PLUMBING PERMITr
Permit No
MIAMI SHORES VIL AGE
PLUMBING INSPECTION DEPARTMEI'i'
APPLICATION FOR PLUMBING .. °'
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith st'ibmitted 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.
a_
Owner's Name and Address
Registered Architect and /or Engineer_______;
Employing Plumber's Name... ...
Location and Legal Description Lot_____._._. _______
g p performed-No _____._._._.____ ____._ Block Subdivision-----,_-_-----------_---___--
Street and Number where work is to be / -2 , ..��
4 -:- P" "- Str €et.
State work to be performed and purpose of ( building (By Floors)____.
New Building v Remodeling_____ -___ Addition.
No.
( Signed
Date
e- No. 2 StreetZ4 e4 ' •
Repairs
Size Septic Tank J - lOQ V _ Type of Tank
Feet of Drain Tile ZS '-`^ - - .4-- - Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City-Well ............ - ___ .......... __ ..... _. .... _•- ____ -- _._._Size of Soakage Pit
Capacity Gals
Amount of Permit $ -- (Signed)._
Street_
Plumbing Inspe
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 the work such public no • ce or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on • to be p forme • u s . er this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t ae.
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 h 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
No. of Stories.
aster Plumber.
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
Toes
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
ALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
I
CHECK
_�-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWING
POOL
CONTR.
LIST
—_ - --
CHECK
r
Permit No
MIAMI SHORES VIL AGE
PLUMBING INSPECTION DEPARTMEI'i'
APPLICATION FOR PLUMBING .. °'
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith st'ibmitted 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.
a_
Owner's Name and Address
Registered Architect and /or Engineer_______;
Employing Plumber's Name... ...
Location and Legal Description Lot_____._._. _______
g p performed-No _____._._._.____ ____._ Block Subdivision-----,_-_-----------_---___--
Street and Number where work is to be / -2 , ..��
4 -:- P" "- Str €et.
State work to be performed and purpose of ( building (By Floors)____.
New Building v Remodeling_____ -___ Addition.
No.
( Signed
Date
e- No. 2 StreetZ4 e4 ' •
Repairs
Size Septic Tank J - lOQ V _ Type of Tank
Feet of Drain Tile ZS '-`^ - - .4-- - Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City-Well ............ - ___ .......... __ ..... _. .... _•- ____ -- _._._Size of Soakage Pit
Capacity Gals
Amount of Permit $ -- (Signed)._
Street_
Plumbing Inspe
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 the work such public no • ce or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on • to be p forme • u s . er this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t ae.
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 h 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
No. of Stories.
aster Plumber.
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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEi `'
APPLICATION FOR PLUMBING
Permit No 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 progress of work.
Owner's Name and Address 4,-41.Y // No.
Registered Architect and /or Engineer_
Employing Plumber's Name
o.__________..____ _ Street___
Location and Legal Descriptio Lot______ : Block__ ....... ___________.... Subdivision
Street and Number where work is to be performed —No j 54. Street 9Z
State work to be perfo ed and purpose of building (By Floors)__-__ ____
New Building __ __- Remodeling
Addition________ Repairs No. of Stories. .
Type of Tank Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Size Septic Tank
Feet of Drain Tile
Amount of Permit $ ...
_l.
STATE OF FLORIDA,
COUNTY OF DADE.
_Size of Soakage Pit
(Signed)_
( Signed)._
2 —z _ -
Street_
Notary Public, State of Florida
—
Plumbing Inspector..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Ilas 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 tlie 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 hin; stated are true.
My Commission Expires,
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
, ���,c_,
le7./"'
TOTAL
FI %TURES
CONTR.
LIST
/
r
i
i
if
. O
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SYYA'
HEATER
DEEP
WILL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST LIST
CHECK
-
i
-_ _
I J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEi `'
APPLICATION FOR PLUMBING
Permit No 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 progress of work.
Owner's Name and Address 4,-41.Y // No.
Registered Architect and /or Engineer_
Employing Plumber's Name
o.__________..____ _ Street___
Location and Legal Descriptio Lot______ : Block__ ....... ___________.... Subdivision
Street and Number where work is to be performed —No j 54. Street 9Z
State work to be perfo ed and purpose of building (By Floors)__-__ ____
New Building __ __- Remodeling
Addition________ Repairs No. of Stories. .
Type of Tank Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Size Septic Tank
Feet of Drain Tile
Amount of Permit $ ...
_l.
STATE OF FLORIDA,
COUNTY OF DADE.
_Size of Soakage Pit
(Signed)_
( Signed)._
2 —z _ -
Street_
Notary Public, State of Florida
—
Plumbing Inspector..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Ilas 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 tlie 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 hin; stated are true.
My Commission Expires,
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for Inspection, or faulty
materials and /or workmanship.
Permit No.__ 7 3 f
Owner's Name and Address_
ss.
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.
i
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or 'neer
Employing Plumber's Nam '- La." 1 yL t "= _ ` No /3 Q
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank -- Type of Tank Capacity Gals
Feet of Drain Tile__ . zr�— Dist. Feet of Tank or Drain Field from We1L
Nature of Water Supply: CIty —Well. Size of Soakage Pit
( Signed)
Plurlibing 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 wojk to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Date /
/ 1 7 0 Street__
k<
Street__ (// ` r ktd
My Commission Expires Notary Public, State of Florida
aster Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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
SW IM'G
POOL
CONTR.
LIST
I/
iiY
CHECK
Permit No.__ 7 3 f
Owner's Name and Address_
ss.
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.
i
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or 'neer
Employing Plumber's Nam '- La." 1 yL t "= _ ` No /3 Q
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank -- Type of Tank Capacity Gals
Feet of Drain Tile__ . zr�— Dist. Feet of Tank or Drain Field from We1L
Nature of Water Supply: CIty —Well. Size of Soakage Pit
( Signed)
Plurlibing 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 wojk to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Date /
/ 1 7 0 Street__
k<
Street__ (// ` r ktd
My Commission Expires Notary Public, State of Florida
aster Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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.
7 llagg of miavmi Shores
I
JOB 'n - A d
ADDRESS 1 I 4 `-'
INSPECTION ?
TIME READY
REMARKS rJ 0 A-17
0 G -�
t
•
INSPECTOR
N9 4705
DATE ? ° -�,
BUILDING ❑
ELECTRICAL ❑
PLUMBING
ROOFING
Owner of
Building ` 4 1 , .9 Vic,. +' ' . `, s
Architect
2
Contractor !
or Builder
Legal Lot i
Description 1 i B1.
Address of
Building f 0"
4/1
x' PERMIT N° 8368
MIAMI SHORES VILLAGE, FLORIDA
l � ' i . f c k%� �x t fir A�.t l`e'6
CONTRACTOR or BUILDER
Date
Contractor's
License No.
Subdi-
vision
Sq Ft.
Value of I I Amount of
Project $ Permit $
AUTHORITY
Work to be performed under this Permit
gre
oli
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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees
Signed• ; ' ' 1, -- - • -' ' �� (INSPECTOR) BY r�140• •
In consideration of the issuance to me of this permit k'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.
BY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA
0
❑ DATE 195
Q PERMIT N9 4082 Contractor's
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
B1
Subdi-
vision
Value of
Project $
II Amount of
II 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. , r,
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.
.1"
BY l j AUTHORITY o
=GILDING
•ECTRICAL
•UMBING
OOFING
caner of
, ilding
chitect
jntractor
Builder
dal Lot
scription
dress of / V "t
1ilding ,tr�r
MIAMI SHORES VILLAGE. FLORIDA
0
PERMIT N? 3299
0
0
•
B1
Work to be performed under this Permit
DATF
Contractor's
License No.
Subdi-
vision
Value of
Project $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
•refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
?wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
le 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
anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
• rtafning 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
•ne 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
'rtaining thereto and In strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
195
CONTRACTOR OR BUILDER BY AUTHORITY s
MIAMI SHORES VILLAGE
, PLUMBING INSPECTION DEPARTMENT
I
APPLICATION FOR PLUMING PERMIT
l ikf(/ Date..._. /.
Permit No • --
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, ,whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.' / 4 OS
�a" l.✓� ail) ¢ r
Owner's Name and. Address No. / z � Street.. � $ ✓ � ..
Registered Architect and /or Enggin
Employing Plumber's Name V P e r a A e • ' ? tG . 0 1 . . . . , a , . t . ..�.,,.d. :: �...••_..... .M-..
Location and Legal Description Lot ! C' Z c T Subdivhdon __- ..._.__— Street
Street and Number where work is to be performed —No /�
State work to be performed and purpose of building (By Floors)
New Building. Remodeling I Addition
Repairs No. of Stories .. _._.
Size Septic Tank_.
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $
_Type of Tank_.—
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 . igations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pe 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
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 be performed under this nit, as are
licensed by Miami Shores Village. �l 114 der
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Capacity Cale...- .. -..._-
6
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 be 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 I Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when each swirspeotfaa is saade.neosssery by Improper notice for inspection, or faulty
materials and /or workmanship.
CLOICTS
BATH
TUBS
bNOW[RL
LAVA•
TORI[s
b INKS
GLOP
SINKS
LAUNDRY
Toss
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIRTURIS
CONTR.
LIST
�
CHICK
_
SEPTIC
TANK
SIWIR
CONN.
DRAIN
FIILD
SOAKAGL
PIT
GRIASL
1 TRAP
SOLAR
MEATIER
DEEP
WILL
BPRKLR.
SYSTIM
SWIM'O
POOL
CONTR.
LIST
I
.
1J'��
CHICK
MIAMI SHORES VILLAGE
, PLUMBING INSPECTION DEPARTMENT
I
APPLICATION FOR PLUMING PERMIT
l ikf(/ Date..._. /.
Permit No • --
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, ,whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.' / 4 OS
�a" l.✓� ail) ¢ r
Owner's Name and. Address No. / z � Street.. � $ ✓ � ..
Registered Architect and /or Enggin
Employing Plumber's Name V P e r a A e • ' ? tG . 0 1 . . . . , a , . t . ..�.,,.d. :: �...••_..... .M-..
Location and Legal Description Lot ! C' Z c T Subdivhdon __- ..._.__— Street
Street and Number where work is to be performed —No /�
State work to be performed and purpose of building (By Floors)
New Building. Remodeling I Addition
Repairs No. of Stories .. _._.
Size Septic Tank_.
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $
_Type of Tank_.—
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 . igations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pe 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
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 be performed under this nit, as are
licensed by Miami Shores Village. �l 114 der
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Capacity Cale...- .. -..._-
6
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 be 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 I Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when each swirspeotfaa is saade.neosssery by Improper notice for inspection, or faulty
materials and /or workmanship.
Permit No.. 1,14--
Amount of Permit $---)-1
U.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. i
Owner's Name and Address Davidson 1240 NE 93 St. N 1240 NE 93 street_ Miami Shores
Registered Architect and /or Engineer
0 G.Lloyd Septic Tank Ser. 800 NW 111 Miami 3316$
_
E mploying 1'lttmbo�c's Nano ..__ ....., Na........e...�.._.�. � ._.....
Location and Legal Description Lot_ Block Subdivision
treet and Number where work is to be performed —No.. 2 1 4 ' 0 N E L . 9 3 street-. Miami S h o; e s
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 2 nQ Feet of Tank or Drain Field from Well .. - - - - -�
Nature of Water Supply: City—Well.
$1450
Repairs
Size of Soakage Pit.
(si , l ! s ) 034._ -
My Commission Expires Notary Public, State of Florida
CC 12842
No. of Stories ...............
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 5988, Compiled General Laws of Florida Permanent Supplement, and iwr corn -
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, k to be performed u er this permit, as are
licensed by Miami Shores Village. �
(Signed) , �''- ii
Master Plumber.
STATE OF FLORIDA, I
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. I
NOTE: A re- inspection fee of $1.00 will be made when nice se•i speotfoo Is soadelaeoresary by improper node, far inspection, or faulty
materials and /or worlonanship.
CLos[TS
BATH
Twos
SHOWERS
LAVA.
TORIES
I
SINKS
SLOP
SINKS
LAUNDRY
'rues
UR
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
I
--
CHECK
SEPTIC
TANK
SEWER
Comm.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'O
POOL
'
Comm
LIST
I
I
III
CHECK
Permit No.. 1,14--
Amount of Permit $---)-1
U.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. i
Owner's Name and Address Davidson 1240 NE 93 St. N 1240 NE 93 street_ Miami Shores
Registered Architect and /or Engineer
0 G.Lloyd Septic Tank Ser. 800 NW 111 Miami 3316$
_
E mploying 1'lttmbo�c's Nano ..__ ....., Na........e...�.._.�. � ._.....
Location and Legal Description Lot_ Block Subdivision
treet and Number where work is to be performed —No.. 2 1 4 ' 0 N E L . 9 3 street-. Miami S h o; e s
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 2 nQ Feet of Tank or Drain Field from Well .. - - - - -�
Nature of Water Supply: City—Well.
$1450
Repairs
Size of Soakage Pit.
(si , l ! s ) 034._ -
My Commission Expires Notary Public, State of Florida
CC 12842
No. of Stories ...............
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 5988, Compiled General Laws of Florida Permanent Supplement, and iwr corn -
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, k to be performed u er this permit, as are
licensed by Miami Shores Village. �
(Signed) , �''- ii
Master Plumber.
STATE OF FLORIDA, I
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. I
NOTE: A re- inspection fee of $1.00 will be made when nice se•i speotfoo Is soadelaeoresary by improper node, far inspection, or faulty
materials and /or worlonanship.
;UILDING
:LECTRICAL
'LUMBING
OOFING
Dwner of
wilding f
7 1.rchitect
contractor
31. Builder
.egal
)escription
zddress of
wilding
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 4212
DATE '
Contractor's
License No.
195
Work to be performed under this Permit
Bl.
Subdi-
vision
BY
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
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
!ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
, ertaining to the work covered hereby whether shown on the plans or drawings or in the statements of specifications and that he assumes responsibility for work
one 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
, ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
= epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY aIMPv