330 NE 93 St (10)Permit No S
Application is hereby made for the approval of the detailed statement of the plans and specifications her 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____t x.11__ - _- -__
Registered Architect and /or Engineer__ ___ —__ ________—
Employing Plumber's Name_ J , 2 . 2 ,2 i2-15 __ _. —_ _____.____ No. a ____ Street_.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r ;
No.
Street_ D °'
Location and Legal Description Lot_ --__-_ ... __________ ___ — Block Subdivision
Street and Number where work is t� be performed —No 0 A) " Street_ Y
State work to be performed and purpose of building (By Floors) 2" S L'it°,4 -_ _____ 4.,Le (- -
New Building __ _.- Remodeling_____ _.____ Addition_______ Repairs No. of Stories.
. My Commission Expires
Type of Tank__ Capacity Gals
Size Septic Tank
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
Amount of Permit $ -E9 9 - (Si
- -
_Size of Soakage Pit
( Signed).
Da Ss - - {-- - - 9 5 - 7
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, 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 performed under this permit, as are
licensed by Miami Shores Village.
G e —'1F' Master Plumber.
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Plumb 'lng Inspector.
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.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Y--
,/�
A
!! "��..
- - --
/Xb
3. ea
Permit No S
Application is hereby made for the approval of the detailed statement of the plans and specifications her 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____t x.11__ - _- -__
Registered Architect and /or Engineer__ ___ —__ ________—
Employing Plumber's Name_ J , 2 . 2 ,2 i2-15 __ _. —_ _____.____ No. a ____ Street_.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r ;
No.
Street_ D °'
Location and Legal Description Lot_ --__-_ ... __________ ___ — Block Subdivision
Street and Number where work is t� be performed —No 0 A) " Street_ Y
State work to be performed and purpose of building (By Floors) 2" S L'it°,4 -_ _____ 4.,Le (- -
New Building __ _.- Remodeling_____ _.____ Addition_______ Repairs No. of Stories.
. My Commission Expires
Type of Tank__ Capacity Gals
Size Septic Tank
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
Amount of Permit $ -E9 9 - (Si
- -
_Size of Soakage Pit
( Signed).
Da Ss - - {-- - - 9 5 - 7
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, 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 performed under this permit, as are
licensed by Miami Shores Village.
G e —'1F' Master Plumber.
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Plumb 'lng Inspector.
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.
Disapproved Date
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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, wh her herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
.Ti411A-44 Date
Owner's Name and Address ....... ... ........ 1 ..?
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision.
Street and Number where work is to be done �� /J
State work to be done and purpose of building (by floors) ✓4/1
a
Street
f , 192
5 P) - 9 k4 /
Notary Public, State of Florida
and for no other purpose.
New Building Remodeling. Addition Repairs No. of Stories
To be constructed of Kind of fpundation Roof Covering
dwa
Estimated Total cost of improvements $ Amount of Permit $
Zone cubage required plan Cubage
Distance to next nearest building..... Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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 complied 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 subcontractors, on work be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 ca fully red the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No 4 Date � ' d, Sworn to and Subscribed before me.
uilding Inspect. r' Commission Expires
LANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
6" G2_L
vv-te
Permit No 6
Location and Legal Description Lot______________— _ Block__ . Subdivision
Street and Number where work is to be performed —No 3 3 ° St 73
State work to be performed and purpose of building (By Floors) _,Z?ooL___f__,_/_ !/!/,T.
New Building —_ Remodeling- - - - - -__ __ --_ Addition____ Repairs
Size Septic Tank..-•--- --- ---- - - - - --
Feet of Drain Tile
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
•
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
—Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.--_---_______ _______.___— ____Size of Soakage Pit
The undersigned applicant for this building permit does here y certify he tin.
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener .
plied with the provisions thereof, and will require similar compliance from all contra
••
performed under this permit; and will post or cause to be posted for inspection on
required by the Act. The undersigned agrees to employ only such sub - contract.
licensed by Miami Shores Village.
(Signed).
Notary Public, State of Florida
Date y G
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 S. G ,CELL /P'/✓-D
No._Lfa A/ __ Street 7
Registered A r e iteet- end /or Engineer v v
Employing Plumber's Name .E -2/4---- ' 1 " / co No._LL1_Z._______ Street_ -'0 /SG • /3L 1/2)
t?/- TN/!/i "
No. of Stories ... . .... . .. ....... ....
Type of Tank Capacity Gals.
Plumbing Inspector. -
bligations as an employer of labor
aws of Flori. a Permanent Supplement, and has com-
or sub - contractors employed by him in the work to be
site of the work such public notice or I notices as are
on work to be performed under this permit, as are
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
TOSS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
O OL
)j 'g',
FIXTURES
CONTR.
LIST
AID Z
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I
POOL
CONTR.
LIST
`
CHECK
Permit No 6
Location and Legal Description Lot______________— _ Block__ . Subdivision
Street and Number where work is to be performed —No 3 3 ° St 73
State work to be performed and purpose of building (By Floors) _,Z?ooL___f__,_/_ !/!/,T.
New Building —_ Remodeling- - - - - -__ __ --_ Addition____ Repairs
Size Septic Tank..-•--- --- ---- - - - - --
Feet of Drain Tile
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
•
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
—Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.--_---_______ _______.___— ____Size of Soakage Pit
The undersigned applicant for this building permit does here y certify he tin.
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener .
plied with the provisions thereof, and will require similar compliance from all contra
••
performed under this permit; and will post or cause to be posted for inspection on
required by the Act. The undersigned agrees to employ only such sub - contract.
licensed by Miami Shores Village.
(Signed).
Notary Public, State of Florida
Date y G
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 S. G ,CELL /P'/✓-D
No._Lfa A/ __ Street 7
Registered A r e iteet- end /or Engineer v v
Employing Plumber's Name .E -2/4---- ' 1 " / co No._LL1_Z._______ Street_ -'0 /SG • /3L 1/2)
t?/- TN/!/i "
No. of Stories ... . .... . .. ....... ....
Type of Tank Capacity Gals.
Plumbing Inspector. -
bligations as an employer of labor
aws of Flori. a Permanent Supplement, and has com-
or sub - contractors employed by him in the work to be
site of the work such public notice or I notices as are
on work to be performed under this permit, as are
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.
d
"v ?)AQ,/i
D-7 3 - / 14 ie f W
_Ls c 6 '//
I
41,
•1)
1 7 / 0
OVei
— _
Or 7:45 fit I. •
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itse .,-roHoyA s
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1,16- t
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)----- v ---'-' r 1
T rovv ,
---- ---______
------ - - _
4 7ee, it .. 2
(.•
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑
• PLUMBING ❑ PERMIT N9 4123 Contractor's
License No.
ROOFING ❑
❑ R Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
CONTRACTOR OR BUILDER
B1
DATE •" 19
Subdi-
vision
Address of - . , Value of I Amount of
Building 4 Project $ I 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. ' !' INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances artd 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 all work done by either myself, my agent, servant or employee.
BY AUTHORITY
AR ROT �°r
•
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE ~' 19
PERMIT 6834 contractors
❑ License No.
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor t, x
or Builder
Legal Lot
Description II Bl
Address of
Building
CONTRACTOR OR BUILDER
Subdi-
vision
Value of [ _
Project $
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 ' • = 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 authorfrfies of Miami Shores Village. In ao
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. y r
Amount of
Permit $
BY AUTHORITY
AU BOT
;UILDING
:LECTRICAL
'LUMBING
i0OFING
Dwner of
architect
contractor
Jr Builder
i'ddress of
3uilding
.egal Lot
)escription
71-4
CONTRACTOR OW BUILDER
MIAMI SHORES VILLAGE. FLORIDA
,t1„)
PERMIT N° 5053
B
Work to be performed under this Permit
Signed (ifj
Subdi-
vision
Value of
Project $
INSPECTOR
DATF.
Contractor's
7 (r/1
License No.
195
Amount of j ¶ r *(73.)
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be _performed in compliance with any plans
Irawings, statements or specifications that may have been submitted to and approved by the proper municipal 5iuthOrities. This Permit may be revoked at any
.ime if the work is not done in compliance with such ordinances or if the plans are changed without authorizatiop. A further condition upon which this permit is
uranted is the understanding that the contractor or builder named above assumes the responsibility for a thorou knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or draw1s or in statements or sieciati. and that he assumes responsibility for work
- lone by his agents, servants or employees. 4
In consideration of the issuance to me of this permit I agree to perfohn the work covered ereunder in compliance with all ordinances and regulations
pertaining thereto and in strict 'Conformity with the plans, drawings, state gilts or Pecificalions submitted to the proper authorities of Miami Shores Village. In ac•
cepting this pyihiI assume respons' ility for till work done by either myself my at1t serlant or employee.
AUTHORITY
6
BUILDING
ELECTRICAL
PLUMBING
ROOFING,
Architect
Contractor
or Builder -
Legal Lot I
Description � Bl
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 5739
Owner of
Building
Address of
Building
DATE 195
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
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 furthcr 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
'MIAMI . SHORES VILLAGE, FLA.
JOB ks___71
ADDRESS
INSPECTION
REMARKS:
N° 5732
TIME READY e / °
...
• MIAMI SHORES VILLAGE, FLA.
•
JOB . ✓ 6t) ®e> S
�.
ADDRESS ‘? ( D //
INSPECTION 2
TIME READY � - Z - z ?
REMARKS:
INSPECTOR
7. �`ff
N? 5741
r
DATE 2- Zr- S 7
�i -e• /
MIAMI SHORES VILLAGE, FLA.
JOB
INSPECTOR €A
ADDRESS '7'0 E. ll 3,4
N9 5582
9.)
INSPECTION c?(7
TIME READY
REMARKS:
DATE t- 24-'3- 7
2 i 9 S
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.
Permit No c3 s
Owner's Name and Address
Registered Architect and /or Engineer ..... _p
_ ` /'
Employing Plumber's Name__�c1J1_� tf..F_ �i,r'eL — eii -C_ / A V- -- No.----- _--- -1. _ 7v — Street--_- Ade! - kc6 a
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)_ —___ e4.4 —CR, JALl_.iplL 1i) - 2S'
Size Septic Tank Type of Tank_
Nature of Water Supply: City —Well.
Amount of Permit $
A AA , , ,VavsS
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING IIT
No._
Block Subdivision
New Buildin g __ Remodeling Addition Repairs f� No. of Stories ........
___. _
Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
( Signed) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his hgations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract eI Toyed 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 w s ...lic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to • . erf. edunder 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 a
(Signed).
3 0 Street. 7) 1 S7
Street
Date
l
Master Plumber
ster 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 Conunission 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
TUBE
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
PIELO
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
■
2 i 9 S
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.
Permit No c3 s
Owner's Name and Address
Registered Architect and /or Engineer ..... _p
_ ` /'
Employing Plumber's Name__�c1J1_� tf..F_ �i,r'eL — eii -C_ / A V- -- No.----- _--- -1. _ 7v — Street--_- Ade! - kc6 a
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)_ —___ e4.4 —CR, JALl_.iplL 1i) - 2S'
Size Septic Tank Type of Tank_
Nature of Water Supply: City —Well.
Amount of Permit $
A AA , , ,VavsS
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING IIT
No._
Block Subdivision
New Buildin g __ Remodeling Addition Repairs f� No. of Stories ........
___. _
Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
( Signed) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his hgations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract eI Toyed 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 w s ...lic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to • . erf. edunder 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 a
(Signed).
3 0 Street. 7) 1 S7
Street
Date
l
Master Plumber
ster 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 Conunission 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.
Owner's Name and Address
Size Septic Tank
Feet of Drain Tile Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
oo
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No 13 Date , ] Y /L f i Y6°,3
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.
Type of Tank
Registered Architect and /or Engineer
Employing Plumber's Name- - ---
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_ __ �___ Additi
/12_
&IIV O (VS No.
on
330
330
'YKlo._ C Street._
Block_ Subdivision
• 330 S M ? 3
Capacity Gals
(Shined ) -- /AlCs
The undersigned applicant for this building permit does hereby certify that he understands and accepts
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors
performed under this permit; and will post or cause to be posted for inspection on th of the work
required by the Act. The undersigned agrees to employ only such sub - contractors, on 'rk to b
licensed by Miami Shores Village.
(Signed
�_N 3
Street. L" 3
My Commission Expires Notary Public, State of Florida
S7
o _ 2
Repairs 10' .°.***-
No. of Stories
_Dist. Feet of Tank or Drain Field from Well
— Size of Soakage Pit
Plumbing nspector.
bligations as an employer of labor
nanent Supplement, and has corn -
d by him in the work to be
lic notice or notices as are
der this permit, as are
•
aster 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
SRS
LAVA.
TORIES
INK
SS
SLOP
SINKS
LAUNDRY
Tues
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
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
Owner's Name and Address
Size Septic Tank
Feet of Drain Tile Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
oo
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No 13 Date , ] Y /L f i Y6°,3
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.
Type of Tank
Registered Architect and /or Engineer
Employing Plumber's Name- - ---
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_ __ �___ Additi
/12_
&IIV O (VS No.
on
330
330
'YKlo._ C Street._
Block_ Subdivision
• 330 S M ? 3
Capacity Gals
(Shined ) -- /AlCs
The undersigned applicant for this building permit does hereby certify that he understands and accepts
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors
performed under this permit; and will post or cause to be posted for inspection on th of the work
required by the Act. The undersigned agrees to employ only such sub - contractors, on 'rk to b
licensed by Miami Shores Village.
(Signed
�_N 3
Street. L" 3
My Commission Expires Notary Public, State of Florida
S7
o _ 2
Repairs 10' .°.***-
No. of Stories
_Dist. Feet of Tank or Drain Field from Well
— Size of Soakage Pit
Plumbing nspector.
bligations as an employer of labor
nanent Supplement, and has corn -
d by him in the work to be
lic notice or notices as are
der this permit, as are
•
aster 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
Amount of Permit $ _ c J �-
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)._
Date..
is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted foi'the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address /4 " ' -_4 @ -_ —er. _L N __.._.• No. , 0 1E- Street_ - -- -7 '
Registered Architect and /or Engineer / n v e r
Employing Plumber's Name o Ah ack 9.2����C ��/�1�0�0 - -�_._ Street_
Location and Legal Description Lot_ Block__
Street and Number where work is to be performed —No 3'Q iI ' L' street �� I
State work to be performed and purpose of building (By Floors)- ____ - _------ .------ -_ - -
New Building ____ Remodeling Addition Repairs No. of Stories. ....... ........ __.
Size Septic Tank _ Tyke of Tank__ Capacity Gals.
Feet of Drain Tilee -6 T � �CE _aitafiteLt of Tank or Drain Field from Well
Nature of Water Supply: City — Well.______ ________ ..... 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 5988, 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.
(Si 0 kF:C� �' • TRIM CC'
"aster Plumber .
- rk4jA I
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.
STATE OF FLORIDA,
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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
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
Amount of Permit $ _ c J �-
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)._
Date..
is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted foi'the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address /4 " ' -_4 @ -_ —er. _L N __.._.• No. , 0 1E- Street_ - -- -7 '
Registered Architect and /or Engineer / n v e r
Employing Plumber's Name o Ah ack 9.2����C ��/�1�0�0 - -�_._ Street_
Location and Legal Description Lot_ Block__
Street and Number where work is to be performed —No 3'Q iI ' L' street �� I
State work to be performed and purpose of building (By Floors)- ____ - _------ .------ -_ - -
New Building ____ Remodeling Addition Repairs No. of Stories. ....... ........ __.
Size Septic Tank _ Tyke of Tank__ Capacity Gals.
Feet of Drain Tilee -6 T � �CE _aitafiteLt of Tank or Drain Field from Well
Nature of Water Supply: City — Well.______ ________ ..... 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 5988, 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.
(Si 0 kF:C� �' • TRIM CC'
"aster Plumber .
- rk4jA I
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.
STATE OF FLORIDA,
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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.
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 tG�11-lr __.
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot-___.- ._ ......... __________ __ ._ _._ Bl
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING Enktmrr
State work to be performed and purpose of building (By Floors) _
New Building Remodeling___ __.___. Addition__
. W/' _ e of Tank_
No.__.._ Street.
Size Septic
Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Amount of Permit $
(Signed) _
( Signed )___
Date
Street_ — ___�
7 Subdivision
fAreet
Repairs No. of Stories.
Gals
_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 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 •erforme• and s permit, as are
licensed by Miami Shores Village. i � �,!
7
Master Plumber.
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.
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
TUBE
SHOWERS
LAVA-
TORIES
SINKS
INK
SLOP
SINK
LAUNDRY
TUBS
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FI %TORES
CONTR.
LIST
-
CHECK
-
SEPTIC
TANK
SEWER
CONN.
DRAIN SOAKAGE
FIELD PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'O
POOL
CONTR.
LIST
,,
CHUCK
- iA' i
,� ,
vClr�w ..
�'.,
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 tG�11-lr __.
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot-___.- ._ ......... __________ __ ._ _._ Bl
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING Enktmrr
State work to be performed and purpose of building (By Floors) _
New Building Remodeling___ __.___. Addition__
. W/' _ e of Tank_
No.__.._ Street.
Size Septic
Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Amount of Permit $
(Signed) _
( Signed )___
Date
Street_ — ___�
7 Subdivision
fAreet
Repairs No. of Stories.
Gals
_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 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 •erforme• and s permit, as are
licensed by Miami Shores Village. i � �,!
7
Master Plumber.
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.
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.
MIAMI SHORES VIL LAG
PLUMBING INSPECTION DEPARTMEN .
APPLICATION FOR PLUMBING " ;t•>, MOT
Permit No Date /3,
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. •
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE.
No.. ___ 3 0 fl . street_ 6 73
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name "d r r No. -1 342.7 /../S, Street_-__ / �
Location and Legal Description Lot_- -_.- e __ - -_ Block_ g_ - _ -- Subdivision ,1I0 72Vero :l r
Street and Number where work is to be performed— No..___ —_ Street
State work to be performed and purpose of building (By Floors)
New Building v --- Remodeling----- _---- --_-- __ -_-- Addition.- -__ --_ Repairs No. of Stories . . ..... .. ... ......
(Signed)_
(Sign
Size Septic Tank __- _--- ___ -__ Type of Tank
Feet of Drain Tile- ---= _ - - -_ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Suppl Cit — ell Size of Soakage Pit
Capacity Gals.
My Commission Expires Notary Public, State of Florida
�I
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons 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- h' 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 r notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors on work to be perfornie 4 under thi pennit, as are
licensed by Miami Shores Village.
Vili eiPlumber.
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
NO
SWHRS
LAVA-
TORIES
NKS
SINKS
SLOP
SINKS
LAUNDRY
Tuss
I AS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
H 4 '
TOTAL
FIXTURES
CONTR.
j BS
.G
+Ir
CHECK
---
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
$WIM'O
POOL.
CONTR.
LIST
--
- —
CHECK
I L.,
MIAMI SHORES VIL LAG
PLUMBING INSPECTION DEPARTMEN .
APPLICATION FOR PLUMBING " ;t•>, MOT
Permit No Date /3,
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. •
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE.
No.. ___ 3 0 fl . street_ 6 73
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name "d r r No. -1 342.7 /../S, Street_-__ / �
Location and Legal Description Lot_- -_.- e __ - -_ Block_ g_ - _ -- Subdivision ,1I0 72Vero :l r
Street and Number where work is to be performed— No..___ —_ Street
State work to be performed and purpose of building (By Floors)
New Building v --- Remodeling----- _---- --_-- __ -_-- Addition.- -__ --_ Repairs No. of Stories . . ..... .. ... ......
(Signed)_
(Sign
Size Septic Tank __- _--- ___ -__ Type of Tank
Feet of Drain Tile- ---= _ - - -_ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Suppl Cit — ell Size of Soakage Pit
Capacity Gals.
My Commission Expires Notary Public, State of Florida
�I
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons 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- h' 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 r notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors on work to be perfornie 4 under thi pennit, as are
licensed by Miami Shores Village.
Vili eiPlumber.
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.