PLUMBING PERMITPermit No 9-82
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.
b
d Ch
Cha umley
Owners Name and Address No. Street__
Registered Architect and/or Engineer
Employing plumber Neale Pose Septic Tank C .P.O.Box
a
Location and Legal Description Lot.
Size Septic Tank....—_
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $ $10.00
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Blork
Street and Number where work is to be performed—No 145 N.E. 91 strer,t Street.
State work to be performed and purpose of building (By Floors)_____
New Building—.—_ - - Remodeling Addition
(signed)
Repairs No. of Stories
Type of TanIc--.
Mist Feet of Tank or Drain Field from .....
Size of Soakage Pit
(S ) - /—`
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 Ceneral Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
()
c/r
Master Plumber.
STATE OF FLORIDA.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly swam, upon oath depose. and says that he is the
of the above described construction, that be bas carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection foe of $1.00 wlU be made whin ma rolugnotion is moda asosasory by improper sodas kee lospection, or bosky
materials and/or workmanship.
CLOSSTS
OATH
THU
•HeVtaltli
LAVA.
TORIES
S
SLOP
SINKS
LAUNDRY
'rues
URINAUI
CATCH
BASIN
'
DRAIN
DRINKING
POUNT'IPI
TOTAL
1
CONTR.
LIST
CHICK
SILPTIC
TANK
SIIWIR
CONN.
DRAIN
FIELD
fiomoost
PIT
G
TRAP
SOLAR
PI SATIN
MEP
WILL
SPRIILII.
SYSTEM
SW III• 0
Pool.
Comm
LIST
Comex
1
200
sq. f
Permit No 9-82
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.
b
d Ch
Cha umley
Owners Name and Address No. Street__
Registered Architect and/or Engineer
Employing plumber Neale Pose Septic Tank C .P.O.Box
a
Location and Legal Description Lot.
Size Septic Tank....—_
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $ $10.00
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Blork
Street and Number where work is to be performed—No 145 N.E. 91 strer,t Street.
State work to be performed and purpose of building (By Floors)_____
New Building—.—_ - - Remodeling Addition
(signed)
Repairs No. of Stories
Type of TanIc--.
Mist Feet of Tank or Drain Field from .....
Size of Soakage Pit
(S ) - /—`
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 Ceneral Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
()
c/r
Master Plumber.
STATE OF FLORIDA.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly swam, upon oath depose. and says that he is the
of the above described construction, that be bas carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection foe of $1.00 wlU be made whin ma rolugnotion is moda asosasory by improper sodas kee lospection, or bosky
materials and/or workmanship.
) / 3 - ° 1 2 3 3 0 g
O
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
`6S- -17V2—
C
Date (? -
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure
herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions
of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall
be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during the progress of work.
Owner's Name and Address 1. 14 v*l (> e No. Street / '‘ 4 E W 5
Registered Architect and/or Engineer p
loyjng Plumber's Name l pi A/ 6 S 1/ ,S / [Z.rat S ;17-4 No. Street 15 S• /0/ /i at_
Location and Legal Description Lot ° 0 � 02 / Block 4 °/ Subdivision S / ` i P
Street and Number where work is to be performed — No. / 9 S A( tE C f f S i''''s
Street Q�
State work to be performed and purpose of building (By Floors) .r s (4 I( 5 *to uV 1 64-,./ 4 ✓t $%,- J
To' c &r'r 1,44.1../
Addition Repairs No. of Stories
New Building
Remodeling
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
his obligations as an em
ment, and has
Amount of Permit $
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and acce
Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Su
thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work
post or cause to be posted for inspection on the site of the work such public notice or notices as are required by
only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores V
(Signed)
/ 6 . Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oath and take acknowledgments, personally appeared
SS.
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
My Commission Expires
NOTE: A re- inspection fee of $25.00 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
FOUNTAINS
TOTAL
FIXTURES
CONTR.
LIST
I
I
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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
`6S- -17V2—
C
Date (? -
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure
herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions
of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall
be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during the progress of work.
Owner's Name and Address 1. 14 v*l (> e No. Street / '‘ 4 E W 5
Registered Architect and/or Engineer p
loyjng Plumber's Name l pi A/ 6 S 1/ ,S / [Z.rat S ;17-4 No. Street 15 S• /0/ /i at_
Location and Legal Description Lot ° 0 � 02 / Block 4 °/ Subdivision S / ` i P
Street and Number where work is to be performed — No. / 9 S A( tE C f f S i''''s
Street Q�
State work to be performed and purpose of building (By Floors) .r s (4 I( 5 *to uV 1 64-,./ 4 ✓t $%,- J
To' c &r'r 1,44.1../
Addition Repairs No. of Stories
New Building
Remodeling
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
his obligations as an em
ment, and has
Amount of Permit $
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and acce
Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Su
thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work
post or cause to be posted for inspection on the site of the work such public notice or notices as are required by
only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores V
(Signed)
/ 6 . Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oath and take acknowledgments, personally appeared
SS.
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
My Commission Expires
NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials
and/or workmanship.
Permit No
Apo "cation i l ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Dn''sion
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.
Location and Legal Description Lot___ __________ _ Block_
Street and Number where work is to be performed—No ___ 4 1\LT:- • Street
State work to be performed and purpose of building (By Floors)_ _ C_
New Building.-__ -- -- _ -- - - - -- --- - -- Remodeling —_ -_ _ -- -- -- _ _ Addition_--- Repairs. ... No. of Stories . ... ..
Size Septic T a n k- - - - - - - - - - -. Feet of Drain Tile_ - . _ _ -- -- _
Nature of Water Supply. City —Well.
Amount of Permit $ -. .
STATE OF FLORIDA, }
ss.
COUNTY OF DADE.
- - -- My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_ __ _Dist. Feet of Tank or Drain Field from Well..
_ -_ - Si of Soakage Pit
(Signed) 4 "__
Date
.Capacity Gals.
-- • - ....
b-rig In.pecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 'n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Su . ement, end 1 as :Im-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin- 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 no ices as are
required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. , ed under this per nit, as are
licensed by Miami Shores Village.
Master P1ur4ber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personal) 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 •acts
therein by hun 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.
CLOSETS
TUBS BATH
TUBS
SHOWERS
LAVA-
Toluca
SINKS
SLOP
SINK6
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NB
TOTAL
F XTUREB
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
Come.
LIST
CHECK 1
2. `
--
Permit No
Apo "cation i l ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Dn''sion
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.
Location and Legal Description Lot___ __________ _ Block_
Street and Number where work is to be performed—No ___ 4 1\LT:- • Street
State work to be performed and purpose of building (By Floors)_ _ C_
New Building.-__ -- -- _ -- - - - -- --- - -- Remodeling —_ -_ _ -- -- -- _ _ Addition_--- Repairs. ... No. of Stories . ... ..
Size Septic T a n k- - - - - - - - - - -. Feet of Drain Tile_ - . _ _ -- -- _
Nature of Water Supply. City —Well.
Amount of Permit $ -. .
STATE OF FLORIDA, }
ss.
COUNTY OF DADE.
- - -- My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_ __ _Dist. Feet of Tank or Drain Field from Well..
_ -_ - Si of Soakage Pit
(Signed) 4 "__
Date
.Capacity Gals.
-- • - ....
b-rig In.pecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 'n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Su . ement, end 1 as :Im-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin- 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 no ices as are
required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. , ed under this per nit, as are
licensed by Miami Shores Village.
Master P1ur4ber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personal) 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 •acts
therein by hun 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.
ems - -'
CLOSETS
BATH
TUSK
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
Co,' YG1.
LIVT
C'i"'C:1
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 coofor:.,-ity with the ;wilding 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
cf Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
sfiding during progress of work.
O naer's Name and Address No.__. _ Street
Regi.sered Architect and /or Engineer -- — — - -- - -- --- - - -- - - - - - -
Employing Plumber's Name _ A ' 1 _ — - .._ Street___i _ -- -_ c.- » - - L.- _� °'
Block
Lactic' and Legal Description Lot_
Strait and Number where work is to be performed— No.__ ___
h
Sic a work to be performed and purpose of building (By Floors)_ __ � �_ ` 7 .__
New Building _ Remodeling____ __ Addition________ Repairs No. of Stories. _
Sze Septic Tank
Feet of Drain Tile
Naaure of Water Supply: City —Well.
— Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit 7 .
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 Pennanent Supplement, and bus com-
plied tnith 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
re uL e . by die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
1ce2scd by Miami Shores Village. �
( Signed 11
Master Plumber.
MIAMI SHORES VIL:_AG
PLUMBING INSPECTION DEPARTMV"
APPLICATION FOR PLUMBING �•.;�i,�'
Date 4. -
Subdivision.
Street
Type of Tank. Capacity Gals.
STA'G'E ;t4 FLORIDA, t es.
_ ; .0 F'"? OF DADE.
diir:iicre me, she undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to sx.a ;v:.1r kiown, and who, being by me first duly sworn, upon oath deposes and says that he is the
of 2ha ahcve described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
thank `' ' him stated are true.
My Commission Expires Notary Public, State of Florida
1
NCr':s: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
mateFials and /or workmanship.
k• y
Permit No. Date 7 ( / .[ : J
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm tied 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 at
building during progress of work.
Owner's Name and Address _ ..
Registered Architect and /or Engineer,
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ ...__.__ .._ ._. Street
Employing Plumber's Name . :/ .''' <:'- / " . i' /// No.__..._.... . _ Street
------- - - -. _.- -
Location and Legal Description Lot .__ - 1 !.- 9 _ -___ Block_ ri _ _ Subdivision. ? :.._. _l _:
__.._
C
Street and Number where work is to be performed —No / _ ) �e I O Street- _.._
performed purpose of building (By Floors)._ ' < ^ t ; �- ,f r i
State work to be ormed and :.�:
New Building Remodeling -- ._ -__ -_ Addition__- _---- • -_ - -.. ___. Repairs
No. of Stories O
Size Septic Tank.
(/ .'
Feet of Drain T'le - •--- • -_`_ -- -- - - - - -. --
Nature of Water Supply: City —Weld
Amount of Permit $- jJ
My Commission Expires
Tyne of Tank_ _ .L 1
__:.:Dist. Feet of Tank or Drain Field from Well_
0
_ Size of Soakage Pit__
61:;"1.717 ___ - - - -_ _. _ ___ (signed).
Capacity Cals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al, employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be , performed under this permit, as art
licensed by Miami Shores Village.
STATE OF FLORIDA, ( u. 6. < c)
COUNTY OF DADE. 1
Before me, the undersigned authJi&, ' a ota y public, duly authorized to administer oaths and take
Master Plumber.
acknowledgments, personally .*ppeare
to me weri 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.
Notary Public, State of Florida
NOTE: fr`e- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Lail
materials . ad /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SIN
SLOP
SINKS
LAUNDRY
TusB
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURE*
_�
CONTR.
LIST
.‘"
''C',
O
4.
E,
r
/
/
(
CHECK
a c 0
7Z
6'
G/ NY -
7c
9
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
- .
HEATLR
� T
/
DELP
WELL
SPRKLR.
SYSTEM
SWIM 0
POOL
Corm.
LIST
CHECK
4
9
4
O
3
./,,; �, ‘
� L
J ( a
3
I
k• y
Permit No. Date 7 ( / .[ : J
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm tied 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 at
building during progress of work.
Owner's Name and Address _ ..
Registered Architect and /or Engineer,
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ ...__.__ .._ ._. Street
Employing Plumber's Name . :/ .''' <:'- / " . i' /// No.__..._.... . _ Street
------- - - -. _.- -
Location and Legal Description Lot .__ - 1 !.- 9 _ -___ Block_ ri _ _ Subdivision. ? :.._. _l _:
__.._
C
Street and Number where work is to be performed —No / _ ) �e I O Street- _.._
performed purpose of building (By Floors)._ ' < ^ t ; �- ,f r i
State work to be ormed and :.�:
New Building Remodeling -- ._ -__ -_ Addition__- _---- • -_ - -.. ___. Repairs
No. of Stories O
Size Septic Tank.
(/ .'
Feet of Drain T'le - •--- • -_`_ -- -- - - - - -. --
Nature of Water Supply: City —Weld
Amount of Permit $- jJ
My Commission Expires
Tyne of Tank_ _ .L 1
__:.:Dist. Feet of Tank or Drain Field from Well_
0
_ Size of Soakage Pit__
61:;"1.717 ___ - - - -_ _. _ ___ (signed).
Capacity Cals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al, employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be , performed under this permit, as art
licensed by Miami Shores Village.
STATE OF FLORIDA, ( u. 6. < c)
COUNTY OF DADE. 1
Before me, the undersigned authJi&, ' a ota y public, duly authorized to administer oaths and take
Master Plumber.
acknowledgments, personally .*ppeare
to me weri 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.
Notary Public, State of Florida
NOTE: fr`e- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Lail
materials . ad /or workmanship.
7631 N. W. 2nd AVE.
SOLD BY
QUAN.
N o.
PLUMBING and SEPTIC TANKS - INSTALLED • REPAIRED - CLEANED OUT
am HENRY FLATTERY
PLUMBING and SEPTIC TANK CONTRACTOR
Customer's
Order No Date 19
M_
Address
CASH C. 0 D. CHARGE I ON ACCT.
1
DAY
7 -1866
NIGHT
7 -1866
MDSE. RETD. PAID OUT
DESCRIPTION PRICE
ALL claims and returned goods MUST be accompanied by this bill.
CARCO INC.- CHICAGO
MIAMI 38, FLORIDA
AMOUNT
££ceiwed by
2r
•
• A
7
1 .
/, •
Ij
e
I e
V 2
t. •
• ..,
L.
1
❑ DATE f I95
❑ PERMIT N° 15213
❑ Work to be performed under this Permit
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building '
Architect
Contractor
or Builder _` >• t t.,
Legal Lot II Bl.
Description
Address of
Building ' E
ONTIEACTOR OR BUJ ER
MIAMI SHORES VILLAGE, FLORIDA
Signed•
Subdi-
vision
Value of
Project $
Contractor's
License No
BY
Amt. of
Permit
$ //
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings.or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
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- •e responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ,
ELECTRICAL ❑
PLUMBING Q PERMIT N 10365
ROOFING ❑
Owner of
Building j • 1
Architect
Contractor
or Builder
Legal Lot 1 �
Description � BI
Address of t • 1 t". l j
Building !�
Work to be performed under this Permit
S %,
Subdi-
vision
Sq. Ft.
Value of
Project
$
Date
Contractor's
License No. - --
CON FACTOR or BUILDER BY AU
t
11 Amount 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 applica-
tion 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 respon
sibility for work done by his agents, servants e employees.
/
•
Signed '� '(INSPECTOR) BY
In consideration of the issuance to me of this permit I agrey to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawin , statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work d96 by either, myself, my agent, servant or employee.