70 NE 96 StMIAMI SHORES X I LLAG E
PLUMBING INSPECTION DEPARTMENT
1
APPLICATION FOR PLUMBING PERMIT
f
Permit No ------ _ Date__.. ,.'_.a1► --
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 ._� - - yr - , ` N., '�!
Street
Registered Architect ay /or Engineer
Employing Plumber's Name
Location and Legal Descriptiorl
No., — Street
Subdivision--------------- ------------ --- - - - - --
Street and Number where work is to be performed— No._._,,/_. _
i
State work to be performed and purpose of buildin g (By Flo ) _ __ — � - - -}
- - -
g- -- --------- -- -------- - - - --- Additior .-------------------- - - - --- Repairs New Buildi ^g____.__...___ .—
_.___.______._ Remodeling p -'' -
________________ No, of Stories________________
Size Septic i
Type of Tank ------------------------------ -- ----- ---- ---- - - - - -- Capacity Gals --------- - ------ ---- - -
Feet of Drain Tile -or- - - -- -
Dist. Feet, of. Tank Drain•Fieitt-'ftdirr� 6iI"'_ =__ -
Nature of Water Supply: City—Well ------------ - ----------------------------------------- Size of Soakage fait.------ .,- _-- --------------- _ ----
Amount of Permit $ _ __ ,t ___ ____ -_ __ _ —__ (Signed)^
� w. �--- �Plumbtng 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) .... . .__•-- ------------
.,.- ..= J: -._.E ^--- .f�.��'�.. .�."_._._____.... -- - - -•
� ter Plumber.
STATE OF FLORIDA, 6
COUNTY OF DADE. ss.
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.
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
SEWER
DRAIN
SOAKAGE
GREASE
SOLAR
DEEP
SPRKLR.
SWIM'G
TANK
CONN.
FIELD
PIT
TRAP
HEATER
WELL
SYSTEM
POOL
CONTR.
LIST
CHECK
Size Septic i
Type of Tank ------------------------------ -- ----- ---- ---- - - - - -- Capacity Gals --------- - ------ ---- - -
Feet of Drain Tile -or- - - -- -
Dist. Feet, of. Tank Drain•Fieitt-'ftdirr� 6iI"'_ =__ -
Nature of Water Supply: City—Well ------------ - ----------------------------------------- Size of Soakage fait.------ .,- _-- --------------- _ ----
Amount of Permit $ _ __ ,t ___ ____ -_ __ _ —__ (Signed)^
� w. �--- �Plumbtng 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) .... . .__•-- ------------
.,.- ..= J: -._.E ^--- .f�.��'�.. .�."_._._____.... -- - - -•
� ter Plumber.
STATE OF FLORIDA, 6
COUNTY OF DADE. ss.
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.
JILDING
LECTRICAL
LUMBING
OOFING
weer of
zilding .
,-chitect
MIAMI SHORES VILLAGE. FLORIDA
DATE
PERMIT ° 3296 Contractor's
License No.
Work to be performed under this Permif -
)ntractor
Builder
gal Lot Subdi-
=scription Bl. vision _
Jdress o Value of Amount of 476 r
tilding Project �+ 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
refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
xwings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ie 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
rnted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
rtaining 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; BY
INSPECTOR
In consideratlQn,,44 the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
rtainff=ia3 -b?tareto aad ilf strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
Aing this porm1k11,,a6sumoe�ppibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BULL€ O BY AUTHORITY
BUILDING
C}
ELECTRICAL
❑
PLUMBING
Q
ROOFING
❑
MIAMI SHORES VILLAGE, FLORIDA
DATA
PERMIT N? 7156 Contractor s
License No. _
__ . ❑ Work to be performed under this Permit — - -
Owner of r
Building
Architect
Contractor
or Builder F
Legal Lot i i Bl Subdon
Description
Address of - Value of Amount of ,
Building f' i ` Project $
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 specification that he assumes responsibility for work
done by his agents, servants or employees. -/ F
Signed:
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 ac-
cepting 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
Owner of
Building
Architect.
Contractor
or Builder --
Legal Lot
MIAMI SHORES VILLAGE, FLORIDA
DAT E., �
PERMIT NY 2897 Contractor's
License No_
Work to be performed under this
194
Uescription �+ Bl. Subdi-
J vision
Address of
Building . Value of
Project �� Amt. of
This permit is granted to the contractor or builder named above to construct the buildin Permit
application
herefor in
ngs,sstatementsnor spec ficat`ons tl:aeernay have been s g rs to install the equipment 'or device described in the
p�rtliniisg therein and rs >irh the understanding chat the work will be performed in compliance
be revoked at any time if the work is not done in compliance with such ordinances or if the pl are changed submitted to and approved
upon which this pernxit is granted is the understanding that the contractor or builder narne3 above ass
s a by an proper municipal authorization. This Permit may
dte ordinances and regulations Pertaining to the work covered hereby whether slxown on the plans or assumes til re in the state
than he assumes responsibility for work. done by his agents, servants or ernployees, g witlxour authorization. A further condition
unies the or in the for a thorough knntjons a of
meats or specifications and
In consideration of the issuance tric c to or it this permit ;agree to performs the work covered hereunder in complianee with all or
tions S y p g INSPECTOR
pertInac thing t and in strict conformity with nc� Sans, drawin s statements or sped &cations submitted to the prayer alto ordinances
of
Village. In accepting this permit I a sums responsibility for all work done by either myself, my agent, servant or employee, dinaoces and regula-
Miami Shores
Y
150NT3$ACTO OR IlUILDI R
BY `�-
AUTI•IORITY —
BUILDING r_1 MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑ DATE 195_
PLUMBING ❑ PERMIT N® 8786 Contractor's
ROOFING ❑ License No.
❑ Work to be performed under this Permit
Owner of I� - -- -- — —
Building I 6,
Architect
,,ontractor
or Builder_
Legal
Lot
Bl.
Subdi-
vision
Address of Sq. Ft.
Building 1 � Value tof $ ;a 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 cornplianee 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 assumea responsibility for work
done by his agents, servants or employees.
Signed; E3
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
pertaini g th reto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In acce to this permit. 1,4uume esponsibflity for all work done by either, myself, my agent, servant or employee,
CONTRACTOR OR BUILDER BY AUT ORTTY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑ � E 11 3,� 1,�
PLUMBING [ N. U
8259
ROOFING ❑
❑ Work to be performed under this
Owner of
Building —. _ !_+
Architect
. ontractor
or Builder
Legal Lot Bl.
n--;,,, +;-,
Subdi-
vision
SQ. Ft.
DATE 1- 195
Contractor's
License No. f
r
Address of Value of Amt. of
Building r d Project $ 11 Permit $ '1
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 wort: 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.
Sinned:— — 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 "?egulations
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
- _ 17
BUILDING
❑
ELECTRICAL
Eg
PLUMBING
❑
ROOFING
❑
MIAMI SHORES VILLAGE, FLORIDA
c e DATE r 195 r
PERMIT N? 6 6 3 7 Contractor's s r
License No.
Work to be performed under this Pernut_
Owner of
Building
Architect
Contractor" ' y
or Builder ." = trCr ( / 't e` ' t_
Legal Lot
Description +� Bl.
Address of
Building
Subdi-
vision
Value of ! Amount of
Project $ 1 Permit $ --y+
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 statemants_.ar spec atfons and that he assumes responsibility for work
done by his agents, servants or employees.
$igneti: ' f %i
BY:
SPECTOR
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 ac-
cepting this permti assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTORr OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of ;
Building '
■
■
■
■
MIAMI SHORES VILLAGE. FLORIDA
PERMIT
N? 4616
DA A � 195`"
Contractor's ,.,.._-
License No.
Work to be performed under this Permit
Architect
Contractor
or Builder "I., Ile
Legal Lot J Subdi-
Description ! j Bl. vision
Address of Value of Amount of
Building
Project $ _ I 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 hereuntfer 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY
AUTHORITY
BUILllING
❑
ELECTRICAL
❑
PLUMBING
❑
ROOFING
_ F
Owner of
Building
Architect _.
Contractor
or Builder
Legal Lot
Description
MIAMI SHORES VILLAGE, FLORIDA
DATE_
PERMIT N° 6278
If
Contractor's
License No.
Work to be performed under this Permit i
=if.
LA
Subdi-
vision
Address of Value of
Building Project N t y �� Perm tn$ o
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device c
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed i
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further co
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and t
sibility for work done by his agents, servants or employees.
signed:
In consideration of the issuance to nose of this permit I agree to perform the work covered hereunder in comoliance wiNall ord
pertaining thereto and in strict conformity with the plane, drawings, statements or specifications submitted to the proper authorities of Miao
cep4t} tbis permit 1 assume responsibility for all work done by either, elf, my agent, servant or employes.
�� ���.}�:rJ fv 4e/4 lf,�i% �.! ✓, +
CON RAC i Vii .OR BU11,pVi.P. f BY eb. UTHO:
MIAMI SHORES VILLAGE, FLORIDA
BUILDING
ELECTRICAL PERMIT N° 7011
PLUMBING
Work to be performed under this Permi
Owner of
Building
Architect
Contractor I
or Builder
Legal Lot
Description
Address of
Bl.
Subdi-
vision
Value of
DAT
Contractor's
License No._
Amt. of
Permit
194_
This permit is granted to the contractor or builder named above to constrict the building or to install the equipment or device described in the appli-
cation berefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work Grill be performed in compliance with any
plans, drawings statements or specifications that may have been submitted to and approved by the proper mimicilml authorities. This Permit may be revoked
at any time if tfie 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 granter] is the understanding that dle 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 be assumes respon-
sibility 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 permit I assume responsibility for all work done by either myself, lily agent, servant or employee.
CONTRACTOR OR BUILDER
BY
AUTHORITY