373 NE 101 St (3)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Oontractor
or Builder
Legal
Description
Address of
Building
- Lot
n
PERMIT IT? 12412
II
LV
11
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
T
L OR BUILDER
Bl.
Subdi-
vision
DATE
"� (� Value of '�►�/
. 73 l 1 Q \I, a Project $ / . /
f�-
Contractor's
License No
Amt. of
Permit
BY AUTHORITY
��,,, 195
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 L' BY
�4t
INSPECTOR
6 rm
In consideration of the issuance to me of this permit I agree to p 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 acceptirjg this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Oontractor
or Builder
Legal
* Description
ddress of
P
f h
CONTRACTOR OR BUILDER
.
MIAMI SHORES VILLAGE FLORIDA
PERMIT N? 10850
Lok
Work to be performed under this Permit
Bl.
La
Subdi-
vision
Value of
Project $
DATE • 7 195._
Contractor's
License No
iilding ,.. `. - 3
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
refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
if t e 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
ted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
fining to the work covered hereby whether shown on the plans or drawings or •. the statements or specifications and that he assumes responsibility for work
, y his agents, servants or employees.
Signed • — _ +� -- BY
Amt. of
Permit
1 9
$ /•"""""•rte
nsideration of the issuance to me of this permit I agree •to erform the work covered hereunder in compliance with all ordinances and regulations
ereto and in strict conformity with the plans, drawing, tements or specifications submitted to the proper authorities of Miami Shores Village.
g this permit I assume responsibility for all work don either, mysel�f, servant or employee.
" _' ` _t_
AUTHORITY
Permit No. 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.,, _ (�
Owner's Name and Address v " "..I. tler_ -a_ No Street
Registered Architect and /or Engineer
Employing Plumber's Name No Street
Location and Legal Description Lot________ z -- Block Subdivision
Street and Number where work is to be performed —No d 7 ______2__- Street 1 [1 /
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition_
Size Septic Tank Type of Tank__— Capacity Gals
Feet of Dram Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
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)
Repairs
Date T
No. of Stories
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA,
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
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. 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.,, _ (�
Owner's Name and Address v " "..I. tler_ -a_ No Street
Registered Architect and /or Engineer
Employing Plumber's Name No Street
Location and Legal Description Lot________ z -- Block Subdivision
Street and Number where work is to be performed —No d 7 ______2__- Street 1 [1 /
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition_
Size Septic Tank Type of Tank__— Capacity Gals
Feet of Dram Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
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)
Repairs
Date T
No. of Stories
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA,
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
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.
Owner's Name and Address No Street
Registered Architect and /or Engineer
Employing Plumber's Name _ No. Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
Permit No. /' �J____,J 0
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.
New Building '
__ L'
d Ci
L
Nature of Water Suppl)✓ City} — — Size of Soakage Pit f —
Size Septic Tank____'__ Type of Tank Capacity Gals.
Feet of Drain Tile r Dist. Feet of Tank or Drain Field from Well
re
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE. I
Remodeling Addition_ Repairs No. of Stories
SS.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
(Signed)
Date
---------------- - - - - -- My Commission Expires Notary Public, State of Florida
Plumbing Insnectnr
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ei yc
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemen , an 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.
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
-tea
/ L��
/
/ 5
l it)
J
-'7 • / J
/ SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G-
POOL
�.!�+
Q[. {.�-
CONTR.
LIST
/
,}
✓
3
��/�
j� -
—�—
/
CHECK
Owner's Name and Address No Street
Registered Architect and /or Engineer
Employing Plumber's Name _ No. Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
Permit No. /' �J____,J 0
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.
New Building '
__ L'
d Ci
L
Nature of Water Suppl)✓ City} — — Size of Soakage Pit f —
Size Septic Tank____'__ Type of Tank Capacity Gals.
Feet of Drain Tile r Dist. Feet of Tank or Drain Field from Well
re
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE. I
Remodeling Addition_ Repairs No. of Stories
SS.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
(Signed)
Date
---------------- - - - - -- My Commission Expires Notary Public, State of Florida
Plumbing Insnectnr
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ei yc
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemen , an 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.
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.