PLUMBING PERMITS— CLOOQT6
BATH
Tuoo
�HOWHRO
LAVA-
TOTom"
fi1PoK0
SLOP
SINKS
LAUNDRY
T ugs
URINALS
IA
CATCH
ammo
FLOOR DRINKI NO
Df3AIN FOUNT 1
- --
YOY,.L
RIATI. Rzo
CONTR.
LI T
"
CMQCK
SEPTIC
YANK
SEW IIR
CONN.
DRAIN
PIELD
6OAKAOS
PIT
GREASE
TRAP
SOLAR
HEATER
OUP
WELL
SPRKLR.
SYSTEM
SWIM'0
POOL
CON R.
LIT
CM¢CR
A0 M! £HOB ES VUL GE
PLUMBING !NSf ECTCON DEPARTMENT
�) APPLICATION FOR PLUMBING PERMI4
Permit No ° �i Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subr ire.d for the building 07 other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mic "_ Shoaaao Village, rI'lorida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatir.,• of the f2uilZing Divisiom
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and sper.'flcaticsts Le:1g tx kept et
auilding during progress of work.
Owner's Name and Address MRS
.iegist::red Architect and /or Engineer
Employing Plumber's Name 1 -4 C PL b
Location end Legal Description Lot.
Street and Num. e where worts is to be perform •; -No
State work to be performed and purpose of building (By Floors)
_._.__._ - •• - •-
New Building Remodeling_____ - Addition.
STATE OF FLORXDA,
COUNTY OF DADE.
0
(Si
No q
131oo9r Su
se 61 f✓6 street c 1
Repairs Nc. of Stories .
Size Septic of Tank___
Feet of Drain Tile_-_--- __ - - -- list. Feet of Tank or Drain Field from Welfl- . - _-- .- - - - - --
Nature of Water Supply: City -Welfl. __— _--- _ - - -__. __ _ - - -- — _._Size of Soakage Pit
Capacity 'eels.
Amount of Permit 6 a ( Signed) _ v
Numbing IIn Spector
kt) P c w - ? - P L C 1 5
The undersigned app 'cant for s building permit does hereby certify that he understands and accepts his obligations as an a n,,loyce is her
under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent furl lemrnt, and len !V >, ,-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ee k •o zm
performed under this permit; and will post or caur.e to be posted' for inspection on the site of the worts such pub!: aoti &- x ne icer _s a
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed n 4 _;a this �:rl.ei� .
110 red by `•! leant Shores Village.
%P f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgerents, peaorree y z p peeree,
to me well known, and who, being by me first duly morn, upon oath deposas and says that he is the ...__.....-
of the above described construction, that he has carefully read the foregoing application, and that he •1 d sign, the came, Reel teat all • csda
therein by hin-0 stat are true.
My Commission Farplres Notary Pubic, State e *Whrle
,
MO S35 Piro. .
NOTE: A re- inspection fee of $LOO will lee mate when such re4nspeetion by i m, as
mateeials and /c cork ip.
•
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or odes
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flay.-16.a,
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 Mia:.:i Shores Village shall he complied with, whether herein specified or not. A copy of approved plans and specifications must be kept et
building during progress of work.
Gera s Name and Address ��u -- - - -- -.- No.__ _ Street_
Registered Architect and /or Engineer .....
-------- - - -._. — _. _
Employing Plumber's Name No.____________— .___— _ -_ -_ -- Street__ -- - - - - --
Location and Legal Description Lot._
LT+C;mt of Pes it
STATE OF FL l' PJDA, z
COUNTY OF DADE.
MIAMI Si-loias VILLAGE
PWMB /NG INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Bloc k Subdivision
Street and Number where work is to be performed —No. C? L 42 treet_
Stato work to be performed and purpose of building (By Floors )_
New building _.__._ Remodeling____ — _____._ Addition
Repairs No. of Stories.
Size Salsec T cnk--------------------------- - - - - -- Type of Tank
Feet o f I?miffi i13 -_ — ____Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____-------- _------ ___ - -- —_ -- Size of Soakage Pit
(Signed)_
Capacity Oafs
r)
(Si
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labs-
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has cam-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to
performed under t :cis permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as a y
required By the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appears
NOTE: A re-Lnspection fee of SLOB will . made when such re- inspection is made •necessary by improper notice for inspection, or feu ty
materials and /or workmanship.
tc m: wail 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 a'si facts
.e•g by him stated are true.
eL08�RC3
OATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
CNIEEK
SEPTIC
TANK
SiEMJER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SlPRKLR.
SYSTEM
SWIM•G
P001.
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 odes
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flay.-16.a,
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 Mia:.:i Shores Village shall he complied with, whether herein specified or not. A copy of approved plans and specifications must be kept et
building during progress of work.
Gera s Name and Address ��u -- - - -- -.- No.__ _ Street_
Registered Architect and /or Engineer .....
-------- - - -._. — _. _
Employing Plumber's Name No.____________— .___— _ -_ -_ -- Street__ -- - - - - --
Location and Legal Description Lot._
LT+C;mt of Pes it
STATE OF FL l' PJDA, z
COUNTY OF DADE.
MIAMI Si-loias VILLAGE
PWMB /NG INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Bloc k Subdivision
Street and Number where work is to be performed —No. C? L 42 treet_
Stato work to be performed and purpose of building (By Floors )_
New building _.__._ Remodeling____ — _____._ Addition
Repairs No. of Stories.
Size Salsec T cnk--------------------------- - - - - -- Type of Tank
Feet o f I?miffi i13 -_ — ____Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____-------- _------ ___ - -- —_ -- Size of Soakage Pit
(Signed)_
Capacity Oafs
r)
(Si
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labs-
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has cam-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to
performed under t :cis permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as a y
required By the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appears
NOTE: A re-Lnspection fee of SLOB will . made when such re- inspection is made •necessary by improper notice for inspection, or feu ty
materials and /or workmanship.
tc m: wail 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 a'si facts
.e•g by him stated are true.
•e —.
Issued to
OWNER
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
For a story building at
Fixtures
Fixtures
Sewer
o ptic Tank $
chores9 llage
F L O A 3 D A
PLUMBING PERMIT N9 768
Total $
Village Plumbing Inspector --
Received Payment by
LOT
BLOCK
SUBDIVISION
:t 11111.
1,crcbv made for the approval of Coo detritiz. c"Zatemez.4 of tho piuv; and riN ific ;2io's I:Er: eil¢h ub: e. : fr.?
• .truct.,re heron drs:rltxd. Thal application Lo sack, t comp' c_ -a and confoirrisity with the 3M/dirt (27dincnr cf A,:t• 1 51::
a'I 1,7■.,veln, of the Laws of 2f:o Stcto of "rls;irtda, nadasnancoo cf Minns! Shcrea Q1194age and all ewes a:ra ^Halal, n3
•.1 9::.:;,:1 S■ure!, 8'illagc shrill ha cC>:.pd v7 wZT. c2ires hayelp o "Cad or ato2. A en72,7 O ay;pysJCZ� .,': ane fit
,ui:dut,s durin3 y-ogress of wo:lt.
a
Nr,ina and Address.
.• Ar:•hi?,ct and /oy IEngta z q / [� n ^
P lumlx?Y's Marne CsoAi APr pt C P'i- �Ca�Dn s C � ms No...__..... ®4 P.....,. L -',„„:114, , JUI.., 9
A�rtiun e;:t! °` „al Dcscalcitioas Lot
Nww Buil3i-ig ....- ....._.._ no:modeling_._._
KO, t1
EIAYM
CLOaLYa I EIT GPIOeia :O
�- �1hTR . I __
L Y
nacx
C•CP'i1C 1 SatVa a ' DRAU'N } 6OARAma 6 r uoI CoLAR Deca CPR C2l R. GYYIq c
cowl PILL® PIY YRAP PCaAYaR C ovaram POOL
. PJTR I OT I
1 -
Feat cf ;i'c Fe ra K)'ci -n
.L., ■:L *e of Water Supply: City— Wc`1..__. _.._.._..... -- -....__.. ..S:ao o” rcakego L':2 .
�;. 9,ui.t of Permit 3
STATE OF 1:1.0 DA, 1
c2,
;01: NT1.! OF DADE.
LAVA•
YORIQO
PLUMOINI
Glraa
CLOP
OiNtta
LAUNDRY
'Fuca
URI3ALO
Street a when work kg 4o b
State work to performed and pusgn7,o of L:,q ^1 pp
IRGalyo l' ., ct S:ct:(-
C.AYCw FLOOR RRIPoriIN.o
UAOIW (7: AIC) POUP,Y'W:)
N A rea- :,ls-pction fee of O'. ctrl' r.to
c oi, a V.P l21" ^b_3.
s i
The u,,de c ur ii applicant for this bantling permit dceo herby certify th::4 he undeystends and civepta hi oblr;;rtir;,:) ; r, c n
the Fl.aida Compensation Act, being Section 5f-l35, Compiled General LOWS of Florida P eril :one
.1 the prc.c'.iuus thereof, and will trequire compliance from all ccntre.ctc7s or sub- contractors elrnliry; d r y t l:, i.; •
rti :mc:i ttn t•r this permit; and tr11 poet or cite to bo nos4c$ far inspection on the site of tho pohl: tn2;•
• NLL 4 re•3 by the Act. The u tdercig led Agrees to g!oy o-+sy cx cab -cC.. rectora, on _ _ r performed 1 ,r ,
',.tee l J RelL I S ts3co V 1i jO.
l3cfote ere, the uuderslrJ autl::t^ity, a -O2nry 5Lc, cagy a;s24:dPc:9 4o crlamini:;Qer oatha ar:.d ta:o crJ S.::.� ::d ;r is stn, �:< • Ir.:.
w•PIl known, and who, being h}finc fizo2 duly em, nnr-� x.2°0 a.J ayo that Ito is tho �./�
u1r.,ce dest!II1c . 0/1.9 construction, that Lo ) earref;gy rod �a � 3 agy�iecQ n, and td3Q c c" "a' l.! tie r •
'.eaein by ,n. sr,I� ; IA 1 e PUBLIC STATE OF FLORIDA
MY COMMISSION EXPIRES MAY 5 1986
C71�9 �Tiirttl�ER�NRI`f glt� s
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