934 NE 91 Terr (6)PERMIT APP FOR MIAMI SHORES VILLAGE
Date ' c.2 O Job Address ' ” / i / i 1.-- Tax Folio
Legal Description Historically Designated: Yes No
I STaK Bc-�' y
Owner's Address / q Z 1 1 9 ' 1 �� � Phone e�0 — 9-5? 0 6
Contracting Co ∎5 044 A'rul 7%
Queer rZUSSt 2 L £ r44
p ad
State # Municipal # Competency # C�CO j� Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor
Owner/Lessee / Tenant M
Permit Type (circle one): BUILDING ELECTRICAIG PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION S L-
C! / A -70 C Aia -- (Cc, I )
Square Ft
Sign: e 6f owner
22 -S %1
� _ /
N' � �/ _ SEAL
• y Co $ u'ssion pra,LAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC7t4103
MY COMMtSS!ON EXP. MAR. 1
FEES: PERMIT �C 5 RADON
r Condo President
36- 9 23
Date
APPROVED:
Zoning Building
Mechanical Plumbing
C.C.F.
Address
Address -212 0 „sr
SS# P h o n e 9 L )92/ a 3
Estimated Cost (value)
Master Permit # t/3 Lf 7
de.
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 work will be done in compliance with all applicable
1 ws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Date
a oao0
Notary as to Contractor or Owner - Builder
My Commission Expires: - -- - - - - - - - - -
RUTH A NFSSL
Public r r ; -::, ;- ;. , : 03/23/00
CornaW • CL533320
NOTARY BOND
Electrical
ate
6°
TOTAL DUE
Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / / / 7(i'7 Job Address, c i 3 - 1 AJEF 9? . ,Tax Folio
Legal Description
1 ,, �.p y 2
/ Lessee / Tenant �y`�✓"I � v i S' ✓ ` 2 � Maste Permit �F � � ; S /
� y
c l 3)11 A e
Owner's Address ��� Phone l� ✓l/ O �l
Contracting Co.0 / CONFe4- cio,c'S Address G .Xal PA-) lb wcy
Qualifier /VI (M 0/ f /V 9-R/L/J Phone (JO —3 ? 77
State PF`� J
4 &� iunicipal # Competency # Ins.Co. 7,
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRIC
WORK DESCRIPTION
Square Ft. Estimated Cost(value)
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 work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
ignatureof owner and
Date:
z JOSE RIVERA
� , My Comm Exp. 1'/28/98
ar:�ren J uernS
Nothry as to Owner an 4#fi 8' eY
My Commission Expires:` 1 No. C;C429939
** *
FEES: PERMIT
APPROVED:
Zoning
*
I ) Prwnallp Knows 11-44611131
Buildin
Mechanical Plumbin
MECHANICAL ROOFING PAVING FENCE ! SIGN
4-0 C efts ,
Signatu
Date:
1t1�4 Icy � 0-/
.--;;;--0035777r.
.1"."---a;dif;t MISsro,E E1°. APR
y Commission
*
*
*
er- Builder
**
RADON C.C.F. NOTARY TOTAL DUE
Fire Other
Electrical
Engineering
APPLICATION FOR PLUMBING PERMIT
Permit No 01 ` Date..._— ..2
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.
l
Owner's Name and Address YI %11/ S e r 2 y No St eet_...L 9 /
Registered Architect and /or En • eer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
EV1210 rinbeell el9P ZSS Itraet2S2 S T=
// `hors maul gaf Desctip on Lot 7 e 9i'i f/7 ' �/ � gloo, cX.
C ' E Street and Number where work is to be performed —No __4 �/ Street. 4 1bdivision
Z_ . ._7
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
Nature of Water Supply: City—We1L
My Commission Expires
_Type of Tank—
nisi. Feet of Tank or Drain Field from Well..._.—_.____.__.. .__._ ..... ___________.....__._.
Size of Soakage Pit.
—
Amount of Permit $ - O Y
(Signed
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and ltd.( com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort- to lx
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 arr
required by the Act. The undersigned agrees to employ only suds rob- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) 24
S93 -v)-�
Master Plumber.
STATE OF FLORIDA,
u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnowledgments, 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 tin foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made whoa soot r lespaodon Y snada.aao mart' by improper erotica far impection, or faulty
L mad /or workmanship.
CLOUTS
BATH
BATH
TUB,
aNOWERa
LAVA.
G
SLOP
SINKS
LAUNDRY
Tuna
CATCH
MAKIN
FLOOR
DRAIN
ORINKO
IN
FOUNT'N.
r
TONAL
PexTVREa
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
~
SOLAR
MEATIER
DEEP
WELL
SPRKLR.
avarice
$WIM'O
POOL
I
CONTR.
LIST
-
I
CHICK
APPLICATION FOR PLUMBING PERMIT
Permit No 01 ` Date..._— ..2
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.
l
Owner's Name and Address YI %11/ S e r 2 y No St eet_...L 9 /
Registered Architect and /or En • eer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
EV1210 rinbeell el9P ZSS Itraet2S2 S T=
// `hors maul gaf Desctip on Lot 7 e 9i'i f/7 ' �/ � gloo, cX.
C ' E Street and Number where work is to be performed —No __4 �/ Street. 4 1bdivision
Z_ . ._7
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
Nature of Water Supply: City—We1L
My Commission Expires
_Type of Tank—
nisi. Feet of Tank or Drain Field from Well..._.—_.____.__.. .__._ ..... ___________.....__._.
Size of Soakage Pit.
—
Amount of Permit $ - O Y
(Signed
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and ltd.( com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort- to lx
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 arr
required by the Act. The undersigned agrees to employ only suds rob- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) 24
S93 -v)-�
Master Plumber.
STATE OF FLORIDA,
u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnowledgments, 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 tin foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made whoa soot r lespaodon Y snada.aao mart' by improper erotica far impection, or faulty
L mad /or workmanship.
Owners Name and Address
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.. .sLt.
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 basin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
J. skk'esbeey 95g 8549 No
Registered Architect and /or Engineer N�A
Emn1oyig Pl be s Nfyve y� ty) CydRacims a
gal Description Lot 4r Vki
Na — State work to be performed and purpose of buikling (By Floors) jed79,64 ke-e 40 Aiar
twat..• 98 SY 33/6
B k n c k � Subdi / 4ei
•
934 street-.! / 9/ 7e/
New Building..__._ _ _.._......._.._.. Remodeling-- .__. - - -_ _.__ Addition_. ___ _,. - -- Repairs ° No. of Stories ..............
Size Septic Tank_ -Type of Tank_
Feet of Drain Tile. — Dist_ Feet of Tank or Drain Field from Well ..._.— _..___
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit $ sZ.5 `
Robed .9 £ve
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he •erstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 59198, Compiled General Laws of Florida Permanent Supplement, and hav mm-
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 to be owned under this permit, as are
licensed by Miami Shores Village
(Slmaed 1 _ - - r i `�-�
STATE OF FLORIDA, 1 µ
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persorully appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the. the..n2.2
of the above described construction 1Al tbat ctar r .. �y ion ku , i i the foregoing application, and that he did sign the 1 all facts
therein by him stated are true. I� J� rw
My Commission Expires lune 29, 1990
_�jaad.d Thru Troy Fein - Insurance Ina
My COLODI anion Expires
NOTE: A re- inspection fee of $1.00 will be made when snob awiespoties is taede by improper r;i; for hispectiosr, or faulty
materials and /or worimaanship.
CLOSES
BATH
TUBS
riHOW[RS
LAVA-
Tomas
a1NKS
SLOP
!Mots
LAUNDRY
Tuve
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTa.
LIST
CHICK
SEPTIC
TANK
SIWIR
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLA
HEATER
D[V
WELL
1 .
a
SW IN'G
POOL
CONTR.
LIE
,---
1
CHECK
Owners Name and Address
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.. .sLt.
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 basin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
J. skk'esbeey 95g 8549 No
Registered Architect and /or Engineer N�A
Emn1oyig Pl be s Nfyve y� ty) CydRacims a
gal Description Lot 4r Vki
Na — State work to be performed and purpose of buikling (By Floors) jed79,64 ke-e 40 Aiar
twat..• 98 SY 33/6
B k n c k � Subdi / 4ei
•
934 street-.! / 9/ 7e/
New Building..__._ _ _.._......._.._.. Remodeling-- .__. - - -_ _.__ Addition_. ___ _,. - -- Repairs ° No. of Stories ..............
Size Septic Tank_ -Type of Tank_
Feet of Drain Tile. — Dist_ Feet of Tank or Drain Field from Well ..._.— _..___
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit $ sZ.5 `
Robed .9 £ve
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he •erstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 59198, Compiled General Laws of Florida Permanent Supplement, and hav mm-
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 to be owned under this permit, as are
licensed by Miami Shores Village
(Slmaed 1 _ - - r i `�-�
STATE OF FLORIDA, 1 µ
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persorully appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the. the..n2.2
of the above described construction 1Al tbat ctar r .. �y ion ku , i i the foregoing application, and that he did sign the 1 all facts
therein by him stated are true. I� J� rw
My Commission Expires lune 29, 1990
_�jaad.d Thru Troy Fein - Insurance Ina
My COLODI anion Expires
NOTE: A re- inspection fee of $1.00 will be made when snob awiespoties is taede by improper r;i; for hispectiosr, or faulty
materials and /or worimaanship.
Permit No.
Amount of Permit $
r
•
Owner's Name and Address __ :.:.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ Street
Size Septic Tank_ Type of Tank-- _
Feet of Drain Tile __._._ Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well _ _ _.__ Size of Soakage Pit-_
(Signed) r!� t E � .:'��
(Signed).
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Registered Architect and /or Engineer --- -- _-__ -- --•--_----_-_--•---- w__. .__.__..______..._._...- _ --- -.- - -- -- _ ..._
•
Employing Plumber's Name. ____ -' No.___.__... r __._._ _.. Street
Location and Legal Description Lot _____.__.___.. _ _._.____.____. Block___...__._______._ _ ._____ Subdivision
Street and Number where work is to be performed —No 4__ _
State work to be performed and purpose of building (By Floors)
New Building _ _ Remodeling t Addition Repairs
Capacity Gals.
Street.
No. of Stories
Plumbing Insractor.
The undersigned applicant for this building permit does hereby certify that he understands and accept f bis obligations as al, employer of labor
under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida ennanent Supplement, and hats Im-
plied with the provisions thereof, and will require similar compliance from all contractors or sub• contractors employed by him in the wo:•k 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 r' rmit, as art
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, �,
COUNTY OF DADE. J
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .tppeare
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 tar
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 f,.ul
materials and /or workmanship
CLOSETS
BATH
us3
'fuss
LAVA.
TORIES
SINKS
SLOF
SINKS
AU
LAUNDRY
Tuss
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT 'N5
.!;' =
• . 1: '!:•
TOTAL
FIXTURES
Comm
LIST
}
i
CHECK
.
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 0
POOL
CONTR.
LIST
CHICK
Permit No.
Amount of Permit $
r
•
Owner's Name and Address __ :.:.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ Street
Size Septic Tank_ Type of Tank-- _
Feet of Drain Tile __._._ Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well _ _ _.__ Size of Soakage Pit-_
(Signed) r!� t E � .:'��
(Signed).
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Registered Architect and /or Engineer --- -- _-__ -- --•--_----_-_--•---- w__. .__.__..______..._._...- _ --- -.- - -- -- _ ..._
•
Employing Plumber's Name. ____ -' No.___.__... r __._._ _.. Street
Location and Legal Description Lot _____.__.___.. _ _._.____.____. Block___...__._______._ _ ._____ Subdivision
Street and Number where work is to be performed —No 4__ _
State work to be performed and purpose of building (By Floors)
New Building _ _ Remodeling t Addition Repairs
Capacity Gals.
Street.
No. of Stories
Plumbing Insractor.
The undersigned applicant for this building permit does hereby certify that he understands and accept f bis obligations as al, employer of labor
under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida ennanent Supplement, and hats Im-
plied with the provisions thereof, and will require similar compliance from all contractors or sub• contractors employed by him in the wo:•k 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 r' rmit, as art
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, �,
COUNTY OF DADE. J
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .tppeare
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 tar
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 f,.ul
materials and /or workmanship
•
fs
L
PLUMBING
Architect and /or Engineer
V
Contractor or Builder
5 ( ` -t` -� - --
AMOUNT
i
Dated - - - -- — -- — -- - --
PERMIT A N° _ 317
NAME
NAME j •
— — -- 19 6 ° 4 0
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
ADDRESS
I 011-
•
•ner of Building ,C t_ -- -- = - - - -/
NAME ADDRESS LICENSE NO.
1 9_
LICENSE NO.
It -. r _4
STREET
Proposed Location ____J — / 1
LOT BLOCK / S - DIVISION / NO.
l l ` I /
IC 44'11 �t !! tip < , I �p , i ` b4` �: Z., /t k '
This permit is issued to .� = __ _
the building above described. as per application. Plans aid Specifications heretofore filed in this office. TIAs permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shor illapy This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon a an n the plans and specifications unauthorized by tht building inspector,
r' - ! ,/ )1 , !,
To
RECD. PAYMENT ACCT. DEPT. INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
n s and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building departatieM of Miami Shores Village.
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been 'obtained from the Planning Board.
A re- inspection fee of $1.00 will be made when such re- inspection i a* necessary by improper notice for inspection or faulty materials and /or workmanshi"
L PERMIT A N°
PLUMBING
EIV ner of Building__ /1 ' t.
Proposed Location
AMOUNT '�...
Dated
MIAMI SHORES VILLAGE
120 BUILDING INSPECTION DEPARTMENT
r ,
//-7 ( f . 19 0
NAME
qi
Architect and�e--- Ertgiite�r__ '
!1 ; 1 / I
/ NAME {' J
Contractor or- 1
NAME
Z
ADDRESS
ADDRESS
/ 7 JJ 11 164 t 1 is /! - &-
ADDRESS
SUjE - DIVISION
11 1 it
7' _, 211 .
,NO. • STREE //!J
F (
This permit is issued to
the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Sho,,r�tecs; Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances p.rules and regulations, or upon by.'chlfige in the plans and specifications unauthori bj the building inspector:
i r / 1
=,,-- ' iiii /df RFiCD. PAYMENT ACCT. DEPT.
III In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
a ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building departme t of Mia • ' Shores Villa $I"
I /— / ,
LICENSE NO.
LICENSg NO.
' e..
INSPECTOR
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after' approval has been obtained from the Planning Board.
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.
OWNER
LOT
BLOCK
SUBDIVISION
Date / ' ,� ,,
tt
Issued to .fr { " • "
Fixtures $
Sewer / $ / ' " '.
Septic Tank $ -
Miami chores9llage
F L O R I D A
PLUMBING PERMIT N9 1277
r ,'
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.
f
For a ' story i 1∎ x t t , F. r f if /
building at 1 ', . / / r i
Fixtures r !'' ? r( / i1', :e; -- . .' t.
r:
Total $
Village Plumbing Inspector •.
( )r, `e: / y
l e: /I( f
Received Payment by
t
BUILDING
ELECTRICAL
PLUMBING
CONTRACTOR OR BUILDER
Owner of
Building
Architect
Bl.
Contractor
or Builder --
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 7764
Work to be performed under this Permit
Legal Lot
Description
Address of
Building -?/"./ 6 /7-j
This pit is granted to the contracr builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining the 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 sta)ements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
BY
bdi-
vision
Value of
Project
DATE i,44 • . 4 194>a
Contractor's
License No.
Amt. of
Permit
SPECTOR � 4-4...s
Signed• . w Br- . -
j /
In consideration of the issuance to me of this permit I agree to perfornf / the work covered hereunder in compliance witl l df ces an4 realuhtioiiit
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami S res age:
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
.0144,,, AUTHORITY
=OM
GodlRlEi►L } PERMIT A N? 120
PLUMBING
Owner of Building 1; /t .s
Architect
aad{o.-- Fagiaelr
Contractor
Proposed Location
AMOUNT
Dated
NAME
NAME
e •
mica. PAYMENT ACCT. Darr.
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
ti_
ADDRESS LICENSE NO.
_._:/' •
f/
LOT SLO�f. ,/� - DIVISION
'This permit is seed to ` _ : Je• �• 4 i 1 f , ir
Tj',' {r I �
the building above described. as per application. // ppliation. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted. and in accordance
and compliance with the building laws of the State of Florida and with the building ordinance and zoning laws of Miami Shores Village, and rules and
laws, ordinances
regulations of the ding department of Miami Sho Village. This permit may be revoked at any time upon the violation of any provisions of said
la and regulations, or upon hge in the ;plans and specifications nnanthori b the ips
.NO.
Ct rts'
To
LICENSE NO.
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plane and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida. all the
building ordinances and in g laws of it Shores Village' and all rules and regulations of the, building department of Mia Shorn Villa
. 19 ' ao
(SEAL)
NOTE: A cbaege of $1.00 will be made for making corrections or changes to this application after \ approval has been obtained from the ;Bawd.
A re-inspection fee of $ 1.00 will be made when such re- inspection is made nmessary by improper notice for inspection or fealty stated* dos livo I
se /0_ :3(
Issued to / 1�
Miami cflzores9llage
F L O A I D A
PLUMBING PERMIT N9 1277
to install the rowing described plumbing, in accordance with the laws, statutes and regu-
lations of Miarni Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida. � ,�' '�
For a / story - -1 kte4.1 building at / 7 /I / � - / / / T .
Fixtures r 6
-t - 4 ' / GiG Gr - /. detvei 14 to.. i 44
Fixtures $ 6.1%s
Sewer
•tic Tank $
Total $ 7r 3.0"
!+
Village Plumbing Inspector At/
Received Payment by _ — ' . r( k.
OWNER ./
LOT
BLOCK
SUBDIVISION
7/44
74141 de-‘0 .(
se /0_ :3(
Issued to / 1�
Miami cflzores9llage
F L O A I D A
PLUMBING PERMIT N9 1277
to install the rowing described plumbing, in accordance with the laws, statutes and regu-
lations of Miarni Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida. � ,�' '�
For a / story - -1 kte4.1 building at / 7 /I / � - / / / T .
Fixtures r 6
-t - 4 ' / GiG Gr - /. detvei 14 to.. i 44
Fixtures $ 6.1%s
Sewer
•tic Tank $
Total $ 7r 3.0"
!+
Village Plumbing Inspector At/
Received Payment by _ — ' . r( k.
Permit No �
C7 -
Size Septic Tank -- - - - - --
Feet of Drain Tile _________ —
Nature of Water Supply: City —Well.
Amount of Permit 3
Owner's Name and Address
Registered Architect and /or engineer_______
Employing Plumber's N
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING i `rcMIT
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. 9 Y4 Street __9/ ) 7 �'�
------ - - - - -- - - - - - -- - --
- o.. —_ / 1 l_(!l!_/ Street
Location and Legal Description Lot____.--_-____,____— ._—___ --Block Subdivision
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- - - - - -- - --_— Repairs No. of Stories. . ................
Type of Tank__ Capacity Cals
_ —Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit__
(Signed)-
C.
Date
Notary Public, State of Florida
Street
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
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 - contractor on work to . erformed u •er this permit, as are
licensed by Miami Shores Village.
(Si c�l
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 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
TUBE
SHOWERf
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tutus
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
DELP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIFT
--- -
CHECK
Permit No �
C7 -
Size Septic Tank -- - - - - --
Feet of Drain Tile _________ —
Nature of Water Supply: City —Well.
Amount of Permit 3
Owner's Name and Address
Registered Architect and /or engineer_______
Employing Plumber's N
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING i `rcMIT
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. 9 Y4 Street __9/ ) 7 �'�
------ - - - - -- - - - - - -- - --
- o.. —_ / 1 l_(!l!_/ Street
Location and Legal Description Lot____.--_-____,____— ._—___ --Block Subdivision
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- - - - - -- - --_— Repairs No. of Stories. . ................
Type of Tank__ Capacity Cals
_ —Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit__
(Signed)-
C.
Date
Notary Public, State of Florida
Street
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
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 - contractor on work to . erformed u •er this permit, as are
licensed by Miami Shores Village.
(Si c�l
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 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.
AftLIMNG
-61-EerRTCAL PERMIT A N° _ 317
PLUMBING
Architect and/or Engineer
Owner of Building
NAME
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
/ 19 4 / 0
. -..,
, ,...
i 7 0-,
i e.'"" , 7
,' (2
ADDRESS LICENSE NO.
Contractor or Builder _e
ADDRISS
NAME LICEIVIE NO. N
"il,
ADDRESS
.0 •
Proposed Location _1_ '1'" 4 ,
111 -DIVISION i NO. STREET
'This permit is issued to ---- l e'' /.11 4 l" '''' $ .— l '• '' - , , ,- 1 .„ , , 4. AA,
To
, .
the building above described. as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted. and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
i
regulations of the building department of Miami Shoop VillT in the plans and specifications unauthorized by building nspector. . This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon a n
S a i 4 t ................,
-„--- - -' t • . 4 j 0 11 '''
. :
AMOUNT
LOT BLOCK
RECD. PAYMENT ACCT. DEPT.
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida. all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building dspart4eof Miami Shores Village.
— 19.
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has beenbbtained from the Planning Board.
A re-inspection fee of S1.00 will be made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
Permit No
4
MIAMI SHORES VILLAGE
Application is hereby made for the approval of the detailed statement cf the plans and specifications herewith(enbmitted 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
APPLICATION FOR PLUMBING PERMIT
4 i t
Registered Architect and /or Engineer
Size Septic Tank Type of Tank
•
PLUMBING INSPECTION DEPARTMENT
No
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
9_ ')_ Street /1 L ""
Employing Plumber's Name /./ 'Yj ¢/�f� No. Street
Location and Legal Description Lot_ Block Subdivision
Street and Number where work is to be performed —No a /_„ j Q /1_ _ Street t! _
State work to be performed and purpose of building (By Floors)
New Building______— Remodeling Addition Repairs No. of Stories
itt
Capacity Gals.____
/ (i
Nature of Water Supply: City —W444. Size of Soakage Pit.
Amount of Permit $
ss.
My Commission Expires
(Signed)
t
— - (Signed) _'= — — —
Notary Public. State of Florida
f
Plumbing Inspector.
f
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 ;.uch sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. r,4, C L�
aster 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 react 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
L.AUNDRY
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
_ d
—
` L
CHECK
I J `
Permit No
4
MIAMI SHORES VILLAGE
Application is hereby made for the approval of the detailed statement cf the plans and specifications herewith(enbmitted 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
APPLICATION FOR PLUMBING PERMIT
4 i t
Registered Architect and /or Engineer
Size Septic Tank Type of Tank
•
PLUMBING INSPECTION DEPARTMENT
No
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
9_ ')_ Street /1 L ""
Employing Plumber's Name /./ 'Yj ¢/�f� No. Street
Location and Legal Description Lot_ Block Subdivision
Street and Number where work is to be performed —No a /_„ j Q /1_ _ Street t! _
State work to be performed and purpose of building (By Floors)
New Building______— Remodeling Addition Repairs No. of Stories
itt
Capacity Gals.____
/ (i
Nature of Water Supply: City —W444. Size of Soakage Pit.
Amount of Permit $
ss.
My Commission Expires
(Signed)
t
— - (Signed) _'= — — —
Notary Public. State of Florida
f
Plumbing Inspector.
f
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 ;.uch sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. r,4, C L�
aster 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 react 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.
H
j
Amount of Permit $______
Application is hereby made for the approval of the detailed statement of the plans and specifications her 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
APPLICATION FOR PLUMBING PERM4T
building during progress of work.
Owner's Name and Address 1 0
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 OF FLORIDA,
ss.
COUNTY OF DADE.
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION 'DEPARTMENT
No.
No Street
Y
Block Subdivision
Date____ s =_'
Street
Street
State work to be performed and purpose of building (By Floors)
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 Size of Soakage Pit. __________________________ __ _______ ________ _________ ____________________
0 I
— ""'a'----- - ----- (Signed) - -L I <h .•.,�
---- -- a / Plumbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed) r:_
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
therein by him stated are true.
Notary Public, State of Florida
authorized to administer oaths and take acknowledgments, personally
same, and that all facts
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 EA - - ER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Amount of Permit $______
Application is hereby made for the approval of the detailed statement of the plans and specifications her 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
APPLICATION FOR PLUMBING PERM4T
building during progress of work.
Owner's Name and Address 1 0
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 OF FLORIDA,
ss.
COUNTY OF DADE.
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION 'DEPARTMENT
No.
No Street
Y
Block Subdivision
Date____ s =_'
Street
Street
State work to be performed and purpose of building (By Floors)
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 Size of Soakage Pit. __________________________ __ _______ ________ _________ ____________________
0 I
— ""'a'----- - ----- (Signed) - -L I <h .•.,�
---- -- a / Plumbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed) r:_
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
therein by him stated are true.
Notary Public, State of Florida
authorized to administer oaths and take acknowledgments, personally
same, and that all facts
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 he 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 •4 ? No 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. Jy_ _ ti ! ""i�treet_"' �________�________ _ __ ____________
State work to be performed and purpose of building (By Floors)
New Building Remodeling____ Addition Repairs..
Size Septic Tank_ Type of Tank Capacity
Feet of Drain Tile________ ___ Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $ _
MIAMI SHORES VI LLAG E
PLUMBING INSPECTION
APPLICATION FOR PLUMBING PER
My Commission Expires
No Street
__(Signed)
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 wort; to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, k
es.
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 read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
No. of Stories
y Plumbing Inspector.
CLOSETS
BATH
Tuas
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
T UDS
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 he 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 •4 ? No 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. Jy_ _ ti ! ""i�treet_"' �________�________ _ __ ____________
State work to be performed and purpose of building (By Floors)
New Building Remodeling____ Addition Repairs..
Size Septic Tank_ Type of Tank Capacity
Feet of Drain Tile________ ___ Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $ _
MIAMI SHORES VI LLAG E
PLUMBING INSPECTION
APPLICATION FOR PLUMBING PER
My Commission Expires
No Street
__(Signed)
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 wort; to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, k
es.
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 read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
No. of Stories
y Plumbing Inspector.
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 wo k.
_,
Owner's Name and Address __
Registered Architect and /or En er
Employing PJ.‘mbo•'s N.,r. No. -- // I/,�
l _ Q�1�
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed
New Building Remodeling
Amount of Permit S.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION•DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
Block
ose of building (By Floors)
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be pasted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
_(Signed)
(Signed) it': .
Date
Street---- - -- – - -- -- – - - --
Subdivision_4tG�44J� -�
Size Septic Tank Type of Tank Capacity Gals.______Q
Feet of Drain Tile — ______ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit.
Notary Public,. State of Florida
Addition. Repairs No. of
umbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work t9 be performed under this permit, as are
aster 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 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
TUGS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
B ASIN
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 wo k.
_,
Owner's Name and Address __
Registered Architect and /or En er
Employing PJ.‘mbo•'s N.,r. No. -- // I/,�
l _ Q�1�
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed
New Building Remodeling
Amount of Permit S.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION•DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
Block
ose of building (By Floors)
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be pasted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
_(Signed)
(Signed) it': .
Date
Street---- - -- – - -- -- – - - --
Subdivision_4tG�44J� -�
Size Septic Tank Type of Tank Capacity Gals.______Q
Feet of Drain Tile — ______ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit.
Notary Public,. State of Florida
Addition. Repairs No. of
umbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work t9 be performed under this permit, as are
aster 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 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.
Amount of Permit S_—
MIAMI SHORES VI LLAG E
PLUMBING INSPECTION.DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 11lltbmitted 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. 9. A'
Owner's Name and Address No._ .T_ •I Street ?_/ - rot
Registered Architect and /or Engineer
Employing Plumber's Name _il�o No Street
r� 4,4,
Location and Legal Description Lot_ Block t� Subdivision_ ____ __ �_tt (� — —
Street and Number where work is to be performed —No �___.,�, Street 9/ '�
State work to be performed And purpose of building (By Floors) -
New Building v Remodeling Addition Repairs - -____ No. of Stories
Size Septic Tank_____ _ Type of Tank JC_ lA•' Capacity Gals. 'b
Feet of Drain Tile_____11 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Wb61. Size of Soakage Pit
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 Sectio:a 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.
My Commission Expires
__(Signed)
(Signed)
------ --------------- - - --
Plumbing Inspector.
Date__
STATE OF FLORIDA, k
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 read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
avt 3 ,- fre - --
r 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
'rues
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.
IST
LIST
CHECK
•
Permit No.
Amount of Permit S_—
MIAMI SHORES VI LLAG E
PLUMBING INSPECTION.DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 11lltbmitted 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. 9. A'
Owner's Name and Address No._ .T_ •I Street ?_/ - rot
Registered Architect and /or Engineer
Employing Plumber's Name _il�o No Street
r� 4,4,
Location and Legal Description Lot_ Block t� Subdivision_ ____ __ �_tt (� — —
Street and Number where work is to be performed —No �___.,�, Street 9/ '�
State work to be performed And purpose of building (By Floors) -
New Building v Remodeling Addition Repairs - -____ No. of Stories
Size Septic Tank_____ _ Type of Tank JC_ lA•' Capacity Gals. 'b
Feet of Drain Tile_____11 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Wb61. Size of Soakage Pit
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 Sectio:a 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.
My Commission Expires
__(Signed)
(Signed)
------ --------------- - - --
Plumbing Inspector.
Date__
STATE OF FLORIDA, k
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 read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
avt 3 ,- fre - --
r 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.
Permit No l 7 1
Street and Number where work is to be performed —No
Size Septic Tank Type of Tank
MIAMI SHORES VI LLAG E
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 ___4/7" 7 f - / 1 _'�_ �` _ __ 3 I __ ' , "No Street
Registered Architect and/or Engineer _tl3x` I �' __, A +' � `i . _f y ,� ' " -
g� / g� - f - - -- -
�/ 1. . w. a' x • 1 r r
" / '1,..,_)4 - f 1 / .0 Str eet - I it
/ J ` -'f
Employing P1ua�rs.•- Na�a,�� _�� / - e� :'„ i'' - ,- � -�- + + x = - �- - - -'�= -- No J/4t J�
Location and Legal Description Lot . f< v _ - Block
2
State work to be performed an purpose of building (By Floors)
,l1 " ''''
Date
Subdivision__ e ,, 7 K _
ree5 f J .: _�> l Z.f t t,
New Building Remodeling Addition. Repairs No. of Stories
Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $_
t
(Signed)
umbing 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.
My Commission Expires
(Signed)
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
ss.
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 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
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
IST
LIST
CHECK
Permit No l 7 1
Street and Number where work is to be performed —No
Size Septic Tank Type of Tank
MIAMI SHORES VI LLAG E
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 ___4/7" 7 f - / 1 _'�_ �` _ __ 3 I __ ' , "No Street
Registered Architect and/or Engineer _tl3x` I �' __, A +' � `i . _f y ,� ' " -
g� / g� - f - - -- -
�/ 1. . w. a' x • 1 r r
" / '1,..,_)4 - f 1 / .0 Str eet - I it
/ J ` -'f
Employing P1ua�rs.•- Na�a,�� _�� / - e� :'„ i'' - ,- � -�- + + x = - �- - - -'�= -- No J/4t J�
Location and Legal Description Lot . f< v _ - Block
2
State work to be performed an purpose of building (By Floors)
,l1 " ''''
Date
Subdivision__ e ,, 7 K _
ree5 f J .: _�> l Z.f t t,
New Building Remodeling Addition. Repairs No. of Stories
Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $_
t
(Signed)
umbing 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.
My Commission Expires
(Signed)
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
ss.
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 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.
Job:
Contr:
r 1 t r t
t Requested 1 Ready 1 1 R equested 1 Ready
r 1 r r
r r t
, Date, Time tDate r Time t 1 Date 1 Time t Date t Time
Fdn ► r t 1 t 1 t t r
t t t 1 t J 1 r r
GBm t t t 1 7 r 1 1 r
t t 7 t t 1 t • r t
T am
Rake
Col
Slab / 1. t r
t 1 } 1
Fin
Rgh
Fin
1 t 1 1
1 1 t. 1
1 1 7 1
r t 1 1
7 1 , 1
1 1 t 1
BUILDING
REQUEST FOR INSPECTION
!Ad:
t
r
'Contr:
! Fin
r 1
, Date
PLUMBING
1 ► 1 t
I 1_ 1
7 t 1 r
7 1 1 1
1 t 7 7
2 f 1 1
r 1 r 1
t t 1 1
1 t 1
Requested t
1
Time , Date 1 Time
Ready
t r 1 1 r
1 r r 1 1
1 1 t 1 1
1 1 1 t t