PLUMBINGMIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date / l7 b (, n
Type Insp'n W e (U P1 W-
. 112°0 112°0 3� 7-
Permit No. J'' '
Name E
Address 3(3 •6 aZ
Inspection Date
Approved
Correction
Re-Insp'n Fee
Company (-
Phone # 30—c " ! '3 2 'C��
STOP ORDER LAS INS LAST YEAR
R Oc)tL. 3 4.3 •I C.. t-ecu /AA,
I1tb P t uaw`", I XS . L 14 at" '�SrS-v-e4'
Li
Passed
Inspector
Comments
i
4. x pc......)
X V__
p..a.,2..e.r...4.47
Failed
Correction
Needed ,eri.____ _____,..—
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
•
nspection Number:
Inspection Date: 12/20/2005
Inspector: Grande, Claudio
Owner: None, None
Job Address: 313 92 ST �I
Project: <NONE>
Miami Shores Village, FL
Contractor: ICOA CONSTRUCTION
Building Department Comments
Tuesday, December 20, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
4
Block:
' ermkNum b er, BP20;047307
Phone Number
Permit Type: Imported Permit
Inspection Type: Alteration
Work Classification: <NONE>
Parcel Number 1132060136360
Lot:
Phone: 786- 326 -4041
Page 1 of 2
Permit No. '19 f3
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name `�/ 11I
Location and Legal Description Lot.
Street and Number where work is to be performed —No
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
141)■ 1 \ ►,( !
State work to be performed and purpose of building (By Floors)._
New Building ..__._.----- - - -••- - - - - - -- Remodeling Addition
Size Septic Tank.-. Type of Tapir
Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well. .__..__
Nature of Water Supply: City —Well. Size of Soakage Pit.
(Signed)
d )
Date kJ 0
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 et
building during progress of work.
No =s
Bier Subdivision. _ ..__.____.
Street.. ^..._._!y S-r-
4
iL
,ow
Notary Public, State of Florida
Repairs No. of Stories...
Amount of Permit * 61 r °° ( Signed) 1...le !? —CR-0 ... _ `9: .... _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen s Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and Ilan con -
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em •loyed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the to of the work suc ublic notice or notices as arr
required by the Act. The undersigned agrees to employ only such sub-contractors,to a peri /under this permit, as are
lionised by Miami Shores Village.
STATE OF FLORIDA, I w
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 ...r - --
of the above described construction, that be 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 of *1.00 will be made when wait r .1 wjvi rhos >r maw asoenary by improper notice for laspection, a faulty
materials and /or workmanship.
CLOS[TS
BATH
ruse
SHOWING
LAVA.
TONI[S
SINKS
SLOP
'INK.
LAUNORT
Tuns
U RINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINK! NO
FOUNT'NO
TOTAL
•Irrusas
CONTa.
LIST
CHICK
_
_
$[►TIC
TANK
S[W[R
CONN.
DRAIN
FILL•
SOAKAO[
PIT
G
TRAP
SOLAR
HEATER
Day
WCLL
SPNKLR.
e M
SW IM'•
POOL
Cows.
LIST
CN[CK
Permit No. '19 f3
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name `�/ 11I
Location and Legal Description Lot.
Street and Number where work is to be performed —No
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
141)■ 1 \ ►,( !
State work to be performed and purpose of building (By Floors)._
New Building ..__._.----- - - -••- - - - - - -- Remodeling Addition
Size Septic Tank.-. Type of Tapir
Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well. .__..__
Nature of Water Supply: City —Well. Size of Soakage Pit.
(Signed)
d )
Date kJ 0
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 et
building during progress of work.
No =s
Bier Subdivision. _ ..__.____.
Street.. ^..._._!y S-r-
4
iL
,ow
Notary Public, State of Florida
Repairs No. of Stories...
Amount of Permit * 61 r °° ( Signed) 1...le !? —CR-0 ... _ `9: .... _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen s Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and Ilan con -
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em •loyed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the to of the work suc ublic notice or notices as arr
required by the Act. The undersigned agrees to employ only such sub-contractors,to a peri /under this permit, as are
lionised by Miami Shores Village.
STATE OF FLORIDA, I w
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 ...r - --
of the above described construction, that be 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 of *1.00 will be made when wait r .1 wjvi rhos >r maw asoenary by improper notice for laspection, a faulty
materials and /or workmanship.
APPLICATION FOR PLUMBING PERMIT
Permit No j �?/ Date � 9 1� %� If��._11J
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.
u t4 •G' -� Street.
A11....
!-�,]_ �1.... w�
Owner's Name and Address_.._ .__.__ —_ 1
Registered Architect and /or Engineer � y,�
Employing Plumbers Name ll� �
, '
.� %1 ' //�G l r - No. m.......m....
Location and Legal Description Lot _/...1.L. /7 Bloelc 4/Z
Street and Number where work is to be performed -No .3 / 3 27 • 9,71 = street
State work to be performed and purpose of building (By Floors) _..R1 -- -.A46 -
New Building Remodeling___-___ _ Addition..
Size Septic Tank_ --_— _---- ------- ------- - -- -----Type of Tank__
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 $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
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 5966, Compiled General Laws of Florida Pe anent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Repairs
(Signed) - -- -
(Sigma)
Capacity Gals
No. of Stories
Plumbing Inspector.
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 heisth that did sign the same, and that all facts
of the above described construction, that be has carefully read the foregoing application, ®°
therein by him stated are true.
My Commission Expires Notary Public, State of Flosda
NOTE: A re- inspection fee of 31.00 will be made whom mach re-inspection is ®ade by improper notice for inspection. or faulty
materials and /or worlm3anship.
CL06ET
BATH
TUBE
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
SINKS
LAUNDRY
Tun•
U RINALa
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
5
/1106I,144,1
TOTAL
FIXTURES
/
/t2
/
/
."3
/
-/---
C LIST
CHECK
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW 16V0
P001.
CONTR.
TO
e i
�
LIST
CHECK
.
APPLICATION FOR PLUMBING PERMIT
Permit No j �?/ Date � 9 1� %� If��._11J
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.
u t4 •G' -� Street.
A11....
!-�,]_ �1.... w�
Owner's Name and Address_.._ .__.__ —_ 1
Registered Architect and /or Engineer � y,�
Employing Plumbers Name ll� �
, '
.� %1 ' //�G l r - No. m.......m....
Location and Legal Description Lot _/...1.L. /7 Bloelc 4/Z
Street and Number where work is to be performed -No .3 / 3 27 • 9,71 = street
State work to be performed and purpose of building (By Floors) _..R1 -- -.A46 -
New Building Remodeling___-___ _ Addition..
Size Septic Tank_ --_— _---- ------- ------- - -- -----Type of Tank__
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 $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
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 5966, Compiled General Laws of Florida Pe anent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Repairs
(Signed) - -- -
(Sigma)
Capacity Gals
No. of Stories
Plumbing Inspector.
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 heisth that did sign the same, and that all facts
of the above described construction, that be has carefully read the foregoing application, ®°
therein by him stated are true.
My Commission Expires Notary Public, State of Flosda
NOTE: A re- inspection fee of 31.00 will be made whom mach re-inspection is ®ade by improper notice for inspection. or faulty
materials and /or worlm3anship.
Permit No.
r3 ; 2 7
Owner's Name and Address
MI AMI 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 wor
No Street.
Registered Architect and /or Engineer 4"1.i _.
Employing Plumber's Name 1 J t `No.._____.__________._.___ Street__
Location and Legal Description Lot________......... Block
Street and Number where work is to be performed— NoL4____
Size Septic Tank
Feet of Drain Tile. <1:7,9--672
Nature of Water Supply: City —Well
Amount of Permit $
(Signed
( Signed
Date -- -.. .. .. . ... ....... .__._._.
Subdivision
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition____ Repairs No. of Stories
Type of Tank Capacity Gals.__
44 Dist. Feet of Tank or Drain Field from Well.
! Size of Soakage Pit
Master P u r
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Ilas com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by 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, 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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insp n, or faulty
materials and /or workmanship.
CLOSETS
BATH
Twits
B
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
URINAL S
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
Permit No.
r3 ; 2 7
Owner's Name and Address
MI AMI 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 wor
No Street.
Registered Architect and /or Engineer 4"1.i _.
Employing Plumber's Name 1 J t `No.._____.__________._.___ Street__
Location and Legal Description Lot________......... Block
Street and Number where work is to be performed— NoL4____
Size Septic Tank
Feet of Drain Tile. <1:7,9--672
Nature of Water Supply: City —Well
Amount of Permit $
(Signed
( Signed
Date -- -.. .. .. . ... ....... .__._._.
Subdivision
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition____ Repairs No. of Stories
Type of Tank Capacity Gals.__
44 Dist. Feet of Tank or Drain Field from Well.
! Size of Soakage Pit
Master P u r
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Ilas com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by 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, 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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insp n, or faulty
materials and /or workmanship.
Permit No. 3 Date (____ _..__ __
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. %j�
Owner's Name and Address__ . _ J__6,!_4 _ _ _ _ _ No.___-______— Street_
Registered Architect and /or Eng41 er____ _ _______ ____
Employing Plumber's Name _ __ _ _ __ .e..d_r/geaN 0.___ Street
Location and Legal Description Lot_________________ __ _____ ___________ __— _______ B1 Subdivision
Street and Number where work is to be performed —No._ 3
State work to be performed and purpose of building (By Floors)
New Building Remodeling ___ Addition Repairs No. of Stories_ _ __________________
Size Septic Tank
Feet of Drain Tile
3
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street
ypj f Tank Capacity Gals
ist. • . (Tank or Drain Field from Well
Nature of Water Supply: City —Well — Size of Soakage Pit
Amount of Permit $
- — - -- — - - - -- -- (Signed)
My Commission Expires
( Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
1_
Notary Public, State of Florida
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.
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. 3 Date (____ _..__ __
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. %j�
Owner's Name and Address__ . _ J__6,!_4 _ _ _ _ _ No.___-______— Street_
Registered Architect and /or Eng41 er____ _ _______ ____
Employing Plumber's Name _ __ _ _ __ .e..d_r/geaN 0.___ Street
Location and Legal Description Lot_________________ __ _____ ___________ __— _______ B1 Subdivision
Street and Number where work is to be performed —No._ 3
State work to be performed and purpose of building (By Floors)
New Building Remodeling ___ Addition Repairs No. of Stories_ _ __________________
Size Septic Tank
Feet of Drain Tile
3
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street
ypj f Tank Capacity Gals
ist. • . (Tank or Drain Field from Well
Nature of Water Supply: City —Well — Size of Soakage Pit
Amount of Permit $
- — - -- — - - - -- -- (Signed)
My Commission Expires
( Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
1_
Notary Public, State of Florida
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.
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
Date ....__.l_l0 /P
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 n ) _l'___ --__ No. ,7_/ .___ Streetfi • r
Registered Architect and /or Engineer
Employing Plumber's Name -'C9- -__ No.____�11 _ Street / 6i• w,
Location and Legal Description Lot_____-_ __ ........ ________..... Subdivision
Street and Number where work is to be performed— No.________T
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs `� No. of Stories
Permit No. _______
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed) it-g-
(Signed) ____
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
Master Plumber.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep 1! obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori.: ermanent 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, I 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 orn, 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,
materials and /or workmanship
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BA6tN
FLOOR
DRAIN
DRINKING
FOUNT - N6
/'
f'y j •
111 �77�
TOTAL
FIXTURES
G I
L IST
i
-
CHECK
- -_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Date ....__.l_l0 /P
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 n ) _l'___ --__ No. ,7_/ .___ Streetfi • r
Registered Architect and /or Engineer
Employing Plumber's Name -'C9- -__ No.____�11 _ Street / 6i• w,
Location and Legal Description Lot_____-_ __ ........ ________..... Subdivision
Street and Number where work is to be performed— No.________T
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs `� No. of Stories
Permit No. _______
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed) it-g-
(Signed) ____
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
Master Plumber.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep 1! obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori.: ermanent 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, I 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 orn, 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,
materials and /or workmanship
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
® PERMIT N9 3683
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE 19 `;
0
Architect
Contractor _
or Builder - 4--
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
Work to be performed under this Permit
B1
Subdi-
vision
Value of
Project $
Contractor's
License No. �� 2
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 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 at a assumes respon-
sibility for work done by his agents, servants or employees. fi r'
Signed. •, - -Iz e ... y _.. r R= r . �� INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complfanc= 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
ABBOT PRINT
Permit No . Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
[4 _ _C
Owner's Name and Address_____ JET d S /f _ No. __ - -! v �Street
Registered Architect and /or E iineer__
Employing Plumber's Name__1__1_
Size Septic Tank
Amount of Permit $
STATE OF FLORIDA, 1
j as.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot________ ________________ Block Subdivision -
Street and Number where work is to be performed -No.__ -___ -_ 9__z Street___ _J_-5_M_!__SJ_ t 4 K
State work to be performed and purpose of building (By Floors)_
New Building Remodeling_ Addition_
Type of Tank___ Capacity Gals
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City Wall ) I Size of Soakage Pit
- L
( ry-
2 " - - l -= 17!_ 1 - v' �`?� - - _- S'! 1 L1 L /E cJ r 2l fi
-- - - - - -- - - - - — (Signed) - - --
No.__ Street_
Repairs No. of Stories. _ _
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 - contract rs on work Jo be perf reed u der thi • enn
it, as
licensed by Miami Shores Village. pi .q VC C L c, j � �_ ,
( Signed) -- LA/
No
Plumbing Inspector:
S o3
My Commission Expires Notary Public, State of Florida
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.
CLOS[TB
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINK6
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BA81N
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
l
1
- -_-
CHECK
Permit No . Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
[4 _ _C
Owner's Name and Address_____ JET d S /f _ No. __ - -! v �Street
Registered Architect and /or E iineer__
Employing Plumber's Name__1__1_
Size Septic Tank
Amount of Permit $
STATE OF FLORIDA, 1
j as.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot________ ________________ Block Subdivision -
Street and Number where work is to be performed -No.__ -___ -_ 9__z Street___ _J_-5_M_!__SJ_ t 4 K
State work to be performed and purpose of building (By Floors)_
New Building Remodeling_ Addition_
Type of Tank___ Capacity Gals
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City Wall ) I Size of Soakage Pit
- L
( ry-
2 " - - l -= 17!_ 1 - v' �`?� - - _- S'! 1 L1 L /E cJ r 2l fi
-- - - - - -- - - - - — (Signed) - - --
No.__ Street_
Repairs No. of Stories. _ _
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 - contract rs on work Jo be perf reed u der thi • enn
it, as
licensed by Miami Shores Village. pi .q VC C L c, j � �_ ,
( Signed) -- LA/
No
Plumbing Inspector:
S o3
My Commission Expires Notary Public, State of Florida
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.__ 1
Size Septic Tank
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date _' ) 3- 1 J� J
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 ` Q ' ! No. 1 —`' _ s . Street '!�
Registered Architect and /or Engineer ._
Employing Plumber's Name ��< `�--�' �Z -_ ' S■ . - - -- No.----- _-- - - - -_. _ Street__
Location and Legal Description Lot_ Block
Street and Number where work is to be performed —No ,�/ j7
State work to be performed and purpose of building (By Floors)____
New Building ____ Remodeling_. __ _______ Addition._.___._._ Repairs
Street ,7 )./
Type of Tank_ _ Capacity Gals
Feet of Drain Tile. _ __LEA'____ ____Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City Well _— _ ____ Size of Soakage Pit
(Signed) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and 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 perform d) under this permit, as are
licensed by Miami Shores Village.
Mast lumber.
•
No. of Stories
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
SLOP
SINKS
LAUNDRY
TUBS
U
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
—
_
CHICK
Permit No.__ 1
Size Septic Tank
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date _' ) 3- 1 J� J
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 ` Q ' ! No. 1 —`' _ s . Street '!�
Registered Architect and /or Engineer ._
Employing Plumber's Name ��< `�--�' �Z -_ ' S■ . - - -- No.----- _-- - - - -_. _ Street__
Location and Legal Description Lot_ Block
Street and Number where work is to be performed —No ,�/ j7
State work to be performed and purpose of building (By Floors)____
New Building ____ Remodeling_. __ _______ Addition._.___._._ Repairs
Street ,7 )./
Type of Tank_ _ Capacity Gals
Feet of Drain Tile. _ __LEA'____ ____Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City Well _— _ ____ Size of Soakage Pit
(Signed) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and 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 perform d) under this permit, as are
licensed by Miami Shores Village.
Mast lumber.
•
No. of Stories
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
ELECT-MCL PERMIT A N° 175
PLUMBING
Owner of Building
Architect and /or Engineer
Contractor or Builder______
Proposed Location
LOT
NAME
NAME
NAME
BLOCK
SUB- DIVISION
ADDRESS
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
, 19
LICENSE NO.
LICENSE NO.
NO. STREET
This permit is issued to — - — To- _�� — °' —
the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector.
$
AMOUNT RECD. PAYMENT ACCT. DEPT. INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules add regulations of the building department of Miami Shores Village.
Dated------- - - - - -- -- ___�_ __
(SEAL)
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 $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 3 Z
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. , e Owners Name and Address__ ___SG � _ ___ _ __ � 4
No. _-- - - ----- Street
Registered Architect and /or Engineer T _
Employing Plumber's Name'_L! j /! r� __ !"
Location and Legal Description Lot_--_.--_ - __- ____________,___._____. Block_-
Amount of Permit $
STATE OF FLORIDA, ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ � Street. _
Street and Number where work is to be performed-No.-C-27/ - ,, - - _- _____ - -_- Street. .. --
State work to be perfonnea and purpose of building (By Floors)________
New Building Remodeling -_ _ ____ Addition.___ Repairs No. of Stories
( Signed) _.
Date CP
Subdivision
My Commission Expires Notary Public, State of Florida
Size Septic_.Tank - Type of Tank— Capacity Gals
o �� O 0
Feet of I�' ____Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City -Well.
Plumbing Insp' - r .
The undersigned ap for this building permit does I eby certify that he under i and accepts his obligattens.as an employer of labor
under the Florida Workden's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppleme t, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed -by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on(wor to be / performed under this permit, as are
licensed by Miami Shores Village.
er 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.
CL000T0
BATH
TUBS
S
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHUCK
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 3 Z
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. , e Owners Name and Address__ ___SG � _ ___ _ __ � 4
No. _-- - - ----- Street
Registered Architect and /or Engineer T _
Employing Plumber's Name'_L! j /! r� __ !"
Location and Legal Description Lot_--_.--_ - __- ____________,___._____. Block_-
Amount of Permit $
STATE OF FLORIDA, ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ � Street. _
Street and Number where work is to be performed-No.-C-27/ - ,, - - _- _____ - -_- Street. .. --
State work to be perfonnea and purpose of building (By Floors)________
New Building Remodeling -_ _ ____ Addition.___ Repairs No. of Stories
( Signed) _.
Date CP
Subdivision
My Commission Expires Notary Public, State of Florida
Size Septic_.Tank - Type of Tank— Capacity Gals
o �� O 0
Feet of I�' ____Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City -Well.
Plumbing Insp' - r .
The undersigned ap for this building permit does I eby certify that he under i and accepts his obligattens.as an employer of labor
under the Florida Workden's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppleme t, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed -by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on(wor to be / performed under this permit, as are
licensed by Miami Shores Village.
er 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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT Nn 4226
Work to be performed under this Permit
'• -41
Bl.
Subdi-
vision
DATE
4'
Contractor's
License No
BY AUTHORITY
194
Address of � , �r r iz} Value of Amt. of
Building � Project Permit .+t
This permit is granted to t e contractor or builder named above to construct the building or to install the equipment or device described in the apli
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil 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 o ; in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. �,. , ;-
Signed. .. `i " - 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.
Permit No._ 6
ss.
Uv
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_ _LI' __�1 L�:���% � �� No Street
Registered Architect and /or Engineer
Employing Plumber's Name No Street
Location and Legal Description Lot __Block Subdivision-
Street and Number where work is to be performed —No. J 3 Street___ (c?-
State work to be performed and purpose of building (By Floors)
Nature of Water Supply: City
New Building Remodeling Addition Repairs )" No. of Stories
Size Septic Tank �}- Type of Tank Capacity -Gals
Feet of Drain Tile / P l ° Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Amount of Permit $ ( Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. ° � 9 -
' ,-
(Signed) ', '
c_ '�� " = r � �G
Master Plumber.
Date ______ -! 2/ `6
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
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT' 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
Permit No._ 6
ss.
Uv
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_ _LI' __�1 L�:���% � �� No Street
Registered Architect and /or Engineer
Employing Plumber's Name No Street
Location and Legal Description Lot __Block Subdivision-
Street and Number where work is to be performed —No. J 3 Street___ (c?-
State work to be performed and purpose of building (By Floors)
Nature of Water Supply: City
New Building Remodeling Addition Repairs )" No. of Stories
Size Septic Tank �}- Type of Tank Capacity -Gals
Feet of Drain Tile / P l ° Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Amount of Permit $ ( Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. ° � 9 -
' ,-
(Signed) ', '
c_ '�� " = r � �G
Master Plumber.
Date ______ -! 2/ `6
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.
BUILDING
ELECTRICAL
PLUMBING
v
Owner of
Building
Architect
Contractor
or Builder
Legal Lot BI.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 3284
Work to be performed under this Permit
Subdi-
vision
Value of
Project
DATE
Contractor's
License No.
MINING: This Construntien nm7 In v ;61 = ::
likr Production 3uard' Cenar:,l l.iinit >,tions Vii it
cf.Niinneri to nnnSlllh iri't-' '."z,c
3ond ol'f•c'e in1forc s artin(;; th !''n+.• ctt17;
this
pnrmit,
Amt. of
Permit
194—
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 regula-
tions 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.
CONTRACTOR OR BUILDER BY AUTHORITY
•
Permit No. 5
Date_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer,
Employing Plumber's Name _
Location and Legal Description
_,
Street and Number where work is to be performed —No ' „- �_ `'•
State work to be performed and purpose of building (By Floors)
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
No
(Signed)
'No Street-------- ______ -- - -_
F
•
Street-___ __________`____________________
✓' Street
New Building — ___________________ Remodeling Addition Repairs _ —___ No. of Stories
Size Septic Tank_ __________ Type of Tank . Capacity
Feet of Drain Dist. Feet of Tank or Drain Field from Well______— �___ —____
Nature of Water Supply: City —Well. Size of Soakage Pit
a • ' (Signed)
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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
/1'77 Mast[r Plumber.
Notary Public. State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _______ ________ _____________________
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re - inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
7 PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR. IST
LIST
CHECK
•
Permit No. 5
Date_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer,
Employing Plumber's Name _
Location and Legal Description
_,
Street and Number where work is to be performed —No ' „- �_ `'•
State work to be performed and purpose of building (By Floors)
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
No
(Signed)
'No Street-------- ______ -- - -_
F
•
Street-___ __________`____________________
✓' Street
New Building — ___________________ Remodeling Addition Repairs _ —___ No. of Stories
Size Septic Tank_ __________ Type of Tank . Capacity
Feet of Drain Dist. Feet of Tank or Drain Field from Well______— �___ —____
Nature of Water Supply: City —Well. Size of Soakage Pit
a • ' (Signed)
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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
/1'77 Mast[r Plumber.
Notary Public. State of Florida
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.
BUILDING
ELECTRICAL
Inspector's Report: -
•
de rte
frkPi"-1 ADD:
The following is ready for inspection : -
Permit No..
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date___
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be cdmQlied 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
Nature of Water Supply: City —Well
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Location and Legal Description Lot_ __Block_
_ ____
Subdivision
Street and Number where work is to be performed —No 0 �_� Street_______ __
State work to be performed and purpose of building (By Floors) ________
New Building ___________________________ Remodeling Addition Repairs
Size Septic Type of Tank . W_Capacity Gals._
Feet of Drain Tile____ _______ _ _. _ _ Dist. Feet of Tank or Drain Field from Well
My Commission Expires
------ - - - - --
No Street____________ `__�'
Size of,'S a
__(Signed
The undersigned applicant for this building permit does hereby certify tha, , understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compil . 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.
(Signed)
%
No. of Stories
Notary Public. State of Florida
// Plumbing Inspector.
MastXr Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
/-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
AKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No..
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date___
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be cdmQlied 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
Nature of Water Supply: City —Well
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Location and Legal Description Lot_ __Block_
_ ____
Subdivision
Street and Number where work is to be performed —No 0 �_� Street_______ __
State work to be performed and purpose of building (By Floors) ________
New Building ___________________________ Remodeling Addition Repairs
Size Septic Type of Tank . W_Capacity Gals._
Feet of Drain Tile____ _______ _ _. _ _ Dist. Feet of Tank or Drain Field from Well
My Commission Expires
------ - - - - --
No Street____________ `__�'
Size of,'S a
__(Signed
The undersigned applicant for this building permit does hereby certify tha, , understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compil . 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.
(Signed)
%
No. of Stories
Notary Public. State of Florida
// Plumbing Inspector.
MastXr 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.
APPLICATION FOR PLUMBING PERMIT
Permit No . Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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
Location and Legal Description Lot
Street and Number where work is to be performed —No
Size Septic Tank
Feet of Drain Tile
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
State work to be performed and purpose of building ( 3oors).
New Building Remodeling Addition Repairs
Amount of Permit $____ (Signed)
No >? Z Street__ 1 / /
Zf i�
elY
Subdivision a. e
Type of Tank Capacity Gals._
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
S treet
No. of Stories
Plugtfiing 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 under signed agrees to employ only such sub - contractors, on work to , be performed under this permit, as are
licensed by Miami Shores Village. sub-contractors,
� t
(Signed)
° Master Plumber.
Notary Public. State of Florida
4E:07) (7/
STATE OF FLORIDA, 1
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.
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
SWIM'G
POOL
CONTR.
LIST
CHECK
APPLICATION FOR PLUMBING PERMIT
Permit No . Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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
Location and Legal Description Lot
Street and Number where work is to be performed —No
Size Septic Tank
Feet of Drain Tile
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
State work to be performed and purpose of building ( 3oors).
New Building Remodeling Addition Repairs
Amount of Permit $____ (Signed)
No >? Z Street__ 1 / /
Zf i�
elY
Subdivision a. e
Type of Tank Capacity Gals._
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
S treet
No. of Stories
Plugtfiing 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 under signed agrees to employ only such sub - contractors, on work to , be performed under this permit, as are
licensed by Miami Shores Village. sub-contractors,
� t
(Signed)
° Master Plumber.
Notary Public. State of Florida
4E:07) (7/
STATE OF FLORIDA, 1
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.
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.
attrEMT
EI E R t PERMIT A N° 175
PLUMBING
S ner of Building:hi'°
Architect and /or Engineer
Dated
NAME
NAME � ./
Contractor or Builder— _ -
. •v' NAME
Proposed Location __ `,
LOT BLOCK /
d
___, 19
// ADDRESS
Y+ 2/ _
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
NO.
LICENSE NO. .
, 19cV
4
LICENSE
STREET ash
'UB- DIVISION 1
j - .4 ' '
This permit is issued to y ?_' %4 ?_- 3_ . "' �' To
the building above described, as per application, P,- ans and Specifications heretofore lfi ed in this office. This permit is granted upon e express - condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Sho s."Vill ee. This permit may be revoked at any time upon the violation of any provisions D'f" Said
laws, ordinances or rules and regulations, or. upon c ang in the plans and specifications runauthoffied by the building ins ector.
AMOUNT RECD. PAYME ACCT. DEPT.
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
...Y.L - mo b' '(Y �•'., %.t � �+E. �'9 �,
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obL'at'ntd Ogg the- '1 Boar: t"
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.
/6/‘fe,
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 wor
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Owner's Name and Address LX � a �.N t� No. _ ^' Street. Y ,e,--
Registered Architect and /or Engineer n ^,_, —
Employing Plumber's Name f+14 O RDE
Location and Legal Description Lot_ rte''
Street and Number where work is to be performed —No 3 / 3 �.�— Street . 9
State work to be performed and purpose of building (By Floors) _-------- • ..-------- __.._._
New Building_.. .-- _.._ ..... ............. Remodeling___ / _ _ Addition...__.._ Repairs No. of Stories
B loc&
.rte �
Size Septic Tank_ _ �� 0 -- - - - - -- - - - -- - -Type of Tank ( 6 aG _.- ---- -••-- •-- ...- • -. - -- ..Capacity Gals
Feet of Drain Tile.J1 .64k — _Dist. Feet of Tank or Drain Field from Well _--------___—.—
Nature of Water Supply: City — Wall.-- __----- .-- _----- _ -___ -- -.Size of Soakage Pit
Amount of Permit $
(Signed)
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanen Supplement, and Ilas com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices
required by the Act. The undersigned agrees to employ only such sub - contractors, on /work ,to be performed under this permit,
licensed by Miami Shores Village.
( Signed
) = —'
Date.
3/28173
Muter Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 recta re- inspection is mede•seoessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBE
SHOWER/
LAVA•
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUPS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
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
GoNrR.
/DU '
LIST
/ r
-
CHECK
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 wor
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Owner's Name and Address LX � a �.N t� No. _ ^' Street. Y ,e,--
Registered Architect and /or Engineer n ^,_, —
Employing Plumber's Name f+14 O RDE
Location and Legal Description Lot_ rte''
Street and Number where work is to be performed —No 3 / 3 �.�— Street . 9
State work to be performed and purpose of building (By Floors) _-------- • ..-------- __.._._
New Building_.. .-- _.._ ..... ............. Remodeling___ / _ _ Addition...__.._ Repairs No. of Stories
B loc&
.rte �
Size Septic Tank_ _ �� 0 -- - - - - -- - - - -- - -Type of Tank ( 6 aG _.- ---- -••-- •-- ...- • -. - -- ..Capacity Gals
Feet of Drain Tile.J1 .64k — _Dist. Feet of Tank or Drain Field from Well _--------___—.—
Nature of Water Supply: City — Wall.-- __----- .-- _----- _ -___ -- -.Size of Soakage Pit
Amount of Permit $
(Signed)
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanen Supplement, and Ilas com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices
required by the Act. The undersigned agrees to employ only such sub - contractors, on /work ,to be performed under this permit,
licensed by Miami Shores Village.
( Signed
) = —'
Date.
3/28173
Muter Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 recta re- inspection is mede•seoessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Address of,
Building'
,.
0
CONTRACTOR OR B
MIAMI SHORES VILLAGE, FLORIDA
DATE 4 -' 1 '
PERMIT
Owner of
Building
Architect
Contractor
or Builder I - •
Legal Lot
Description
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 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.
1
Signed. ,1 . � ��� . A '' N A/ Y •- INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance ,• fth all ordinances aad regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. t
} • � i s al )!
..P
` f `'I' �'�' :? ' � n � � % ,?. � � a k� . ',rl' y ' ' " l ,� f are �, � ! �`
' ...,r f � BY 't •— AU7rHORITY
ER
II B1
N9 7613
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
Contractor's
License No.
g Afrl
,c Do:: "�::y
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
•
Lot
PERMIT N? 4602
Work to be performed under this Permit
• t -ice-.
MIAMI SHORES VILLAGE, FLORIDA
a
CONTRACTOR OR BUILDER
Bl.
i@..
sibility for work done by his agents, servants or employees.
Signed:
Subdi-
vision
Value of
Project
BY
c
4
INSPECTOR
DATE
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 th
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in coin.liance
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit - ay b
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 u
it is g ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or
appli-
ith any
revoked
hich this
nces and
Yca aii
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assu . es respon-
By
7. 7
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances'
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miar
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
i
AU
11
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
MIAMI SHORES VILLAGE, FLORIDA
•
j/tz)„..,,;1 4
ERM1T N? 4602
•
> CONTRACTOR OR BUILDE
Work to be performed under this Permi
Bl.
Subdi-
vision
5
DATE
Contractor's
License No.
Amt. of"
194.
,
Address of Value of
Building 7 /• 3 ,r O'' Project
This perniit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work 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. / �j
Signed. L✓ /�* '"t/ By
INSPECTOR
In consideration of the issuance tome of,this- 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'3yliami Shores Village.
In accepting this permit I assume responsibility for all work done by ther nyself, agent,'sery ytore p ye sa �#
Permit /
'�a4UTHORITY