PLUMBINGPermit No. Q3 S
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING = N;.MIT
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. z. _ d
Registered Architect and /or Engineer____w -- ------.------_-•_--
Employing Plumber's Name_ -r-'_ _ _ ^>f' e " , No. ._,� �`�.��+�° Street-__ -D
Size Septic Tank
Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE.
New Building Remodeling_
Location and Legal Description
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)._
No. ?e)
Block_. 1 2 if Subdivision.-_
( Signed) _
(Signed).
Date
A �ve5'�
Street_A'E-
Street
Addition________.__ Repairs No. of Stories
Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts If obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ertnanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contract s 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, 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 worlcmanahip.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NG
FOUNT' NS
TOTAL
FIXTURES
CONTR.
L
LIST
/
/
- - -_
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
FIT
GREASE
TRAP
BerMI
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I M 'GI
POOL
CONTR.
L 1 ST
A'
CHECK
-
Permit No. Q3 S
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING = N;.MIT
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. z. _ d
Registered Architect and /or Engineer____w -- ------.------_-•_--
Employing Plumber's Name_ -r-'_ _ _ ^>f' e " , No. ._,� �`�.��+�° Street-__ -D
Size Septic Tank
Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE.
New Building Remodeling_
Location and Legal Description
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)._
No. ?e)
Block_. 1 2 if Subdivision.-_
( Signed) _
(Signed).
Date
A �ve5'�
Street_A'E-
Street
Addition________.__ Repairs No. of Stories
Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts If obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ertnanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contract s 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, 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 worlcmanahip.
1 3 r
Permit No
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE.
B�
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT'
APPLICATION FOR PLUMBING r% MIT
State work to be performed and purpose of building (By Floors) L 444/A1 $P,P/NKC E
h
(Signed)-
(Signed).
Date 4Pie/[ 6 19-17
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 Ai "MRS- it E E Lt= y No /' 90 Nk /'0 Street
Registered Architect and /or Engineer _____ __:�ME2��'6 SPR /N /ALER Co.
Employing Plumber's Name
Location and Legal Description Lot___
No. 37 A/. Mi Str eet A ✓E'.
Block. Subdivision.
Street and Number where work is to be performed —No // 90 /✓ E /0 0 Street_
SYSTEM
New Building Remodeling Addition_ Repairs No. of Stories_
Size Septic Tank _ Type of Tank_ Capacity Gals
Feet of Drain Tile_ ...... ______ ________________________._Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well ..__ ____ WEL _ _Size of Soakage Pit
Plumbing Ins . tor.
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 Perinanent 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 tlie 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.
__________
My Conunission 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 sane, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $LOO 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
TUa8
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FI %TURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I Al' O
POOL
CONTR.
LIST
}�
'_
` --
CHECK
1 3 r
Permit No
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE.
B�
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT'
APPLICATION FOR PLUMBING r% MIT
State work to be performed and purpose of building (By Floors) L 444/A1 $P,P/NKC E
h
(Signed)-
(Signed).
Date 4Pie/[ 6 19-17
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 Ai "MRS- it E E Lt= y No /' 90 Nk /'0 Street
Registered Architect and /or Engineer _____ __:�ME2��'6 SPR /N /ALER Co.
Employing Plumber's Name
Location and Legal Description Lot___
No. 37 A/. Mi Str eet A ✓E'.
Block. Subdivision.
Street and Number where work is to be performed —No // 90 /✓ E /0 0 Street_
SYSTEM
New Building Remodeling Addition_ Repairs No. of Stories_
Size Septic Tank _ Type of Tank_ Capacity Gals
Feet of Drain Tile_ ...... ______ ________________________._Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well ..__ ____ WEL _ _Size of Soakage Pit
Plumbing Ins . tor.
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 Perinanent 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 tlie 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.
__________
My Conunission 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 sane, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑ � ,�
ELECTRICAL ❑ DATE 195
PLUMBING PERMIT N9 8535 Contractor s
License No ..r
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Ji d ' t /
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $ 6 % c`+ "'
Signed
INSPECTOR
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 responsilility 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.
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 permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
Address of
Building
® PERMIT N? 8365
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.
9 Y.
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 permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOROR BUILDER
MIAMI SHORES VILLAGE.
Bl.
Work to be performed under this Permit
Signed•
Subdi-
vision
FLORIDA
DATE
Contractor's
License No.
Sq. Ft
Value of
Project $
Amt. of
Permit
BY
BY AUTHORITY
195
'UILDING ❑ bATE 195:
ELECTRICAL ❑ PERMIT N? 15185 Contractor's
PLUMBING License No
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder 4'
Legal
Description.
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
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,pr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Bi.
/
Signed•
Subdi-
vision
Value of
Project $
•
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 permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY
Amt. of
Permit $ /
BY
AUTHORITY
Permit No.___ 02 °2 Date ` `k-k L-_ _ \l
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 A d d r e s s S L A _ + . t K I SY
Registered Architect and /or Engineer
Employing Plumber's Name U \ S Co &I GY_y__ I f-
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
Nature of Water Supply: City —Well Size of Soakage Pit
STATE OF FLORIDA, t
' COUNTY OF DADE.
'100
l -2.S Dist. Feet of Tank or Drain Field from Well
Amount of Permit $ — ___________ (Signed
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No 'CO N ( _ Street Vk..? "
No Street
Block \ Subdivision_
1 +-4 0 Street 1V _�^ I (D C)
Type of Tank R-E CA S r
Repairs No. of Stories
Capacity Gals — I 0 0
yr'
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify tha s e and rstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge :.1 Laws of Florida Permanent Supplement, and has corn-
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 _
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
Master Plumber.
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
SW IM' G
POOL
CONTR.
LIST
l
CHECK
Permit No.___ 02 °2 Date ` `k-k L-_ _ \l
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 A d d r e s s S L A _ + . t K I SY
Registered Architect and /or Engineer
Employing Plumber's Name U \ S Co &I GY_y__ I f-
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
Nature of Water Supply: City —Well Size of Soakage Pit
STATE OF FLORIDA, t
' COUNTY OF DADE.
'100
l -2.S Dist. Feet of Tank or Drain Field from Well
Amount of Permit $ — ___________ (Signed
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No 'CO N ( _ Street Vk..? "
No Street
Block \ Subdivision_
1 +-4 0 Street 1V _�^ I (D C)
Type of Tank R-E CA S r
Repairs No. of Stories
Capacity Gals — I 0 0
yr'
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify tha s e and rstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge :.1 Laws of Florida Permanent Supplement, and has corn-
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 _
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
Master Plumber.
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.
IL
Permit No. ___1__L___ 1 N
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___,_._ _ No s Street
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building - Remodeling Addition Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
Type of Tank
Dist. Feet of Tank or Drain Field from Well , ` �
Nature of Water Supply. City ell ____ Size of Soakage Pit `�
— — 7--&-;''
s?........"."""".'"..".........st) —
— — — — ( Signed) 7 1 ....
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acce igations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General L ridAP manent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sd -co rac s 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 o he such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on w/r to fvork
be performed under this permit, as are
licensed by Miami Shores Village. ,
I
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
(Signed )
My Commission Expires Notary Public, State of Florida
Street
Capacity Gals
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
TU BS
,,.. /WYG*
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
;;,`f
TOTAL
FIXTURES
CONTR.
LIST
P
C+
1
J
i
tN
CHECK
„7 .2 ,0 " . 15
7 j
?1.--6
• 7
,r, 7
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
• POOL
' .' • 4_�
CONTR.
LIST
CHECK
I �
/ f T
IL
Permit No. ___1__L___ 1 N
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___,_._ _ No s Street
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building - Remodeling Addition Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
Type of Tank
Dist. Feet of Tank or Drain Field from Well , ` �
Nature of Water Supply. City ell ____ Size of Soakage Pit `�
— — 7--&-;''
s?........"."""".'"..".........st) —
— — — — ( Signed) 7 1 ....
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and acce igations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General L ridAP manent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sd -co rac s 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 o he such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on w/r to fvork
be performed under this permit, as are
licensed by Miami Shores Village. ,
I
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
(Signed )
My Commission Expires Notary Public, State of Florida
Street
Capacity Gals
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.
-UI DI NG
r- CTRJCAL
- UMBING
OOFING
wrier of
uilding r
infractor
r Builder
•egal
?escriptiorr
address of
' uilding
❑ Work to be performed under this Permit
.
rchitect
f • j
Lot
❑ PERMIT N? 11030
q t r
MIAMI SHORES VILLAGE, FLORIDA
DATE i ' A"' 7 195
Contractor's
License No
Bl.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device des d in the application
efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
e 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
nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
taining 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
,ne by his agents, servants or employees.
Signed A'. � " f �r'�y ,A444:0044t - BY y �#�►
In consideration of the issuance to me of this permit I arsee/to perform the work covered hereunder in compliance with all ordinances and regulations
.taining thereto and in strict conformity with the plans, drawing< statements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work dd a by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project $
* f.
Amt. of
Permit $
BY AUTHO
BUILDING n
ELECTRICAL 0 • PERMIT 'N° 11221
PLUMBING
ROOFING i n Work to be performed under this Permit
Owner of
Building i. • y "'r 1 t—t
Architect " °"""1" "" "
Contractor ...... -•-
or Builder t ti • _ s, _ ,. ' _ t + of �`
'�
Legal Lot L_ t
Description IF •"*,, Bl. � _ t 11
Address of
Building
` 1 r
CONT'' ILDER
MIAMI SHORES VILLAGE, FLORIDA
Signed:
\
Subdi-
vision •
r
Value of
Project $
inspiCTOR
DATE! t k 4A 1951
Contras or s
License No
Amt. of
Permit $ ( 4+%'
This permit is granted to the contractor or builder n 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 on drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
•
In consideration of the issuance to me of this permit I agree, to p form the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, grate ents or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all w• k done by either, myself, my agent, servant or employee.
BY AUTHORITY
-sr-
Permit No
Employing Plumber's Name
New Building Remodeling '
Amount of Permit $ -
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
•
y, p /e_G
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 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 r' � � No .1 _l _ _ Street - - - .___ Q_
Registered Architect and /or Engineer
ACME SEPTIC TANK CO.
No. Street
P. 0. BOX 1000
Location and Legal Description Lot
141Atl atfi: fLOR p A Block _ Subbdif is
A ,.�. J
Street and Number where work is to be performed —No .i t !'- , � i'' �trret `° d
State work to be performed and purpose of building (By Floors)
1
Addition Repairs No. of Stories
( Signed)
( Signed)
Size Septic Tank Type of Tank Capacity Gals
i
Feet of Drain Tile l 6-0 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
My Commission Expires Notary Public, State of Florida
Plu ng Inspe,
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a 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.
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
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
Employing Plumber's Name
New Building Remodeling '
Amount of Permit $ -
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
•
y, p /e_G
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 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 r' � � No .1 _l _ _ Street - - - .___ Q_
Registered Architect and /or Engineer
ACME SEPTIC TANK CO.
No. Street
P. 0. BOX 1000
Location and Legal Description Lot
141Atl atfi: fLOR p A Block _ Subbdif is
A ,.�. J
Street and Number where work is to be performed —No .i t !'- , � i'' �trret `° d
State work to be performed and purpose of building (By Floors)
1
Addition Repairs No. of Stories
( Signed)
( Signed)
Size Septic Tank Type of Tank Capacity Gals
i
Feet of Drain Tile l 6-0 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
My Commission Expires Notary Public, State of Florida
Plu ng Inspe,
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a 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.
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.