301 NE 102 St (5)Permit No._ iI ( t� C " l 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 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 _._.I�C_6 4y ! _ _ 2 ti , "!5.�. _ No._____ 3_62 ��!'% / • street. 2( t
Registered Architect and /or Engineer__- ______— _____— -- ___—_--- _________ - -- _. —
Employing Plumber's Name �L)1 E �, i f ri' � ': �� /iy i' t.. No._ a 147.t1,. Street.. Z 0
Location and Legal Description Lot_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)- ._._.— .....
__._____ — _ --
New Building------ _- ____ -_ -._ Remodeling__ __ _--- __..__._ -- Addition.
Size Septic Tank_
Feet of Drain Tile_ — s
STATE OF FLORIDA, 1
COUNTY OF DADE. j
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
--
Amount of Permit $_ -_ — --- - -__ -- — (Signed)_
Mod Subdivision
n 9 1 / « Street-
Repairs_ __s No. of Stories
_Type of Tank
—Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well. _ _ _ _._Size of Soakage Pit
Capacity Gals
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent
My Commission Expires Notary Public, State of Florida
umbing Inspector.
s an employer of labor
plement, and has corn-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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
required by the Act. The undersigned agrees to employ only such sub - contractors, n work to be performed under this permit,
licensed by Miami Shores Village. j
(Signed) � r � ,/',�
A
AS
as
.
" r aster Plumber.
‘
are
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'neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
TUBS
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
AD
CHECK
A
-
Permit No._ iI ( t� C " l 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 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 _._.I�C_6 4y ! _ _ 2 ti , "!5.�. _ No._____ 3_62 ��!'% / • street. 2( t
Registered Architect and /or Engineer__- ______— _____— -- ___—_--- _________ - -- _. —
Employing Plumber's Name �L)1 E �, i f ri' � ': �� /iy i' t.. No._ a 147.t1,. Street.. Z 0
Location and Legal Description Lot_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)- ._._.— .....
__._____ — _ --
New Building------ _- ____ -_ -._ Remodeling__ __ _--- __..__._ -- Addition.
Size Septic Tank_
Feet of Drain Tile_ — s
STATE OF FLORIDA, 1
COUNTY OF DADE. j
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
--
Amount of Permit $_ -_ — --- - -__ -- — (Signed)_
Mod Subdivision
n 9 1 / « Street-
Repairs_ __s No. of Stories
_Type of Tank
—Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well. _ _ _ _._Size of Soakage Pit
Capacity Gals
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent
My Commission Expires Notary Public, State of Florida
umbing Inspector.
s an employer of labor
plement, and has corn-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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
required by the Act. The undersigned agrees to employ only such sub - contractors, n work to be performed under this permit,
licensed by Miami Shores Village. j
(Signed) � r � ,/',�
A
AS
as
.
" r aster Plumber.
‘
are
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'neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No 77
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. �; ?? w, /
Owner's Name and Address ,S!�G_ /__� No S Q1 Street ll' /i ? ��S !
Registered Architect and /or Engineer
Employing Plumber's Name _ iieriL'_)_"_ I:______� ' YAW
Location and Legal Description Lot Block
Street and Number where work is to be performed —No s Q_1
State work to be performed and purpose of building (By Floors) ei /a
New Building Remodeling Addition
Size Septic Tank Gt_ ' 4 Type of Tank Capacity Gals
Feet of Drain Tile
Nature of Water Supply:
Amount of Permit $ f ' ' D
Well 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 undersigned agrees to employ only such sub - contractors, on work to be,erformed under this permit, as are
licensed by Miami Shores Village.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Dist. Feet of Tank or Drain Field from Well
( Signed)
(Signed)
No.____ Street L7__ ' sZ
Subdivision
Street L_Q °
N
Date J44 1 ___/9T,9
Repairs v No. of Stories
Master Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
B ATH
T UBS
SHOWERS
LAVA- TORIES
SINKS
SL NKS OP
SI
LAUNDRY TUBS
URINALS
CATCH
B
FLOOR
DRINKING
FOUNT' NS
-
•
TOTAL
FIXTURES
CONTR.
LIST
'..
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT'
GREASE
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
VV �1 ,
•
CHECK
Permit No 77
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. �; ?? w, /
Owner's Name and Address ,S!�G_ /__� No S Q1 Street ll' /i ? ��S !
Registered Architect and /or Engineer
Employing Plumber's Name _ iieriL'_)_"_ I:______� ' YAW
Location and Legal Description Lot Block
Street and Number where work is to be performed —No s Q_1
State work to be performed and purpose of building (By Floors) ei /a
New Building Remodeling Addition
Size Septic Tank Gt_ ' 4 Type of Tank Capacity Gals
Feet of Drain Tile
Nature of Water Supply:
Amount of Permit $ f ' ' D
Well 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 undersigned agrees to employ only such sub - contractors, on work to be,erformed under this permit, as are
licensed by Miami Shores Village.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Dist. Feet of Tank or Drain Field from Well
( Signed)
(Signed)
No.____ Street L7__ ' sZ
Subdivision
Street L_Q °
N
Date J44 1 ___/9T,9
Repairs v No. of Stories
Master Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Date Ready
REQUEST FOR INSPECTION
Job
Address
Inspection
Time Ready 2 .2ki@IP. P.M.
BUILDING
ELECTRICAL
PLUMBING.
Owner of
Building
Architect
contractor--->V .i••
or Builder c.
MIAMI SHORES VILLAGE, FLORIDA
DATE- 7
Contractor
License No.
PERMIT N2 7497
Work to be performed under this Permit
()IL
f
L •
Legal Lot B k Subdi
Description vision
Address of r Value of Amt. of
Building 1 f., / .9" Project Permit 04 0 l/
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or evice described in the appli-
cation 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. t 7
Signed By
1\� INSPECTOR � J
In consideration of the issuance to me of this permit I agree to perform thy' rk covered hereunder in compliance with all ordinances ' and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements specifications submitted to the proper aut oTtties of Miafni Slip {d} lager
In accepting this permit I sume responsibility for all work done by either iu se my agent, servant or employee.
, , / ... 4 ,, / -4411 0 .411 .4-............L.de •
` ` CONTRACTOR OR BUILD AUTHORITY
194`