PLUMBING PERMITOwners Name and Address
MIAMI SHORES VILLAGE /1
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.... � � . Date.........., / -ti ='•. ... _L_ ....- -- ...._.—
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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.
R"e-
, !tee rrc .
State work to be performed and purpose of building (By Floors)__.__
New Building..__.._ _ -- --- ........._ -- Remodeling___ _ _- ._. —__ Addition.
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
(Signed)
No 4 . _WA street. y/ ‹.;
Registered Architect and /or Engineer �
Employing Plumber's Name i -f� �' ./."-/ ' ' L: e- t, A f ' :% .. 1 ��:, . s ',�.
Location and Legal Description Lot °- 9 '' Bloc ,L.-- SubdivWon. 1") ' L
Street and Number where work is to be performed -No , 4/ • Street.. _/ .._:. . .4" - ` �
Repairs
My Commission Expires Notary Public, State of Florida
No. of Stories ...........
''
Amount of Permit $ ' (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 ilrr com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woe,. to be
performed under this permit; and will post or cause to be poster' for inspection on the site of the work such public notice or notices as err
required by the Act. The undersigned agrees to employ only such sub - contractors, on +, be performed this init, as are
licensed by Miami Shores Village
Master Plumber.
STATE OF FLORIDA, 1 µ
COUNTY OF DADE. 1
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 what war sr}isspeceita i. snede.naoaarary by bnpraper nodes far Inspection, or faulty
materials and/or workmanship.
GLOa
BATH
rues
""11" ""11" a
LAVA.
TORIES
SINKS
BLOT
SINKS
LAUNDR
Tuaa
URIN AL[
CATCH
BASIN
FLOOR
DRAIN
DRINK' NO
FOUNT' NS
TOTAL
FEATURES
CONTR.
LIST
CHICK
—
SEPTIC
TANK
SOWER
CONN.
DRAIN
FIELD
SOAKAOL
PIT
G
TRAP
SOLAR
HEATER
DRIP
WELL
BFRKLR
8
SW IM'O
POOL
comm.
LIST
CHICK
Owners Name and Address
MIAMI SHORES VILLAGE /1
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.... � � . Date.........., / -ti ='•. ... _L_ ....- -- ...._.—
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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.
R"e-
, !tee rrc .
State work to be performed and purpose of building (By Floors)__.__
New Building..__.._ _ -- --- ........._ -- Remodeling___ _ _- ._. —__ Addition.
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
(Signed)
No 4 . _WA street. y/ ‹.;
Registered Architect and /or Engineer �
Employing Plumber's Name i -f� �' ./."-/ ' ' L: e- t, A f ' :% .. 1 ��:, . s ',�.
Location and Legal Description Lot °- 9 '' Bloc ,L.-- SubdivWon. 1") ' L
Street and Number where work is to be performed -No , 4/ • Street.. _/ .._:. . .4" - ` �
Repairs
My Commission Expires Notary Public, State of Florida
No. of Stories ...........
''
Amount of Permit $ ' (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 ilrr com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woe,. to be
performed under this permit; and will post or cause to be poster' for inspection on the site of the work such public notice or notices as err
required by the Act. The undersigned agrees to employ only such sub - contractors, on +, be performed this init, as are
licensed by Miami Shores Village
Master Plumber.
STATE OF FLORIDA, 1 µ
COUNTY OF DADE. 1
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 what war sr}isspeceita i. snede.naoaarary by bnpraper nodes far Inspection, or faulty
materials and/or workmanship.
3 eri Dote §e2t
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 work.
Fred Qui No 2 NE 91
Owner's Name and Address Street--
Registered Architect and/or Engineer
EmploYing Plumber's Niune.-CLaira3 ,yd, SP pH r. .T.Prld Pr,.,- 3.1 68
Location and Legal Description Lot_ Mork
Street and Number where work is to be performed- 2 NE 91 Street
No Street..
State work to be performed and purpose of building (By Floon)
New Building. _ Remodeling-- — Addition.
Amount of Permit Sib
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
)
Repairs
Size Septic Toni —Type of Tank--_
Feet of Drain Tile 125 Feet of Tank or Drain Field from Well...___. .....
Nature of Water Supply: City-Well. Size of Soakage Pit.
(Signed) \e‘a42t-14.
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 ha% 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 ou the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub on
to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
No. of Stories ......
Master Plumber.
STATE OF FLORIDA, se.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgnumts, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that be has carefulbr reed tbe foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Erpires Notary Public, State of Florida
NOTE: A ratnspection fee of BLOB will be mods whoa Ince nolosimortfoo mod. ossary by Improper sodas for lospoetkis, or frisky
materials and/ar wodananship.
CLOSETS
BATH
TUBS
IINSWILE•
LAVA•
TONI as
SINKS
SLOP
Soma
LAUNDRY
Tuna
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK I NG
FOUNT' S/
TOTAL
VI/TURIN
CONTI' •
LIST
CHECK
,..
SEPTIC
TANK
SSW KS
CONN.
DRAIN
FIELD
SOA KASS
PIT
GREASE
TRAP
SOLAR
MEATIER
Daus
WCLL
ernott.a.
OYSTER
Ihvlic a
POOL
CONTR.
LIST
CHSCK
.■11.
3 eri Dote §e2t
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 work.
Fred Qui No 2 NE 91
Owner's Name and Address Street--
Registered Architect and/or Engineer
EmploYing Plumber's Niune.-CLaira3 ,yd, SP pH r. .T.Prld Pr,.,- 3.1 68
Location and Legal Description Lot_ Mork
Street and Number where work is to be performed- 2 NE 91 Street
No Street..
State work to be performed and purpose of building (By Floon)
New Building. _ Remodeling-- — Addition.
Amount of Permit Sib
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
)
Repairs
Size Septic Toni —Type of Tank--_
Feet of Drain Tile 125 Feet of Tank or Drain Field from Well...___. .....
Nature of Water Supply: City-Well. Size of Soakage Pit.
(Signed) \e‘a42t-14.
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 ha% 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 ou the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub on
to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
No. of Stories ......
Master Plumber.
STATE OF FLORIDA, se.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgnumts, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that be has carefulbr reed tbe foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Erpires Notary Public, State of Florida
NOTE: A ratnspection fee of BLOB will be mods whoa Ince nolosimortfoo mod. ossary by Improper sodas for lospoetkis, or frisky
materials and/ar wodananship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE ' `'- 19_
o PERMIT ° 271 N . /� I 1 Contractor s
❑ License No. ... I
❑ Work to be performed under this 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 or employees.
Signed. BY •
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac•
cepting this permit I Ess a responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OPC BUILDER
B1
Subdi-
vision
Value of II Amount of
Project $ II Permit $
BY AUTHORITY
ABBOT PRINT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Appi;cation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
sLue'use 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__ .1, No.._— _...._ ....... Street.
Registered Architect and/or Eng
e ______ -- -- ,---
Employing Plumber' Name _...._ __.__, _ii?.____:_____' ...__.. .___.-..___ No.- _---- _-- .___._ Street- . - - --
Location and Legal DescriptiOn --__ -_ ______ _ Block Subdivision
Street and Number where work is to be performed —No t _L Street
State work tom performed and purpose of building (By Floors)__ ._... ___ ... _ ..... _ — _
.._
New Building,.' Remodeling Addition
Size Septic Tank Type of Tank_
Feet of Drain ................. _____Dist Feet of Tank or Drain Field from Well
Nature of Water Supply C ity— Wall._------_ _ __ ... __.______.......... _._____ -Size of Soakage Pit
\ 7
Amount of Permit
Repairs
(Signed) -- - - _
Capaciyy Gals.. -_
Date
No. of Stories. / .............
Master Plumber.
Plum 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- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOfBTB
BATH
TUBS
SHOWERS
LAVA-
Toms
SIN KB
SLOP
SINKB
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT' NS
TOTAL
FIXTURES
CONTR.
LIST
3
D
- --- - --
COMM
--
--
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
40.101*
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
!'. '.
'. a,..,
CONTR.
LIST
CHECK
I
/
/�
- --
-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Appi;cation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
sLue'use 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__ .1, No.._— _...._ ....... Street.
Registered Architect and/or Eng
e ______ -- -- ,---
Employing Plumber' Name _...._ __.__, _ii?.____:_____' ...__.. .___.-..___ No.- _---- _-- .___._ Street- . - - --
Location and Legal DescriptiOn --__ -_ ______ _ Block Subdivision
Street and Number where work is to be performed —No t _L Street
State work tom performed and purpose of building (By Floors)__ ._... ___ ... _ ..... _ — _
.._
New Building,.' Remodeling Addition
Size Septic Tank Type of Tank_
Feet of Drain ................. _____Dist Feet of Tank or Drain Field from Well
Nature of Water Supply C ity— Wall._------_ _ __ ... __.______.......... _._____ -Size of Soakage Pit
\ 7
Amount of Permit
Repairs
(Signed) -- - - _
Capaciyy Gals.. -_
Date
No. of Stories. / .............
Master Plumber.
Plum 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- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
►t "
s
CLQ:SL°lE
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CLN'if:J
LW.?
Cka:::t
+ -----
—
I
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
UST
—
_
CHECK
E ar .. .` -.
!application is •er mane for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
strt caure 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.
Owoao 's Narne and Address
Registered Architect and /or Engi
Employing Plumber's Name
Location and Legal Description Lot_
Size Septic Tank_ 7 f. =�
gg 0
Feet of Drain Tile ..... _ -.2__
Nature of Water Supply: City— Well.
Amount of Permit $
STATE OF FLORIDA, l ss.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
:�Cai? G1
Street__
Block Subdivision
Street and Number where work is to be performed —No ` Street
State work to be performed and purpose of building (By Floors).__ _____ ..... ___.__._____. -._
New Building _.. - -• -- -- - -_ --- Remodeling -__ -- __ -- Addition.
Date
Repairs No. of Stories.
ype of Tank Capacity Gals.
Feet of Tank or Drain Field from Well.
__Size of Soakage Pit
(Signed)_
( Signed) ___ , „-
2 -6-
-
Street.
Plum 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 Pertnanent 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
rewired 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 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•neoessary by improper notice for inspection, or faulty
materiels and /o° workmanship.