941 NE 92 St (10)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date <<� : Time
Type Insp'n._ J i_
mr
Permit No.
Name v gJ./Af
Address
Company
Pha 9 S
For Inspectors
Approved
Correction
Re- Insp'n Fee
ame & Date
Permit No ___0 C"
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 Eng' eer
Employing Plumber's Name__- Z,z. v
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.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPPACATION FOR PLUMBING PERMIT
��'yy� ? �
Street_2./__'_ ?_. l-- ..- - - - --
Repairs No. of Stories...
Size Septic Tank_ ...... ___..____ - 1. _ -- Type of Tank_ -
Feet of Drain Tile_____ _ -__ ''�" ; ; s
Nature of Water Supply: City - Well.___ _ t____._________________ _ __Size of Soakage Pit
Capacity Gals
. Feet of Tank or Drain Field from Well.
(Signed)_ -_ -_-
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent'Supplement, and has com-
plier 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 pu lic notice or notices as are
required ce �
by the Act. The undersigned agrees to employ only such sub- contractor - �n work to be performed under this permit, as are
by Vg A
(Signed
Date - . = -
Street ___.____
Subdivision. ___.. _______.________._
Street
My Commission Expires Notary Public, State of Florida
Master Plumber.
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 'necessary by improper notice for insp: ,o-on, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
Tomas
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
F IELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'O
POOL
CONTR.
LIST
CHECK
--
Permit No ___0 C"
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 Eng' eer
Employing Plumber's Name__- Z,z. v
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.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPPACATION FOR PLUMBING PERMIT
��'yy� ? �
Street_2./__'_ ?_. l-- ..- - - - --
Repairs No. of Stories...
Size Septic Tank_ ...... ___..____ - 1. _ -- Type of Tank_ -
Feet of Drain Tile_____ _ -__ ''�" ; ; s
Nature of Water Supply: City - Well.___ _ t____._________________ _ __Size of Soakage Pit
Capacity Gals
. Feet of Tank or Drain Field from Well.
(Signed)_ -_ -_-
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent'Supplement, and has com-
plier 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 pu lic notice or notices as are
required ce �
by the Act. The undersigned agrees to employ only such sub- contractor - �n work to be performed under this permit, as are
by Vg A
(Signed
Date - . = -
Street ___.____
Subdivision. ___.. _______.________._
Street
My Commission Expires Notary Public, State of Florida
Master Plumber.
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 'necessary by improper notice for insp: ,o-on, or faulty
materials and /or workmanship.
CONTR. -- _ —
LIST
CHECK
Application is hereby made for the approval of the detailed statement of tnc, plans and specifications herewith su itted for the building or other
structure herein described. This application is made in compliance and confm- : icy 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 e- *Irt. A copy of approved plans and specifications must be kept at
building during progress of work. .►treet_ _ -
Owner's Name and Address ______O - -_ - -� _ N o._ __ f ' � °LE'
�j
-.a_
Permit No
Registered Archtect and /or Engineer ..... - _--- .-- _....
_- _--- __-- - —_._.
Employing Plumber's Name VX./14 W Q/L a % &.
Nature of Water Supply: City —Well
Amount of Permit $
:5i
ST VTE OF FLORIDA, I
COUNTY OF DADE.
ZD
Street and Number where work is to be performed —No
MIAMI SHORES VIL:;A E'
PLUMBING INSPECTION DEPARTMEX''
APPLICATION FOR PLUMBING
Location and Legal Description Lot_____ _ ______ _ ___ —___ _ Block
(Signed) e-
Date-.
— - --
Su j r �visio n - _ � .e
- --
7 . Street '� 7 !terr••
State work to be performed and purpose of building (By Floors)_._ __.__'( - ___ __ _-
New Building . - - -- -__ Remodeling -_ _ __ —___ Addition. -•-
epairs No. of Stories_
Size Septic Tank Type of Tank_._ Capacity Gals.
Feet of Drain Tile _.Dist. Feet of Tank or Drain Field from Well. .._____..______
_ Size of Soakage Pit
(Signed)_
Plu ing 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.
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 Cons. mission Expires Notary Public, State of Florida
1
7 7
Master Plumber.
NOTE: 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 workmanship.
CLOSETS B
BATH S
SHOWERS L
LAVA- S
SINKS S
SLOP L
LAUNDRY U
URINALS C
CATCH F
FLOOR D
DRINKING T
TOTAL
CONTR.
LIST
CHECK
SEPTIC S
SEWER D
DRAIN S
SOAKAGE G
GREASE S
SOLAR D
DEEP S
SPRKLR. S
SWIM•G
______
Application is hereby made for the approval of the detailed statement of tnc, plans and specifications herewith su itted for the building or other
structure herein described. This application is made in compliance and confm- : icy 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 e- *Irt. A copy of approved plans and specifications must be kept at
building during progress of work. .►treet_ _ -
Owner's Name and Address ______O - -_ - -� _ N o._ __ f ' � °LE'
�j
-.a_
Permit No
Registered Archtect and /or Engineer ..... - _--- .-- _....
_- _--- __-- - —_._.
Employing Plumber's Name VX./14 W Q/L a % &.
Nature of Water Supply: City —Well
Amount of Permit $
:5i
ST VTE OF FLORIDA, I
COUNTY OF DADE.
ZD
Street and Number where work is to be performed —No
MIAMI SHORES VIL:;A E'
PLUMBING INSPECTION DEPARTMEX''
APPLICATION FOR PLUMBING
Location and Legal Description Lot_____ _ ______ _ ___ —___ _ Block
(Signed) e-
Date-.
— - --
Su j r �visio n - _ � .e
- --
7 . Street '� 7 !terr••
State work to be performed and purpose of building (By Floors)_._ __.__'( - ___ __ _-
New Building . - - -- -__ Remodeling -_ _ __ —___ Addition. -•-
epairs No. of Stories_
Size Septic Tank Type of Tank_._ Capacity Gals.
Feet of Drain Tile _.Dist. Feet of Tank or Drain Field from Well. .._____..______
_ Size of Soakage Pit
(Signed)_
Plu ing 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.
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 Cons. mission Expires Notary Public, State of Florida
1
7 7
Master Plumber.
NOTE: 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 workmanship.
•
Permit No..``
/ & / 3
Date.. r - �
Application is Hereby made kor 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 he 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 . _..,' - L'[ /
Registered Architect and /or Engineer_
Employing Plumber's Name..
Location and Legal Description Lot t / Block
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building. -._ __ __! --C - Remodeling Addition
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
•
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
it No.
1 /
No. 1 z __ --
' . Type of Tank ' Capacity Gals.__
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
Repairs
(Signed)
(Signed)
Street _ '_ 1
My Commission Expires Notary Public, State of Florida
Street
Subdivision-__ '
No. of Stories
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
perfonned 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 performer' under this permit, as are
licensed by Miami Shores Village. j r�
Master Plumber.
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 necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
UR
CATCH
BASIN
FLOOR j DFINKING �
DRAIN
FOUNT'NS
- - --
. - - --
TOTAL
FIXTURES
CONTR.
LIST
..
!
/
— f
''',1
"
/
t',rI
L i
CHECK
TANK
SEWER
CONN.
I
/
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
?l , rte
_L__
CONTR.
LIST
, �
'
CHECK
•
Permit No..``
/ & / 3
Date.. r - �
Application is Hereby made kor 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 he 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 . _..,' - L'[ /
Registered Architect and /or Engineer_
Employing Plumber's Name..
Location and Legal Description Lot t / Block
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building. -._ __ __! --C - Remodeling Addition
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
•
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
it No.
1 /
No. 1 z __ --
' . Type of Tank ' Capacity Gals.__
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
Repairs
(Signed)
(Signed)
Street _ '_ 1
My Commission Expires Notary Public, State of Florida
Street
Subdivision-__ '
No. of Stories
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
perfonned 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 performer' under this permit, as are
licensed by Miami Shores Village. j r�
Master Plumber.
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 necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Location and Legal Description Lot
Size Septic Tank
STATE OF FLORIDA, t
COUNTY OF DADE.
■
s s.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
i
Permit No..'_ -- -�___ / Date --
Application is here by 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 rLles 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.
f `1`
Owner's Name and Address -
Registered Architect and /or Engineer. __.,___
Employing Plumber's Name .
Block
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.__
Type of Tank ? � _ r°
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 $ -- - - - - — — - - (Signed)
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 he
performed under this permit; and will post or cause to be posted for inspection on the site of the/Cvork such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work o be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
J
No. Street _
No.
Repairs
Street __ - .
Capc:city Gals.
No. of Stories _
My Commission Expires Notary Public, State of Florida
Street
„„/ �
/
Subdivision _j •
Master Plumber.
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 necessary by imprope- notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH I
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Location and Legal Description Lot
Size Septic Tank
STATE OF FLORIDA, t
COUNTY OF DADE.
■
s s.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
i
Permit No..'_ -- -�___ / Date --
Application is here by 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 rLles 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.
f `1`
Owner's Name and Address -
Registered Architect and /or Engineer. __.,___
Employing Plumber's Name .
Block
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.__
Type of Tank ? � _ r°
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 $ -- - - - - — — - - (Signed)
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 he
performed under this permit; and will post or cause to be posted for inspection on the site of the/Cvork such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work o be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
J
No. Street _
No.
Repairs
Street __ - .
Capc:city Gals.
No. of Stories _
My Commission Expires Notary Public, State of Florida
Street
„„/ �
/
Subdivision _j •
Master Plumber.
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 necessary by imprope- notice for inspection, or faulty
materials and /or workmanship.
BUILDING
. P RMIT N. 6409
ELECTRICAL d Contractor's
PLUMBING License No.
i t. �� -_, ,� /
Work to be performed under this Permit ,,. ,,,�'
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of t . r° Value of I Amt. of /�1 ' ;�^
Building or‘ x. x..;/ t Project 1 Permit ,w
This permit is granted to the contractor ors builder named above to cotruct the building or to install the equipment or" deviEe 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 ordirianc and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or si?eci�ica and 030 he assu> es respon-
sibility for work done by his agents, servants or employees. r f � .
Signed:- ! r f :. r % .LL By ,
IN
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances andie lations
pertaining ther to a • 'in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting yy t I assume responsibility for all work done by either myself, my agent, servant or employee.
CT R
RA OA BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
J
DATE 194+
BY AUTHORITY
�G
RICAL
PL MBING
Owner of
Building
1
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building ? 1
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 6790
Work to be performed under this Permit
Bl.
Subdi-
vision
DATE
194`
Contractor's
Lice se No
Value of Amt. of a'
Project Permit '
This permi(is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 reN »ked
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 u. • which this
permit is granted is the understanding that the contractor or builder named above assumes t€ respon,sibil;ty for a thorough knowledge of the or ances and
regulations pertaining to the work covered hereby whether shown on the plans or drawing" or in tie st ements or specifications and at hE u mes respon-
sibility for work done by his agents, servants or employees. -
Signed: i '`"" By
INSPECTOR
In conside; of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances andieglatAons
in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
assn a responsibility for a work done by either myself, my agent, servant or employee.
;p
pertaining they
In accepting
CONTRACTOR OR BUILDER
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
CONTRACTOR 011 BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE ;' 194=
Contractor's
License No.
PERMIT N? 6790
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision
Address of Value of I Amt. of '
Building Project I Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equi ment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 - sto@ments or specifications and that he assntnes respon-
sibility for work done by his agents, servants or employees.
Signed: By
INSPECTOR
In considerat of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thertp d in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this s e�mtr . i assumes responsibility for a work done by either myself, my agent, servant or employee.
BY AUTHORITY