PLUMBING PERMIT7
f_43tV.Tfy695—
//)e'J 7
494v
Permit No
Size Septic Tank__
Feet of Drain Tile
Nature of Water Supply: City—Well.
15.00
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
.O.Box 34/1 Hialeah 330
Location and Legal Description Lot.
Street and Number where work is to be performed—No 1 51 N - et P s+r 9 t Street_
State work to be performed and purpose of building (By Floors)-
New _ Addition
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 Vlllage, Florida,
and all provisions of the Laws of the State of Florida, all ordinanme of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether beredn specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address John Newbern
Registered Architect and/or Engineer
Employing p iumbe e s Name .r) Rose Septic Tank Co. 8 E,3 7 -5 5 9,4N
--••-•- WITT' • •.•
Street__
Repairs No. of Stories ...
_Type of Tank__
nist. Feet of Tank or Drain Field from .....
Size of Soakage Pit
( Signed )- k
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 Worlanen's Compensation Act, being Section 5968, 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 RIP
required by tbe Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village ,
(Signed) D'\ (it .
Master 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 be has carefully read the foregoing application, and that be did slim the same, and that all facts
therein by him stated are true.
My Commission Erpires Notary Public, State of Florida
NOTE: A re fee of $1.00 will be spode what snob miespeetfon seede.aseemery by Improper =doe for homeless, or husky
materiels and/or workmanship.
CLOSETS
BATH
Tu ,,,,
smowans
LAVA.
Tem.
SINKS
SLOP
•INKIII
LAUNDRY
TUBS
, ..''''' .. .
• "" 1 "
CATCH
BASIN
FLOOR
DRAIN
DRINK I NG
FOUNT' NS
TOTAL
I IIIITUR IS
comAra.
LIST
CHICK
--
SEPTIC
TANK
• SEWER
CONN.
DRAIN SOAKAGE
FUEL() PIT
G so LAM new
TRAP HEATER WILL
ape KUL
SYSTEM
SW I MI '0
POOL
CONTR.
LIST
1-200 sq.
ft. relay-15.00
CHICK
•
7
f_43tV.Tfy695—
//)e'J 7
494v
Permit No
Size Septic Tank__
Feet of Drain Tile
Nature of Water Supply: City—Well.
15.00
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
.O.Box 34/1 Hialeah 330
Location and Legal Description Lot.
Street and Number where work is to be performed—No 1 51 N - et P s+r 9 t Street_
State work to be performed and purpose of building (By Floors)-
New _ Addition
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 Vlllage, Florida,
and all provisions of the Laws of the State of Florida, all ordinanme of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether beredn specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address John Newbern
Registered Architect and/or Engineer
Employing p iumbe e s Name .r) Rose Septic Tank Co. 8 E,3 7 -5 5 9,4N
--••-•- WITT' • •.•
Street__
Repairs No. of Stories ...
_Type of Tank__
nist. Feet of Tank or Drain Field from .....
Size of Soakage Pit
( Signed )- k
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 Worlanen's Compensation Act, being Section 5968, 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 RIP
required by tbe Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village ,
(Signed) D'\ (it .
Master 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 be has carefully read the foregoing application, and that be did slim the same, and that all facts
therein by him stated are true.
My Commission Erpires Notary Public, State of Florida
NOTE: A re fee of $1.00 will be spode what snob miespeetfon seede.aseemery by Improper =doe for homeless, or husky
materiels and/or workmanship.
Permit No
7 7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su mitted 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____
Registered Architect and /or
Employing Plumber's Name __��?`
Location and Legal Description Lot________ ______ __ Block_,— — �___w_________________ Subdivision
Street and Number where work is to be performed— No._15 L C _ �
' ' 1 /---...224f7____ Street _
State work to be performed and purpose of building (By Floors)_
New Building Remodeling Addition____ Repairs
Size Septic Tank
Feet of Drain Tile /9
STATE OF FLORIDA,
COUNTY OF DADE.
Nature of Water Supply: City —Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/ Street 97
_ -- No.________1 > Street__
Type of Tank Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
— __ Size of Soakage Pit
(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 5966, 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 are
licensed by Miami Shores Village.
(Signed)._
Date '
No. of Stories
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection - is ade• necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBA
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
CON rR.
LIST
CHECK
/ / / � el •
- - -
Permit No
7 7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su mitted 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____
Registered Architect and /or
Employing Plumber's Name __��?`
Location and Legal Description Lot________ ______ __ Block_,— — �___w_________________ Subdivision
Street and Number where work is to be performed— No._15 L C _ �
' ' 1 /---...224f7____ Street _
State work to be performed and purpose of building (By Floors)_
New Building Remodeling Addition____ Repairs
Size Septic Tank
Feet of Drain Tile /9
STATE OF FLORIDA,
COUNTY OF DADE.
Nature of Water Supply: City —Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/ Street 97
_ -- No.________1 > Street__
Type of Tank Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
— __ Size of Soakage Pit
(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 5966, 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 are
licensed by Miami Shores Village.
(Signed)._
Date '
No. of Stories
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection - is ade• necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
E
Architect
Contractor
or Builder
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 6077
•
Work to be performed under this Permit
--tea f' N '
Address of
Building .
Signed•
1 ) L
c o:
DATE a
Contractor's
License No.
INSPECTOR
BY AUTHORITY
1957
Tl.
Subdi-
vision
Value of 11 Amount of
Project $ 11 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.,.-
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my (gent, servrnt or employee.