PLUMBING PERMITPermit No
Application is hereby made for the approval of the detailed statement of
structure herein described. This application is made in compliance and co:
and all provisions of the Laws of the State of Florida, all ordinances of Mio-xr.
of M farm Shores Village shall be cc aplied with, whether herein spe.^..'`.-, -
building during progress of work.
Owner's Name r.nd Address
Registered A;:•c;•:et and /or En ineer —._ ---
Employing Numbers Name_ ( r '' . : ('`" i `+
Location and Legal Description Lot__-- ......... _____ —_____ __ ____ _— Block_
Street and Number where work is to be performed —No
Stato work to be performed and purpose of building (By Floors )_..4. -_ --
New Building Remodeling __-- ---- --- ---- _- __ -_ -- Addition____ --
Size Septic Tank
Feet of Drain Tile_
Nature of Water Supply: City— Well.____
r
b`; IAMI SHORnS VI.. .e
PLUMBING INSPECTION DEPARTM ".f
APPLICATION FOR PLUMBING
Amount of Permit $ ...... — — (Signed)_
_._._ No._
Date
,.i 'ns and speai: c . c;ms herewith submitted for the building or other
with the ' . Itid ng Ordinance of Miami Shores Village. Florida,
,. ies Viiiat asa all rules and regulations of the Building Division
^. cope - ' .gp -oved plans and specifications must be kept at
- r
E g
Street. —�_�•
Repairs No. of Stories . . ... . .................
Type of Tank— Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
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':. 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)_ _Gr
Subdivision
Street �� !
-MaftrEinalber.
STAT,F, CF FLORIDA, 1
CZYJNTY OF DADE.
Before Yale, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me we?] 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.
M., C+ ;ranission Expires Notary Public, State of Florida
I OTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
TUBS
TUBS
SHOWERS
LAVA
TORIES
SS
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONK.
DRAIN
FI ELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHZCK
_
Permit No
Application is hereby made for the approval of the detailed statement of
structure herein described. This application is made in compliance and co:
and all provisions of the Laws of the State of Florida, all ordinances of Mio-xr.
of M farm Shores Village shall be cc aplied with, whether herein spe.^..'`.-, -
building during progress of work.
Owner's Name r.nd Address
Registered A;:•c;•:et and /or En ineer —._ ---
Employing Numbers Name_ ( r '' . : ('`" i `+
Location and Legal Description Lot__-- ......... _____ —_____ __ ____ _— Block_
Street and Number where work is to be performed —No
Stato work to be performed and purpose of building (By Floors )_..4. -_ --
New Building Remodeling __-- ---- --- ---- _- __ -_ -- Addition____ --
Size Septic Tank
Feet of Drain Tile_
Nature of Water Supply: City— Well.____
r
b`; IAMI SHORnS VI.. .e
PLUMBING INSPECTION DEPARTM ".f
APPLICATION FOR PLUMBING
Amount of Permit $ ...... — — (Signed)_
_._._ No._
Date
,.i 'ns and speai: c . c;ms herewith submitted for the building or other
with the ' . Itid ng Ordinance of Miami Shores Village. Florida,
,. ies Viiiat asa all rules and regulations of the Building Division
^. cope - ' .gp -oved plans and specifications must be kept at
- r
E g
Street. —�_�•
Repairs No. of Stories . . ... . .................
Type of Tank— Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
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':. 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)_ _Gr
Subdivision
Street �� !
-MaftrEinalber.
STAT,F, CF FLORIDA, 1
CZYJNTY OF DADE.
Before Yale, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me we?] 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.
M., C+ ;ranission Expires Notary Public, State of Florida
I OTE: 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.
Septic Tank
Feet of Drain Tile
STATE OF FLORIDA, }
COUNTY OF DADE.
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. Tits 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.
Owners Name and Address ------- ••---- - �' _ :_ -_ _ _ No.
Registered Architect and /or Engineer --T --- --- _ - - - -- _�--- ----- --__ -- -
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 Remodeling---- _--- .- _-- _.. -___ -- Addition --
Type of Tank___._ Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
•
Nature of Water Supply: City.-Well
1 a ge Pit • Cit •- Well.``___— _�__..__'______ � :- _Size of Soaka ' �
Y �'
Amount of Permit $ ............... _____ (Signed)__
(Signed)_
Street
Repairs No. of Stories.
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.
Street
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 th 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 Conunission Expires Notary Public, State of Florida
Master Plumber.
OTE: 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 worlananship.
CLOSETS
BATH
TUBS
SFIOWERB
LAVA•
TORIES
SIN"
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK! NO
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
S
-
�.
_-
SEPTIC
TANK
SEWER
CONN.
DRAIN
I
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
I
l
~ --
CHECK
Septic Tank
Feet of Drain Tile
STATE OF FLORIDA, }
COUNTY OF DADE.
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. Tits 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.
Owners Name and Address ------- ••---- - �' _ :_ -_ _ _ No.
Registered Architect and /or Engineer --T --- --- _ - - - -- _�--- ----- --__ -- -
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 Remodeling---- _--- .- _-- _.. -___ -- Addition --
Type of Tank___._ Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
•
Nature of Water Supply: City.-Well
1 a ge Pit • Cit •- Well.``___— _�__..__'______ � :- _Size of Soaka ' �
Y �'
Amount of Permit $ ............... _____ (Signed)__
(Signed)_
Street
Repairs No. of Stories.
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.
Street
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 th 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 Conunission Expires Notary Public, State of Florida
Master Plumber.
OTE: 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 worlananship.
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 GI 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 L ` �. _ 2 7 No.
Registered Architect and /Or'Engineer .-: / ? °
Employing Plumber's Nkirte - -. -•- •»a --
State work to be performed and purpose of building (By Floors) __.
New Building Remodeling
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE.
114
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/0 re
Date r 7 --
Street.
Location and Legal betttlptloa' .ot. . _ --, Block
Street and Number where work is to be performed-4o 4 )--C _Lv Z V l Str _.........r _
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 .-------- •------- - ---_— _.Stze of Soakage Pit
(Signed) - -- -- �� -- -�\
Repairs
Capacity Cals._
No. of Stories.. ....... . .
Plumbing Ins
The undersigned applicant: for this building permit does hereby certify that he understands and accepts his obligations as ap'employer of labor
undcr the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Suppl ent, and ham 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 hire stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $L00 will be made when such ie- inapectloe is mede'uee s. ry by improper notice for inspection, or faulty
materials and /or workmanship.
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUNIS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURE•
CLOSETS
BATH
TUBS
SHOWERS
CONTR.
LIST
/
f
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
�.
CONTR.
I
-
+-+- - -
-
LIST
CHICK
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 GI 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 L ` �. _ 2 7 No.
Registered Architect and /Or'Engineer .-: / ? °
Employing Plumber's Nkirte - -. -•- •»a --
State work to be performed and purpose of building (By Floors) __.
New Building Remodeling
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE.
114
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/0 re
Date r 7 --
Street.
Location and Legal betttlptloa' .ot. . _ --, Block
Street and Number where work is to be performed-4o 4 )--C _Lv Z V l Str _.........r _
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 .-------- •------- - ---_— _.Stze of Soakage Pit
(Signed) - -- -- �� -- -�\
Repairs
Capacity Cals._
No. of Stories.. ....... . .
Plumbing Ins
The undersigned applicant: for this building permit does hereby certify that he understands and accepts his obligations as ap'employer of labor
undcr the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Suppl ent, and ham 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 hire stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $L00 will be made when such ie- inapectloe is mede'uee s. ry by improper notice for inspection, or faulty
materials and /or workmanship.