PLUMBING PERMITPermit No Date
-Application is !.ereby made for the approval of the detailed statement of the plans and specifications herevcitle 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 he 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 Nacre No. Street
Location and Legal Description Lot . ______ -_ _Block . Subdivision
Street and Number where work is to be performed —No _ ___ __ Street _.
State work to he performed and purpose of building (By Floors)
New Building
CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
BATH
CLOSETS TUBS
SEPTIC
TANK
Size Septic Tank
Feet of Drain Tile _
Nature of M'ater Supply: City —Well.
STATE OF FLORIDA,
COUNTY OF DADE.
SHOWERS
SEWER O"iAIN
CONN. FIELD
ss.
Remodeling _ Addition ___ _. Repairs . _ Nn. of Stories
LAVA-
TORIES
SOAKAGE
PIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
SINKS
GREASE
TRAP
SLOP
SINKS
LAUNDRY
Toes
URINALS
CATCH
BASIN
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
- -- Type of Tank
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Amount of Permit $ —__ (Signed)
(Signed) ___
FLOOR DRINKING
DRAIN FOUNT'NS1
_Capacity Gals.
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 el liployud by him in the work to }w
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 )e performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
Master Plumber.
TOTAL
FIXTURES
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledguuents, 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 t hat all facts
therein by him stated are true.
NOTE: A re- inspeetion fee of 81.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of ,
Building 1, -
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
l e
MIAMI SHORES VILLAGE, FLORIDA
Li PERMIT ' 11697
CONTRACTOR OR BUILDER
Work to be performed under this Permit
Bi.
/.
v �
Subdi-
vision
Value of
Project $
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.
Signed: ,r BY 1..
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 work done by either, myself, my agent, servant or employee.
7
DATE 195
Contractor's
License No
Amt. of
Permit $
AUTHORITY
-
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CCX TRACTC'Z OR BUI -DER
MIAMI SHORES VILLAGE. FLORIDA
DATE 1 °5
PERMIT N:' 5726 Contractor's
Liceitse No.
Work to be performed under this Permit
B1 .
Subdi-
vision
Value of Amount cf
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 tte
herder in strict compliance with all ordinances pertaining thereto and with tho understanding that the work will be performed in compliance with any pions
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revolted rrt 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 pecrnii 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 resconsi'uiiity for work
done by his agents, servants or employees.
Signed PY: _ — — -
INSPECTOR
In consideration of tho issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and requlatioc;
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In cc-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
f
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
b•.si.°.ding during progress of work.
:s'a Name and Address No._______ Street
Registered Architect and /or Engineer_------- __ —_ -- _ - - - -_ _ -.
E7- °Dying L"_-znbe s Name
II.4cca .oz and Legal Description Lot-- ----------------------------__--
St.. •srt and Numhor where work is to be performed —No
Star E roe's to be performed and purpose of building (By Floors )
Now Illuiiding ___ . Remodeling
VA717. CIF FLO UtDA, as.
O, T'Tf OF )ADE.
MIAMI SHORES VILP AG
PLUMBING INSPECTION DEPARTMEN..
APPLICATION FOR PLUMBING r, ;k,iklg4
Block
No.._______ —_. Street
Subdivision. _________
Addition________._.._____ _____. Repairs No. of Stories
S+ Esptic Tank ___ __— - -- -_Type of Tank
Fast of Drain 'Pilo._.___ __--- _-- •- -Dist. Feet of Tank or Drain Field from Well
Ne..ase of Water Supply: City — Well._..__ _ — . -_Size of Soakage Pit
st"'
Ai nun? of Permit — - --- - - - - -- — — ' -- (Signed) - -- —
Street
Capacity Gals._
7 /
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o,. `gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Per anent 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
peafen sd 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
rc.�;«2- by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
Yearn ad T 7 Miami Shores Village.
( Signed).
Sefose me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to rue e,Yall known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of tine above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
ATE: A re- bepection fee of 01.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
nst n e and /or wo-rk*•a+nchip.
CLOSETS
BATH
TUBE
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUeB
U RINALS
CATCH
BABIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIKTUREB
eovr:l.
SEPTIC
YANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CM t.
E.1 04
Cx ^eY
-
f
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
b•.si.°.ding during progress of work.
:s'a Name and Address No._______ Street
Registered Architect and /or Engineer_------- __ —_ -- _ - - - -_ _ -.
E7- °Dying L"_-znbe s Name
II.4cca .oz and Legal Description Lot-- ----------------------------__--
St.. •srt and Numhor where work is to be performed —No
Star E roe's to be performed and purpose of building (By Floors )
Now Illuiiding ___ . Remodeling
VA717. CIF FLO UtDA, as.
O, T'Tf OF )ADE.
MIAMI SHORES VILP AG
PLUMBING INSPECTION DEPARTMEN..
APPLICATION FOR PLUMBING r, ;k,iklg4
Block
No.._______ —_. Street
Subdivision. _________
Addition________._.._____ _____. Repairs No. of Stories
S+ Esptic Tank ___ __— - -- -_Type of Tank
Fast of Drain 'Pilo._.___ __--- _-- •- -Dist. Feet of Tank or Drain Field from Well
Ne..ase of Water Supply: City — Well._..__ _ — . -_Size of Soakage Pit
st"'
Ai nun? of Permit — - --- - - - - -- — — ' -- (Signed) - -- —
Street
Capacity Gals._
7 /
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o,. `gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Per anent 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
peafen sd 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
rc.�;«2- by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
Yearn ad T 7 Miami Shores Village.
( Signed).
Sefose me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to rue e,Yall known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of tine above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
ATE: A re- bepection fee of 01.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
nst n e and /or wo-rk*•a+nchip.