160 NE 102 St (10)BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING . ❑
Owner of �//
Building
PERMIT
Architect
i
Contractor
or Builder 1 /
' 1. < J 1
Legal Lot 1 I
Description 11 BI
Building of r j ; ' �� A f !
Building c ,�� r�
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Date 19
9 97 6 Contractor's
License No. �'r l y
Work to be performed under this Permit
BY
Subdi-
vision
Sq Ft
Value of 11 Amount of .�
Project $ 11 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Signed• I I! (t' pe L '"" (INSPECTOR) BY
In consideration of the issuance to me of this permilI agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, rawings, 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.
AUTHORITY
,
Pem.it No /
Application is 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.
Owaer's Name and Address MSS— No.. Street
Registered Architect and/or Engineer ..
Employing Plumber's Name f--- .e_..:____A"--e No.. Street.
Location and Legal Description Lot Block Subdivision. ___
Street and Number where work is to be performed—No 160 N.E. 102 ST. Street
State work to be performed and purpose of building (By Floors)
New Budding ..... Remodeling
Size Septic Tank.— . 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
2" SPR WFLL
Amount of Permit $____ .....
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition Repairs No. of Stories
(Signed)_
L‘(-1--/--1
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 Itas com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)..___
Date
Capacity Gals.
Master Plumber.
STATE OF FLORIDA, gs.
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 hilt stated are true.
My Conunission Expires Notary Public, State of Florlda ........ -----
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.
CLQ3ETS
BATH
TUBS
SHOWERS
LAVA.
Tomas
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
skim
FLOOR
DRAIN
DRINK I NB
FOUNT' NS
TOTAL
FIXTURES
CONTR •
LILT
...—. .--.....—
CHECK
.
;
SEPTIC
TANK
SEWER
CON N•
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SVV I M 0
POOL
CONTR.
LIST
--..-----
CHECK
,
Pem.it No /
Application is 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.
Owaer's Name and Address MSS— No.. Street
Registered Architect and/or Engineer ..
Employing Plumber's Name f--- .e_..:____A"--e No.. Street.
Location and Legal Description Lot Block Subdivision. ___
Street and Number where work is to be performed—No 160 N.E. 102 ST. Street
State work to be performed and purpose of building (By Floors)
New Budding ..... Remodeling
Size Septic Tank.— . 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
2" SPR WFLL
Amount of Permit $____ .....
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition Repairs No. of Stories
(Signed)_
L‘(-1--/--1
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 Itas com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)..___
Date
Capacity Gals.
Master Plumber.
STATE OF FLORIDA, gs.
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 hilt stated are true.
My Conunission Expires Notary Public, State of Florlda ........ -----
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
ROOFING
Owner of
Building (
Lot
PERMIT
F . �v
Architect
Contractor
or Builder
Legal
Di ascription
Address of / c' Value of
Building �' �' Z Project $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in a ap�lica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in complia ce Vl ►Ilf i any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit • • y 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 pon 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 oq'°ih the statements or specifications and that , se assumes respon-
sibility for work done by his agents, servants or employees.
OONTRA / CTOR OR ;BUILDER
MIAMI SHORES VILLAGE, FLORIDA _
DATE 4 4411
N9 7418
Work to be performed under this Permit
?� J ._r •
e
!i- (
Subdi-
B1 I vision
Signed. mss[. ✓` 1
(
(" " '.�.°,�'
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auth
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY
Contractor's t o
License No
Amount of
Permit $
19 be
„e
INSPECTOR
all ordinances and regulations
• s of Miami Shores Village. In as
44/20 —
AUTHORITY Au0T leak'
•
cit
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________ r __ ' ___
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot_____. _ __________.___ ____ Block_ - Subdivision _--- ________
Street and Number where work is to be performed —No ___M ' 4! �A tr p _al'..4 Street
State work to be performed and purpose of building (By Floors) -_----- ----------------------_-__--
New Building _ Remodeling —_ __ ___ Addition_______. Repairs No. of Stories_
Size Septic Tank. 7j0
Feet of Drain Tile_ ! �t. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well .____ _ _ _ _ = _ __ _ _ ___Size of Soakage Pit
Amount of Permit $- -- - - - - -=
Capacity Gals.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
(Signed)
Date
No.__----- - - - -__ _ Street-_
(Signed -- _ �•_�C__v
Ar/‘6'
Street
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .. ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri nt 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.
faster Plumber.
STATE OF FLORIDA, 1
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.
Notar Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS.
LAUNDRY
TUBS
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N6
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
-
CHICK
_
-
A4
•
cit
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________ r __ ' ___
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot_____. _ __________.___ ____ Block_ - Subdivision _--- ________
Street and Number where work is to be performed —No ___M ' 4! �A tr p _al'..4 Street
State work to be performed and purpose of building (By Floors) -_----- ----------------------_-__--
New Building _ Remodeling —_ __ ___ Addition_______. Repairs No. of Stories_
Size Septic Tank. 7j0
Feet of Drain Tile_ ! �t. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well .____ _ _ _ _ = _ __ _ _ ___Size of Soakage Pit
Amount of Permit $- -- - - - - -=
Capacity Gals.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
(Signed)
Date
No.__----- - - - -__ _ Street-_
(Signed -- _ �•_�C__v
Ar/‘6'
Street
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .. ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri nt 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.
faster Plumber.
STATE OF FLORIDA, 1
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.
Notar Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.