PLUMBINGPERMIT � APPLICATION FOR MIAMI SHORES VILLAGE
Date - 7 - )64 6 1 64 6 1 Job Address 1 3 ) ME, g
E, E 2 Tax Folio
Legal Description Y a 10 - Historically Designated: Yes No
Owner/Lessee / Tenant e D .6.Q,
_ �1
Ow r' ners Address \ 3 �.� Q° �� Phone
Contracting Co. o 01 � /✓C 1 Add ress : -R WASH, l 111%
D
A-4 , :
State # CSC O5 G2 Municipal # Competency # Ins. Co. M (JZ I Ci TIt% , Cc,
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL . ' LUMBING , MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 0' 5 7 TGi, /l 1 P � 4 ) � .�_._lf'Z`'?'I'y /4 ""1
l 57 q //, (.d) / 4!4 ci(, P NI
Square Ft. Estimated Cost (value)
Signature of own
N.tary as to Own d/or Condo President
My Commission E
FEES: PERMIT
APPROVED:
Zoning
Mechanical
and/or Condo ' -. ident Date
-
Date
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 ANr IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
cons ction and z + nine Furth , ore, I authorize the above -named contractor to do the work stated.
7 /0? 6./q
ture of ' , ctor or Owner - B
6
Notary : o Contractor er- BfiildaYS J VILLAR )ate
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC7141013
MY COMM ISSjO 1 EXP. MAR. 1,2002
My Commission Expire
Master Permit #
rb
C.C.F. (• 20 NOTARY BOND
Electrical
TOTAL DUE
Structural Engineer
ITEM
BATH TU8
UNIT
.I
FEE
ITEM
SWITCH CUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT CUTLETS
CENTRAL HEATING
DISHIYASIO
RECEPTACLES
A/C (WINO)
OISPOSAL
SERVICE TEMPQRARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR CRA1N
SERVICE REPAIR/CB curz
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS ANO PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUIO TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
6OTCRS OVER 1- 3 HP
HOT WATER BOILERS
SINK. POT /3 COMP.
1OITCRS OVER 3- 5 HP
M{EC4AN I CAL VENTILATION
SINK. RESIOENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SIN(. SLOP
MOTORS OVER 8- 10 HP
ELEVATCRS/ESCALATCRS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
-4.
MOTORS OVER 25-103 HP
COOLING TOWERS
WATER CLOSET
/
MOTORS OVER 100 HP
VIOLATION •
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR COND IT ION3RS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
.
C TRANSFCRI RS
•
'HEATER - NEW INST.
GEENERATORS TRAt RS
.
HEATER
GE.NERATORS TRA?1SFOURS
LAWN SPRINKLER-WELL
SPECIAL PURPOSE
SWIMMING POOL
'
CUTLETS CCMMETRCIAL
WATER SERVICE
•
SIGN TUBES
SEWER CONNECTIONS
1
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCX
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
'
TELEVISION CUTLETS
ORAIN`IELO, 4' TILE/RES.
ILE/RES.
_
VIOLATION
PUP & ABANDON SEPTIC TANK
-
RE Ii PECT ION
SOAKAGE PIT CU. FT.
CATCf BASIN
0 I SC{ARGE WELL _
DOMESTIC WELL
AREA CRAIN
ROOF INLET
SOLAR MATER HEATER
FIRE STANDPIPE
.
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS 3.
OBTAINED, - HE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
Permit No.
Size Septic Tank 4 0
Feet of DraM TileJJ 0
Amount of Permit $ /#
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
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 submi
structure herein described. This application is made in compliance and conformity with the Building Ordinance of M
and all provisions of the Laws of the State of Florida, all ordinances of Miami
of Miami Shores Village shall" be complied with, whether herein specified or
building during progress of work.
4 Owner's Nam and Address er"'"eLli 0 No
Registered Architect and/or Engineer
Employing Plumber's Name__4g4rVIP7 7
Location and Legal Description Lot____74 10
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 Repairs
Type of Tank__ Aleffrolle
for the building or other
mi Shores Village, Florida,
Shores Village and all rules and regulations of the Building Division
not. A copy of approved plans and specifications must be kept at
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well Size of Soakage Pit
Street
Date_
te_r/
( Signed)
Street
litree Ado'
Subdivision
Capacity Gals 4PG
My Commission Expires Notary Public, State of Florida
No. of Stories
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he u rstands and accepts his obligati /is an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene al Laws of Florida Permanent Supplement, and has 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 the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed, , 4 1/" V liall°1441. 7' 44"4"1"16 2 1
Master umber.
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
F I X T U R ES
CONTR.
LIST
CHECK
.
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT -
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I M G
POOL
CONTR.
LIST
•
CHECK
Permit No.
Size Septic Tank 4 0
Feet of DraM TileJJ 0
Amount of Permit $ /#
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
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 submi
structure herein described. This application is made in compliance and conformity with the Building Ordinance of M
and all provisions of the Laws of the State of Florida, all ordinances of Miami
of Miami Shores Village shall" be complied with, whether herein specified or
building during progress of work.
4 Owner's Nam and Address er"'"eLli 0 No
Registered Architect and/or Engineer
Employing Plumber's Name__4g4rVIP7 7
Location and Legal Description Lot____74 10
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 Repairs
Type of Tank__ Aleffrolle
for the building or other
mi Shores Village, Florida,
Shores Village and all rules and regulations of the Building Division
not. A copy of approved plans and specifications must be kept at
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well Size of Soakage Pit
Street
Date_
te_r/
( Signed)
Street
litree Ado'
Subdivision
Capacity Gals 4PG
My Commission Expires Notary Public, State of Florida
No. of Stories
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he u rstands and accepts his obligati /is an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene al Laws of Florida Permanent Supplement, and has 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 the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed, , 4 1/" V liall°1441. 7' 44"4"1"16 2 1
Master umber.
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.
Architect and /or Engineer
Employing Plumber's Name H. C• Lasseter
Amount of Permit $_
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.
Owner's Name and Address Charles E. Maher 2299 NW 25th Ave,
— — – – – -- – — No Street__ — - -- --
10 & E 2 of 11 24 Soo 1 Miami Shores
Location and Legal Description Lot__________________— _____— _______________Block_ �________�___ Subdivision _________�___________ __________
138 N. E. 92nd Street
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) Plumbing for residence
New Building_______ R_____ Remodeling____ Addition Repairs No. of
Size Septic Tank_________ Type of Tank _ Capacity Gals.
Feet of Drain Dist. Feet of Tank or Drain Field from Well
City
Nature of Water Supply: City —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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
No
- (Signed) - ° - - --r f –? – --
Plumbing Inspector.
(Signed)
8/3/50
Date_ _____
4646 N, W. 17th Ave.
Street__
Master Plumber.
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared --- - -- - --
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
A �ICC
W
TOTAL
FIXTURES
CONTR.
LIST
2
1
1
1
1
waste
Waste
7
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
Eleo
31.11.----
CONTR.
LIST
1
/
CHECK
Permit No.
Architect and /or Engineer
Employing Plumber's Name H. C• Lasseter
Amount of Permit $_
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.
Owner's Name and Address Charles E. Maher 2299 NW 25th Ave,
— — – – – -- – — No Street__ — - -- --
10 & E 2 of 11 24 Soo 1 Miami Shores
Location and Legal Description Lot__________________— _____— _______________Block_ �________�___ Subdivision _________�___________ __________
138 N. E. 92nd Street
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) Plumbing for residence
New Building_______ R_____ Remodeling____ Addition Repairs No. of
Size Septic Tank_________ Type of Tank _ Capacity Gals.
Feet of Drain Dist. Feet of Tank or Drain Field from Well
City
Nature of Water Supply: City —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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
No
- (Signed) - ° - - --r f –? – --
Plumbing Inspector.
(Signed)
8/3/50
Date_ _____
4646 N, W. 17th Ave.
Street__
Master Plumber.
STATE OF FLORIDA,
ss.
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.
_ _ -
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder_
Legal
Description
Address of
Building
Lot
PI .PERMIT N° 9811
In consideration of the issuance to
pertaining thereto and ig„trict conformity
Work to be perform d under this Permit
4
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 thorough knowledge of the ordinances and reggulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements specifications and that he assumes responsibility or work
done by his agents, servants or employees.
In a •
f
of
cuing this per / ssume responsi ?4
/ Y
Subdi-
vision
Value of
Project $
. / CONTRACTOR OR BUILDE%( BY)
(
MIAMI SHORES VILLAGE. FLORIDA
DATE( -�"1 19
Contractoz d
License No
Amt. of
Permit
AUTHORITY
• Signed• k w . ( , C s /,r , l (...--e. a BY
INSPECTOR
me of this permit I agree to pe orm the work covered hereunder in compliance with ay' ordinances and regulations
with the plans, drawings, state ents or specifications submitted to the proper authorities of Miami Shores Village.
bility for all rk done by either, myself, my agent, servant or employee.
BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA
ELECTRICAL ❑
Date i9�Gg
PLUMBING C PERMIT N? 10497 Contractor's 01131
ROOFING ❑ License No.
Owner of
Building
❑ Work to be performed under this Permit
CONTRACTOR or BUILDER
Architect
Contractor
C or Builder r e , + ! S
Legal Lot
1
Description � BI
Address of Air Buildin g _ A 7
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 ,r drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or 5nplo
Signed • ik+r`1'L - .. {Il$C,1'ECTOR) BY
t �
Subdi-
vision
Sq. Ft.
Value of 11 Amount of
Project $ 11 Permit $
In consideration of the issuance to me of this permit I agree td perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings 3 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 AUTHORITY
z
1'0`117
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 th' 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- - -_ ` _. e L__`'!
_-. A - -_• - -- No. _------ _--- - - - - -_
Registered Architect and /or E ineer _.. .. _ —_ —___ ____— ______ _ ___-____— --_- --_
Employing Plumber's Name _.. - - _.— 1 )
M 6 S S No._
Location and Legal Description Lot_________ __. —. —._ Block___
Street and Number where work is to be performed —No 13 8
State w o r k to be performed and purpose of building (By Floors) - . _
New Building
Remodeling
Addition
Street._
Subdivision
sat
Repairs_ / _ _ _ ... No. of Stories
4 y
Size Septic Tank_
I
Feet of Drain Tile____..-- ___._..____ __ ._ _-___Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. _ _ _ __ . __ . _ _ Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
.Capacity Gals.
umbing In ;pecto..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and 1 as 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 no ^ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo: 'k:ed under this per nit, as are
licensed by Miami Shores Village.
(Signed
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgulents, personall • 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 .acts
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.
CLOSITB
BATH
TUBS
SHOWERS
LAVA
TORIES
SIB
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK! NO
FOUNT' NS
TOTAL
F'XTUREB
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL.
CONTR.
LIST
/ S . I
vY J
--
CHECK
1'0`117
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 th' 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- - -_ ` _. e L__`'!
_-. A - -_• - -- No. _------ _--- - - - - -_
Registered Architect and /or E ineer _.. .. _ —_ —___ ____— ______ _ ___-____— --_- --_
Employing Plumber's Name _.. - - _.— 1 )
M 6 S S No._
Location and Legal Description Lot_________ __. —. —._ Block___
Street and Number where work is to be performed —No 13 8
State w o r k to be performed and purpose of building (By Floors) - . _
New Building
Remodeling
Addition
Street._
Subdivision
sat
Repairs_ / _ _ _ ... No. of Stories
4 y
Size Septic Tank_
I
Feet of Drain Tile____..-- ___._..____ __ ._ _-___Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. _ _ _ __ . __ . _ _ Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
.Capacity Gals.
umbing In ;pecto..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and 1 as 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 no ^ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo: 'k:ed under this per nit, as are
licensed by Miami Shores Village.
(Signed
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgulents, personall • 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 .acts
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Address of
Building
D
❑ DATE PERMIT N° 6 012 Contractor's
License No.
MIAMI SHORES VILLAGE. FLORIDA
❑ Work to be performed under this Permit
Contractor > �r
or Builder 1 4 r
Legal Lot
Description 11 B1
» _ 4 - /`r 1
CONTRACTOR OR BUILDER
r +r
Signed. (
Subdi-
vision
(:)
Value of Amount of /
Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to ,install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thordu h knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the s ements or specifi Lions andt he assumes responsibility for work
done by his agents, servants or employees.
%? P
/ °-
INSPECTOR
BY ,f
1,71 �
Jay.
AUTHORITY
195
In consideration of the issuance to me of this permit I agree to perform the work covered hgfeunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub ted 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 r employee.
r,
MIAMI SHORES VILLAGE, FLA.
JOB J/1 /'
ADDRESS
INSPECTION , ft) /(2-<: s F
TIME READY 61 / 2
REMARKS.
N9 6601
S z S
INSPECTOR DATE
(� o / Z-
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. IN 4 / ,�p sue; '.:; I J
Owner's Name and Address eh ,�s t2.B.h.r e.. No. /4 -_Q 4 Street_ _1 a.
Registered Architect and /or Engineer_ __________
Employing Plumber's Name
Location and Legal Description Lot____.__________._________ ._ d _ l ock _ Subdivision_.__
Street and Number where work is to be performed —No f IF O / YL ' Street 91.
State work to be performed and purpose of building (By Floors)_-.. ..... _..... _.....
.__
New Building ___ Remodeling__ __ Addition_
Size Septic Tank _ Type of Tank
Capacity Gals.
Feet of Drain Tile_ 2 4 eke C1_ st. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
--- ----- -------- ---- - - - ° -- - -- - - - --
Amount of Permit $ �'
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige '.ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman ' Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emply�ed 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 p blic 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.
STATE OF FLORIDA, t es.
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.
Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r' ;:MIT
Size of Soakage Pit
Date
No.________________.. __ Street-_
c1/4//es
Repairs No. of Stories
(Signed) _ rA
(si Oti R4C. Al ea A' 0450 C O
7
Notary Public, State of Florida
Master 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
TUBS
S HOWBR6
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tugs
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING DRINK
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•O
POOL
CONTR.
LIST
CHECK
(� o / Z-
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. IN 4 / ,�p sue; '.:; I J
Owner's Name and Address eh ,�s t2.B.h.r e.. No. /4 -_Q 4 Street_ _1 a.
Registered Architect and /or Engineer_ __________
Employing Plumber's Name
Location and Legal Description Lot____.__________._________ ._ d _ l ock _ Subdivision_.__
Street and Number where work is to be performed —No f IF O / YL ' Street 91.
State work to be performed and purpose of building (By Floors)_-.. ..... _..... _.....
.__
New Building ___ Remodeling__ __ Addition_
Size Septic Tank _ Type of Tank
Capacity Gals.
Feet of Drain Tile_ 2 4 eke C1_ st. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
--- ----- -------- ---- - - - ° -- - -- - - - --
Amount of Permit $ �'
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige '.ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman ' Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emply�ed 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 p blic 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.
STATE OF FLORIDA, t es.
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.
Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r' ;:MIT
Size of Soakage Pit
Date
No.________________.. __ Street-_
c1/4//es
Repairs No. of Stories
(Signed) _ rA
(si Oti R4C. Al ea A' 0450 C O
7
Notary Public, State of Florida
Master 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.
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description
Address of
Building _
❑ PERMIT N° 9825
R u-
r te,... ,,,
Lot
y
'MIAMI SHORES VILLAGE, FLORIDA
DATE ( --4*""1
Contracto4'
License No
Work to be performed under this Permit
Owner of
Building CI
4, .4.. --) x t , _.
Bl.
f
Signed:
Subdi-
vision
CONTRACTOR OR BUILDER BY
e
Value of
Project $
.yr'
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 per}nit 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 dra^+vngs or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
I SPECTOR
In consideration of the issuance to me of this permit I agree to p form the work covered hereunder in compliance with . all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, star ents or specifications submitted to the proper authoriti-.: of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Amt. of
Permit
-mow .. ...
AUTHORITY