150 NE 102 St (13)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.
Owners Name and Address
Aegis-tared Architect and /or Engineer
e=mploying Plumber's Name /_L _.....i�
Location and Legal Description Lot.
Street and Number where work is to be performed —No.
i
State work to be performed and purpose of building (By Floors)_._.__.__.-- __.__.___e :l .e.
New Building Remodeling____ _.. -.__ Addition.- __._.__ Repair No. of Stories
Size Septic Tank_.— .__._---- -. —__._ --_.. -Type of Tank__
Feet of Drain Tile._.__ — — -- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. ___..____._.Size of Soakage Pit
Amount of Permit $
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinan fuP4lement, and Ilas com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in the wcrk fo be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such : s notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on to be
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. u.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No _._Ls street /0 Z u7
.., .. ..
Block Subdivision- - - -• -- ._.. —_
•-S—G c treet / O Z
(Signed)_
Capacity Gals.
7 7
rrrdc:r tl permit, as aro
(Signed) Lel&
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by hire stated are true.
Notary Publlo, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when snob re-inspection is mads•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOERa
BATH
Time
SHOWER•
LAVA•
TORIES
SINKS
SLOP
a1NK•
LAUNDRY
Tuns
URINALS
CATCH
•ASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURE[
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HATER
OUP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
1
—
COKTR.
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.
Owners Name and Address
Aegis-tared Architect and /or Engineer
e=mploying Plumber's Name /_L _.....i�
Location and Legal Description Lot.
Street and Number where work is to be performed —No.
i
State work to be performed and purpose of building (By Floors)_._.__.__.-- __.__.___e :l .e.
New Building Remodeling____ _.. -.__ Addition.- __._.__ Repair No. of Stories
Size Septic Tank_.— .__._---- -. —__._ --_.. -Type of Tank__
Feet of Drain Tile._.__ — — -- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. ___..____._.Size of Soakage Pit
Amount of Permit $
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinan fuP4lement, and Ilas com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in the wcrk fo be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such : s notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on to be
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. u.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No _._Ls street /0 Z u7
.., .. ..
Block Subdivision- - - -• -- ._.. —_
•-S—G c treet / O Z
(Signed)_
Capacity Gals.
7 7
rrrdc:r tl permit, as aro
(Signed) Lel&
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by hire stated are true.
Notary Publlo, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when snob re-inspection is mads•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Architect
Contractor r'
or Builder
Legal
Description
Address of
Building
Lot
/ f..
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE # 195
❑ PERMIT N° 15747 Contractor's
License No
❑ Work to be performed under this Permit
II B1.
Subdi-
vision
Value of
Project $
Amt. of /
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • 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 or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
-d
CONTRACTOR OR BUILDER BY AUTHORITY
;UILDING
ELECTRICAL
°LUMBING
)wrier of
yuilding
architect
ontractor
it Builder
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No.
MIT N ? 4503
Work to be performed under this Permi
-,ega1 Bl.
)escription
;,ddress of i i ,,.
�
; uilding j SO '
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described
ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compli
the appli-
e with any
.lans, drawings statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Perm n : y be revoked
t an tn*e if tie work is not done in compliance with such ordinances or if the plans are changed without authorization. A further conditio on which this
.ermit is granted is the understanding that the contractor or builder n above assumes the responsibility for a thorough knowledge of ti ordinances and
egulatior s pertaining to the work covered hereby whether shown on the plans or draw' 'gs irr he statements or specifications and that he assumes respon-
ibility for work done by his agents, servants or employees. ' "` 4••-
,,, . By .0- , %A
Signed.
Subdi-
vision
Value of
Project
In consideration of the issuance to me of this permit I agree to p • he work covered hereunder in compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the plans, drawings if' ations submitted to the proper authorities of Miami Shores Village.
n accepting this permit I assume responsibility for all work done '` a ;gnt, servant or emplo -e.
BY
INSPECTOR
Amt. of
Permit
194_4
AUTHORITY
OWNER
LOT
BLOCK
SUBDIVISION
/if
/
f
•
Date '-
Issued to
Miami chores9llage
F L 0 A I D /
PLUMBING PERMIT N9 931
to install the following desd'ribed plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida. /4'.
For a story / , 'Y► building at '
Fixtures
:IP
Fixtures
Sewer $ ')' ( l\'\
Septic Tank
Total $
Received Payment by
Village Plumbing Inspector �-