 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [ X] BED [ ] OTHER (SPECIFY) REMARKS /ADDITI,ONAL CRITERIA: DATE: 11/21/94 Page 3 of 3- INSTRUCTIONS: PERMIT 11: Permit tracking number assigned by CPHU. APPLICANT: Property owner's full name. AGENT: Property owner's legally authorized reprecentative. LO7, BLOCK, SUBDIVISION: Lot, block, and subdivision for lot. PROPERTY ID11: 27 character number for property. (property appraise: ID 11 or section /township /range /parcel nurnbee) PROPERTY SIZE: Cheek if property size at site conform to submitted site plan. Record sat usable area available - lot area exclusive of all paved areas and prepared road beds within public rights-of-way or easements cad exclusive of streams, !ekes, normally wet drainage ditches, marshes, or other such bodies of water. SEWAGE';F OW: UNOBSTRUCTED. AREA: MINIMUM SETBACKS: Record the estimated sewage flow for the establishment from Table 1 (residences) or Table 2 (non - residential), Chapter 10D -6, PAC. Record the authorized sewage flow for the lot breed on net uaable area and water supp4 ;■ (.500 gc_Toaa per day per acre for private water supplies and 2560 gpd pee cone for public water supplies). F.f cathorized cewagc flow doe.;. not equal or exceed the estimated sewage flow, the application must be denied. Record the square !feet of unobstructed arse available nn:l the amount required. Unobstructed area naset be cat least 2 times co large as the drainfield Absorption area and at leant 75 percent of the unobstructed D. :cc must arta :a minimum setbacks in Chapter 1OD -6, i AC. The izn_obairucted area mutt be contiguous tc he drainfield. BENCHMARK INFORMATION: Record the '•.ocatio:h of the benchmark. of usihig a sur eyor's benchmark a'ecord the actual elcvetioa;. ''earied ^e elevation of the proposed system site in relation (above or below) to the benchmark. Record minimum setbacks which can be meet to all listed feat'ues. Actual measurements must be accorded or "?4A" for non applicable features. Features on site plan or withip. 75 feet of the applicant lot :swat be measured. The !citation of any public drih:king well within 200 feet oldie applicant's lot must also be verified. FLOOD INFORMATION: Record information on lot's subject to flooding. For iota subject to flooding record 10 year flood elevation for site anti actual site elevation. SOIL PROFILE INFORMATIOtd: Two soil profiles within the proposed abaotption area to a minimum depth of 6 feet or refusal are required. Soil identification will use USDA Soil Classification methodology (MViunsell colors and USDA coil textures). Refusals mu "t be clearly documented. Provide USDA soil aeries if available, record "UNK" if the series cannot be deter:niiied. WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark "perched' or "apparent" as appropriate. Record the estimated wet season water table elevation based on site evaluation, USDA soil maps, and historical information. Indicate if there is high water table vegetation present. Indicate if mottling is present and depth. SOIL TEXTURE: Record soil texture or loading rate for system sizing. DE7TH OF EXCAVATION: if applicable record depth of excavation required. Record "NA" if not applicable. DRAINFIELD CONFIGURATION: Check drainfield configuration required. If other, specify type. ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation. Ex. dosing required. SITE EVALUATED BY: Signature ot'evaluator, title, and date of evaluation. Professional engineers trust seal all documentation submitted. ELEVATION WORKSHEET ELEVATION OF BENCHMARK / REFERENCE POINT IS: BENCHMARK SITE 1 SITE 2 [ +J SHOT: H.I. H.I. H.I. [ -] SHOT [ -] SHOT SITE 3 H.I. [ -] SHOT Permit No Amount of Permit $ 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 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 9'k e ' e Registered Architect and /or Engineer Employing Plumber's Name_.4 r Location and Legal Description Lot _ Block Street and Number where work is to be performed —No . / ./__J e ¢ 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.____ /7p Size of Soakage Pit ! _ r l 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. (Signed) My Commission Expires Notary Public, State of Florida 2 7 4/e � - 2 (� V f Date No. Street Subdivision Plumbing Inspector. Master Plumber. STATE OF FLORIDA, 1 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. LIST 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 Amount of Permit $ 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 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 9'k e ' e Registered Architect and /or Engineer Employing Plumber's Name_.4 r Location and Legal Description Lot _ Block Street and Number where work is to be performed —No . / ./__J e ¢ 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.____ /7p Size of Soakage Pit ! _ r l 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. (Signed) My Commission Expires Notary Public, State of Florida 2 7 4/e � - 2 (� V f Date No. Street Subdivision Plumbing Inspector. Master Plumber. STATE OF FLORIDA, 1 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. ..DING _LECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description H, 7n CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 5531 Work to be performed under this Permit ! jpCZ4 . J ate • tb T� Bl. Address of �f� Value of Amt. ofG I D Building / 06 ALA Proj Permit / lab. 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 o wings or in t statements or specification r itL that he a mes respon- sibility for work done by his agents, servants or employees. INSPECT, In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance witfrit ordinances an� �ations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authon es of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Sa° Subdi- vision / ow. Signed. BY 7 2.6 Contractor's / �/ 2 License No J v AUTHORITY 1947_ 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 Registered Architect and /or Engineer _ -_________— ______________ _ ABC SEPTIC TANK SERVICE 3123 N W. 514th Street Employing Plumber's Name No.____ Street_ Location and Legal Description ________ Block Subdivision Street and Number where work is to be Street N.E , 100th Street State work to be performed and purpose of building (By Floors) New Building ____ Remodeling_ _._ Addition-___ Repairs No. of Stories.. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well , a,t g- /eA- Plumbic g 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. 20 Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT CHARLES W„ TEGIIZANE No _-- _ 77 - -_ Street NAE.....1IIQth__Str_e.et __Type of Tank___ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ (Signed)._ Date /2 Master Plumber. 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. STATE OF FLORIDA, I as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires 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 TUBS URINALS NALS 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 19 t 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 Registered Architect and /or Engineer _ -_________— ______________ _ ABC SEPTIC TANK SERVICE 3123 N W. 514th Street Employing Plumber's Name No.____ Street_ Location and Legal Description ________ Block Subdivision Street and Number where work is to be Street N.E , 100th Street State work to be performed and purpose of building (By Floors) New Building ____ Remodeling_ _._ Addition-___ Repairs No. of Stories.. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well , a,t g- /eA- Plumbic g 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. 20 Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT CHARLES W„ TEGIIZANE No _-- _ 77 - -_ Street NAE.....1IIQth__Str_e.et __Type of Tank___ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ (Signed)._ Date /2 Master Plumber. 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. STATE OF FLORIDA, I as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT GG}} APPLICATION FOR PLUMBING PERMIT Permit No "' J_____� Date I 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. CHARLES W. TECHTMANN 77 N'E . 100th Street Owner's Name and Address ____________ - ___- --- -------- _- _- -_-- �__ - -- No.___ Street_ Registered Architect and /or Engineer ..... ____________ ____— .__� _ —_ Employing Plumber's Name ABC S PTICSANK SER�CE____ No. ___ l ?3 ___ Street___ ___N•JcI_.- _51,�.t�h..STxe t Location and Legal Description Lot _______ __Block_ Subdivision — Street and Number where work is to be performed —No 77 Street N.E. 100th. Street State work to be performed and purpose of building (By Floors)___ _____- .-- _ _________.____.______ New Budding Remodeling —___ Addition.___ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit _ (Signed)_ 4°C.- Plumbing nspector. 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 corn - 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. (Signed) STATE OF FLORIDA, } 88, 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 Expires Notary Public, State of Florida a9� 53 7 -6 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 INK SINKS SLOP SINKS LAUNDRY TUBE U 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 SW IM'G POOL CONTR. LIST 251 CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT GG}} APPLICATION FOR PLUMBING PERMIT Permit No "' J_____� Date I 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. CHARLES W. TECHTMANN 77 N'E . 100th Street Owner's Name and Address ____________ - ___- --- -------- _- _- -_-- �__ - -- No.___ Street_ Registered Architect and /or Engineer ..... ____________ ____— .__� _ —_ Employing Plumber's Name ABC S PTICSANK SER�CE____ No. ___ l ?3 ___ Street___ ___N•JcI_.- _51,�.t�h..STxe t Location and Legal Description Lot _______ __Block_ Subdivision — Street and Number where work is to be performed —No 77 Street N.E. 100th. Street State work to be performed and purpose of building (By Floors)___ _____- .-- _ _________.____.______ New Budding Remodeling —___ Addition.___ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit _ (Signed)_ 4°C.- Plumbing nspector. 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 corn - 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. (Signed) STATE OF FLORIDA, } 88, 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 Expires Notary Public, State of Florida a9� 53 7 -6 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 1 2 / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otlni 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 Divisior 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 Amount of Persil Registered Architect and /or Engineer__ _.__- _- _.__ Employing Plumber's Name ifhltil!_. j�Y2 ?� 2 ! w._...___ No Location and Legal Description Lot- .___._._.__..__.__.___ ___ ____. Block--- _.____ -. _ Street and Number where work is to be performed —No �/ State work to be performed and purpose of building (By Floors)_— ��A�.1_ New Building Remodeling Addition__ Size Septic Tank Feet of Drain Tile Nature of Water Supply: C'ty —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed). No.___._.____. Date M qY z z Type of Tank_ _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Street grid! S7 ‘5,r Capacity Gals. My Commission Expires Notary Public, State of Florida Street Subdivision Street 1 6 7 - NA N fl �° Q. Repairs I? No. of Stories 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 Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contra • e i ployed 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 .rk suc •ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contr . •rs, on work ed der this porn 't, as an licensed by Miami Shores Village. aster Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to admi ''ster oaths and take acknowledgments, personally appeare 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 tat. 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 faul materials and /or workmanship. CLOSETS, BATH TUBS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTUREI CONTR. LIST CHECK __ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE Pa GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Comm. LIST CHECK Permit No 1 2 / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otlni 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 Divisior 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 Amount of Persil Registered Architect and /or Engineer__ _.__- _- _.__ Employing Plumber's Name ifhltil!_. j�Y2 ?� 2 ! w._...___ No Location and Legal Description Lot- .___._._.__..__.__.___ ___ ____. Block--- _.____ -. _ Street and Number where work is to be performed —No �/ State work to be performed and purpose of building (By Floors)_— ��A�.1_ New Building Remodeling Addition__ Size Septic Tank Feet of Drain Tile Nature of Water Supply: C'ty —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed). No.___._.____. Date M qY z z Type of Tank_ _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Street grid! S7 ‘5,r Capacity Gals. My Commission Expires Notary Public, State of Florida Street Subdivision Street 1 6 7 - NA N fl �° Q. Repairs I? No. of Stories 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 Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contra • e i ployed 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 .rk suc •ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contr . •rs, on work ed der this porn 't, as an licensed by Miami Shores Village. aster Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to admi ''ster oaths and take acknowledgments, personally appeare 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 tat. 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 faul materials and /or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA PLUMBING ELECTRICAL �t PERMIT N ° • 8620 ROOFING ❑ Work to be performed under this Permit Owner of 7 Building �% l i e7.,„. Architect Contractor or Builder Legal Lot Description BI Address of 7 Building Date 1947 Contractor's '' r License No. Sq Ft Value of I I Amount of r 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 applica- tion 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. Signed • • V '�y�� 4 ' INSPECTOR) BY_ In consideration of the issuance to me of this permit I .:ree 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. CONTRACTOR or BUILDER BY AUTHORITY BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA Date ELECTRICAL ❑ PLUMBING g Ar PERMIT N° 8619 ROOFING ❑ ❑ Work to be performed under this Permit Owner of - �- Building Architect Contractor j1 f s1r �G.J ..,�: .. ,s �® �+i y' � �STim'i P or Builder . 7� Legal Lot 11 Subdi- Description 11 Bi vision Sq Ft Address of Value of Building t 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 applica- tion 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 CONTRACTOR or BUILDER BY Contractor's e4 .s"3 License No. fi Amount of 11 Permit $ Signed• / -r�`� 4' <f (INSPECTOR) BY In consideration of the issuance to me of this permi agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, rawings, 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. " 7• i/ /' I AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE : - " :1""" '5_3 195 Contractor's License No El Work to be performed under this Permit Architect Contractor y ,..• or Builder Legal Lot II BL Description Address of x Building 1 r 1 ) / 6 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 • .,. ,, w— .. " . t I INSPECTOR nce to me of this permit I agree to_psrform the work covered hereunder in compliance with all ordinances Ind regulations for with the plans, drawings, statements or specifications submitted to the proper authorities df_ls/liaini Shores Village. sibi�}1 • for all work done by either, myself, my agent, servant or employee. In consideration of t pertaining the ito an in 9I In accepting t ONTRACTOR OR BUILDER ERMIT N9 14708 Subdi- vision Value of Project $ BY Amt. of Permit $ AUTHORITY �,J ;UILDING LECTRICAL 'LUMBING ibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5531 Work to be performed under this Permit )wner of luilding ' I • �,...sr """�' } architect : ontractor •r Builder �r > • -, .. , 4 i ' ,, ' .egal Lot Bl. )escription Subdi- vision BY DATE Contractor's License No. 1.1 Cd4 /37 address ofj t Value of Amt. of 6 f luilding 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- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any glans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ,ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or awings or in the. statements or specifications and he ass mes respon- r r Signed . By INSPECTQR 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. n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY 1949_