PLUMBINGPERMIT APPLICATION FQ.R MIAMI SHORES VILLAGE
s.
,..)"
Date /� 1 Z - 5 Job Address /- /1 Tax Folio
Legal Description
Fir ,/ Lessee / Tenant �f�Cl.av a�J O �•1F Master Permit # 3?/g;
Owner's Address /3/ '4-- ,•f �' - Phone /. 7. f5
Contracting Co. ,./14, �i y 71'J - r'1 -r-s Address V‘/0/ vi-* ,4.
/ Q �
Qualifier �� � • ���G�FSS �- - ‘a - 76i � Phone , � ' /. 7
State # Municipal i'fr Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL_. MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION T �'d Or- f..7-{, ,40. %/°.. /' � - . .g
Signature o
Date:
esiden
LUIS F ALVAREZ
My Comm Exp. 11/07/98
Nitta 1350gAjo do P
EfRA05419363
PeraaraYy Eros ( )Odor D
esident
Zoning Buildin
Mechanical Plumbin
Square Ft. Estimated Cost(value) O'p
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating,construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compl'ance with Al app 'cable laws regulating construction and zoning. Furthermore, I
authoriz: the a. ve amed 4 Jr ntra to do the work stated.
- TrArmi. . , .
Notary as to Contractor or Owner- Builder
My Commission Expires:
et ARMA NDO G. CUBAS
MY COMMISSION EXPI
** * * * * * * * * * * * =_a: * Aftrii 7, 1996 **
5 4,, it BOND::D THRU NOTARY PUBLIC UNDERWRITERS
FEES: PERMIT RADON C.C.F. /' NOTARY TOTAL DUE
APPROVED: Fire Other
Signat _ e of Contractor or Owner- Builder
/ 2
Electrical
e ngineering
0 siding
I D ROUGH IN NEEDED
MAP
D LOCATION
1
..wo
dflcufty: ❑ simple
D moderate
D difficult
I to other
appls.
total
AMOUNT TO COLLECT $
/1/6" T;
rl • t - ; 1.' r
LJ LAArNi 1 t`aLL1J
I O # of Risers O SEPTIC TANK
O of Meters O ABOVE GROUND
O Meter Size h 0 BELOW GROU ND
Customer Approval:
Prey Load
Additional Load
EAT (G)
CFH
Pressure at EQPT
7.,tatomar
Name
Home PH
Work PH
Address ' • /
City
St.
Zip
Buyer - Name/
s�M i�n31 Address
Clry
St.
zip
Federal Taxpayer IDo
Acct. 0
Tax
District
❑ City
0 Coun
Date
R: •wired
Contact Nam
Phone No.
Date
Scheduled
r
Salesperson
CIASUlt*VICE 1;12tP( 8utk
0 Natural 0 LPG-l.4TR
0 Other 0 LPG.Cyl
8EFN$CE TYPE O Restart 0 Retention
-O New On ❑ Reactivate 0 Ret/Add
0 New Off ❑ Added Load ❑ Other
r
k
xe 93 3T
Revenue
Rate Class
/c:• SIC Code
AFE N
I ❑ dirt O asphalt 0 Existing O under tttubouts
I O bock C fiat ❑ Ngw 0 attic (Mots
0 paved 0 the • length a attic ❑ W/H SHED
0 width O regular ❑outside ❑ W/H STAND
size
0 trees O tin njiiet ❑ In wall ❑COMB VENT
❑ fences ❑ 12 pitch ❑ THERMOSTAT
O walks pan: ❑metal i win WIRING
❑ rock ❑ range
0 ❑outer U f� tG ❑ heater Distance from street
I ❑ v
❑ attic Y N Existing: O other .,.
rx under Y N size O 100M cyi
O w/h ❑ 120 tank
❑ existing titdb y N New: E,) range block ei29 ❑ 250 tank
0 frame size ❑ heater ❑other
❑ stucco
O length t0 Will
New:
• - -• -- O DRAIN FIELD
0 SEPTIC TANK
dlfticuiiy: G simple t OHM G # of Risers V ,,,, a _
J moderate O # of Meters _m___.�._ ❑ ABOVE GROUND
❑
ROUGH IN NEEDED total
0 GROUND
MAP AP ❑ difficult • Mater Size
. _ ._
O LOCATION
AMOUNT TO COLLECT Customer App 0nsl:
EAT (0)
(;FH
Pressure at EQPT
Present Load
Additional Load
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building JJ •
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE U 19 It
cg PERMIT
❑ Work to be performed under this Permit
Architect
Contractor
or Builder ,•
Legal Lot
Description II Bl.
N9 7650
Contractor's
License No.
l
Subdi-
vision
Address of Value of II Amount of
Building =� �� i — Project $ 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 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. , ' 4 ▪ INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunde. in compliance with,6ll 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 as
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY
Company
Job
Address
� e
Inspection
Time Ready
Date Ready
REQUEST FOR INSPECTION
c
A.M. P.M.
/7 ,
&:// 4‹
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subniitted 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 w
Permit No.7 / Y •
Owner's Name and Address_
Registered Architect and /or'ngineer
Employing Plumber's Name____ V6:_ RA(
.P1 .L __
Amount of Perrnit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
7
Ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1
Date
_ ( Signed)
4.
d4 No 13 / ,(Lt Street 7 _3 ` Le
F-' efelafil No/3,
o< 3 i 5 iVi Street .t) 6
Location and Legal Description Lot Block Subdivision. q •y _
Street and Number where work is to be performed —No L 3./ Wig Street , ' __3_= JVL ' j ,t
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___ .__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
I .
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent
Notary Public, State of Florida
bing Inspector.
an employer of labor
ement, 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, i on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) - -- - ' t'y''i✓C? f'ls ,' _ .%�iv" _ Lam
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
FOUI,T'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
&:// 4‹
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subniitted 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 w
Permit No.7 / Y •
Owner's Name and Address_
Registered Architect and /or'ngineer
Employing Plumber's Name____ V6:_ RA(
.P1 .L __
Amount of Perrnit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
7
Ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1
Date
_ ( Signed)
4.
d4 No 13 / ,(Lt Street 7 _3 ` Le
F-' efelafil No/3,
o< 3 i 5 iVi Street .t) 6
Location and Legal Description Lot Block Subdivision. q •y _
Street and Number where work is to be performed —No L 3./ Wig Street , ' __3_= JVL ' j ,t
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___ .__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
I .
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent
Notary Public, State of Florida
bing Inspector.
an employer of labor
ement, 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, i on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) - -- - ' t'y''i✓C? f'ls ,' _ .%�iv" _ Lam
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.
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 re;ulat'_ons 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 Engineer
Employing Plumber's Name ( = {�2' i� �"� ' " No Street__ --_
��yy
Location and Legal Description Lot _____/ _ 9 __ f 1947 n Block____________�!'� _ r'`
Subdivision_ _L �_1 __l______j / r' ,
Street and Number where work is to be performed —No.__ _31 __ 1 t 1' f__3 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
e.
Size Septic Tank �r .-
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No./ 'q/ a 1 V k'v ►t_..- ` �"�
Capacity Gals
Type of Tank__
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
(Signed)
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 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.
STATE OF FLORIDA, t
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
DR I NI(I NG
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
V
.-__L:._'
'�'�
CHECK
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 re;ulat'_ons 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 Engineer
Employing Plumber's Name ( = {�2' i� �"� ' " No Street__ --_
��yy
Location and Legal Description Lot _____/ _ 9 __ f 1947 n Block____________�!'� _ r'`
Subdivision_ _L �_1 __l______j / r' ,
Street and Number where work is to be performed —No.__ _31 __ 1 t 1' f__3 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
e.
Size Septic Tank �r .-
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No./ 'q/ a 1 V k'v ►t_..- ` �"�
Capacity Gals
Type of Tank__
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
(Signed)
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 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.
STATE OF FLORIDA, t
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.
r
"
•
• BUILDING
'' ELECTRICAL
PLUMBING
Owner of
Building
Architect C ';
Contractor
or Builder
Legal
Description
CO TRACTOR OR BUILDS
MIAMI SHORES VILLAGE, FLORIDA.,--?
DATE (/•./CA--- -, iv
Work to be performed under this Permit
/ : /
Lot � Bl.
-
Subdi-
vision ,d
Value of
Project
BY
Contractor's
License No
Address of " / r .
Building � � /s . . . .
This permit is grant to the contra or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wi_1 be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal :: uthorities. 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 w}lich this
permit is granted is the understanding that the contractor or builder named above es th responsibility for a thorough knowledge of the ordin ces and
regulations pertaining to the work covered hereby whether shown on the plans o r inAtOtaterneuts or specifications and &lute a es respon-
sibility for work done by his agents, servants or employees. e∎ . + �' ' 4 '
Signed,::_ ,. d, ," , By y� �,.
,.INSPECTOR
Amt. of
Permit
In consideration of the issuance to me of this permit I agree to performsthe work cob red hereunder in compliance with all- ordinances and 3egl lons
Oirtaining thereto and in strict conformity with the plans, drawings, statements or speciti6ations submitted to the proper authorities of Miami Shores Tiff age.
InItaccepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
b 1
AUTHORITY
194_L
•
• MIAMI SHORES VILLAGE, FLORIDA
a
f BUILDING
ELECTRICAL
PLUMBING
i
Cj ' \ ‘ '
s Vj
Architect
Contractor �'' � '"r_
or Builder �:«� J c.A.tt' -( /�.., .k
Legal Lot Z Bl.
Description / q 4 2 ",1
Address of �
Building ? 3 l _ t.0
Owner of
Building
sibility for work done by his agents, servants or employees.
Signed-
CONTRACTOR OR BUILDER
PERMIT N° 5549
Work to be performed under this Permit
Subdi-
vision
BY
f ?_
DATE 194
Cont.ractor's
License No.
! 376
Value of Amt. of 1Y' / 1
Project Permit
This permit is gra ted to the contractor or builder named above to construct the building or to install the eq;ripinent or device described in the appli-
cation 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 ordina es and
regulations pertaining to the work covered hereby whether shown on the plans wings or i statements or specifications tht e assn es respon-
a. ,-1;%/
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereundc in compliance with all ordinances and,regul4ions
pertaining therto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authdln of Miami ShaeslAlige.
In accepting this permit I assume responsibility for a work done by either myself, my agent, servant or employee.
By
AUTHORITY
Permit No. � C
--- 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 i, 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
r ..
Employing Plumber's Name No Street
races...._... �.. .. , •: --- - --
_ � �
Location and Legal Description Lot Block Su ivision
Street and Number where work is to be performed —N — -
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Size Septic Tank
Feet of Drain Tile ._ T __
Nature of Water Supply: City— Well
f
0�
Amount of Permit $/,‘ _. (Signed),:/ 4 f � —' ; - '
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he'understands and accepts his obli;ations 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.
ss.
1
MIAMI SHORES VILLAGE
/ PLUMBING INSPECTION DEPARTMENT
7r ;
t APPLICATION FOR PLUMBING PERMIT
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
( Signed)
No. of Stories
Master Plumber.
STATE OF FLORIDA, 1
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 rlctice for inspection, or faulty
1 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
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LI ST
CHECK
Permit No. � C
--- 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 i, 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
r ..
Employing Plumber's Name No Street
races...._... �.. .. , •: --- - --
_ � �
Location and Legal Description Lot Block Su ivision
Street and Number where work is to be performed —N — -
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Size Septic Tank
Feet of Drain Tile ._ T __
Nature of Water Supply: City— Well
f
0�
Amount of Permit $/,‘ _. (Signed),:/ 4 f � —' ; - '
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he'understands and accepts his obli;ations 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.
ss.
1
MIAMI SHORES VILLAGE
/ PLUMBING INSPECTION DEPARTMENT
7r ;
t APPLICATION FOR PLUMBING PERMIT
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
( Signed)
No. of Stories
Master Plumber.
STATE OF FLORIDA, 1
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 rlctice for inspection, or faulty
1 materials and /or workmanship.
)
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 6744
• Work to be performed under this Permit
Owner of
Building ' � � e
Architect
Contractor
or Builder
Legal Lot
Description
Address of .. - -Y I"
( r r . Value of I Amt t
Building / l ,�` Project Permit
This permit is granted to the contractor or bui er named a ove to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 ordiii‘ices 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: .." f By
INSPECTOR
I consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and rgggula ' ns
pertaining there nd in strict confo • y with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shoran Aallkke.
In ape pe es sibility r all work done by either myself, my agent, servant or employee.
0 t *, a
CONTRACTOR •R BUILDER
Bl.
Subdi-
vision
DATE
Contractor's
License No
BY AUTHORITY
194
MIA lI % SHORES VILLAGE, FLORIDA'
BUILDING DATE �.
ELECTRICAL
PL''BING
Owner of
Building
I RMIT N° 7614
Work to be performed under this Permit
Architect
Contractor °
or Builder ,,��"
Legal Lot
Description
Bu Address
dingof! 3 / /. Value of
Buffdin ,� • F .�, Project
This permit is granted to the contr ctor or builder named above to construct the building or to install the equipment or device described in the appli
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with an
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoke
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 th;
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances an
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respoi
sibility for work done by his agents, servants or employees. , • a+,
Signed ' _ L_ .. LLtr�i ° :,.✓.. `L.,�, B
INSP OR
In consideration of- issuance to me of this permit I agree to perform e ork covered hereunder in compliance with all ordinancies a d re o'
per thereto and in strict �anfotfl) with the plans,• drawings, statements � r specifications su to the proper authorities of Miami hotel' V ag et Ina a ng this permit I assn a resp ility for all work done by either myself, my agent, servant or employee.
CONTRACTOR O B DE][i
Bl.
Subdi-
vision
BY
Contractor's
License No.
Amt. of
Permit
AUTHORITY
tUILDING
LECTRICAL
'LUMBING
)weer of
;wilding
,rchitect
:ontra.ctor
'r Builder
.egal Lot 131.
)escription 1 / 4 7 G
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 5549
Work to be performed under this Permit
CONTRACTOR OR BUILDER
Subdi-
vision
.ddress of r • .,.. !I` ( ' Value of Amt. of 1 � �;.
'wilding / / / ,, I` t Project Permit r}•
This permit is granted to the contractor or builder named above to construct the building or to install the equipment rnr device described in the appli-
a.tion herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
-lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t 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
ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordina s and
:gulations pertaining to the work covered hereby whether shown on the plans �y.ehwings or in the statements or specifications and e assu s respon-
;bility for work done by his agents, servants or employees. / , ", .--'
Signed. - r ts,� ; j r�" fr. By IS '
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunde compliance with all ordinances and regulations
ertaining the eto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BY •
, 1
Contractor's
License No.
3
AUTHORITY
194;
UILDING
_ECTRICAL
UMBING
wner of
Aiding
r-chitect
ontractor
Builder •
MIAMI SHORES VILLAGE, FLORIDA
DATE
Work to be performed under this Permit
1
a�
Contractor's
License No.
cga1 Lot I j Bl. - Subdi- ;' , , -
escription / / t ." vision / % k:-1"
s '
ddress of f "
'`" ^� Value of Amt. of
_iild nir ✓ ` C Y / / / / , '. _�,/ 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 appli-
tion herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
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
�rmit is granted is the understanding that the contractor or builder named above assefi es th sponiility / for a thorough knowledge of the ord n p es and
gulations pertaining to the work covered hereby whether shown on the plans or tea enykgr specifications and that,,he asstOes respon-
rility for work done by his agents, servants or employees. " / • "_
Si ed By
INSPECTOR
Ir► consideration of the issuance to me of this permit I agree to perform die work covered hereunder in compliance with all ordinances and regulations
rl aining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
ccepting this pert iit I as.iurneresponsibility for all work done by either myself, my agent, servant or employee.
I . .' .
.- 1/. . L / i ',•, .4°' ' f
CONTRACTOR OR BUILDER/ BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
v
MIAMI SHORES VILLAGE, FLORIDA
DATE , 194_4.
Contractor's
License No.
PERMIT N? 6744
Work to be performed under this Permit
Owner of
Building
Bl.
Subdi-
vision
Value of Amt. of
- / i —a- " al Project Permit r /
This permit is granted to the contractor or built1er named above to construct the building or to install the equipment or device described in the appli-
cation 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
perrnit 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: 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 there�tgg}}��nd in strict conform with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In a c y a 6 i i t i n g , t e r m j t es sibility f r'all work done by either myself, my agent, servant or employee.
a i
CONTRACTOR R BUILDER T BY AUTHORITY
Permit No / r__ _
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 subra .ted 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 regu!at :ons 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 wor) -•.`
Owner's Name and Address f ' 9
Registered Architect and /or Engineer
•
Employing Plumber's Name- - i ' '
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 _ Remodeling Addition
Nature of Water Supply: City —Well
Amount of Permit $
ss.
( Signed)
No / 3
Street -
/ C • , ,
No Street
Subdivision
Street �
Block
% 3
Size Septic Tank Type of Tank_
Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
Repairs
Capacity C alr,. --. -..
✓+ "
My Commission Expires Notary Public; State of Florida
No. of Stories
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obii.l; ions as an employer of labor
under the Florida Workmen's Compensation. Act, being Section 5966, Compiled General Laws of Florida Pernlau; .a. Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl )ycd 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 irll'ic 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.
STATE OF FLORIDA,
COUNTY OF DADE.
Before nee, 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
DRINKI NC
FOUN7'r.S
TOTAL
FIXTURES
CONTR.
LIST
CHECK
—
SEPTIC
-'
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
I
CONTR.
LIST
_TANK
CHECK
Permit No / r__ _
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 subra .ted 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 regu!at :ons 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 wor) -•.`
Owner's Name and Address f ' 9
Registered Architect and /or Engineer
•
Employing Plumber's Name- - i ' '
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 _ Remodeling Addition
Nature of Water Supply: City —Well
Amount of Permit $
ss.
( Signed)
No / 3
Street -
/ C • , ,
No Street
Subdivision
Street �
Block
% 3
Size Septic Tank Type of Tank_
Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
Repairs
Capacity C alr,. --. -..
✓+ "
My Commission Expires Notary Public; State of Florida
No. of Stories
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obii.l; ions as an employer of labor
under the Florida Workmen's Compensation. Act, being Section 5966, Compiled General Laws of Florida Pernlau; .a. Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl )ycd 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 irll'ic 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.
STATE OF FLORIDA,
COUNTY OF DADE.
Before nee, 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.
Amount of Permit $
Location and Legal Description Lot
Nature of Water Supply: City—Wed.__
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic o f Tank__
( Signed)_
( Signed
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 -\9 _ C :e62ZI.t./ N 31 Street? E , P 3 m k
Registered Architect and/or Engin7r_.
Employing Plumber's Name_All .‘- ar e‘ e(
Block
Street and Number where work is to be performed—No. Street
State work to be performed and purpose of building (By Floors)_
New .......... Addition Repairs No of Stories
Capacity Gals
Feet of Drain Tile 43 2 24.. 12?-44. ist. et of Tank or Drain Field from Well
.Size of Soakage Pit
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 5986, 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 wor to be performed under this permit, as are
licensed by Miami Shores Village.
Street-22.4
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA, as.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnow/edgments, 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
Tuas
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
UST
.
-------
CHECK
---
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
-
CONTR.
LIST
CHECK
3 ').
•
Amount of Permit $
Location and Legal Description Lot
Nature of Water Supply: City—Wed.__
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic o f Tank__
( Signed)_
( Signed
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 -\9 _ C :e62ZI.t./ N 31 Street? E , P 3 m k
Registered Architect and/or Engin7r_.
Employing Plumber's Name_All .‘- ar e‘ e(
Block
Street and Number where work is to be performed—No. Street
State work to be performed and purpose of building (By Floors)_
New .......... Addition Repairs No of Stories
Capacity Gals
Feet of Drain Tile 43 2 24.. 12?-44. ist. et of Tank or Drain Field from Well
.Size of Soakage Pit
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 5986, 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 wor to be performed under this permit, as are
licensed by Miami Shores Village.
Street-22.4
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA, as.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnow/edgments, 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.
UILDING
LFCTRICAL
'LUMB1NG
;OOFrNG
iwner of
. uilding
rchitect(/
ontractor
Builder
.gal
escription
dress of
Building
Lot
❑ DATE -ej7 195
PERMIT IN? 11268
II
❑ Work to be performed under this Permit
67'7
/3/
MIAMI SHORES VILLAGE, FLORIDA
Bl.
In consideration of the issuance to me of this permit I agr
pertaining thereto and in strict conformity with the plans, drawl
In accepting this permit I assume responsibility for all work d
CONTRA
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:
Subdi-
vision
Value of
Project $
SP R
Contractor's
License No
/ e 1 0 / ..
Amt. of
Permit $
BY ,0P
erform the work covered hereunder in compliance with ordinances and regulations
tements or specifications submitted to the proper authorities of Miami Shores Village.
either, myself, my agent, servant or employee.