620 NE 101 St (3)MIAMI SHORES VILL
BUILDING DEPARTM
305 - 795 -2204
B
7
ilding Inspection Request
7�
Time
Date
Typelnsp'n Por 1o∎ g €y 9_9Q
Permit No. ; ✓� 3 — t L.J
�
,Name &JWJC
AF_, 1- 1 °i Company Pi B `Q C \Q •
Phone # ° 63
For Inspector: 17
Approved
Correction
Re- Insp'n Fee
Date
For Inspector? I
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEE RTMENT
305- 795 -2204
Bpilding Inspection Request
Date
Type Insp'n ' na 91vvnt1
Permit No. 2 )C( 16
Name rZY tin (. \-Q
Address &21)
l� a�
Company ) VI `) r `e VUM
Phone # - m ss
Time
Legal Description Historically Designated: Yes No
Owner /Lessee/Tenet �� Y ��;y C�i.tl � IC3!, J� ' , Ce1�
Owner's Address
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2'nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305- 756 -8972
Job Address C vt O N. 1 (�
14 g IC I
Contracting Co. 1 t + _ b h; ( ! (.Ls 1 L /A t .l- hut:', Address ` fin+: l\ �. j i' -t ✓ i�,�'1t •! �7.. -�.�'� 7
ss# Phone TS , : • - — 7, -
J ,
State # ( F C f7_t: 1.; t � Municipal # Competency # Ins. Co.
Qualifier
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECIIANICAL ROOFING
WORK DESCRIPTION:
'11 111111ValiS t i e.1 _.r
Signatur
•
I t • 1
• r and/or ondo ent
Notary to Ow
M ommission es Angela M Bec--
Ay Commissanr
oven ie .
j Y
owner and/or C ndo 'r
APPROVED:
Zoning Building
Mechanical Plumbing
Master Permit # 2__.^ 2 b o3'', I ,6 1
�� " ✓� f Phone
to
Tax Folio
Date Signat
4P
Square Ft. Estimated Cost (value) pc ` - t O C p
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 ANY 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 all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating onstruction and ze - :. urthermore, 1 authorize the above named contractor to do the work stated.
s to C o •caner
0mmissi0n Expir tractor e e An Builder gel M ti
My Co.m rn ssf , ke,
� � n D D 4
M n. �xpiresT4r-;vernhe,-
FEES: PERMIT /d y ' RADON C.C.F f , NOTARY -s , 0 BOND
TOTAL DUE . ,6 „c? O
Electrical
Structural Engineer
PAY
•
DATE
/7
6 3
VOID AFTER 90 DAYS
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 -795 -2204 Permit Number: PL2003 -161
Printed:6 /17/2003 Page 1 of 1
Applicant: BENITA BARWICK
Owner: BARWICK BENITA
JOB ADDRESS: 620 NE 101 ST
Contractor PIPELINE PLUMBING INC Contractor's Address: DOING BUS IN DADE CO
Local Phone: 954 - 680 -4415
Parcel # 1132060172130 Legal Description: AMD PL MIAMI SHORES SEC 4 PB 15 -14 LOTS 8 THRU 10 & E29.10FT
Fees: Description
FEE2003 -3651 Building Fee
FEE2003 -3652 CCF
FEE2003 -3653 Notary Fee
Total Fees:
Permit Status: APPROVED Permit Expiration: 12/14/2003 Construction Value: $2,400.00
HOWARD E. BARWICK
or
BETTE BARWICK
620 N.E. 101ST STREET
MIAMI SHORES, FL 33138
Da e _ i auti4u)
TO THE ORDER OF
NaonsRank
H 9499 N.E. 2nd Avenue -1305)757-5511
NuimuB.nk, N.A. Miami Shores, Florida 33138
80
Gov •
CHECK NO. AMOUNT
Il ■0 L093911' 1 :063 L00 2 ? ?I: 0035039486 2 711'
Plumbing Permit
Amount
$120.00
$1.80
$5.00
$126.80
IN PAYMENT FOR
63- 27/631
10939
DOLLARS
Total Fees: $126.80
Total Receipts: $0.00
,es and regulations pertaining thereto and in strict
•pting this permit I assume responisibility for all work
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( P97 Pf ,9J
Permit No ' 0
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
HOWARD BARWICK 620 N.E. 101 , MIAMI SHORES FLA.
Owner's ST Name and Address No. '
Registered Architect and /or Engineer
oa t'�li .p rn�
an Legal ption Lot- 8 - 9 - -
Street and Number where work is to be performed -No
State work to be perform andp� l)
ti z. R
New Building..ce :: g---
Size Septic Teak__- _Type of Tangy
Di _ - ••---- •- •- __ -•.0
Feet of Drain Tile rt. Feet of Tank or Drain Field from Well .. -_.__.—. —
Nature of Water Supply: City-Well. Size of Soakage Pit
Amount of Permit ( S
My Conunission Espies
No.. )-. 130 S� O. MIMOE FLA. 33161
103 AMENDED PLATT" 1 " 'A'Ir o'
Bloc>< sza$FLA `l l�n1�-E -#k • G- PbA'�"T-
1 - 120 GAL L.P. GAS CYL & GAS LINE INSTALLED FOR
. POOL .. HEATER
Addition Repairs No. of Stories
620 N .E. 101 ST. , MIANS
(Signed)
IRWIN FRANKLIN
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he stands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and hal com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worx to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such .ublle notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work tog* performed u • - perinit, as are
licensed by Miami Shores Village. �� 1
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
pe LZl . - ∎P A .1 t< A- 1 e)
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is theAa 1.1.E d't LE ..... .
of the above described construction, that be has carefully -read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
acLf
Notary Public, State of Florida
NOTE: A re inspection fee of $1.00 will be shade when amok re.bupeotion V made'n.o usary by Improper notice for dapection. or fealty
materials and /or wod®anship.
CLOSIT.
BATH
Tuns
S[Ra
NOW
LAVA•
TORS
roams
SINK•
INK
Smogs
LAUNDRY
Tuns
URINALS
URNAL[
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT 'NS
TOTAL
Thrush"
CONTn.
LIST
--
CHICK
•—
SEPTIC
TANK
S[wIR
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
MUTER
DRIP
WILL
5
SYSTEM
SW IM'O
POOL
COMM
LIST
.--
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( P97 Pf ,9J
Permit No ' 0
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
HOWARD BARWICK 620 N.E. 101 , MIAMI SHORES FLA.
Owner's ST Name and Address No. '
Registered Architect and /or Engineer
oa t'�li .p rn�
an Legal ption Lot- 8 - 9 - -
Street and Number where work is to be performed -No
State work to be perform andp� l)
ti z. R
New Building..ce :: g---
Size Septic Teak__- _Type of Tangy
Di _ - ••---- •- •- __ -•.0
Feet of Drain Tile rt. Feet of Tank or Drain Field from Well .. -_.__.—. —
Nature of Water Supply: City-Well. Size of Soakage Pit
Amount of Permit ( S
My Conunission Espies
No.. )-. 130 S� O. MIMOE FLA. 33161
103 AMENDED PLATT" 1 " 'A'Ir o'
Bloc>< sza$FLA `l l�n1�-E -#k • G- PbA'�"T-
1 - 120 GAL L.P. GAS CYL & GAS LINE INSTALLED FOR
. POOL .. HEATER
Addition Repairs No. of Stories
620 N .E. 101 ST. , MIANS
(Signed)
IRWIN FRANKLIN
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he stands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and hal com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worx to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such .ublle notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work tog* performed u • - perinit, as are
licensed by Miami Shores Village. �� 1
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
pe LZl . - ∎P A .1 t< A- 1 e)
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is theAa 1.1.E d't LE ..... .
of the above described construction, that be has carefully -read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
acLf
Notary Public, State of Florida
NOTE: A re inspection fee of $1.00 will be shade when amok re.bupeotion V made'n.o usary by Improper notice for dapection. or fealty
materials and /or wod®anship.
ACP /1E GAS CORP
N' 130 cr
!\. 0 MIA 1 R9;
F�c Tr KC
LI;o
.ter
�
120 6 AL vF "?7,
- L./? ;45 cY1-
3 /4..xr80c
CA5 Lid
F
6
c .
HO \V - BA R \! IC K
'2(Or..1.F6(0)ST
M 4M`%1 H0FE-
B.P. #23733
Permit No 9 \ 3 7 7 3
I&
My Commission Expires
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 Barwick
Registered Architect and/or Engineer
Douglas Orr Plumbing, Inc. 301 Flagler Dr. Miami Springs, FL 33166
Employing Plumber's Mune
Location and Legal Description Lot Bloom
str Miami Shores
Street and Number where work is to be performed—No 620 N.E. 101 Street
State work to be performed and purpose of building (By n_g
New Building.. _ Rernodeling__—._._.____ Addition _. Repairs No. of Stories
(Signed)
Dat August 18, 1 982
N .620 N.E. 101 St. Miami Shores
Subdividon
...
.. •
Size Septic Tank_ _Type of Tank__
Feet of Drain Tile ____Dist. Feet of Tank or Drain Field from .... _
Nature of Water Supply: City—WelL Size of Soakage Pit
Amount of Permit (Signed)_ ,v5 CAL 52
_...Capacity
Plumbing
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 Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and lac< com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor'• to be
performed under this permit; and will post or cause to be posted for inspection on the site e work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on to l,epei1or under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Douglas Orr
to me well known, and who, being by me first duly sworn, upon oath deposeis and says that be is the ____..plumbing..contractor .
of the above described construction, that be bas carefully read the foregoing application, and that be 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 ace misspsotios nisds by improper notice for istopection, or faulty
materials indict worlonanship.
(
CLOSET.
BATH
TUBS
SH " g " .
LAVA•
TORIES
SINKS
SLOP
sm"
LAUNDRY
Tu .,
URINALS
CATCH
BASIN
FLOO R
DRAIN
ovxcs
DiNiN
FOUNT' NS
" a s .
Marhi
1
Cnn
TOTAL
orixrumis
3
CoNnt.
LIST
1
1
CHICK
....
MEP
WILL
SPRKLR.
SYSTEM
SW11.1•0
POOL
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SLIAKAGI
PIT
G
TRAP
SOLAR
HEATER
CONTR.
LIST
CHICK
Exist.
/ ---'
B.P. #23733
Permit No 9 \ 3 7 7 3
I&
My Commission Expires
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 Barwick
Registered Architect and/or Engineer
Douglas Orr Plumbing, Inc. 301 Flagler Dr. Miami Springs, FL 33166
Employing Plumber's Mune
Location and Legal Description Lot Bloom
str Miami Shores
Street and Number where work is to be performed—No 620 N.E. 101 Street
State work to be performed and purpose of building (By n_g
New Building.. _ Rernodeling__—._._.____ Addition _. Repairs No. of Stories
(Signed)
Dat August 18, 1 982
N .620 N.E. 101 St. Miami Shores
Subdividon
...
.. •
Size Septic Tank_ _Type of Tank__
Feet of Drain Tile ____Dist. Feet of Tank or Drain Field from .... _
Nature of Water Supply: City—WelL Size of Soakage Pit
Amount of Permit (Signed)_ ,v5 CAL 52
_...Capacity
Plumbing
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 Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and lac< com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor'• to be
performed under this permit; and will post or cause to be posted for inspection on the site e work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on to l,epei1or under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Douglas Orr
to me well known, and who, being by me first duly sworn, upon oath deposeis and says that be is the ____..plumbing..contractor .
of the above described construction, that be bas carefully read the foregoing application, and that be 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 ace misspsotios nisds by improper notice for istopection, or faulty
materials indict worlonanship.
(
JOB:
BUILDING
ELECTRICAL
1
PLUMBING
A '* g,
"I OR K
DOI;E BY: -
RE JJESTED : WILL BE READY
•
■
The Following is ready for inspection:-
Inspector is Report:
1
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ • DATF i ' S ° a L 195
ELECTRICAL [ E R M I T N? 13121 Contractor's
PLUMBING License No
ROOFING n Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder- �....h -..
Legal
Description
Address of
Building
Lot
Bl.
. f O
CONTRACTOR OR BUILDER
Signed•
Subdi-
vision
Value of
Project $
I � �
Amt. of
Permit
$f
o
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.
BYY L'
INSPECTOR
In consideration of the issuance to me of this permit I agree to p orm the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statemen or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by eith mystj my,Qent, servant or employee.
AUTHORTT
Permit No.
S/
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s omitted,' 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 No G'' `` ,Street___. ('
Registered Architect and /or Engineer
Employing Plumber's Name ___ —' No.__� j
_Block Subdivision___
/ L._ _, J qq i I
i "
Street and Number where work is to be performed —No -4 �_________ —di' _- __— � ______ Street____ __/ _ _(_
_______: t _ —t_ _,__ - -`_
State work to be performed and purpose of building (By Floors)
New Building Remodeling )Addition Repairs No. of Stories____
Location and Legal Description
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Lot
Type o11 Tank _ Capacity Gals _________
_____ —__�
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well. .Size of Soakage Pit.
T —:.
µ 1 i
r , ,
/ / s' I �4
Amount of Permit $ -- -� (Signed) -- – – —_
/ Plum' ing Inspector.
The undersigned applicant for this building permit does hereby certify that Ye 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 under signed agrees to employ only such sub - contractors, on work to be performed un g r this permit, as are
licensed by Miami Shores Village. A f
(Signed) w tf ��, –� r .` • t
Master Plumber.
My Commission Expires
Dist. Feet of Tank • gain Field from Well__
Date_
_L _4. Street –
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.
Notary Public. State of Florida
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LI ST
/
`
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWI tB
P L
CONTR.
LIST
CHECK
Permit No.
S/
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s omitted,' 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 No G'' `` ,Street___. ('
Registered Architect and /or Engineer
Employing Plumber's Name ___ —' No.__� j
_Block Subdivision___
/ L._ _, J qq i I
i "
Street and Number where work is to be performed —No -4 �_________ —di' _- __— � ______ Street____ __/ _ _(_
_______: t _ —t_ _,__ - -`_
State work to be performed and purpose of building (By Floors)
New Building Remodeling )Addition Repairs No. of Stories____
Location and Legal Description
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Lot
Type o11 Tank _ Capacity Gals _________
_____ —__�
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well. .Size of Soakage Pit.
T —:.
µ 1 i
r , ,
/ / s' I �4
Amount of Permit $ -- -� (Signed) -- – – —_
/ Plum' ing Inspector.
The undersigned applicant for this building permit does hereby certify that Ye 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 under signed agrees to employ only such sub - contractors, on work to be performed un g r this permit, as are
licensed by Miami Shores Village. A f
(Signed) w tf ��, –� r .` • t
Master Plumber.
My Commission Expires
Dist. Feet of Tank • gain Field from Well__
Date_
_L _4. Street –
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.
Notary Public. State of Florida
BUILDING
ELECTRICAL
PLUMBING
Owner o
Building
Architect
Contract
or Build
Legal
Descripti
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 2876
Work to be performed under this Permit .
•
BY
DATE i'``i' e 194 de
Contractor's
License No.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in
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. - ._ t . '
, ► '
Signed • - .••_ '---• _ -• t",, �CA,— r' a 6)
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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statenttwttts or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by,efther myself, my agent, servapt or employee.
l 1, ^ • 1 � . .,�
j
AUTHORITY
the
)r
Lot
Dn
gl
Subdi-
vision
) f
f
i' ~ Y
Value of
Project
Amt. of •
Permit
BUILDING
ELECTRICAL
PLUMBING
Owner o
Building
Architect
Contract
or Build
Legal
Descripti
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 2876
Work to be performed under this Permit .
•
BY
DATE i'``i' e 194 de
Contractor's
License No.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in
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. - ._ t . '
, ► '
Signed • - .••_ '---• _ -• t",, �CA,— r' a 6)
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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statenttwttts or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by,efther myself, my agent, servapt or employee.
l 1, ^ • 1 � . .,�
j
AUTHORITY
the
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No..____. Date -
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbmitted 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 __; ' '�
.�_ - -_ No �"' � � ..Street__
MIAMI SHORES VILLAGE
Registered Architect and /or Engineer ,: `' /�
Employing Plumber's Name l� _�r_�__— :__�S� !ti./I '- No.__ _ '
Location and Legal Description Lot_ Block ______________________________ —__ Subdivision____
r- �
Street and Number where work is to be performed —No. .L._ ''-le ___t..._ `121. . -_. — _�______ Street____�__L_ !______.___:_
State work to be performed and purpose of building (By Floors)
New Building Remodeling At Addition Repairs No. of Stories
Size Septic Tank_________ - Type
Feet of Drain Tile__________ ______________ —_ —___ Dist.
Nature of Water Supply: City—Well ________
_______
Amount of Permit $_
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Tank- i. - -- -- ---- ---- - - - -- ______- Capacity Gals_________ —
rain Field from Well
----- - - ---- --Size of Soakage Pit _____ -- ____ --- ___________
- — -- - - — — -- --
_(Signed) /.
J
(Signed)
-- '
Streetst'>
The undersigned applicant for this building permit does hereby certify that le 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 under signed agrees to employ only such sub - contractors, on work to be . performed un� i this permit, as are
licensed by Miami Shores Village. c, t4...-'
Before me, the undersigned authority, a notary public, duly authorized to admi 'ster 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 be 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
Plumbing Inspector.
( i
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TU BS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
/
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
V$IELL
SPRKLR.
SYSTEM
SWI
L
CONTR.
i
CHECK
A
! { �4 r
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No..____. Date -
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbmitted 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 __; ' '�
.�_ - -_ No �"' � � ..Street__
MIAMI SHORES VILLAGE
Registered Architect and /or Engineer ,: `' /�
Employing Plumber's Name l� _�r_�__— :__�S� !ti./I '- No.__ _ '
Location and Legal Description Lot_ Block ______________________________ —__ Subdivision____
r- �
Street and Number where work is to be performed —No. .L._ ''-le ___t..._ `121. . -_. — _�______ Street____�__L_ !______.___:_
State work to be performed and purpose of building (By Floors)
New Building Remodeling At Addition Repairs No. of Stories
Size Septic Tank_________ - Type
Feet of Drain Tile__________ ______________ —_ —___ Dist.
Nature of Water Supply: City—Well ________
_______
Amount of Permit $_
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Tank- i. - -- -- ---- ---- - - - -- ______- Capacity Gals_________ —
rain Field from Well
----- - - ---- --Size of Soakage Pit _____ -- ____ --- ___________
- — -- - - — — -- --
_(Signed) /.
J
(Signed)
-- '
Streetst'>
The undersigned applicant for this building permit does hereby certify that le 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 under signed agrees to employ only such sub - contractors, on work to be . performed un� i this permit, as are
licensed by Miami Shores Village. c, t4...-'
Before me, the undersigned authority, a notary public, duly authorized to admi 'ster 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 be 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
Plumbing Inspector.
( i
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Budder
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No.
PERMIT N° 1457
Work to be performed under this Permit
Legal Lot + li B
Description
Address of / ' % Value of
_ Project
Building , � ` �
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- sp ifcations and
that he assumes responsibility for work done by his agents, servants or employees. s° , ....-
Signed. ! . .-_ ..
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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
accept?* Village. In accep this permit I assum responsibility for all work done by eith.r tpyself, my went, servant or employee.
�' ' 4i R �I; - 4' k. $ ♦ , ". }'S ''
CONTRACTOR Ciit BUILDER BY "°
Subdi-
vision
Amt. of
Permit
l , A
AUTHORITY
" ' 4 7
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.
/1 r
Owner's Name and Address ., _1_ " 22_1 _ 2 _ 2 _ _ " _ _ _ ' 2 A . -A..a No __.a_: ___ __ 4 Street__ __ .
Registered Architect and /or Engineer ______ -___ r
�/ Employing Plumber's Name ' 0 ," — - 7 ,;7. � ! �' - - No ' / .' r 1_ t'
Street - -- 4 - 44. = - - "/I f....
�
" Location and L Description L ot__ .. � .4 / Block / 1) Subdivision____ L _5
Street and Number where work is to be performed— No._Sn_ l '/ ''''' t_ 0 1____ .2 , ---R Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling ‘ Addition
Size Septic Tank - Type of Tank Capacity Gals
6 6 (0t-
Feet of Drain ile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
O
Amount of Permit S - -
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Size of Soakage Pit
_ (Signed)
(Signed)
V
Repairs No. of Stories
Plumbing Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplo7lrr 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as
licensed by Miami Shores Village.
f /
Date L y -
-_J
Notary Public. State of Florida
tl
Master Plumber.
are
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 ulty
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
WELD
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
t
CHECK
" ' 4 7
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.
/1 r
Owner's Name and Address ., _1_ " 22_1 _ 2 _ 2 _ _ " _ _ _ ' 2 A . -A..a No __.a_: ___ __ 4 Street__ __ .
Registered Architect and /or Engineer ______ -___ r
�/ Employing Plumber's Name ' 0 ," — - 7 ,;7. � ! �' - - No ' / .' r 1_ t'
Street - -- 4 - 44. = - - "/I f....
�
" Location and L Description L ot__ .. � .4 / Block / 1) Subdivision____ L _5
Street and Number where work is to be performed— No._Sn_ l '/ ''''' t_ 0 1____ .2 , ---R Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling ‘ Addition
Size Septic Tank - Type of Tank Capacity Gals
6 6 (0t-
Feet of Drain ile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
O
Amount of Permit S - -
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Size of Soakage Pit
_ (Signed)
(Signed)
V
Repairs No. of Stories
Plumbing Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplo7lrr 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as
licensed by Miami Shores Village.
f /
Date L y -
-_J
Notary Public. State of Florida
tl
Master Plumber.
are
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 ulty
materials and /or workmanship.' -
J5-
Permit
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address _
Street and Number where work is to be performed— No. .___
Size Septic Tank
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned
s s.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or Esgiateer _
Employing Plumber's Name
Location and Legal Description Lot-_2.__
-r
State work to be performed and purpose of building (By Floors)
New Building__ __.__A <- 1______________ Remodeling ____________________________ Addition
of the detailed statement of the plans- and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
o Street
No. ?: r ' _ ? f __'+Street - -1 ..
Date
Block____ = Subdivision____ '
r
Street___s�
Repairs No. of Stories __ y"
Type of Tank Capacity Gals.
Feet of Drain Tile 1 __ Dist. Feet of Tank or Drain Field from Wee1!
Nature of Water Supply: City —Wet Size of Soakage Pit.
(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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
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.
r
Notary Public. State of Florida
71/x
. . t , � K K....,
/ Plumbing Inspector.
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
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
i
J5-
Permit
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address _
Street and Number where work is to be performed— No. .___
Size Septic Tank
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned
s s.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or Esgiateer _
Employing Plumber's Name
Location and Legal Description Lot-_2.__
-r
State work to be performed and purpose of building (By Floors)
New Building__ __.__A <- 1______________ Remodeling ____________________________ Addition
of the detailed statement of the plans- and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
o Street
No. ?: r ' _ ? f __'+Street - -1 ..
Date
Block____ = Subdivision____ '
r
Street___s�
Repairs No. of Stories __ y"
Type of Tank Capacity Gals.
Feet of Drain Tile 1 __ Dist. Feet of Tank or Drain Field from Wee1!
Nature of Water Supply: City —Wet Size of Soakage Pit.
(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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
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.
r
Notary Public. State of Florida
71/x
. . t , � K K....,
/ Plumbing Inspector.
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.
41
Amount of Permit $ __
APPLICATION FOR PLUMBING PERMIT
Permit No.. , Z ' Date
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
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)
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
(Signed)
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA, k
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No
Size of Soakage Pit
(Signed)
Street___
Plumbing Inspect
rtify that he understands and accepts his obligations as an employ er^6t labor
Compiled General Laws of Florida Permanent Supplement, and has corn-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
Notary Public, State of Florida
: 7
Master Plumber.
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
Amount of Permit $ __
APPLICATION FOR PLUMBING PERMIT
Permit No.. , Z ' Date
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
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)
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
(Signed)
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA, k
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No
Size of Soakage Pit
(Signed)
Street___
Plumbing Inspect
rtify that he understands and accepts his obligations as an employ er^6t labor
Compiled General Laws of Florida Permanent Supplement, and has corn-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
Notary Public, State of Florida
: 7
Master Plumber.
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.
PLUM - SPECTION
dcnc bir // / /
,--.- •
'cic're of work
317lior / 14,
Setic Tank
Ho3eiye0. by
Data
Tft.mo
SLiaor
Pornii..t Ho. 1 /v
Plumbi.1{7 - ia1 iThup:h Toout
PM
Permit No
Street and Number where work is to be performed —No G r
New Building ire-
Nature of Water Supply: City — Well._ -s
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date . —_ --
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 No y. t Street
Registered Architect and /or Engineer
Employing Plumber's Name d` `
Location and Legal Description Lot Block
1/ .
State work to be performed and purpose of building (By Floors)
Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile D..Feet of Tank or Drain Field from Well
Amount of Permit $_ .` (Signed)
Size of Soakage Pit.
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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Subdivision
Street /
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
J :
Street
A /
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
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
f
{)
j
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
Street and Number where work is to be performed —No G r
New Building ire-
Nature of Water Supply: City — Well._ -s
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date . —_ --
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 No y. t Street
Registered Architect and /or Engineer
Employing Plumber's Name d` `
Location and Legal Description Lot Block
1/ .
State work to be performed and purpose of building (By Floors)
Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile D..Feet of Tank or Drain Field from Well
Amount of Permit $_ .` (Signed)
Size of Soakage Pit.
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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Subdivision
Street /
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
J :
Street
A /
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.
'I
Permit No 1 ,
Owner's Name and Address
Registered Architect and /or ,Engiaeer
Employing Plumber's Name
Location and Legal Description Lot_
Nature of Water Supply: City —We
Amount of Permit $ -- 4 €'
SS.
My Commission Expires
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank .____L(__
Size Septic Tank 1_sL Q
Feet of Drain Tile _4_0 ___ Dist. Feet of Tank or Drain Field from Weil!
(Signed)
(Signed)
Date
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.
Street
---- ------ - - - - --
° - -- - -- -- -- t-t-reet -
Blo ___� 61 3 ivision___ _
Street and Number where work is to be performed —No b 4 NE-... Street_ AO/
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories. '
Size of Soakage Pit
Capacity Gals ._____
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 under signed agrees to employ only such sub - contractors, on work to be performed under this mit, as are
licensed by Miami Shores Village.
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
Plumbing Inspector.
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
TUDB
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
FI ELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
f
CHECK
Permit No 1 ,
Owner's Name and Address
Registered Architect and /or ,Engiaeer
Employing Plumber's Name
Location and Legal Description Lot_
Nature of Water Supply: City —We
Amount of Permit $ -- 4 €'
SS.
My Commission Expires
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank .____L(__
Size Septic Tank 1_sL Q
Feet of Drain Tile _4_0 ___ Dist. Feet of Tank or Drain Field from Weil!
(Signed)
(Signed)
Date
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.
Street
---- ------ - - - - --
° - -- - -- -- -- t-t-reet -
Blo ___� 61 3 ivision___ _
Street and Number where work is to be performed —No b 4 NE-... Street_ AO/
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories. '
Size of Soakage Pit
Capacity Gals ._____
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 under signed agrees to employ only such sub - contractors, on work to be performed under this mit, as are
licensed by Miami Shores Village.
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
Plumbing Inspector.
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.
PLIEBIG - 1,..S2ECTION
Work done by
- 27 7
C of work
m
Se L
-tic ank
Permit
W O
,
Ga
- L al To out
re a cfly r7,1
Received by
Date
PM
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
APPLICATION FOR PLUMBING PERMIT
Date/ 6-
Registered Architect and/or Engineer
Employing Plumber's Name
Location and Legal Description Lot /.02,5 Subdivision • hr
707/ •
11* / •—)I 7
??1-7/
Street and Number where work is to be performed—No •,,,_ ....Co Street__ i Pi__ ---
State work to be performed and purpose of building (By Floors)
New Building .1.••••• Remodeling Addition Repairs No. of Stories
1
Size Septic Tank
Feet of Drai Tile Ds eet of Tank or Drain Field from Well
n
Nature of Water Supply: City—Well._ ' Size of Soakage Pit.
I
Amount of Permit Si
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
}t ( 4_4-6 - 4- t No SY Street/1 Y
L
No._ Stree
Type of Tank Capacity Gals
_ (Signed)
3-9
t
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 bas 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 under signed 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
Maste umber.
STATE OF FLORIDA,
ss.
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
Twits
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
--Al
I—
/
__/—_.
/ S
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM' G
POOL
CONTR.
UST
/
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
APPLICATION FOR PLUMBING PERMIT
Date/ 6-
Registered Architect and/or Engineer
Employing Plumber's Name
Location and Legal Description Lot /.02,5 Subdivision • hr
707/ •
11* / •—)I 7
??1-7/
Street and Number where work is to be performed—No •,,,_ ....Co Street__ i Pi__ ---
State work to be performed and purpose of building (By Floors)
New Building .1.••••• Remodeling Addition Repairs No. of Stories
1
Size Septic Tank
Feet of Drai Tile Ds eet of Tank or Drain Field from Well
n
Nature of Water Supply: City—Well._ ' Size of Soakage Pit.
I
Amount of Permit Si
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
}t ( 4_4-6 - 4- t No SY Street/1 Y
L
No._ Stree
Type of Tank Capacity Gals
_ (Signed)
3-9
t
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 bas 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 under signed 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
Maste umber.
STATE OF FLORIDA,
ss.
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.
BIU CBI "' -
EI.FrCTRI PERMIT A N9
PLUMBING
Owner of Building
Architect and /or Engineer
Contractor or Builder___'
Proposed Location
'� AMOUNT
NAME
LOT BLOC('
NAME
195
SUS - DIVISION
RECD. PAYMENT ACCT. DEPT.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
4/1 t er:
/ 2 19.
ADDRESS LICENSE NO.
ADDRESS
ADDRESS LICENSE NO.
NO. STREET
This permit is issued to '_�< :� -l� ' + f f To /
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon, any change in the plans and specifications unauthorized by the building inspector.
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
• ans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
"Ming ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
(SEAL)
TE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
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.
suIL-€44faG
E�� PERMIT A N°
PLUMBING
e ner of Building.-
NAM)
Architect and /or Engineer '' f r `l '
Contractor or Builder "
Proposed Location
AMOUNT
NAME
NAME
, 19
RECD. PAYMENT ACCT. DEPT.
195
SUB - DIVISION
1t - ! a
ADDRESS
ADD
tss
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
1 ':
t
LICENSE NO��
ADDRESS r_ LICENSE I.O.
LOT // BLOCK`
°'
This permit is issued to_ ` /`L�k_ 't�
the building above described, as per application, Plans and' Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon fany' change in the plans and specifications unauthorize by the building inspector.
x " 1 . r`
NO. STREET
To- __ -LLd_ -f
INSPECTOR
41 In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
n s and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
Dated kt`t.
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
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.