PLUMBINGBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor �. . �," ,
or Builder ;
Legal Lot Bl•
Description
Address of
Building Ei► C
This perm i s granted to the contractor builder named above to construct the building or to install the equipment or device . escr' • ed in the appli-
cation herefor in strict compliance with all ordi ances pertaining thereto and with the understanding that the work will be performed in co pliance 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
permit is granted is the understanding that the contractor or builder named above assumes the respo ibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or i statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. - •r,
PERMIT Nn 5048
Work to be performed under this Permit
w
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
kss
Signed:
Subdi-
vision
Value of
Project
DATE
Contractor's
License No.
BY
SglicaQit
By
41 LA.' otel 04.441400
Amt. of
Permit
AUTHORITY
If :
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regultions
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
PERMIT N° 9493
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
..P
Bl.
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No.
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above 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 • 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
.BUILDING
ELECTRICAL
PLUMBING'
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
PERMIT N? 5048.
Work to / 'e performed under this Permit -0!.f'
Address of
0 ,-
Building
This pennilis granted to the contractor build named above to construct the building or to install the equipment or device esc• .ed in the appli-
cation herefor in s ict compliance with all ord' antes 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 assumhe res sibility;Por a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or dra °.cgs or i>e statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. r >
Signed . ,,,e By
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with ail.ogimantes and tips
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriHesLbf Miami Shor s illrge.
In ac ptg thi perm assn r ponsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
e •
Value of
Project
BY
DATE
Contractor's
License No.
Subdi- ) vision ,�_/Aw
1
Amt. of C'
Permit
AUTHORITY
ot
Permit No.
3
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 othq
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid
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 Divisil
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept
building during progress of work
V
Owner's Name and Address �� �1� No �
Street ___ma y
Registered Architect and /or Engineer_ Jr
Employing Plumbers Name
� \- � _ ^ F — " ..Z ~waranmalt. Street
Location and Legal Description Lot Bloc / k 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 j 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.
ss.
{ Signed,1—
Plumbing In or.
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 Perrnapent 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.
(Signed)
Date -- "2� 2- i "
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.
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
FOU NT'NS
1
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.
LIST
CHECK
Permit No.
3
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 othq
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid
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 Divisil
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept
building during progress of work
V
Owner's Name and Address �� �1� No �
Street ___ma y
Registered Architect and /or Engineer_ Jr
Employing Plumbers Name
� \- � _ ^ F — " ..Z ~waranmalt. Street
Location and Legal Description Lot Bloc / k 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 j 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.
ss.
{ Signed,1—
Plumbing In or.
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 Perrnapent 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.
(Signed)
Date -- "2� 2- i "
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.
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.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub4nitted 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 ancl 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__
Registered Architect and /or Engineer
Employing Plumber's Name. Y �� 4�`M iG 4 ' ; ivy L�
Location and Legal Description Lot Block ' Subdivision Mt 1 r ;'G: : t
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
'_ No. Street
(Signed)
Date
No Street
•
My Commission Expires Notary Public, State of Florida
Street
, is t4
; e_ _
•
Street and Number where work is to be performed —No E -w
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
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 Perrnanent 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 perfgrmed under this permit, as are
licensed by Miami Shores Village. i % �^
(Signed) 7 . J:� % . ' 4._,'''>
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.
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
E
o
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
e I( n
1 >F'I ; NkT
te ;
1 `. "�i
> titl. t �
6E i• .
/
CONTR.
LIST
i ,
CHECK
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub4nitted 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 ancl 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__
Registered Architect and /or Engineer
Employing Plumber's Name. Y �� 4�`M iG 4 ' ; ivy L�
Location and Legal Description Lot Block ' Subdivision Mt 1 r ;'G: : t
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
'_ No. Street
(Signed)
Date
No Street
•
My Commission Expires Notary Public, State of Florida
Street
, is t4
; e_ _
•
Street and Number where work is to be performed —No E -w
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
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 Perrnanent 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 perfgrmed under this permit, as are
licensed by Miami Shores Village. i % �^
(Signed) 7 . J:� % . ' 4._,'''>
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.
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
j
•
e‘.
z 0
mbeHONE 7 -2477
MCGUIRE PLUMBING, INCORPORATED
85 N. E 62ND STREET
MIAMI 38. FLORIDA
7,9fi sr.
07 a � 4P 4 (314 .1,5o
,7
•
•
RALPH MCGUIRE, PRESIDENT
?c Loy
� e L oolIV iW tr
4- 1)1966' 6164,.`
EtAc2 7:@
Jo toA5 w LIt IT7(1!
Permit No °'___ ,!) 6) I /
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date i
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifi
building during progress of work.
Owner's Name and Address No Street
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
No
Block
_,-- Subdivision
Street
Street
for the building or other
Shores Village, Florida,
of the Building Division
cations must be kept at
State work to be perfo ed and purpose of building (By Floors)
New Building k Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank__ r 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
Amount of Permit $ —___ (Signed)
Plxvnbing 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.
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
(Signed)
My Commission Expires Notary Public, State of Florida
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
T UBS
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
CHECK
Permit No °'___ ,!) 6) I /
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date i
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifi
building during progress of work.
Owner's Name and Address No Street
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
No
Block
_,-- Subdivision
Street
Street
for the building or other
Shores Village, Florida,
of the Building Division
cations must be kept at
State work to be perfo ed and purpose of building (By Floors)
New Building k Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank__ r 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
Amount of Permit $ —___ (Signed)
Plxvnbing 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.
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
(Signed)
My Commission Expires Notary Public, State of Florida
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.
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well.___— __ ....... __ ___—_______________ of Soakage Pit
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
— -- (SigIIed)_
Date.... I e e 2 / ?L3
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.
Owner's Name and Address ............ __.. -._____. / - X - - - -- No. _ Street ' k 92 s7
Registered Architect and /or Engineer __ C �° B�
Employing Plumber's Name -_ /_
. A_ .11.1_- a 'e Ser .----- --- -- _ -_ Street.__ _. !_._._'
Block__ Subdivision _________ .
Location and Legal Description Lot__
Street and Number where work is to be performed—No. __ 2-2' 0 AKeet
o
State work to be performed and purpose of building (By Floors)__. .... , � � _� �� _______ _ /�1 ^ 1.0 / g Le,
New Building Remodeling —__ Addition____ Repairs No. of Stories. _
Type of Tank_ Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Plumb „g 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 . - in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site ork such _ • is notic or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on , ork to t. e perf . ed and this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
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.
Notary Public, State of Florida
s77 —
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.
a
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
SI NKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
UR
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
$W IM'G
POOL
CONTR.
LIST
CHECK
-
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well.___— __ ....... __ ___—_______________ of Soakage Pit
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
— -- (SigIIed)_
Date.... I e e 2 / ?L3
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.
Owner's Name and Address ............ __.. -._____. / - X - - - -- No. _ Street ' k 92 s7
Registered Architect and /or Engineer __ C �° B�
Employing Plumber's Name -_ /_
. A_ .11.1_- a 'e Ser .----- --- -- _ -_ Street.__ _. !_._._'
Block__ Subdivision _________ .
Location and Legal Description Lot__
Street and Number where work is to be performed—No. __ 2-2' 0 AKeet
o
State work to be performed and purpose of building (By Floors)__. .... , � � _� �� _______ _ /�1 ^ 1.0 / g Le,
New Building Remodeling —__ Addition____ Repairs No. of Stories. _
Type of Tank_ Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Plumb „g 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 . - in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site ork such _ • is notic or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on , ork to t. e perf . ed and this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
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.
Notary Public, State of Florida
s77 —
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.
a
0 3.4-
P ot9
Owner's Name end Address
Registered Architect and /or Engin
1Priflf rt cm e�%A r
4 ---d L
Hon Lot_
£ ployiing Pll
um
m / / tion antWLegal
MIAM8 SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street N w er e work to performed—No
and umber h k to be
1
- ermit 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 epedfied or not. A copy of approved plans and spedfications must be kept at
progress building during of work.
� No Streei6 —/L 1 ®( ..
..... .. .1 rat
. es. .0
Block c2�
2 7 (9 _S _
I
State work to be performed and purpose of building (By Floors) __._._ �, �_. 4iMQ -nL '
New Building.._..._ _ _.._.........._.. Remodeling_ --_ __...__. Addition.. -- -__.._ _..... Repairs. _lee.'" No. of Stories
Size Septic Tank_ Type of Tin
Feet of Drain Tile. _ Dist. Feet of Tank or Drain Field from Well .. ._.__..
Nature of Water Supply: City—Well. - : Size of Soakage Pit
J LEVEROCK
(Signed) -- - -- — - - - --
ritti
(Si
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 hug com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -contra • rs employed by him in the worn to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the k such public notice or notices as Err
required by the Act. The undersigned agrees to employ only such sub-contractors, on work be - _ ' under this permit, as are
licensed by Miami Show Village.
My Commisatan Expires Notary Public, State of Florida
Muter Plumber.
STATE OF FLORIDA, 6
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 be did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee cf $1.00 will be made when snob rrirpaotlas to raade by lorproper notion for inspection, er faulty
materials and /or wer
CLO®
BATH
Tune
SMOWEIIS
LAVA.
TORIES
KINKS
SLOP
PINK[
LAUNOR
TYSS
URINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FDYNT'NS
TOTAL
FIXTURE•
GONTA.
LIST
CNECK
r
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
NEATER
DEEP
WELL
SP$KLR.
SYSTEM
SW IM'0
P001.
Coon .
LIST
CNECK
0 3.4-
P ot9
Owner's Name end Address
Registered Architect and /or Engin
1Priflf rt cm e�%A r
4 ---d L
Hon Lot_
£ ployiing Pll
um
m / / tion antWLegal
MIAM8 SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street N w er e work to performed—No
and umber h k to be
1
- ermit 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 epedfied or not. A copy of approved plans and spedfications must be kept at
progress building during of work.
� No Streei6 —/L 1 ®( ..
..... .. .1 rat
. es. .0
Block c2�
2 7 (9 _S _
I
State work to be performed and purpose of building (By Floors) __._._ �, �_. 4iMQ -nL '
New Building.._..._ _ _.._.........._.. Remodeling_ --_ __...__. Addition.. -- -__.._ _..... Repairs. _lee.'" No. of Stories
Size Septic Tank_ Type of Tin
Feet of Drain Tile. _ Dist. Feet of Tank or Drain Field from Well .. ._.__..
Nature of Water Supply: City—Well. - : Size of Soakage Pit
J LEVEROCK
(Signed) -- - -- — - - - --
ritti
(Si
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 hug com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -contra • rs employed by him in the worn to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the k such public notice or notices as Err
required by the Act. The undersigned agrees to employ only such sub-contractors, on work be - _ ' under this permit, as are
licensed by Miami Show Village.
My Commisatan Expires Notary Public, State of Florida
Muter Plumber.
STATE OF FLORIDA, 6
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 be did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee cf $1.00 will be made when snob rrirpaotlas to raade by lorproper notion for inspection, er faulty
materials and /or wer