573 NE 102 St (4)BUILDING
ELECTRICAL
PLUMBING
ROOFING
0
0
PERMIT
Owner of k Building k t. w , a- t ' 1
MIAMI SHORES VILLAGE, FLORIDA
DATE 3 1
Architect
Contractor r
or Builder t'' , 1 t � c_ � , L
Legal Lot
Description II Bl
l.�
N9 7296
19 �"
Contractor's
License No.
Work to be performed under this Permit —
�.
1 .f1 c. ,
Subdi-
vision
Address of
, r Value of Amount of :f 4 1 Building j� ( , / Project $ Pe $ �
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 conditign 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 t *_..) . ; _ .r .. ` ),
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in comalianca•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 ac
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
BY AUTHORITY MOT
Permit
Size Septic Tank
Feet of Drain Tile_It r/6
Nature of Water Supply: City—Well.
STATE OF FLORIDA,
COUNTY OF DADE.
----------
My Commission Expires
MIAMI SHORES VILIA,GE
PLUMBING INSPECTION DEPARTMEN'C
APPLICATION FOR PLUMBING
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 confornity 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 Villag e. 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 Ealr N o Street /
Registered Architect and/or Engineer
Employing Plumber's Name
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
No._ 2" 47 ' Street___,9
(Signed)__
Date
Subdivision
Street
Addition Repairs No. of Stories
Type of Tank
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Capacity Gals
Amount of Permit $ ‘ ------------------------
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 performed under this permit, as are
licensed by Miami Shores Village.
Refore 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
IsTOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or faulty
materials and/or worlcmanship.
CLOSETS
BATH
TuaS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK I NO
FOUNT' NS
TOTAL
F I XTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I M 'G
POOL
CONTR.
LIST
CHECK
Permit
Size Septic Tank
Feet of Drain Tile_It r/6
Nature of Water Supply: City—Well.
STATE OF FLORIDA,
COUNTY OF DADE.
----------
My Commission Expires
MIAMI SHORES VILIA,GE
PLUMBING INSPECTION DEPARTMEN'C
APPLICATION FOR PLUMBING
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 confornity 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 Villag e. 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 Ealr N o Street /
Registered Architect and/or Engineer
Employing Plumber's Name
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
No._ 2" 47 ' Street___,9
(Signed)__
Date
Subdivision
Street
Addition Repairs No. of Stories
Type of Tank
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Capacity Gals
Amount of Permit $ ‘ ------------------------
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 performed under this permit, as are
licensed by Miami Shores Village.
Refore 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
IsTOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or faulty
materials and/or worlcmanship.
Village of Miami Shores
JOB
S
ADDRESS 4 7 3 N c /
N° 4796
INSPECTION 2. ' l an ..J Q t 1- ra r
TIME READY '
REMARKS
•
INSPECTOR
DATE i - S�
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
1 ,f
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 4174
B1
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
DATE f �r
t
Contractor's
License No.
195
Work to be performed under this Permit
Subdi-
vision
Value of
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 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 drawings or in the, statements or specifications and he assumes responsibiity for work
done by his agents, servants or employees.
BY
Amount of
Permit $ •
Signed. - ` L�r � °..
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities
,
, fi11 ordinances and regulations
of Miami Shores Village. In ac-
CONTRACTOR OR BUILDER BY AUTHORITY 644611°
JOB:
BUILDING
PLUMBING
•
•
•
•
•
ELECTRICAL :
The following is ready for Inspection: -
Inspector's Report: -.
: WORK
• DONE BY:
: REQUESTED
AD:
READY
t
i