900 NE 100 St (7)4UILDING
LECTRICAL
LUMBING
;OOFING
krchitect
: ontractor
)r Builder
•egal
)escription
Iddress of
. uilding
Lot
MIAMI SHORES VILLAGE. FLORIDA
❑
❑ DATE a `? "° % 195
PERMIT N? 8413
)wner of
luilding #
CONTRACTOR OR BUILDER
1 tom,.•
Bl.
Work to be performed under this Permit
F't
lf,t+1 3.
0 °
Subdi-
vision
1vc
Sq. Ft
Value of
Project $
Contractor's
License No
Amt. of
Permit
7,
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
■erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
, ertaining to the work covered hereby whether shown on the plans or drawings or in the statements I pecif' ations and that he assumes responsibility for work
one by his agents, servants or employees. • .
Signed- , tr^ 4 -. - 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
ertaining thereto and strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY
AUTHORITY
?wner of
wilding " �''
MIAMI SHORES VILLAGE. FLORIDA
KUUJDING ❑
u:LECTRICAL ❑
PLUMBING 2 PERMIT N? 8 415
GOOFING ❑
❑ Work to be performed under this Permit
"rchitect
: ontractor
,r Builder l'\ t
ega Lot
)escription
Iddress of
iuilding " '
CONTRACTOR OR BUILDER
Bl.
Subdi- s :,
vision ►.
Sq. Ft
Value of
Project $
DATF , 4.
Contractor's
License No
Amt. of
Permit $
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
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
,ertaining 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
one by his agents, servants or employees.
Signed: , 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
•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 agen servant or employee.
BY AUTHORITY
17
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 MIA._ et filevyacti-,
, .
Registered Architect and /or En�ineer____ ___
[ r _
l�L_ 4 / / Al /_/
Employing Plumber's Na !_2 E '� No.___ J_. ! _/v t Y ' Street___. ' '
Location and Legal Description Lot__...__._______ ________ r ___ Block_-__ _ Subdivisio
Street and Number where work is to be performed- No.___— xt!se! __�.!_______ Street ea _
State work to be performed and purpose of building (By Floors)__
New Building __ _-- Remodeling_____ ____ __ Addition________._._____ ____ -. Repairs No. of Stories.._ _...
Size Septic Tank � ,j Type of Tank_____ Capacity Gals.
Feet of Drain Tile_ _12!: _ ' 7�! `7 ' - Dist. Feet of Tank or Drain Field from Well .
Nature of Water Suppl . • City-Well. ________ _____Size of Soakage Pit
Amount of Permit $ �-
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati, ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen/Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo ed 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 p . lic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, o worker be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING t idAIT
No. Oa At
- (Signed)- - -- -
( Signed).
Date 5-1
Street _____!_e V
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.
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
S
LAVA-
TORIES
SINKB
SLOP
SINKS
LAUNDRY
Turns
U RINALS
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
Caere.
LIST _
_
_
-
CHECK
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 MIA._ et filevyacti-,
, .
Registered Architect and /or En�ineer____ ___
[ r _
l�L_ 4 / / Al /_/
Employing Plumber's Na !_2 E '� No.___ J_. ! _/v t Y ' Street___. ' '
Location and Legal Description Lot__...__._______ ________ r ___ Block_-__ _ Subdivisio
Street and Number where work is to be performed- No.___— xt!se! __�.!_______ Street ea _
State work to be performed and purpose of building (By Floors)__
New Building __ _-- Remodeling_____ ____ __ Addition________._._____ ____ -. Repairs No. of Stories.._ _...
Size Septic Tank � ,j Type of Tank_____ Capacity Gals.
Feet of Drain Tile_ _12!: _ ' 7�! `7 ' - Dist. Feet of Tank or Drain Field from Well .
Nature of Water Suppl . • City-Well. ________ _____Size of Soakage Pit
Amount of Permit $ �-
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati, ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen/Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo ed 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 p . lic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, o worker be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING t idAIT
No. Oa At
- (Signed)- - -- -
( Signed).
Date 5-1
Street _____!_e V
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.
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.
JOB:
BUILDING
ELECTRICAL
PLUMBING
•
•
•
•
•
•
W ORK
DONE BY:
REQUESTED
/1 / -� 1
W ) /
The following is ready for inspectio $-
InspectorIs Report:-
WILL BE READY
)&61-1/1
0
1
L
% 1l•
JOB:
t
BUILDING
ELECTRICA„L
PLUMBINB
The following is ready for inspection:-
Inspector's Report:-
,3 /3
/
e7
'
DD:
DONE BY:
REQUESTED
." "••••''
WILL BE READY