PLUMBINGAmount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/ /-
Permit No I Date..- -�1___ --�� -- —
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. �� `� �/ ?-/Y
Owner's Name and Address... ._ .. No. `� �� 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 ___ _ . - - - -_ Addition.
Size Septic Tank_ ,. __-_.-_- __.- -- --___._ - -- -Type of Tank.—_
Feet of Drain Tile._.— ___- -- -Dist. Feet of Trit or Drain Field from Well
Nature of ater Su ply: City —W -_ _ — _ Size of Soakage Pit
(Signed)_
1 /. 40,...,_ ,... � St re et ... „� .... ,,, . ,....,�.,, •
Repairs No. of Stories
Street
Capacity Gals. .._....._..__._.._____
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 5988, 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.
(Signed)
Master Plumber. -
STATE OF FLORIDA,
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 mead the foregoing application, and that he did sign the same, and that all facts
therein by hire stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of x$1.00 will be made wham arch ens - inspection is ssade by bnproper notice for lnapectlon, or faulty
materials and /or workmanship.
CLO<ET a
BATH
TUBS
SNOW ERS
LAVA
TORIES
SINKS
SLOP
LAUNDRY
Turns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•Ne
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
Devi
WILL
SPRKLR.
SYSTEM
SWIM•O
POOL
CONTR.
'--
LIST
CHECK
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/ /-
Permit No I Date..- -�1___ --�� -- —
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. �� `� �/ ?-/Y
Owner's Name and Address... ._ .. No. `� �� 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 ___ _ . - - - -_ Addition.
Size Septic Tank_ ,. __-_.-_- __.- -- --___._ - -- -Type of Tank.—_
Feet of Drain Tile._.— ___- -- -Dist. Feet of Trit or Drain Field from Well
Nature of ater Su ply: City —W -_ _ — _ Size of Soakage Pit
(Signed)_
1 /. 40,...,_ ,... � St re et ... „� .... ,,, . ,....,�.,, •
Repairs No. of Stories
Street
Capacity Gals. .._....._..__._.._____
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 5988, 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.
(Signed)
Master Plumber. -
STATE OF FLORIDA,
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 mead the foregoing application, and that he did sign the same, and that all facts
therein by hire stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of x$1.00 will be made wham arch ens - inspection is ssade by bnproper notice for lnapectlon, or faulty
materials and /or workmanship.
r
CLOSST3
BATH
TUBS
SHOWHRB
LAVA_
TTOMES
SIN"
SIN
SLOP
SINK6
LAUNDRY
TUBS
URINAL S
CATCH
BASIN
FLOOR
DRAIN
DR INK I NG
FOUNT' NS
TOTAL
FIXTURES
-
CONTR.
LINT
„HECK
....
•
--
-�_
�•
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE'
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
C0NTT .
LIST
.?.o -44
CHECK
-Zu CVF
- /J ,.0 l
L
_
Pormik No. 95
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 _s. ` - ----- -___ -- No. _ PS
_ L
Registered Architect and /or Engineer ________________T_______ _ —
Employing Plumber's Name ° N
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot_ _____.______T____________ _____ Block__ Subdi on
Street and Number where work is to be performed- No.-__j______ ______ ..... ___ Street. . -�j--
State work to be performed and purpose of building (By Floors)______ _ _.(____ - Q, i_f o> . - `,,__a``vi_:4n.!..
New Building ...... _______.. Remodeling Addition Repairs No. of Stories.
Amount of Permit $ °Q
No._____._..- _ -__ -- Street__
( Signed)
Date
- l0 -
Street__ ./
Size Septic Tank .......... -..... -------------- •----- - - - - -_ Type of Tank
Feet of Drain ................. Feet of Tank or Drain Field from Well
Nature of Watyr Supply: City-Well. ____ _._ 1
____._Size of Soakage Pit
- ____a 'r ____ ��.e___l_n._L�__�_.__ e'' n 1
Capacity Gals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h' /obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida :-.nnanent Supplement, and leas 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 t be perf under this permit, as are
licensed by Miami Shores Village. 4; c1 )
STATE OF FLORIDA,
COUNTY OF DADE.
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.
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.
-
■
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date J /057\A--- q 5 Tax Folio 1 I .O " o I� — p� f
Lot i tp Umot' i Iz TC fires? 50,20 Are n c9 ?(c rto � Shy
Legal DescriptionPl p � o 1� 10 1 7 Histoncally Designated: Yes No
Owner/Lessee / Tenant C' c; 11 7 De Sp f' t 1 31 1 eJ Master Permit # % 4
Owner's Address / ' S) �O U , l / �L Phone � S > `(�7 7 O d5�
Contracting Co
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor Address
Municipal #
Permit Type (circle one): BUILDING ELECTRICAL MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION C kA -- t - GO Q
Square Ft. Estimated Cost (value)/ 10 0 0 b 0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all . will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the . tated.
i diffifirtAb
MA)Contracto o Po
igna
of owner and/or Condo
Notary as to Owner and/or Condo President
My Commission Expire:
APPROVED:
Zoning
Mechanical Plumbing
Building
Date
4 //6
Date
OFFICIAL NOTARY SEAL
DARLENE FORD
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC66910
Y) MMISSION EXP. AUG. 62001
SS#
9q ,r
Address
Competency #
Address
Address
- - P ne � 3K '3 ' S /
Ins. Co.
s cZ Sii1ks n G
T
Da
_ pt as to Contractor or Owner- Builder Date
My Commission Expires:
FEES: PERMIT RADON C.C.F. 60 NOTARY 43vP BOND
Electrical
TOTAL DUE
Structural Engineer
Permit No
Owner's Name and Address
Registered Architect and /or Engineer r �p
Employing Plumber's Name
Location and escription
Legal D L of
Nature of Water Supply: City —Well
Amount of Permit $
" I
STATE OF FLORIDA, J
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT 1
J /c�
Date &k._
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.
No '75
(Signed)
( Signed)
c� x
Block Subdivision
Street and Number where work is to be performed —No Q Street a,
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition RQ 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
Street
Street
Plumbing Inspe
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an empl 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.
Master Plumber.
My Commission Expires Notary Public, State of Florida
•
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
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
.
TOTAL
FIXYURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
—
CONTR.
LIST
-
1
CHECK
/ ®°
Permit No
Owner's Name and Address
Registered Architect and /or Engineer r �p
Employing Plumber's Name
Location and escription
Legal D L of
Nature of Water Supply: City —Well
Amount of Permit $
" I
STATE OF FLORIDA, J
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT 1
J /c�
Date &k._
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.
No '75
(Signed)
( Signed)
c� x
Block Subdivision
Street and Number where work is to be performed —No Q Street a,
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition RQ 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
Street
Street
Plumbing Inspe
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an empl 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.
Master Plumber.
My Commission Expires Notary Public, State of Florida
•
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.
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__ ►/Y ' °7 G L, y-
r
Registered Architect and /or Engineer /� ,( 2�
Employing Plumber's Name _ S.lf�� L (3� C' ` ° Sett e 1eiN No / 62 g '2 "fleet 9
Location and Legal Description Lot Block C Subdivision (''
Street and Number where work is to be performed —No /05/ � G ' Street c `n i e
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Size Septic Tank Type of Tank_____ Capacity Gals
t
Feet of Drain Tile /06 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DAflE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
(Signed)
•
Date
No Street
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 Perrnanent 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.
Master Plumber.
Before me, th•: undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, ..nd who, be :ng 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
BATH
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
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
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__ ►/Y ' °7 G L, y-
r
Registered Architect and /or Engineer /� ,( 2�
Employing Plumber's Name _ S.lf�� L (3� C' ` ° Sett e 1eiN No / 62 g '2 "fleet 9
Location and Legal Description Lot Block C Subdivision (''
Street and Number where work is to be performed —No /05/ � G ' Street c `n i e
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Size Septic Tank Type of Tank_____ Capacity Gals
t
Feet of Drain Tile /06 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DAflE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
(Signed)
•
Date
No Street
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 Perrnanent 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.
Master Plumber.
Before me, th•: undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, ..nd who, be :ng 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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
t t
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
I! PERMIT N? 10118
Work to be performed under this Permit
f
Bl.
Subdi-
vision
Value of
Project $
DATR
_ A (4 7
Contractor's
License No _
1
r
Amt. of
Permit $
BY AUTHORITY
195 "�
This permit is granted to the contractor or builder named above t6 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 or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
r •
Signed: • ? Bil
IN$lSCTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinices 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
aiami cSlzores91llage
F L O R ID A
PLUMBING PERMIT N9 806 '
Date
Issued to
LOT
BLOCK
OWNER
SUBDIVISION
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a story building at
Fixtures
Fixtures $
Sewer $
Septic Tank $
Total $
Village Plumbing Inspector
Received Payment by
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 complksd 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 A R 4 C 7-7— No
Amount of Permit
BA6k B SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
l PPiB,BCATB a - R PLUMBING PERMIT
Registered Architect and /or En :.
£atploying Plumber'a Blame - % '.
Location and Legal Description Lot.
Street and Number where work is to he performed —No / ./1/1.16—
/ St re _..._.._�
State work to be performed and purpose of building (By Man)
New Building.__.._._._ - _ Remodeling . _..__ Addition
Slo4 SubdivWon._____..__.
Type of Tank
Est. poet of Tank or Darin P'ield from
of Soakag
Size Septic Tank._
Feet of Drain Tile
Nature of W uppl
P (Signed)_ / 1
Spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his `' gations as an emp • er of labor
under the Florida Workmen's Compensation Act, being Section S' ; Compiled Ceneral 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 ouch sub-contractors, � k ® to be perf . - • under + , 't, as are
licensed by Miami Shores Village.
�a ! :: ..-- ---.°_, -
(Sim)
/#r4 6 u- �� o
Regain. No. of Stories.
Master Plumber.
STATE OF FLORIDA, I a,.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, . y authorised to administer oaths and take aclmawledgments, personally appeared
to me well known, and who, being by me fist duly sworn, up= oath deposes and says that he is the
of the above described construction, that he has =dully read the foregolng application. and that be 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 he nada whe2 einin ea.it by Improper notice for inspection. or faculty
materials and /ar
CLOarrre
BATH
TUDO
8HOW6Ra
LAVA•
von um
81"6 81"6
GLOP
E IMKO
LAUNDRY
Tu s
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
F OUHTN/
TOTAL
FIXTUR[a
CONTR.
LIST
CHUCK
SEPTIC
TANK
S awaR
CONN.
DRAIN
P IaLO
8O AKAGa
PIT
GREAea
TRAP
SOLAR
HaAT6R
�—
DSBP
'WELL
8PRKLR
8
SWIM •G
POOL
Coon*.
LIST
CHUCK
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 complksd 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 A R 4 C 7-7— No
Amount of Permit
BA6k B SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
l PPiB,BCATB a - R PLUMBING PERMIT
Registered Architect and /or En :.
£atploying Plumber'a Blame - % '.
Location and Legal Description Lot.
Street and Number where work is to he performed —No / ./1/1.16—
/ St re _..._.._�
State work to be performed and purpose of building (By Man)
New Building.__.._._._ - _ Remodeling . _..__ Addition
Slo4 SubdivWon._____..__.
Type of Tank
Est. poet of Tank or Darin P'ield from
of Soakag
Size Septic Tank._
Feet of Drain Tile
Nature of W uppl
P (Signed)_ / 1
Spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his `' gations as an emp • er of labor
under the Florida Workmen's Compensation Act, being Section S' ; Compiled Ceneral 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 ouch sub-contractors, � k ® to be perf . - • under + , 't, as are
licensed by Miami Shores Village.
�a ! :: ..-- ---.°_, -
(Sim)
/#r4 6 u- �� o
Regain. No. of Stories.
Master Plumber.
STATE OF FLORIDA, I a,.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, . y authorised to administer oaths and take aclmawledgments, personally appeared
to me well known, and who, being by me fist duly sworn, up= oath deposes and says that he is the
of the above described construction, that he has =dully read the foregolng application. and that be 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 he nada whe2 einin ea.it by Improper notice for inspection. or faculty
materials and /ar
Location and Legal 'Description Lot
Permit No.../k..r.--1.-t5
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 Buildingpivision
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.
Owners Name and Address .4 C• No. .e-siT
Registered Architect and/or En
Employing limber's NUM—
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
`7/‘/ 'P
Block Subdivision
Street and Number where worlds to be performed—No /1/f 0;--ieret
State work to be performed and purpose of building (By Floors)_____
New Remodeling_ Addition. _ Repairs
Size Septic Tank_. _Type of Tank__
Feet of Drain Tile.
Nature of Water S
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ly: Ci
•
Dist Feet of Tank or Drain Field from Well
WelL Size of
'
(Signed)_
(Signed)
=0 t ..4.222111261 tf XL 21
No. of Stories.
.. ^
Capacity
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 5968, 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, work to be performed under this • •rmit, as are
licensed by Miami Shores Village.
•
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.
My Commission Empires Notary Public, State of Florida
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/ca. workmanship.
CLOSETS
BATH
Tues
SHOWERS
LAVA.
TORIES
SI N"
SLOP
SINKS
LAUNDRY
U se
URINALS
CATCH
B ASIN
FLOOR
DRAIN
---
DRINKING
FOUNT'Ne
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DE/LP
WELL
SPRKLR.
SYSTEM
SW1140
POOL
CONTR.
LIGT
CHECK
Location and Legal 'Description Lot
Permit No.../k..r.--1.-t5
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 Buildingpivision
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.
Owners Name and Address .4 C• No. .e-siT
Registered Architect and/or En
Employing limber's NUM—
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
`7/‘/ 'P
Block Subdivision
Street and Number where worlds to be performed—No /1/f 0;--ieret
State work to be performed and purpose of building (By Floors)_____
New Remodeling_ Addition. _ Repairs
Size Septic Tank_. _Type of Tank__
Feet of Drain Tile.
Nature of Water S
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ly: Ci
•
Dist Feet of Tank or Drain Field from Well
WelL Size of
'
(Signed)_
(Signed)
=0 t ..4.222111261 tf XL 21
No. of Stories.
.. ^
Capacity
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 5968, 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, work to be performed under this • •rmit, as are
licensed by Miami Shores Village.
•
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.
My Commission Empires Notary Public, State of Florida
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/ca. workmanship.
BUILDING ❑
ELECTRICAL ❑ DATE
PLUMBING ❑ PERMIT N? 9953 Contractor s
License No
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
❑ Work to be performed under this Permit
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $
Amt. of
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 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 or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance 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 accepting this pertnit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY