1150 NE 102 StBUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
p❑r. PERMIT
/1
permit is granted to the contractor or
herefor in strict compliance with all ordinances
drawings, statements or specifications that may
time if the work is not done in compliance with
granted is the understanding that the contractor
pertaining to the work covered hereby whether
done by his agents, servants or employees.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Bl.
N° 1663
Work to be performed under this Permit
builder named above to construc the building or to install the equipment or device described in the application
pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
or builder named above assume s the responsibility for a thorough knowledge of the ordinances and regulations
shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
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
pertaining thereto and in strict conformity with the plans, drawings, statements dr specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Subdi-
vision
Value of
Project $
DATE '/ 195•
Contractor's
License No.
II Amount of
II Permit $
BY AUTHORITY e
Permit No-2_6._ .5 Date_
Amount of Permit $ / 3.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
0.1 ? l" :4, No
Street.
Size Septic Tank_ .Type of Tank—..._
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from
Nature of Water Supp
ell --V- Size of Soakage Pit .........
______.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sbmitted 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.
AA"'
Owner's Name and Address____ _- �
Registered Architect and /or En r , e ' 1
Employing Plumber's Name . -z <�'' ? A r �?( No..i...29 5 J'!' ,
Location and Legal Description Lot___._ s y 910e1, 1 2 ‘ Subdividon� . -
Street and Number where work is to be performed —No 1/ ' 6 Street._.__ 1
State work to be performe8 and purpose of building (By Floors)_ _
New Building -. Remodeling Addition
Capacity Gals.
Notary Public, State of Florida
Repairs_ ._....- •---- - -._.. No. of Stories - -/
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, 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. �g.
—® (Signed) 1=% ,
/ d Master Plumber.
STATE OF FLORIDA, } 8 d
COUNTY OF DADE. 17, ti' °
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 fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and/ workmanship.
CLOSETS
OATS
TUEe
S HOWERS
LAVA.
TORIES
IN
SLOP
SLOP
iINKE
LAUNDRY
TS
Tinos
U RINALS
CATCH
BASIN ASI EIN
FLOOR
DRAIN
DRINK'S*
FOUNT'S{
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om/
I)
�V / VI
V 1
FIXTURES
Gwen.
LIST
LIST
!
/
/
/
Q
/
CHECK
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1
SEPTIC
TANK
SEWER
CONN.
bb RAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SP KLR.
SYSTEM
SWIM•*
POOL
/�
1 l / ?a
CONTR.
G ,o
_ - --
CHECK
if-)
j � 9
I �
Permit No-2_6._ .5 Date_
Amount of Permit $ / 3.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
0.1 ? l" :4, No
Street.
Size Septic Tank_ .Type of Tank—..._
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from
Nature of Water Supp
ell --V- Size of Soakage Pit .........
______.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sbmitted 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.
AA"'
Owner's Name and Address____ _- �
Registered Architect and /or En r , e ' 1
Employing Plumber's Name . -z <�'' ? A r �?( No..i...29 5 J'!' ,
Location and Legal Description Lot___._ s y 910e1, 1 2 ‘ Subdividon� . -
Street and Number where work is to be performed —No 1/ ' 6 Street._.__ 1
State work to be performe8 and purpose of building (By Floors)_ _
New Building -. Remodeling Addition
Capacity Gals.
Notary Public, State of Florida
Repairs_ ._....- •---- - -._.. No. of Stories - -/
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, 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. �g.
—® (Signed) 1=% ,
/ d Master Plumber.
STATE OF FLORIDA, } 8 d
COUNTY OF DADE. 17, ti' °
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 fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and/ workmanship.