PLUMBING PERMITBUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
0
MIAMI SHORES VILLAGE. FLORIDA
PERMIT V? 4789
Work to be performed under this Permit
••7
i
BI
9
Subdi-
vision
Value of
Project $
DATR 4 7
Contractor's
License No.
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 assume s 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. I' .. BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work dovered 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 a,
Feet of Drain Tile
Permit No.
Owner's Name and Address
Registered Architect and /or Eng
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
STATE OF FLORIDA, t
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 heron,: th 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.
,„1 eate
del cep
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Size Septic Tank 0 Type of Tank S� � e
No. Street
No /301 Street h 1 • 41 .3- 9 S c
Block f� Subdivision
1 1 _ .l 2 7 € 2 ��Sf9__ 6treet
Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
ss.
No. of Stories
(Signed)
My Commission Expires Notary Public, State of Florida
�
Date ______..f / h-
Amount of Permit $ (Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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 d 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
= OUNT•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
_
Feet of Drain Tile
Permit No.
Owner's Name and Address
Registered Architect and /or Eng
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
STATE OF FLORIDA, t
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 heron,: th 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.
,„1 eate
del cep
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Size Septic Tank 0 Type of Tank S� � e
No. Street
No /301 Street h 1 • 41 .3- 9 S c
Block f� Subdivision
1 1 _ .l 2 7 € 2 ��Sf9__ 6treet
Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
ss.
No. of Stories
(Signed)
My Commission Expires Notary Public, State of Florida
�
Date ______..f / h-
Amount of Permit $ (Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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 d 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.
Owner's Name and Address_.___
Size Septic Tank
Feet of Drain Tile__ ________
Nature of Water Supply: City—Well.
S 1. ATE OF FLORIDA, }
Ir:'3UNTY OF DADE.
New Building Remodeling — — Addition.
MIAMI SHORES VI&;,AG
PLUMBING INSPECTION DEPARTMEI''
APPLICATION FOR PLUMBING
Permit No. Date
Application is hereby made for the approval of the detailed statement of th , plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and confer 7,:.y 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 Mituel Shores Village shall be complied with, whether herein specified r r+rt. A copy of approved plans and specifications must be kept at
building during progress of work.
Registered Architect and /or En ineer__-_ -____ _______._________..__
Employing Plumber's Name -- -_ —t— a__ No
Location and Legal Description Lot
Street and Number where work is to be performed —No.__ du 4 e
State work to be performed and purpose of building (By Floors)__-_.__.
No._/g Street
° Street___ cl
__ _ ._
Subdivision
Street
Repairs No. of Stories.... ..... ....
Type of Tank— Capacity Gals
__Dist. Feet of Tank or Drain Field from Well.
__Size of Soakage Pit
�
Amount of Permit $ ¢ - i 9 - -- •---- - -- - -. _— _ - --__ -- (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 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
req*dred 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 C emmission Expires Notary Public, State of Florida
Plumbing I
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
to rue well k own, 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
thareLa by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty
enatnials and /or workmanship.
CLOSETS
BATH
'rues
SHOWERS
!l
LAVA-
TORIES
C ��
SINKS
&
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N8
_
,[: , V•
�i (?9 ,,
Q
i a
' • i ,7
TOTAL
FIXTURES
�L S �
/,
/
CHECK
=--
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR '
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIGT
�
_ - -.—
CHECK
Owner's Name and Address_.___
Size Septic Tank
Feet of Drain Tile__ ________
Nature of Water Supply: City—Well.
S 1. ATE OF FLORIDA, }
Ir:'3UNTY OF DADE.
New Building Remodeling — — Addition.
MIAMI SHORES VI&;,AG
PLUMBING INSPECTION DEPARTMEI''
APPLICATION FOR PLUMBING
Permit No. Date
Application is hereby made for the approval of the detailed statement of th , plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and confer 7,:.y 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 Mituel Shores Village shall be complied with, whether herein specified r r+rt. A copy of approved plans and specifications must be kept at
building during progress of work.
Registered Architect and /or En ineer__-_ -____ _______._________..__
Employing Plumber's Name -- -_ —t— a__ No
Location and Legal Description Lot
Street and Number where work is to be performed —No.__ du 4 e
State work to be performed and purpose of building (By Floors)__-_.__.
No._/g Street
° Street___ cl
__ _ ._
Subdivision
Street
Repairs No. of Stories.... ..... ....
Type of Tank— Capacity Gals
__Dist. Feet of Tank or Drain Field from Well.
__Size of Soakage Pit
�
Amount of Permit $ ¢ - i 9 - -- •---- - -- - -. _— _ - --__ -- (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 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
req*dred 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 C emmission Expires Notary Public, State of Florida
Plumbing I
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
to rue well k own, 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
thareLa by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty
enatnials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
KOOFING
Architect
.., ontractor
r Builder
legal
Description
Address of
wilding
Lot
MIAMI SHORES VILLAGE. FLORIDA
❑ DATE
PERMIT N° 4169 Contractor's
License No.
Owner of
Kuilding
Bl.
Work to be performed under this Permit
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,
lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
lime 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
3ertaining 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
- _lone by his agents, servants or employees. - I
Signed. B1F
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-
zepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY ems,
Amount of Permit
q37 7 c7 ' ;'
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
/728 0
APPLICATION FOR PLUMBING PERMIT-
20 .. 198L__
PermitNo (23/-°
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 Z.ornberg
Registered Architect and/or Engineer
Employing number's Name° .G...1,1 el. Sc.pt
Location and Legal Description Lot_ Bloat
Street and Number where work is to be performed—No 3.199 NE 32 street
State work to be performed and purpose of building (By Floors)._
New Building_ Remodeling__...___ Addition. _.
No 1199 NE 92
Repairs
Size Septic Tank---_ _Type of Tani LIU' Well
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—WeIL Size of Soakage Pit
Dry well to be used for washiu„Imachine
M Shores
-
stmt. Miami 1 ... _
..... • • ••••--
No. of Stories......
( Signed )_ NfreVia.
Plumbing in spectn;.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and li com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worlf co 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 undr( this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Plumber.
STATE OF FLORIDA, }
sa.
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 swons, upon oath deposes and says that he is the
of the above described construction, that he bar carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary 1Publio, State of Florida
NOTE: A re-inspection fee of 81.00 will be made whoa as miespsodoo toodiroseemary by Improper nodes far Inspection, or faulty
materials sod/or workmanship.
CLOSETS
BATH
Tuss
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'1415
TOTAL
PoituRES
CON11II.
LIST
—
CHECK
......
.....
5 .
SYSTEM
5W IM
POOL
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
Comm
LIST
CHECK
Amount of Permit
q37 7 c7 ' ;'
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
/728 0
APPLICATION FOR PLUMBING PERMIT-
20 .. 198L__
PermitNo (23/-°
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 Z.ornberg
Registered Architect and/or Engineer
Employing number's Name° .G...1,1 el. Sc.pt
Location and Legal Description Lot_ Bloat
Street and Number where work is to be performed—No 3.199 NE 32 street
State work to be performed and purpose of building (By Floors)._
New Building_ Remodeling__...___ Addition. _.
No 1199 NE 92
Repairs
Size Septic Tank---_ _Type of Tani LIU' Well
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—WeIL Size of Soakage Pit
Dry well to be used for washiu„Imachine
M Shores
-
stmt. Miami 1 ... _
..... • • ••••--
No. of Stories......
( Signed )_ NfreVia.
Plumbing in spectn;.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and li com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worlf co 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 undr( this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Plumber.
STATE OF FLORIDA, }
sa.
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 swons, upon oath deposes and says that he is the
of the above described construction, that he bar carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary 1Publio, State of Florida
NOTE: A re-inspection fee of 81.00 will be made whoa as miespsodoo toodiroseemary by Improper nodes far Inspection, or faulty
materials sod/or workmanship.
�._.
CLDSETg
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
$WIM'G
POOL.
Cur.
LIST
CHECK
-
_
r�.i.rzY S r. - --
Location and Legal Description Street and Number where work is to be performed -No
Nature of Water Supply: City -Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block_-
( Signed
) __IL/
Street
0 —
�,
Date .._._.._____
Appiica.iou is hereby insiee for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stsuctu: a her in 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
44 Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must he kept at
building during progress of work.
Owner's Name and Address_ - - -- = -__= -_- -4 �, Bd L . i' E Street
Registered Architect and /or Engineer _____ --------------------------___---_
Employing Plumber's Name - - -� _._ �__ —? �1C.�. _ � � No._._ 4 -(. 4?' Street_ eo;
Subdivision
State work to be performed and purpose of building (By _ -_
New Building __— _--- _ - -• -• - -_ -_._ Remodeling ._ -._.__ Addition--- -___.- Repairs No. of Stories . . .... ....
Size Septic Tank Type of Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
Capacity Gals
Amount of Permit $ ( Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hi • obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Vrmanent 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
70114TEN1 by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
lit:eased by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, p
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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
r
rr
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.