574 NE 102 St (14)MIAMI SHORES VILLAGE, FLA.
JOB C Y, p
ADDRESS 7 c -2-
INSPECTION kia- / o ^�
TIME READY Ant
REMARKS :
ik--
N9 5845
INSPECTOR DATE
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building y ..
Architect
Contractor
or Builder 1 t
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
B1
N9 5232
Work to be performed under this Permit
BY
Subdi-
vision
Address of A / , + , ' of 11 Amount of
Building / , Project $ ll 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.
fi
' i,
DATE
Contractor's
License No.
Signed' .` . -- `- INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance th all ordinances aeegulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorises of Miami Shores Village. In as
cepting this permit I ,assume responsibility for all
ll work done by either, myself, my agent, servant or employee.
e � , � l , Sid �'? j , tl,J,e�/ t t �% ':,, .
AUTHORITY
AUBOT
•■•
Permit No - 3
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
Registered Architect and/or Engin r____
Employing Plumber's Name
Amount of Permit $_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
..... .... Street_ .....
Location and Legal Description -- Block_ Subdivision
Street and Number where work is to be performed—No (-5 Street
State work to be performed and purpose of building (By Floors)
New Building_---_- Remodeling.
Repairs
Size Septic Tank ale YPe of Tank_ Capacity Gals.
Feet of Drain Tile ..... , •
/- . Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well.______ _Size of Soakage Pit
(Signed)_
Date
Street__
- -/
No. of Stories.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli at(ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanknt Supplement, and bus cvm
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.
Master Plumber.
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
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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.
CLosrrs
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tugs
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
CHECK
-__
•■•
Permit No - 3
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
Registered Architect and/or Engin r____
Employing Plumber's Name
Amount of Permit $_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
..... .... Street_ .....
Location and Legal Description -- Block_ Subdivision
Street and Number where work is to be performed—No (-5 Street
State work to be performed and purpose of building (By Floors)
New Building_---_- Remodeling.
Repairs
Size Septic Tank ale YPe of Tank_ Capacity Gals.
Feet of Drain Tile ..... , •
/- . Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well.______ _Size of Soakage Pit
(Signed)_
Date
Street__
- -/
No. of Stories.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli at(ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanknt Supplement, and bus cvm
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.
Master Plumber.
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
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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.