PLUMBING PERMITX"(
Permit No.
Application is hereby made for the approval of the detailed staternent 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 En
Employing Plumber's N
Location and Legal Description L
Street and Number where work is to be perfoirice.-No
State work to be perfenned and purpose of building (By Fkars)
New Building Remodeling_ Addition
CONTR.
LIST
CHECK
COIYTIR
LIST
CHECK
BATH
CLOSETS Tuea
SEPTIC SEWER
TANK CONN.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
LAVA. SLOP
SHOWERS TORIES EINK• SINKS
SOAKAGE GREASE SOLAR
PIT TRAP HEATER
DRAIN
FIELD
•■■■■••■
- No,/goc street...1 9
Block Subdivhd.on___.
3 73 Street 4r-
LAUNDRY
TUSS
rxtep
WELL
a YAP
No. 73 N&
URINALS
SPRKLR.
SYSTEM
CATCH
BASIN
SWI W
POOL
(:42
( Signed )---------
( Signed
Date.40 - 7
FLOOR
DRAIN
DRINKING
FOUNT'NS
Piepalrs No. of Stories .
0111Y1■•■■•■••11411.11110
Size Septic 3. Ta:....^!;__ Caty Gals
Feet of Drain Tile. _Dist. Feet of Tank cr Dsaiz Field from Well
Nature of Water Supply: of Soakage Pit
1" _ _ ........ .
Master Plumber.
TOTAL
FIXTURES
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligationA as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Simplement, and liar com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractcrs 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 u .der this permit, as are
licensed by Miami Shores Village.
STATE OF FLORXDA,
68.
COUNTY OF DADE.
Before me, the undersigned authority, a notary :11.z7c11c, dully authorized to administer oaths and take acknowledgn:ents, personally appeared
to me well known, and who, being by me first duly upon oath deposes and says that he is the
of the above described construction, that he has carefully Teed the foregoing application, and that he did sign the same, and that all facts
therein by him stated are tzlie.
- -
My Cann Expires Notary Public, State of Florida
NOTE: A r�-inspectioa fco of $1.00 will be ma.k szr%Lon serlarpecton is misde by improper notice for inspection, or faulty
materials and/or workeweship.
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 ............ -= - -_= —_ =_ _ ____.- ._...- .. No.
Registered Architect and /or Engineer .------------------ T__� ____ -- — _--- -__ - _.
Employing Plumber's Name , _`,__ -= _ . — __ —._ No-_
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 __ Remodeling______________ ______ Addition Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed
Date..._
Street
Street
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
Capacity Gals
(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.
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.
CLOSET.
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tugs
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
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 ............ -= - -_= —_ =_ _ ____.- ._...- .. No.
Registered Architect and /or Engineer .------------------ T__� ____ -- — _--- -__ - _.
Employing Plumber's Name , _`,__ -= _ . — __ —._ No-_
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 __ Remodeling______________ ______ Addition Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed
Date..._
Street
Street
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
Capacity Gals
(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.
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.
Permit Na._
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.__ —.Y _. - _ • ..... Street_
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
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date.
Repairs
Capacity Gals.
(Signed) _
licensed by Miami Shores Village.
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has coin -
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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
No. of Stories.
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
Plumbing Inspector.
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 worlmianship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
S INKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
-- —
CHECK
Permit Na._
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.__ —.Y _. - _ • ..... Street_
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
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date.
Repairs
Capacity Gals.
(Signed) _
licensed by Miami Shores Village.
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has coin -
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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
No. of Stories.
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
Plumbing Inspector.
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 worlmianship.
Permit No >- _- _- -- _ --_ -- Date / _ L..1
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
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
No._ Street
Street
Location and Legal Description ot____..._ ___.__________ '_ Block Subdivision
.:11_ = x ._.._ a
Street and Number where work is to be performed —No �' `� ' Street z , .
State work to be performed and purpose of building (By Floors)_
New Building __._ Remodeling___ ____ Addition
Repairs No. of Stories.
Size Septic Tank_______L_i _...c. 0 - - - - - -- Type of Tank
,
Feet of Drain Tile.__...... _ C, el __ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply ity Well.___ __- 'z___________.___________ —___ Size of Soakage Pit
Capacity Gals
Amount of Permit $ (Signed)____ —
( Signed) _ ___._ _- -_ - -. -
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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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,
COUNTY OF DADE. as.
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 hire stated are true.
• A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materi and /or workmanship.
CLOSETS
BATH
TUBS
TUB
SHOWERS
W
LAVA-
TORIES
SINKS
SLOP
SINK
LAUNDRY
TUBS
UR
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
��' � 1 `l�
TOTAL
FIXTURES
C L I
,d.
1
/ S
CHECK
.,
--
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SQJ.Aa
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SW IM'G
POOL
5, 4s
I, i
CONTR.
LW
CHECK
,
/ V
Permit No >- _- _- -- _ --_ -- Date / _ L..1
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
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
No._ Street
Street
Location and Legal Description ot____..._ ___.__________ '_ Block Subdivision
.:11_ = x ._.._ a
Street and Number where work is to be performed —No �' `� ' Street z , .
State work to be performed and purpose of building (By Floors)_
New Building __._ Remodeling___ ____ Addition
Repairs No. of Stories.
Size Septic Tank_______L_i _...c. 0 - - - - - -- Type of Tank
,
Feet of Drain Tile.__...... _ C, el __ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply ity Well.___ __- 'z___________.___________ —___ Size of Soakage Pit
Capacity Gals
Amount of Permit $ (Signed)____ —
( Signed) _ ___._ _- -_ - -. -
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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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,
COUNTY OF DADE. as.
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 hire stated are true.
• A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materi and /or workmanship.