PLUMBING PERMITl /`(L
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
Registered Architect and /or Engine
Employing Plumber's Name
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
...... No._____- No.__-__- ________ - -- __ Street
go
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 1 11 g 9 (
State work to be performed and purpose of building (By Floors)
New Building____ ____ ___ Remodeling _ ____ Addition
Repairs No. of Stories. _ .._ . ......... .....
Size Septic Tank_
Feet of Drain Tile__ i s' t. Feet o Tank or Drain Field from Well
Nature of Water Supply: City— Well.____________ ______________________ --___Size of Soakage Pit
(Signed) _
Capacity Gals.__ _
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed
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)._ r
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Street_
Subdivision
—
Street
bing Inspector.
n employer of labor
ent, and has corn -
im in the work to be
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
l /`(L
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
Registered Architect and /or Engine
Employing Plumber's Name
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
...... No._____- No.__-__- ________ - -- __ Street
go
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 1 11 g 9 (
State work to be performed and purpose of building (By Floors)
New Building____ ____ ___ Remodeling _ ____ Addition
Repairs No. of Stories. _ .._ . ......... .....
Size Septic Tank_
Feet of Drain Tile__ i s' t. Feet o Tank or Drain Field from Well
Nature of Water Supply: City— Well.____________ ______________________ --___Size of Soakage Pit
(Signed) _
Capacity Gals.__ _
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed
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)._ r
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Street_
Subdivision
—
Street
bing Inspector.
n employer of labor
ent, and has corn -
im in the work to be
BUILDING ❑
ELECTRICAL ❑ DATF 195
PLUMBING p' PERMIT N° 3252 Contractor s
License No. = `
ROOFING ❑
❑
MIAMI SHORES VILLAGE. FLORIDA
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of 'I Amount of
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 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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed- BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
JR
L
Permit No 1 -
•
Registered Architect and /or
Employing Plumber's Plumber's Name_ 1 ___ _k_ eit e
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)
New Building
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
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 subi{iitted 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. al
- --- - ve
Owners Name and Address U E_,2 _- - - - -_� --- __ -_.. No._ _ ( 3 g0 _ Street.
Remodeling Addition_
( Signed)_ - _C
(Sign
Date
C. No._ 17 r Street.. 5 •� 'S
Block Subdivision
ci—os street A/ 1✓ 7 -
A -_y 7 _ S"
Repairs No. of Stories . . ..... ... .... ..
Size Septic Tank. ______Type of Tank
Feet of Drain ............... Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.__ _____________________________— ___Size of Soakage Pit
Capacity Gals _
e
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 obligatilns an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanentt // pplement, 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 w' s ` h public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work t• be -rformed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
JR
L
Permit No 1 -
•
Registered Architect and /or
Employing Plumber's Plumber's Name_ 1 ___ _k_ eit e
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)
New Building
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
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 subi{iitted 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. al
- --- - ve
Owners Name and Address U E_,2 _- - - - -_� --- __ -_.. No._ _ ( 3 g0 _ Street.
Remodeling Addition_
( Signed)_ - _C
(Sign
Date
C. No._ 17 r Street.. 5 •� 'S
Block Subdivision
ci—os street A/ 1✓ 7 -
A -_y 7 _ S"
Repairs No. of Stories . . ..... ... .... ..
Size Septic Tank. ______Type of Tank
Feet of Drain ............... Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.__ _____________________________— ___Size of Soakage Pit
Capacity Gals _
e
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 obligatilns an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanentt // pplement, 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 w' s ` h public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work t• be -rformed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
New Building Remodeling
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City—Well
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
M Commission Expir
MIAMI SNORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
0S - 6 cis
Qf 'L5GQ4Mr``�.9 F5k PLUMBING ?EiiMIT
N 69 -1299 30
Permit No .(1 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 Zirogress of work.
Dr. I.. Greenman 100 N2 92 Street
Owner's Name and Address_ __.__________________—_.._ ___________._._.-___.__________ No._ _ ------ ------- -- -_ Street __ --- - ' - _ - •--
Registered Architect and /or Engineer______ __— ______________
Employing Plumber's Name Peoples Gas System No.___.__ _ _ Street-_ __ NE 125th 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)
( Signed)-- __ C-.? s(
Street
Addition Repairs No. of Stories. _ _ ... _ ....... .
__Type of Tank
.Dist. Feet of Tank or Drain Field from Well
-------- __ -__ -- __ --- - Size of Soakage Pit
Capacity Gals.
c.2.4()
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.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made necessary by improper notice for imp or faulty
materials and /or workmanship.
CLOGEY6
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKG
SLOP
SINKG
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
00
u¢r
1
TOTAL
FIXTURES
1
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
- --
CHECK
New Building Remodeling
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City—Well
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
M Commission Expir
MIAMI SNORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
0S - 6 cis
Qf 'L5GQ4Mr``�.9 F5k PLUMBING ?EiiMIT
N 69 -1299 30
Permit No .(1 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 Zirogress of work.
Dr. I.. Greenman 100 N2 92 Street
Owner's Name and Address_ __.__________________—_.._ ___________._._.-___.__________ No._ _ ------ ------- -- -_ Street __ --- - ' - _ - •--
Registered Architect and /or Engineer______ __— ______________
Employing Plumber's Name Peoples Gas System No.___.__ _ _ Street-_ __ NE 125th 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)
( Signed)-- __ C-.? s(
Street
Addition Repairs No. of Stories. _ _ ... _ ....... .
__Type of Tank
.Dist. Feet of Tank or Drain Field from Well
-------- __ -__ -- __ --- - Size of Soakage Pit
Capacity Gals.
c.2.4()
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.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made necessary by improper notice for imp or faulty
materials and /or workmanship.
Permit No 1/17.2a. Date
Size Septic Tank_ _- _------------ _----------- __ -___ Type of Tank
Feet of Drain Tile_
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)__ --
( )...f
v
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. p II
Owner's Name and Address G17_6_61\011 A K No. 10 Street A/" T e_ _ .. Sr -
Registered Architect and /or Engineer____9__k __IV2.„'
Employing Plumber's Name .-- PI:) (11—u_. 72 Z No. Street_
Location and Legal Description Lot /
1 Block Z Subdivision .!ill _� e
Street and Number where work is to be performed —No //IC Street. A t 9e .5 7-
State work to be performed and purpose of building (By Floors) ____ k_11 rnt?1_ 61 0 0 L
New Building Remodeling Addition Repairs
No. of Stories...
Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._____ _________ _____ _____________ -___________Size of Soakage Pit
Plumbing spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pert rent 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.
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 worlcmanship.
C LOSE "
TUB6
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
Permit No 1/17.2a. Date
Size Septic Tank_ _- _------------ _----------- __ -___ Type of Tank
Feet of Drain Tile_
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)__ --
( )...f
v
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. p II
Owner's Name and Address G17_6_61\011 A K No. 10 Street A/" T e_ _ .. Sr -
Registered Architect and /or Engineer____9__k __IV2.„'
Employing Plumber's Name .-- PI:) (11—u_. 72 Z No. Street_
Location and Legal Description Lot /
1 Block Z Subdivision .!ill _� e
Street and Number where work is to be performed —No //IC Street. A t 9e .5 7-
State work to be performed and purpose of building (By Floors) ____ k_11 rnt?1_ 61 0 0 L
New Building Remodeling Addition Repairs
No. of Stories...
Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._____ _________ _____ _____________ -___________Size of Soakage Pit
Plumbing spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pert rent 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.
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 worlcmanship.
Permit No..
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPUCATION 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 Mine and Address 1( - -4 1 " 0-4. 4. No. Street_
Registered Architect and/or Engineer
Employing Plumber's Name / No Street--
'.
Location and Legal Description Lc* Block Subdfvisfon
Street and Number where work is to be performed—No /
:"......._ ..... ______
State work to be pet:forme(' and purpose of building (By Moon)
New Bathling Remodeling Addition Repairs_ No. of Stories
.Type of Tank-- _ ..._......Capacity Cab.
Feet of Drain Tile I —Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. Size of Soakage Pit
Size Septic Tank—.—
--------------------- - -------
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 Worlcmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by die Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this pennit, as are
licensed by Miami Shores Village.
Amount of Permit $
(Signed)
(Signed)
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, uponaath 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 nrade.necessuy by improper notice for inspection, or faulty
materials and/c. viceltmanshiP•
CLORrns
is ATM
Tula
SNOWENI
LAVA.
TORIES
S ""
SLOP
SINKS
LAUNDRY
TUII
, ... .,•••.. .
•"'"
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
Fatrunas
CONTR .
WIT
.
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR DEEP
HEATER WELL
...-.—...-..—..,
SPRKLR.
SYSTEM
aw Iwo
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LAST
CHECK
Permit No..
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPUCATION 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 Mine and Address 1( - -4 1 " 0-4. 4. No. Street_
Registered Architect and/or Engineer
Employing Plumber's Name / No Street--
'.
Location and Legal Description Lc* Block Subdfvisfon
Street and Number where work is to be performed—No /
:"......._ ..... ______
State work to be pet:forme(' and purpose of building (By Moon)
New Bathling Remodeling Addition Repairs_ No. of Stories
.Type of Tank-- _ ..._......Capacity Cab.
Feet of Drain Tile I —Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. Size of Soakage Pit
Size Septic Tank—.—
--------------------- - -------
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 Worlcmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by die Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this pennit, as are
licensed by Miami Shores Village.
Amount of Permit $
(Signed)
(Signed)
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, uponaath 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 nrade.necessuy by improper notice for inspection, or faulty
materials and/c. viceltmanshiP•
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
❑ DATE / " Z O 195__
✓ PERMIT N° 3082 Contractor s
License No.
0
❑ Work to be performed under this Permit
Bl.
Signed.
Subdi-
vision _
Value of
Project $
Amount 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 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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR' BUILDER BY AUTHORITY 6 '
Permit No
(� i
State work to be performed and purpose of building (By Floors)__
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VIL AGE
PLUMBING INSPECTION DEPARTMEI < - :'
APPLICATION FOR PLUMBING " 4,07
Application is hereby made for the approval of the detailed statement of tic; plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and cooferzity with the wuilding 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 nr'4. A copy of approved plans and specifications must be kept at
building during progress of work.
Ov✓nes's Name and Address ,R—f 1 ° ? - _ � : _ ° No.___ _i _ e Street___`__l,!_ _ -___u
Registered Architect and /or Engineer_ — ___ - - - -__ - - - Q11=7 I• ; <
Employing Plumber's Name A,� (� /S - �s s^., Y y i� s�
ti_ -__ -_ __ — _ _ o Street-- -_,r.' .___.�._..___ �:__.__ t-- L '
Location and Legal Description Lot_____...... _____ 1 i_ � 0 __ Block_
_ -- Subdivision
Street and Number where work is to be performed— No._-__— !� Street
New Building Remodeling —__ —__ Addition__._____.___.________._ Repairs No. of Stories.
Type of Tank_ Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well.___._ -_ -_ Size of Soakage Pit
(Signed)
C .
Date
.. ............•-- --...-
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
_ — P>Ib CJ: mission Expires Notary Public, State of Florida
Master Plumber.
efore 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
Chard-) 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
SINES
SLOP
SINK B
LAUNDRY
Tires
URINALS
CATCH
BA81N
FLOOR
DRAIN
DRINKING
FOUNT'
TOTAL
FIXTURES
CONTR.
LIST
i
c.
CHECK
/60
/ot.
/ Od
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
(� i
State work to be performed and purpose of building (By Floors)__
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VIL AGE
PLUMBING INSPECTION DEPARTMEI < - :'
APPLICATION FOR PLUMBING " 4,07
Application is hereby made for the approval of the detailed statement of tic; plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and cooferzity with the wuilding 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 nr'4. A copy of approved plans and specifications must be kept at
building during progress of work.
Ov✓nes's Name and Address ,R—f 1 ° ? - _ � : _ ° No.___ _i _ e Street___`__l,!_ _ -___u
Registered Architect and /or Engineer_ — ___ - - - -__ - - - Q11=7 I• ; <
Employing Plumber's Name A,� (� /S - �s s^., Y y i� s�
ti_ -__ -_ __ — _ _ o Street-- -_,r.' .___.�._..___ �:__.__ t-- L '
Location and Legal Description Lot_____...... _____ 1 i_ � 0 __ Block_
_ -- Subdivision
Street and Number where work is to be performed— No._-__— !� Street
New Building Remodeling —__ —__ Addition__._____.___.________._ Repairs No. of Stories.
Type of Tank_ Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well.___._ -_ -_ Size of Soakage Pit
(Signed)
C .
Date
.. ............•-- --...-
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
_ — P>Ib CJ: mission Expires Notary Public, State of Florida
Master Plumber.
efore 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
Chard-) 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.
APPLICATION FOR PLUMBING PERMIT
Permit No.- 7 i 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 confonnity 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
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
Size Septic Tank Type of Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply. Cityl— ell Size of Soakage Pit
Amount of Permit $_ -�
7 4. Bing Inspector.
The undersigned applicant for this building permit does hereby certify that he tin rstands and accepts his obligations n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen al Laws of Florida Permanent Su plement, and has corn -
plied with the provisions thereof, and will require similar compliance from all c ntr ctors 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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No.
( Signed)
Repairs
Street
( Signed)
Street
Subdivision
No. of Stories
Capacity Gals.
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. -
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'N5
TOTAL
FIXTURES
CONTR.
LIST
/
—
—L
CHECK
.
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL.
CONTR.
LIST
/
CHECK
APPLICATION FOR PLUMBING PERMIT
Permit No.- 7 i 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 confonnity 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
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
Size Septic Tank Type of Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply. Cityl— ell Size of Soakage Pit
Amount of Permit $_ -�
7 4. Bing Inspector.
The undersigned applicant for this building permit does hereby certify that he tin rstands and accepts his obligations n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen al Laws of Florida Permanent Su plement, and has corn -
plied with the provisions thereof, and will require similar compliance from all c ntr ctors 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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No.
( Signed)
Repairs
Street
( Signed)
Street
Subdivision
No. of Stories
Capacity Gals.
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. -
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.
A
(�1 MIAMI SHORES VILLAGE, FLORIDA /,,, v
BUILDING i I DATR , g , ° - — 195
ELECTRICAL P1 PERMIT N° 10150 Contractor's
PLUMBING Vi License No
Work to be performed under this Permit
/
Owner of
Building
Architect
Contractor
or Builder '
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of
Project $
r �
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 statement] or specifications and that he assumes responsibility for work
done by agents, servants or employees.
Signed , . 9.. • . BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ord' ances and regulations
T pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of iami Shores Village.
accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BT
Amt. of
Permit $
AUTHORITY