PLUMBING PERMITPermit 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.
Owner's Name and Address
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 work to be performed and purpose of building (By Floors)__ _-_i
New Buildin _ Remodeling____ _ _ Addition
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
� / APPLICATION FOR PLUMBING PERMIT
1 ( ° Date.. -
,7 f y__ e r
No._LT? 7` Street .._._j� / —_
.S Ce p. .Cz3 N0,4,2L aJ..4.,�..Atrtreet. --
g
Bloch
Si
Size Septic Tank_ •------ •-- - - - - -- — - - - -- T ype 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
Street
Repairs Nd. of Stories
(Signed)-
The undersigned applicant for this building permit does hereby certify that he understands
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws
plied with the provisions thereof, and will require similar compliance from all contractors or s
performed under this permit; and will post or cause to be posted for inspection on the site
required by the Act. The undersigned agrees to employ only such sub - contractors, -
licensed by Miami Shores Village.
and accepts his obligations as employer of labor
of Florida Permanent Sup j efnent, and Isar com-
b- contractors employed by him in the work to be
the work such p . notice or notices as are
k to be perfo ed under this permit, as are
Capacity Cels
•L ...... /.._
ing Inspec�tsr.
STATE OF FLORIDA, I
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 application, says that he is th hat he did sl the same, and that all facts
of the above described construction, that he has carefully read the foregoing gn
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 ouch re-in pecdoa is mede.neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TuBe
SNOW[Re
LAVA-
TORIES
SIN"
SINK[
LAUNDRY
TUBS
URINALS
CATCH
BASI
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
MEATIER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM
POOL
�—
Coping.
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 work.
Owner's Name and Address
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 work to be performed and purpose of building (By Floors)__ _-_i
New Buildin _ Remodeling____ _ _ Addition
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
� / APPLICATION FOR PLUMBING PERMIT
1 ( ° Date.. -
,7 f y__ e r
No._LT? 7` Street .._._j� / —_
.S Ce p. .Cz3 N0,4,2L aJ..4.,�..Atrtreet. --
g
Bloch
Si
Size Septic Tank_ •------ •-- - - - - -- — - - - -- T ype 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
Street
Repairs Nd. of Stories
(Signed)-
The undersigned applicant for this building permit does hereby certify that he understands
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws
plied with the provisions thereof, and will require similar compliance from all contractors or s
performed under this permit; and will post or cause to be posted for inspection on the site
required by the Act. The undersigned agrees to employ only such sub - contractors, -
licensed by Miami Shores Village.
and accepts his obligations as employer of labor
of Florida Permanent Sup j efnent, and Isar com-
b- contractors employed by him in the work to be
the work such p . notice or notices as are
k to be perfo ed under this permit, as are
Capacity Cels
•L ...... /.._
ing Inspec�tsr.
STATE OF FLORIDA, I
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 application, says that he is th hat he did sl the same, and that all facts
of the above described construction, that he has carefully read the foregoing gn
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 ouch re-in pecdoa is mede.neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
�j APPLICATION FOR PLUMBING PERMIT
Date .7 40
Application is hereby for the approval of the detailed statement of the plans and specifications herewith submitted for the building or. other
stritzture 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 / __ v_._ _ t --- . __ _'_.___ No.___ Street__
Registered Architect and /or
Employing Plumber's Name
Location and Legal Description Lot___
Street and Number where work is to be performed-No
State work to be performed and purpose of buildidg (By Floors)
New Building___-___..... _- -. ---• - _ -_ --- Remodeling
Size Septic Tank
Feet of Drain Tile__ a
T of Tank. Capacity Gals
Tank or Drain Field from Well
Nature of Water Supply: City— Well ._ - - -- __-_-------------- .-------- .------- __ -_ -- -Size of Soakage Pit
_ .. //�����
Amount of Permi (Signed) _ 1.. �'
My Commission Expires
Street-_
Subdivision - _ - - -
Street
Addition Repairs No. of Stories_
g
mbing 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 uncle: 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 die 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) ___ -, >a
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 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
matnials and /or workmanship.
i —sue
CL')613TU
BATH
TU86
�NOWERB
LAVA-
T9RIE8
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT
TOTAL
FIXTURES
CONTR.
LIST
Cw:i.eK
I
6
PP rtC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
COi.
LW?
-
CHICK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
�j APPLICATION FOR PLUMBING PERMIT
Date .7 40
Application is hereby for the approval of the detailed statement of the plans and specifications herewith submitted for the building or. other
stritzture 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 / __ v_._ _ t --- . __ _'_.___ No.___ Street__
Registered Architect and /or
Employing Plumber's Name
Location and Legal Description Lot___
Street and Number where work is to be performed-No
State work to be performed and purpose of buildidg (By Floors)
New Building___-___..... _- -. ---• - _ -_ --- Remodeling
Size Septic Tank
Feet of Drain Tile__ a
T of Tank. Capacity Gals
Tank or Drain Field from Well
Nature of Water Supply: City— Well ._ - - -- __-_-------------- .-------- .------- __ -_ -- -Size of Soakage Pit
_ .. //�����
Amount of Permi (Signed) _ 1.. �'
My Commission Expires
Street-_
Subdivision - _ - - -
Street
Addition Repairs No. of Stories_
g
mbing 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 uncle: 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 die 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) ___ -, >a
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 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
matnials and /or workmanship.
Permit No.
MIAMI SHORES VILLAGE
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 Y 4- No
Registered Architect and /or Engineer
Employing Plumber's Name_.__ A A SEPTIC TANK CO. INC. No Street
AP. 0 Box 1012 - Hialwh, Re
Location and Legal Description of ___' — _____________ Block r
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 Repairs_ .
Size Septic Tank_ Type of Tank Capacity Gals.
Feet of Drain Tile /6'-Q
1l� Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
Amount of Permit $ -_ _
Size of Soakage Pit
(Signed) t /
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 - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
ss.
(Signed) __
Date
( 4 /
Street____! 1 E
Subdivision
No. of Stories
My Commission Expires Notary Public, State of Florida
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 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.
LIST
/ V—)
CHECK
Permit No.
MIAMI SHORES VILLAGE
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 Y 4- No
Registered Architect and /or Engineer
Employing Plumber's Name_.__ A A SEPTIC TANK CO. INC. No Street
AP. 0 Box 1012 - Hialwh, Re
Location and Legal Description of ___' — _____________ Block r
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 Repairs_ .
Size Septic Tank_ Type of Tank Capacity Gals.
Feet of Drain Tile /6'-Q
1l� Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
Amount of Permit $ -_ _
Size of Soakage Pit
(Signed) t /
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 - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
ss.
(Signed) __
Date
( 4 /
Street____! 1 E
Subdivision
No. of Stories
My Commission Expires Notary Public, State of Florida
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 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 APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address 5. Ai/E- ! j �J re4 Tax Folio 11 " 5.2"W - Q ) F. X
Legal Description. i.'.i 410'3 iO - 107 blz.k 4g Historically Designated: Yes 4o
¥9so
/ Phonne ' 5g2.- gzi
Contracting Co. a°!l�✓ �1 +iz1 D /�'li �. h '�L Address RO• aOx S 3 / 37Lf ( (
33/S�
SS# _- Phone c —zjz{�
State # C F G O S b s 2' Municipal # Competency # Ins. Co. ( Rai v eft (
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECH ANNIICAL ROOFING PAVING FENCE it;
WORK DESCRIPTION Ji.?,f'� �,? fJ�i ,' Lam✓ r3G ,/ter „��Z� u U 3 u fr )�1_ /r .° P� X.,?;
l ��� //. r. v C..(4J j, /L di . i4,1 -∎.
Owner /Tenant MI 04 I --U.(1
Owner's Address 1 2 tt
Qualifier ( t° Fpm Ss i. )°
Square Ft. Estimated Cost (value) C Co.
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 laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
and
Signature of $ ner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT J3(2,/ RADON
APPROVED:
Zoning Building
Mechanical Plumbing
C.C.F.
) ,P a
as to C
My Commission
Master Permit #
tl P Ue A.L'GI LA t � Y ECKEit
. Ce•/osC r
` cons , °ao:t rs�a
FOF p�0 NOV. 5 5,2002
Electrical
Structural Engineer
/Yu{;% l- 7^,l
Date
NOTARY 0 a BOND
TOTAL DUE 134 t° t1
ITEM
BATH TU3
UNIT
FEE
ITEM
STITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGrT CUTLETS
CENTRAL HEATING
0ISiWASHER
RECEPTACLES
A/C (WIND)
DISNDSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AWS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHA E
REFRIGERATION
GREASE TRAP
APPLIANCE CUTLETS
PROCESS AND PRESS PIPItW •
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 If
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
hQCHANICAL VENTILATION
SINK, RESIDENCE
/
MOTORS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
RINA.
WATER
MOTORS OVER 25-1C0 FP
COOLING TOWLRS
CLOSET
INDIRECT
MOTORS OVER 100 HP
VIOLATION
WASTES
WATER
A/C WINDOW
RE INSPECT ION
SIFPIY TO:
AIR CONDITIONERS
.
A/C UNIT
FIRE
STRIP HEATER
SPRINKLER
GENERATORS TRANSFORMERS
'
HEATER -NEW INST.
HEATER-
.=
~
GENERATORS TRANSFORMERS
REPLACE
d
GENERATORS TRANSFORMERS
SPECIAL PURPOSE
OUTLETS COM €RCIAL
LAWN SPRINKLER -WELL
AING POOL
WATER WATER
SERVICE
/
SIGN TUBES
EWER CONNECTIONS
SIGN TRANSFORMERS
TILITY -SEWER
SIGN TIME CLOCK
TILITY -WATER
FIXTURES
EPTIC TANK
ANTEI4A
`LAY
TELEVISION OUTLETS
V IOLATION
IOLATECTION
RAINFIELO, 4 TILE/RES.
AP & ABANDON SEPT IC TANK
7AKAGE PIT CU. FT.
ATCH
BASIN
4
I SO URGE WELL
:WEST IC WELL
tEA DRAIN
)0F INLET
LIAR WATER HEATER
RE STANDPIPE
DL PIPING
1IN SPRINKLER SYSTEM
S RANGE
TER SET (GAS)
S
PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
MIAMI SHORES VILLAGE n4 /
/ 4
Permit e Date... -. 4 _ �_`� .M._._._
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 No 3 A di
�. Street_...L" 9 / a
Registered Architect and/or Engineer
Employing limber's Name fu f a
Location and Legal Description Lot___ _.L 2
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 ...............
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
a vi-ich, .N.44
B64 4 Subdivldon.M.' .... . y e
street.. 9_./ +-...
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 $
_161
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 hat 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 ' , . - • . ..s permit, as are
licensed by Miami Shores Village.
My
Commission
,
(signed) %.
(Signed)
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 dep ones and says that be is the —.._ .._.. - .-- - -. -.• - - .. -• —.
of the above described construction, that he has carefully read the foregoing application, and that he did On the same, and that all facts
therein by him stated are true.Notary Public, State of Florida at Large
My Commission Expires January 26, 1986
l ad h $y tan Aunty R Aa ei t o
,ta a
AM -Giya
/7 3
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be suede when Era& rein otk* is made. . by Improper notice for bravos 's% or faulty
materials and /or workmanship.
CLOESTa
BATH
"O
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tun•
URINAL!
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT' NE
TOTAL
•IETURES
CONTR.
LIST
—_
CH ICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
0
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTE.
LIST
—�
CHECK
MIAMI SHORES VILLAGE n4 /
/ 4
Permit e Date... -. 4 _ �_`� .M._._._
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 No 3 A di
�. Street_...L" 9 / a
Registered Architect and/or Engineer
Employing limber's Name fu f a
Location and Legal Description Lot___ _.L 2
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 ...............
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
a vi-ich, .N.44
B64 4 Subdivldon.M.' .... . y e
street.. 9_./ +-...
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 $
_161
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 hat 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 ' , . - • . ..s permit, as are
licensed by Miami Shores Village.
My
Commission
,
(signed) %.
(Signed)
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 dep ones and says that be is the —.._ .._.. - .-- - -. -.• - - .. -• —.
of the above described construction, that he has carefully read the foregoing application, and that he did On the same, and that all facts
therein by him stated are true.Notary Public, State of Florida at Large
My Commission Expires January 26, 1986
l ad h $y tan Aunty R Aa ei t o
,ta a
AM -Giya
/7 3
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be suede when Era& rein otk* is made. . by Improper notice for bravos 's% or faulty
materials and /or workmanship.
Owner of
Building
Architect
Contractor f`
or Builder r �.
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑ PERMIT 1�T fl 6718 GI PLUMBING
ROOFING
❑ Work to be performed under this Permit
Bl.
DATE_ _ 19_
Contractor's ,
License No.
Subdi-
vision
Address of f ° Value of I1 Amount of
Building - = f Project $_ I f 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 A t" «j INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ciiinances 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 ao
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
ABBOT
Permit No 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 progress of work.
Owner's Name and Address-- -- - ---------- .___ ` I _ !`J •= - - - -_ � - •--- - - - - -. Street
Size Septic Tank.__. 2G>_0
Feet of Drain Tile
Nature of Water Supply: City— Well. ._..__
Amount of Permit $ _ - -� _ --
STATE OF FLORIDA,
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or En eer
Employing Plumber's Name ^ ___ _ : = �� No.�
Location and Legal Description Lot_ Block
)
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
SSubdi
StreetV n-2
Repairs No. of Stories . . ....... ....... ...
Type of Tank Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
Street_ = , -_ -.- _- ..... -
Notary Public, State of Florida
Plyjlbing Inspeor.
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 5968, Compiled General Laws of Florida Permanent Su ement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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 ` \
(Signed) - - -- --
( 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.
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
TU BS
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
SW IM'G
POOL
CONTR.
LIST
/f
- -_
CHECK
lD R
Permit No 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 progress of work.
Owner's Name and Address-- -- - ---------- .___ ` I _ !`J •= - - - -_ � - •--- - - - - -. Street
Size Septic Tank.__. 2G>_0
Feet of Drain Tile
Nature of Water Supply: City— Well. ._..__
Amount of Permit $ _ - -� _ --
STATE OF FLORIDA,
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or En eer
Employing Plumber's Name ^ ___ _ : = �� No.�
Location and Legal Description Lot_ Block
)
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
SSubdi
StreetV n-2
Repairs No. of Stories . . ....... ....... ...
Type of Tank Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
Street_ = , -_ -.- _- ..... -
Notary Public, State of Florida
Plyjlbing Inspeor.
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 5968, Compiled General Laws of Florida Permanent Su ement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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 ` \
(Signed) - - -- --
( 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.
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 233
Owner of
Building
Architect
Contractor
or Builder ' r'
Legal Lot
Description Bl
Address of �-
Building
Signed.
Work to be performed under this Permit
Subdi-
vision
Value of II Amount of
Project $ II 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.
INSPECTOR
DATE 19
Contractor's
License No.
1
BY.
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 =smile responsibility for,all Nebrk done by either, /myself, my agent, servant or employee. •. •
CONTRACTOR OR BUILDER
BY AUTHORITY
ABBOT PRINT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. /,'"''" v 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 progress of work.
Owner's Name and Address No._____ __ _____ __- __ ...__. Street
Registered Architect and /or Enginee _
Employing Plumbers Name__ - / i
Plumber's - -- { l �"- -� �-L - - -- -- -- -, " r- -if, - [>. 5.0 No. - - -- -- Street
Location and Legal Description Lot 1 Block____ Subdivision 4"
Street and Number where work is to be performed—No , : :__ _ . 4- '"" Street f •
State work to be performed and purpose of building (By Floors ) ____ Pi h i e -- -_ ,.
Tew Building
Remodeling Addition____ -_
Repairs
No. of Stories - J___ ..
Size Septic Tank Type of Tank Capacity Gals.
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $ _ - - - - - � -
Dist. Feet of Tank or Drain Field from ell
7S
Size of Soa
- ,¢Signed) f- f.!
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certi that h: understands and accepts hisiligations as, an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compi : • eneral 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 not' es as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this p; nit, as arc
licensed by Miami Shores Village. ,,,t/ + - ._
)
(Signed),-_ t (, _ , _ --
J12I� e
Master P
a u mber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
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 made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
Twits
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS I � ." 1 0/0'
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
.....
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
•NTR.
1ST
1
IECK
�. . s r
I
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. /,'"''" v 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 progress of work.
Owner's Name and Address No._____ __ _____ __- __ ...__. Street
Registered Architect and /or Enginee _
Employing Plumbers Name__ - / i
Plumber's - -- { l �"- -� �-L - - -- -- -- -, " r- -if, - [>. 5.0 No. - - -- -- Street
Location and Legal Description Lot 1 Block____ Subdivision 4"
Street and Number where work is to be performed—No , : :__ _ . 4- '"" Street f •
State work to be performed and purpose of building (By Floors ) ____ Pi h i e -- -_ ,.
Tew Building
Remodeling Addition____ -_
Repairs
No. of Stories - J___ ..
Size Septic Tank Type of Tank Capacity Gals.
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $ _ - - - - - � -
Dist. Feet of Tank or Drain Field from ell
7S
Size of Soa
- ,¢Signed) f- f.!
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certi that h: understands and accepts hisiligations as, an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compi : • eneral 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 not' es as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this p; nit, as arc
licensed by Miami Shores Village. ,,,t/ + - ._
)
(Signed),-_ t (, _ , _ --
J12I� e
Master P
a u mber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
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 made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Company
.4 . 2
Address
Afr,1
Inspection
Time Ready
Date Ready
REQUEST FOR INSPECTION
e
z A
<•■••
"7-
411
7 - PHONE
9/
A.M. P.M.
REQUEST FOR INSPECTION
Company
PHONE
1
Job
Address
Inspection
Time Ready . A.M. P.M.
Date Ready
Permit No. // j 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 \liaiui'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 -. No. -- -- - - -- ___. Street
Registered Architect and /or Engineer
Employing Plumber's Name_ _ _____ No. - Street
Location and Legal Description Lot __________ ________ - ____... 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
CLOSETS
CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
SEPTIC
TANK
BATH
TUBS
SEWER
CONN.
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well.
STATE OF FLORIDA, f
COUNTY OF DADE.
SHOWERS
ss.
DRAIN
FIELD
Remodeling _ Addition ___.___._ Repairs No. of Stories
LAVA-
TORIES
SOAKAGE
PIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
SINKS
GREASE
TRAP
SLOP
SINKS
SOLAR
HEATER
LAUNDRY
Tess
DEEP
WELL
Amount of Permit $_- (Signed)
( Signed)
CATCH FLOOR
URINALS I BASIN DRAIN
SPRKLR.
SYSTEM
Type of T a n k /
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
SWIM 'G
POOL
DRINK:NG
FOU NT'NS
Capacity Gals.
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 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 ill 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.
Master Plumber.
TOTAL
FIXTURES
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
or Builder
MIAMI SHORES VILLAGE, FLORIDA
n DATE r.
PERMIT IT? 11182
❑ Work to be performed under this Permit
Architect s� _
contractor
Legal Lot Bl. Subdi-
Description vision
Contractor's
License No
195
Address of Value of Amt. of
Building ) / Project $ Permit $ / :,.....
f • t !
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 ()On the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. / ` /
Signed. }' - . _12�PBCC O R / �_ , z.,.: BY �,
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 assume responsibility for all w9tk done by either, myself, my agent, servant or employee.
J
CONTR Mt 13 BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description
Address of
Lot
MIAMI SHORES VILLAGE. FLORIDA
11 PERMIT N? 10138
Work to be performed under this Permit
CONTRACTOR OR BUILDER
Bl.
_rf
:. <
Subdi-
vision
• /
DATR _ .� / b 19512_.
Contractor's
License No
Owner of
Building
I� Value of Amt. of
Permit
Building
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 stateni nts or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
i
4 .
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 accepting this permit I assume responsibility for all pork doe by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING f 1 DATF. -
ELECTRICAL PERMIT 'N? 11138
PLUMBING"
ROOFING E Work to be performed under this Permit
11
Owner of A
Building ..
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
WNTRAA OR
•
MIAMI SHORES VILLAGE, FLORIDA
s r
-- r
Bl.
% ' r ,.. �� ,►
Value of
Project $
Signed •
Subdi-
vision
E
BY
Contractor's
License No
--/
Amt. of
Permit $
195
id C
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 perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings s ements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work don either, myself, my agent, servant or employee.
fp
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
l ,
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot,
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid,
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 Divisiot,
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.
i
Owner's Name and Address . /
Permit No.
Nature of Water Supply: City —Well.
s s.
State work to be performed and purpose of building (By Floors) r
No Streets
Registered Architect and /or Engineer
Employing Plumber's Name -_ -- -L___J ) ' ' • .. -- -} No.__-- Street f
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No -' Street__._
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
Size of Soakage Pit
Amount of Permit $_..- (Signed) - A-' 4 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 - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
Master Plumber.
STATE OF FLORIDA, I
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 $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
.•cc..++ „%I /f /,
TOTAL
FIXTURES
/
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
,
CHECK
fp
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
l ,
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot,
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid,
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 Divisiot,
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.
i
Owner's Name and Address . /
Permit No.
Nature of Water Supply: City —Well.
s s.
State work to be performed and purpose of building (By Floors) r
No Streets
Registered Architect and /or Engineer
Employing Plumber's Name -_ -- -L___J ) ' ' • .. -- -} No.__-- Street f
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No -' Street__._
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
Size of Soakage Pit
Amount of Permit $_..- (Signed) - A-' 4 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 - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
Master Plumber.
STATE OF FLORIDA, I
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building • ' / v
Contractor
or Builder
Legal Lot
Description
Address of
Building
1/
MIAMI SHORES VILLAGE, FLORIDA_
,PERMIT N? 7535
Work to be performed under this Permit --y'
Architect
/ / ,G
Bl.
Subdi-
vision
Value of
Project
s
DATE i , x . . / . / 194 L
Contractor's
License No.
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 appli-
cation 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_ prdrawings or in / the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. ( �
.. Signed • ' y r:.� / /`tee .Y a e. B i /
//' INSPECTOR %`}
In consideration of the issuance to me of this permit I agree to perform tile work covered hereunder in compliance with all ordinances and r gulgti9ns
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shords Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR B UILDER BY
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of y �;
Building
This permit is granted to the contractor or buil er 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 thereto and w th 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 assume the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawbi s or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. . I.= • By'
INSPECTOR y
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.
acciit I assume responsibility for all work done by either myself, my agent, servant or employee.
• �
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 7314
Work to be performed under this Permit_
Subdi-
vision
Value of
Project
DATE 194_
Contractor's
License No.
Amt. of
Permit
BY AUTHORITY
UILDING
ECTRICAL
UMBING
wner of
Aiding
rchiteot
ontractor
- Builder rt
egal Lot Bl. Subdi-
escription vision
ddress of i Value of Amt. of
Aiding f �. Project 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 appli-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
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
= :rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or speecification end that he assumes respon-
)ility 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
-rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
MIAMI SHORES VILLAGE, FLORIDA
DATE ', 1941
Contractor's /
License No. '
PERMIT N? 5326
Work to be performed under this Permit
CONTRACTOR OR BUILDER BY AUTHORITY
MIN
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. 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 progress of work.
Owner's Name and Address No. Street
Registered Architect and /or Engineer
Employing Plumber's Name No Street
Location and Legal Description Lot 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 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
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 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.
ss.
(Signed)
My Commission Expires Notary Public, State of Florida
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.
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.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. 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 progress of work.
Owner's Name and Address No. Street
Registered Architect and /or Engineer
Employing Plumber's Name No Street
Location and Legal Description Lot 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 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
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 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.
ss.
(Signed)
My Commission Expires Notary Public, State of Florida
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.
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
•
CO
Lot
V
PERMIT N? 6283
Work to be performed under this Permit
CTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
/ •
Bl.
Subdi-
vision
BY
DATE
Contractor's
License No.
Value of Amt. of /
Signedt - By
INSPECTOR
r g"
Building ._ ,, Project Permit
This permit is granted to the contractor or builder na ed 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 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 . ' • ances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or }'the Statements or specifications and,that he as - mes respon-
sibility for work done by his agents, servants or employees.
A
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances andiregylat ons
pertainin reto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting thirpermit I as ne respdnsibility for 'a work done by either myself, my agent, servant or employee.
AUTHORITY
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 rule:, 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. 2
, ..,,„_,,,
, .-- .•, .......
D ...„, ) ,, • .---
Owner's Name and Address No. 3- —
-rs.vel"allUrtikftestialekaL '
Registered Architect and/or Engineer
Employing Plumber's Name / No. 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
CLOSETS
CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
•
SEPTIC
TANK
----- -----
BATH
TUBS
SEWER
CONN.
Size Septic Tank
Feet of Drain Tile
STATE OF FLORIDA, t
COUNTY OF DADE.
/5
"0
SHOWERS
DRAIN
FIELD
Nature of Water Supply: City—Well.
SS.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
/APPLICATION FOR PLUMBING PERMIT
LAVA-
TORIES
SOAKAGE
PIT
SINKS
Remodeling Addition
GREASE SOLAR i DEEP
TRAP HEATER WELL
Type of Tank
SLOP LAUNDRY
SINKS TUBS
URINALS
SPRKLR. ' SWIM
SYSTEM POOL
( Signed) "
//■
Date
Street
Repairs r
CATCH FLOOR DRINKING
BASIN DRAIN FOUNT'NS
No. of Stories
My Commission Expires Notary Public, State of Florida
Master Plumber.
TOTAL
FIXTURES
Capacity Gals.
i
/-1 1 -------
-- •
__Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
i •
'51 • -. 1.2
k ;
; •
Amount of Permit $_/ Signed)
Plumbing Inspector.
The undersigried 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, CoinPiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance frchn all contractors or sub-contractor5 employed by him in the work to be
performed under this permit; and will post or cause to be posted for trepection on the sit of th work 511(.11 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.
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.
BUILDING
ELECTRICAL
PLUMBING
Contractor
or Builder +y % t 4 i
Legal Lot Bl.
Description
CONTRACTOR OTC BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 5326
Work to be performed under this Permit
Owner of \ ,
Building V o' • 4
Architect
Subdi-
vision
DATE
194
Contractor's
License No. /e
Address of .. Value of Amt. of
B g 4 , y 4 / 7 /•-.• `f Project 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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 -sad that ha assumes respon-
sibility for work done by his agents, servants or employees. •
Signed- By / ' f "�
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all @@ rdinances and yf egulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shofes Village.
In accepting this permit I assume responsibility for all work done by either l myself, my agent, servant or employee.
/ X 1...1 L ' , ( ' f t -. `'7 # '
re
BY AUTHORITY •
e
Permit No. _
New Building Remodeling Addition
Nature of Water Supply: City —Well.
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 he kept at
building during progress of work.
I
Owner's Name and Address f.__1. r-. No
Registered Architect and /or Engineer
Employing Plumber's Name._- i `' j, _ No ,' / • Street
Location and Legal Description Lot
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
Street i
Block Subdivision
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
Size of Soakage Pit
(Signed) L • I
My Commission Expires Notary Public, State of Florida
•
(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 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.
Master Plumber.
STATE OF FLORIDA, 1
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
FOU NT' NS
TOTAL
FIXTURES
CONTR.
LIST
/ L • I '
.,
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit No. _
New Building Remodeling Addition
Nature of Water Supply: City —Well.
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 he kept at
building during progress of work.
I
Owner's Name and Address f.__1. r-. No
Registered Architect and /or Engineer
Employing Plumber's Name._- i `' j, _ No ,' / • Street
Location and Legal Description Lot
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
Street i
Block Subdivision
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
Size of Soakage Pit
(Signed) L • I
My Commission Expires Notary Public, State of Florida
•
(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 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.
Master Plumber.
STATE OF FLORIDA, 1
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.
BUILDING
LECTRICAL
1LUMBING
Architect
Contractor
3r Builder
.ega1
)escription
Lot
MIAMI SHORES VILLAGE, FLORIDA
DAT ter'. e _ • 194
License No. f
Contractor's s s 1i
Work to be performed under this Permit / . iT +r=
PERMIT No'. 4211
Owner of f '
Huilding
V CONTRA � lt I&DER
Bl.
Subdi-
vision
Address of ' { ` ' Project of Perm't
luilding A. _ ,✓
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 appli-
ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
flans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
=t 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
egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements os specifications and that he assumes respon-
Ability for work done by his agents, servants or employees. r
Signed. Lr 1•` 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
,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n ageepting this • L assum responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY