PLUMBINGoeP__
Permit No 3 7i1( 3
Amount of Permit $ 4 . 0 0
STATE OF FLORIDA, I
COUNTY OF DADE.
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 9-Ohrt _ gptClZL - _ No. 3 4 9 _8.__ E, 93 Street
Registered Architect and /or
Employing Plumber's Name 0 W ea-L K-Coclz & ep tie `7r. [g - -- No._ .8_._L( -.111_ 29 Street_
Subdivision
Street
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)__.___— ..... —..... _______
_ - _ --
New Building ___. _ -- Remodeling _ _--- - - - -__ __ __ Addition----- _ —__ - -- Repairs - -___ No. of Stories . . .. ... .........
Size Septic Tank_ ---------- - - - - -- -Type of Tank__
Feet of Drain Tile 32 f ' - - - - - -- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well .______ _ — — ____Size of Soakage Pit
Block
Date - 23 2pu - 96 9
Capacity Gals -
(Signed)_ T
My Commission Expires Notary Public, State of Florida
Master Plumber.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob '.ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin p 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 , ork to be performed under this permit, as are
licensed by Miami Shores Village.
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 by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
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
SWIMG
POOL
CONTR.
LIST
CHECK
- - -
oeP__
Permit No 3 7i1( 3
Amount of Permit $ 4 . 0 0
STATE OF FLORIDA, I
COUNTY OF DADE.
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 9-Ohrt _ gptClZL - _ No. 3 4 9 _8.__ E, 93 Street
Registered Architect and /or
Employing Plumber's Name 0 W ea-L K-Coclz & ep tie `7r. [g - -- No._ .8_._L( -.111_ 29 Street_
Subdivision
Street
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)__.___— ..... —..... _______
_ - _ --
New Building ___. _ -- Remodeling _ _--- - - - -__ __ __ Addition----- _ —__ - -- Repairs - -___ No. of Stories . . .. ... .........
Size Septic Tank_ ---------- - - - - -- -Type of Tank__
Feet of Drain Tile 32 f ' - - - - - -- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well .______ _ — — ____Size of Soakage Pit
Block
Date - 23 2pu - 96 9
Capacity Gals -
(Signed)_ T
My Commission Expires Notary Public, State of Florida
Master Plumber.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob '.ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin p 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 , ork to be performed under this permit, as are
licensed by Miami Shores Village.
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 by improper notice for inspection, or faulty
materials and /or workmanship.
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
r� �- Permit Number a
Applicant �/ � � � 3 3 S
-PART II - SYSTEM INSTALLATION INSPECTION AND FINAL INS ALLATI APPROVAL
Installer ' L c t! / —c : z
Proper tank legend: Yes/V/14. No
Tank Manufacturer
� /1
Tank material( 46, Tank level: Yes
Tanks watertight: Yes No Tank size: gallons gallons
Proper tank outlet device: Yes No Manhole or marker to grade: Yes No
Drainfield Trench
Length Width Length Width Length �� feet xLL feet= - K
feet feet feet feet Length feetx feet= ft
feet feet feet
feet feet feet
Total = ft
Inspected by: '1. - L C �.--
Absorption Be
feet Proper No. drainlines: Yes S No
feet Proper pipe separation: Yeses & No
Total = ft Distribution box level: Yes
Backfill or fill material as required: (Quality) Yes No (Quantity) Yes No
Other findings ��dT� � /
Systems located as permitted: Yes No
Systems including plumbing stub -outs installed at proper elevation: Yes No
Average depth to drainpipe invert from finished grade: inches Maximum depth Inches
Average depth of drainfield gravel: I ' R . inches Minimum depth of gravel J inches
Proper gravel size: Yes 1 No Gravel is suitable quality: Yes — No
Date — /7 -- ?
PART III - FINAL IN TALLATION APPROVAL
Date 6 - /J - 4pproved by:
COUNTY PUBLIC HEALTH UNIT
AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE
Note: Completed copies of this form will be provided to the applicant, installer and the building department.
gallons
No
HRS —H Form 4016, Jan 86 (Replaces Feb 85 edition which may be used)
(Stock Number: 5744-002- 4016 -4) Page 2 of 2
Permit No.- _-- -i ---- . , . . =- --.i + -- Date - - -- -- Z —5" 2.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or
structure herein described. This application is made in compliance and conformity with the' Building Ordinance of Miami Shores Village, Flor
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 Divisi
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
2 • C Q Mr. R No Street
Registered Architect and /or Engineer
Employing Plumber's Name M /.?', 4/Y.P P €/A'1 / 2A/CA No. -1_ _A 0
Amount of Permit $ l ' _ r ' ( Signed)
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
gAir
StreetJ• 4 '7• or 64
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No - �l 9 4 6 Street 2' .9 +�T•
State work to be performed and purpose of building (By Floors )..grt!! D lf-E 3 F 4e_warF-.i -_- NE �__
New Building Remodeling ` Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
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 has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors elnployed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed x 4--__ x- t;: 11^ -
Master Plumber.
•
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and' tale 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 f ee 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
NKS
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
Permit No.- _-- -i ---- . , . . =- --.i + -- Date - - -- -- Z —5" 2.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or
structure herein described. This application is made in compliance and conformity with the' Building Ordinance of Miami Shores Village, Flor
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 Divisi
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
2 • C Q Mr. R No Street
Registered Architect and /or Engineer
Employing Plumber's Name M /.?', 4/Y.P P €/A'1 / 2A/CA No. -1_ _A 0
Amount of Permit $ l ' _ r ' ( Signed)
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
gAir
StreetJ• 4 '7• or 64
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No - �l 9 4 6 Street 2' .9 +�T•
State work to be performed and purpose of building (By Floors )..grt!! D lf-E 3 F 4e_warF-.i -_- NE �__
New Building Remodeling ` Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
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 has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors elnployed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed x 4--__ x- t;: 11^ -
Master Plumber.
•
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and' tale 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 f ee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Architect
Contractor
or Builder _
Legal Lot I I BL
Description.
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL
�i ERM IT IN? 13416
PLUNGING
ROOFING ❑ Work to be performed under this Permit
Owner of [�r
Building
3 y/ /,y+ /t, } , ,. Value of
. / ! /r / - Cf F` Project $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the a
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with sn�r
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revaked a ay
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition uppoann ethich this permit
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or7dinances and
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications ands at he assumes responsibility or woe
done by his agents, servants or employees.
Signed. v 5 1 1 4 7" '"j 41 -L- BY trAkhZ
Thi
In consideration of the issuance to me of this permit I agree to per orm the work covered hereunder in compliance with all ordinances and
pertainin thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
sit I assume responsibility for all work done by either, r self, my agent, servant or employee.
'1
Subdi-
vision
'DER BY
..
DATE 1 7 195_._
Contractor's
License No
Amt. of
Permit $
AUTHORITY
••
' 771
jiWW
BUILDING
ELECTRICAL. ❑ PERMIT N9 14421
PLUMBING .. )i<
ROOFING ❑ ork to be performed under this Permit
Owner of
Building
42.,
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
In conside
pertaining there
In accepting
f
Lot
MIAMI SHORES VILLAGE, FLORIDA
AP
Bi
Subdi-
vision
Value of
Project
This permit is ranted to the contractor or der named above to • • natruct the
herefor in strict compliance with all ordinances • g thereto and with the d
drawings, statements or specifications that may have been submitted to and app
time if the work is not done in compliance with such ordinance or if the plans a
granted is the understanding that the contractor or builder named above asam
pertaining to the work covered hereby whether shown on the plane or dra
done by his agents, servants or employees.
ContrUChof
MEtss Nok `•w,
Amt. of
Permit
uipment or device ded 1 in
be performed in compliance with ma
authorities. This Permit may be rtArobdX
n. A further condition nigNia which this pli
orough lmowledge of the wane awl
s and that he assumes
" $ed: +
INSPECTOR
ance to me of this permit I agree to orm the rk covered hereunder in compliance with all ocdinasees
formity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami
responsibility for all work done by either, myself, my agent, servant or employee.
BY AITrtIOR1 Y
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 15068
LIl Work to be performed under this Permit
t'
"*TI
CONTRACTOR OR BUILDER
BL
I
Subdi-
vision
Value of
Project $
DATE
t.
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 ii the a
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in cotaplianas'with
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities, This Permit maybe resole*
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A iuxOtor condition upon which this
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances' and
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsdbility
done by his agents, servants or employees. .
.‘-,-
Signed .t.,-,A., ; , NA ;. ,., kk By .. ‘,
frt 1,..1 tr ,
INSPECTOR 'a
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulatkes.
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Wage.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
es. „, t= it •
APPLICATION F'OI BUILDING PERMIT
Ap is hereby %wade for the approval of the detailed stats:nu•nr ui ute pl: »s and specifications herewith submitted for the build
inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
'horns Village, Florida, and :►II provt.ions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the dutlding Division of Miami Shores Village shall be complied with, wT•ther herein specified or not. A copy of approved
plans and specifications must be kept at budding during progreu of the work.
'*•
Owner's Name and Address ...r Lt:tl` _. No. ._. Street 4 r.....1 _.
Registered Architect and/or Engineer .
... .. bee 'Kn./
Location and legal description of lot to be built on:
Lot Block SubdivEstos ................_ .._ _. _� ...._...._._....
Name and address of licensed contractor.
Street and Number where work is to be done. ....
State work to be done and purpose of building (by floors
Disapproved
(Signed)
Chair;r,an
Member
Member
MIAMI SHORES VILLAGE '7
BUILDING INSPECTION DEPARTMENT
Date
i.s
Building Inspector
1 0
.... and for no other purpose.
Addition Repairs No. of Stories
Ncw Building Remodeling
To be constructed of ....................... Kind Af founds on .overing
Estimated Total cost of improvements $...+,"J.,).(J.Q. U Amount of Permit $
Zone cubage required Plan Cubage
Distance to next nearest building. Size of Building Lot
Maaiunum live load to be borne by each floor
1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigncd applicnt for this building permit does hereby certify that he understand% and accepts his obligations as a n t•i111110yer
l.ih„r under the Florida Workmen's Compensation Act, being Section 596G. Compiled General Laws of Florida, Prnnanrnt Supplement,
.and has cnmplted %%silt the p(roviaon% thereof, and will require sunil:.r t.ompliance from all contractors or sub - contractors employed by hint
in the work to be performed under this permit; and will post or cause to be posted for inspection • the site the work such public notice
or notices 31 are required by the Act. The undersigned agrees to employ only suciubcontractor� o� work be der this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF t*LOrIDA,
COUNTY OF DADE. } ss,
Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the
cf the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
thcre►n by him stated are true.
Permit No..
(lead, Sworn to and Subscribed before me.
Notary ?011ie, State of Florida
My Commiuion Expires
_. to me well known,
PLANNING BOARD DATE
Member
Member
Member __.. — __ .._.....
Connell Approved Date Disapproved Date
NOTE. A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from
the h I.i,,ni, Itu.trd
A rc•rit.pcttiurt fee of 51.00 will be charged when such re- inspection is made necessary by [mproner notice for inapevtinn or faulty
rlt.tcrtala anu /or workmanship.
w
•
Permit No. _
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for - :he approval of the detailed statement of the plans and specifications herewith sui mitted 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 woric.�
Owner's Name and Address
c
Registered Architect and /or Eng.neer
Employing Plumber's Name _____ ____________.'_ - No � I Street _
Location and Legal Description Lot Block
Street and Number where work s to be performed —No
Size Septic Tank Type of Tank
Amount of Permit $_
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions ther =of, and will require similar compliance
performed under this permit: and will post or cause to be posted for
oquired by the Act. The under signed agrees to employ only such
•used by Miami Shores Village.
1F FLORIDA,
OF DADE.
t O nne, the undersigned authority, a notary public,
of the
the rein by
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
-
No t Street ; "___1
(Signed)
(Sigitoiff
Date
Street
Capacity Gals.__
'nd who, being by me first duly sworn, upon oath deposes and says that he is the
'd construction, that he has carefully read the foregoing application, and that he did sign the
-e true.
Subdivision..
State work to be performed ant purpose of building (By Floors)
New Building Remodeling Addition Repairs _.
No. of Stories _
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —1 .Size of Soakage Pit.
Plumbing Inspector.
rtify that he understands and accepts his obliytions as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
s
Master Plumber.
duly authorized to administer oaths and take acknowledgments, personally
same, and that all facts
mat
NOT A re- I ns Commission Expires Notary Public, State of Florida
wo p'
kma -
as "ee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
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
j
w
•
Permit No. _
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for - :he approval of the detailed statement of the plans and specifications herewith sui mitted 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 woric.�
Owner's Name and Address
c
Registered Architect and /or Eng.neer
Employing Plumber's Name _____ ____________.'_ - No � I Street _
Location and Legal Description Lot Block
Street and Number where work s to be performed —No
Size Septic Tank Type of Tank
Amount of Permit $_
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions ther =of, and will require similar compliance
performed under this permit: and will post or cause to be posted for
oquired by the Act. The under signed agrees to employ only such
•used by Miami Shores Village.
1F FLORIDA,
OF DADE.
t O nne, the undersigned authority, a notary public,
of the
the rein by
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
-
No t Street ; "___1
(Signed)
(Sigitoiff
Date
Street
Capacity Gals.__
'nd who, being by me first duly sworn, upon oath deposes and says that he is the
'd construction, that he has carefully read the foregoing application, and that he did sign the
-e true.
Subdivision..
State work to be performed ant purpose of building (By Floors)
New Building Remodeling Addition Repairs _.
No. of Stories _
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —1 .Size of Soakage Pit.
Plumbing Inspector.
rtify that he understands and accepts his obliytions as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
s
Master Plumber.
duly authorized to administer oaths and take acknowledgments, personally
same, and that all facts
mat
NOT A re- I ns Commission Expires Notary Public, State of Florida
wo p'
kma -
as "ee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
Time
1;r 57k
• PLU=-G - _ S
Jork done . bN:
daress of work
Owner
Se-tie Tank
Drainfield
Plumbin.r: -• Final
'.111On r:7) acl•Nr
Perit i'fo.
e
T() ) out
PM
Permit No
r St
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith adbmitesd for the
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Ming $borot
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all Mee and regulatioat of ibe
of Miami Shores Village shall be complied with. whether herein specified or not
building during progress of wor
Owner's Name and Address Z '
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed— No. _____
State work to be performed and purpose of building (By Floors)
New Building Remodeling --- _-- _____ -- Addition_ Repairs_
MIAMI S H O R E S VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
Amount of Permit $,___ ,. ? L_ _ =lam— (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. as.
(Sig
417
Da
Snbdiviion
Street
No. of Stories.„----_
Size Septic Tank___ _ — _______W___e _____ Type of Tank _____– ___________ _____–_________________Capacity Gal
Feet of Drain Tile r Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City______ Size of Soakage Pit
•'
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em
performed under this permit; and will post or cause to be posted for inspection on the site of the work such pub* soesce or awtio
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed seder this pats', to
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and mks ac tlet*e ms*s.
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the satae, and that sll
therein by him stated are true.
My Commission Expires Notary Public. State of Plsli
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper nodal for inspsetlos. or brat-
materials and /or workmanship.
CLOna:rs
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
'ASIK
FLOOR
DRAIN
DRINKING
FOUNT•NS
y
CONTR.
LIST
"a
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIILD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
.
CHICK
_ ..
Permit No
r St
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith adbmitesd for the
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Ming $borot
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all Mee and regulatioat of ibe
of Miami Shores Village shall be complied with. whether herein specified or not
building during progress of wor
Owner's Name and Address Z '
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed— No. _____
State work to be performed and purpose of building (By Floors)
New Building Remodeling --- _-- _____ -- Addition_ Repairs_
MIAMI S H O R E S VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
Amount of Permit $,___ ,. ? L_ _ =lam— (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. as.
(Sig
417
Da
Snbdiviion
Street
No. of Stories.„----_
Size Septic Tank___ _ — _______W___e _____ Type of Tank _____– ___________ _____–_________________Capacity Gal
Feet of Drain Tile r Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City______ Size of Soakage Pit
•'
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em
performed under this permit; and will post or cause to be posted for inspection on the site of the work such pub* soesce or awtio
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed seder this pats', to
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and mks ac tlet*e ms*s.
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the satae, and that sll
therein by him stated are true.
My Commission Expires Notary Public. State of Plsli
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper nodal for inspsetlos. or brat-
materials and /or workmanship.
Date e
A'pplicati \' is hcreby i ^.au f.. the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structa: e herein deseliben. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions cf the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
c: Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
a•,c ffig during progress of work.
Owner's Na x : f e and Address_ -- .x -- - - -- _ -- _ -- --- ____ - No. _., _ - - ___ -
Registered Architect and /or Engineer__
Employing Plumber's Nam TR •r °
!. No , S'/ 1
Size Septic Tank_
Feet of Drain Tile
STATE OF FLORIDA, ss,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit $---- - - - - -- - - __ -- -- - - - -- — — -- - - - -- (Signed)
Notary Public, State of Florida
No: 61.. ' 44 lade e / / 41 /
- - - - - -- Street_--- - - - - --
Lo: aation and Legal Description Lot____.._ _ _____ _ Block_ ______ 7 Subdivision
Street and Number where work is to be performed —No c7' /? N' Via'': 9 -d Street__.I /f) /i%'' -
&ate work to be performed and purpose of building (By Floors) . kr I L0Jc-i /Y�' P
New Building, -. Remodeling _ Addition. ........ Repairs
ty / r/N
No. of Stories.
n4'e.
Type of Tank Capacity Gab._
_Dist. Feet of Tank or Drain Field from Well
/y /5/iee
Nature of Water Supply: City — Well.__________ ......... ___________ ____________._Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors .Toyed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site the work ch public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, rk �o,7be pe ormed finder this permit, as are
Iioeneed by Miami Shores Village.
(Signed) -- tf `Z�� �
ki
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign die 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.
cl.cezFL
t>ATH
Tuss
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
LIM'
/
e `i
/c&i.
sf`s /
eN
05 `'
X6 ,
CV?7.CK
��
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I
POOL
LIST
C41_CK
Date e
A'pplicati \' is hcreby i ^.au f.. the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structa: e herein deseliben. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions cf the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
c: Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
a•,c ffig during progress of work.
Owner's Na x : f e and Address_ -- .x -- - - -- _ -- _ -- --- ____ - No. _., _ - - ___ -
Registered Architect and /or Engineer__
Employing Plumber's Nam TR •r °
!. No , S'/ 1
Size Septic Tank_
Feet of Drain Tile
STATE OF FLORIDA, ss,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit $---- - - - - -- - - __ -- -- - - - -- — — -- - - - -- (Signed)
Notary Public, State of Florida
No: 61.. ' 44 lade e / / 41 /
- - - - - -- Street_--- - - - - --
Lo: aation and Legal Description Lot____.._ _ _____ _ Block_ ______ 7 Subdivision
Street and Number where work is to be performed —No c7' /? N' Via'': 9 -d Street__.I /f) /i%'' -
&ate work to be performed and purpose of building (By Floors) . kr I L0Jc-i /Y�' P
New Building, -. Remodeling _ Addition. ........ Repairs
ty / r/N
No. of Stories.
n4'e.
Type of Tank Capacity Gab._
_Dist. Feet of Tank or Drain Field from Well
/y /5/iee
Nature of Water Supply: City — Well.__________ ......... ___________ ____________._Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors .Toyed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site the work ch public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, rk �o,7be pe ormed finder this permit, as are
Iioeneed by Miami Shores Village.
(Signed) -- tf `Z�� �
ki
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign die 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 `1Ci_C3
Application is hereby made for the approval of the detailed statement of and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and cok.faa . , y with the wilding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Snaes a,id all rules and regulations of the Building Division
of Miami Shores Village shall be camplied with, whether herein specified r- rr .. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner a Name and Address__ -_ _ °_ ------- ____ -_ No.___-_ - -- -- - -- �/^ Street_ f1f
Registered Arch_tect and /or Engineer__ —__ ✓—
Employing Plumber's Name .__r_
Location and Legal Description Lo
Street and Number where work is to be performed—No.___—_
State work to be performed and purpose of building (By Floors) _
New Building Remodeling_
Nature of Water Supply: City —Well..
Amount of Permit $
S'A'E OF FLORIDA,
;'Ji;: i ` OP' DADE.
My Canvmissior. Expires
MIAMI SHORES VIL:,AGZ
PLUMBING INSPECTION DEPARTME::•'
APPLICATION FOR PLUMBING
Addition__
__Block
Subdivision
Street r�,rf e:0
Repairs No. of Stories.
Sizo Septic Tank _ __ Z� -_ _ Type of Tank____ Capacity Gals.
Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
( Signed) _ -_-- W
Date J.k;
//� Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli yfons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennon t Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp ved 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 blic notice or notices as are
require.1 by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
3tee:Istd by Miami Shores Village. _
(Signed) —[ k- — — - —
Master Plumber.
1iefore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well mown, 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
t!'erein 3;v ?'■:r, stated are true.
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.
CLOS6TB
BATH
TUBS
E
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
.
TOTAL
FI %TORES
eLIITFl.
LIST
t
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LAST
_.
CHECK
Permit No `1Ci_C3
Application is hereby made for the approval of the detailed statement of and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and cok.faa . , y with the wilding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Snaes a,id all rules and regulations of the Building Division
of Miami Shores Village shall be camplied with, whether herein specified r- rr .. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner a Name and Address__ -_ _ °_ ------- ____ -_ No.___-_ - -- -- - -- �/^ Street_ f1f
Registered Arch_tect and /or Engineer__ —__ ✓—
Employing Plumber's Name .__r_
Location and Legal Description Lo
Street and Number where work is to be performed—No.___—_
State work to be performed and purpose of building (By Floors) _
New Building Remodeling_
Nature of Water Supply: City —Well..
Amount of Permit $
S'A'E OF FLORIDA,
;'Ji;: i ` OP' DADE.
My Canvmissior. Expires
MIAMI SHORES VIL:,AGZ
PLUMBING INSPECTION DEPARTME::•'
APPLICATION FOR PLUMBING
Addition__
__Block
Subdivision
Street r�,rf e:0
Repairs No. of Stories.
Sizo Septic Tank _ __ Z� -_ _ Type of Tank____ Capacity Gals.
Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
( Signed) _ -_-- W
Date J.k;
//� Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli yfons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennon t Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp ved 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 blic notice or notices as are
require.1 by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
3tee:Istd by Miami Shores Village. _
(Signed) —[ k- — — - —
Master Plumber.
1iefore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well mown, 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
t!'erein 3;v ?'■:r, stated are true.
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.
Tj
C,. n % r'e
-!�
CLOSETS
BATH
1u85
SHOWERS
LAVA.
TORIES
I
SINKS
SLOP
SINKS
LAUNDRY
y",
URINALS
CATCH
BAs
FLOOR
DRAIN
DR! NKI NO
FOUNT' NS
TOTAL
FI %TUREI
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
- PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'O
POOL
CONTR.
LIST
CHECK
Permit No. /...4.?9
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.- .e!'.._.. --
Size Septic Tank- "_- Type of Turk_ __
Feet of Drain Tile - : -- - _ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well _ ____ Size of Soakage Pit__
Repairs.
Amount of Permit $... - -- ---------------- - - - - -- - - - - - -- — — —_. (Signed) _
Application is hereby n de 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
.99 9 ., >i
Owner's Name arid Address No .3 ' - Street . - - -=
Registered Architect and /or lrngineer : _.._
Employing Plumber's Nadu'
Location and Legal Description Lot .... __ _.____ Block_-.
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Floors)---
New Building _ Remodeling .._... Addition__
Street
Subdivision
Street.
My Commission Expires Notary Public, State of Florida
Capacity Cals.
No. of Stories
Plumbing Insi.ector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ail employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has cc.n-
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 remit, as an
licensed by Miami Shores Village. j 7 '
(Signed) i -- v - - - - - --- , —
STATE OF FLORIDA, u,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowk:dgments, personally appeare
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 tat
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 f,.ul
materials and /or workmanship.
Permit No.
New Budding _
Amount of Permit $.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby made for the approval o f the detailed statement of the plans and specifications herewith submi :fo the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of M ami 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 Divisior
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. ��',,Q
Owner's Name and A t__ /7
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot ________ _ -_ -_ ..... ........ _ -_._ - -_._ -- Subdivision
Street and Number where work is to be performed —No. ._ ___ _ ____._ _ .__.. _ _ ____.... Street. _....._.. __..
State work to be performed and purpose of building (By Floors)
No.-
Remodeling Addition__-_- .... - ..... - -- - -- Repairs
Size Septic Tank. Type of Tank_
Feet of Drain T;Ie
Nature of Water Supply: City —Well
Dist. Feet of Tank or Drain Field from Well.
Size of Soakage Pit_
.s.x
--- __ -- ------ -___ -- - - -____ _ -_ (Signed) _
Sign
!
Street.-
No. of Stories. . ..... .......... .. .
Capacity Gals
Ahe
Plumbing Insrector.
The undersigned applicant for this building permit does hereby cer.ify that he understands and accepts his obligaions as r.. employer of lab(
under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and his 'cu1-
plied with the provisions the eof, 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 r as an
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 ack, or,ledgments, personally Ippeare
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 lac
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 , mproper notice for inspection, or f.,ul
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SIN"
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DrnIIKINO
FOL - NS
TOTAL
FIXTUR[I
'-
CONTR.
LIST
CHECK
SEPTIC.
TANK
SEWER
CONN.
DRAIN
FIRLD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
D[V
WELL
SPRKLR.
SYSTEM
SWIM O
POOL
CONTR.
LIST
LIST
CHECK
Permit No.
New Budding _
Amount of Permit $.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby made for the approval o f the detailed statement of the plans and specifications herewith submi :fo the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of M ami 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 Divisior
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. ��',,Q
Owner's Name and A t__ /7
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot ________ _ -_ -_ ..... ........ _ -_._ - -_._ -- Subdivision
Street and Number where work is to be performed —No. ._ ___ _ ____._ _ .__.. _ _ ____.... Street. _....._.. __..
State work to be performed and purpose of building (By Floors)
No.-
Remodeling Addition__-_- .... - ..... - -- - -- Repairs
Size Septic Tank. Type of Tank_
Feet of Drain T;Ie
Nature of Water Supply: City —Well
Dist. Feet of Tank or Drain Field from Well.
Size of Soakage Pit_
.s.x
--- __ -- ------ -___ -- - - -____ _ -_ (Signed) _
Sign
!
Street.-
No. of Stories. . ..... .......... .. .
Capacity Gals
Ahe
Plumbing Insrector.
The undersigned applicant for this building permit does hereby cer.ify that he understands and accepts his obligaions as r.. employer of lab(
under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and his 'cu1-
plied with the provisions the eof, 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 r as an
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 ack, or,ledgments, personally Ippeare
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 lac
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 , mproper notice for inspection, or f.,ul
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No....j...22_P Date ir all
.f,._
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 mud be kept at
building during progress of work.
effee..A: iiii
Owner's Name and Address 3 4 /tee: 93 ST. No Street__
Registered Architect and/or Engineer
ri
11 , I I C141Car- . 4 ! Z44 3d ej7/4 AaNb.feiv No .1 :—
221.......4214...—. lerse 7....
RAFS.at..." iri
don an Lege' ption Lot. fl loelt I / 4- ... Subdivision. 2e. NJ;
Street and Number where work is to be performed-No 3diq Ales q 3 ST. su
State work to be performed and purpose of building (By Floors) _
New Building.._.—_ — Remodeling___.______ Addition...-----.--..... Repairs No. of Stories ....
Size Septic Tank— __Type of Tank___.
Feet of Drain Tile op 4 __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City-Weal. Size of Soakage Pit.
----■
..
" 1 . ' - ) . i
Amount of Permit 8---CZSc(C2 (Signed)'` -
_ l LI \ CV.\ii. '- =' ' 4,/ . \ I , ' \ iii i. * ( \.,
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 Cenral Laws of Florida Permanent Supplement, and Itav com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub 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 se or notices as arr
required by the Act. The undersigned agrees to employ only such sub-contra wok be ormed und permit, as are
licensed by Miami Shores Village.
... ____Capacity
(Signed)
er Plumber.
COUNTY OF DADE. 4#1P6t-
/z 95
STATE OF FLORIDA, I sa.
Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly swam, upon oath deposes and says that he is the..
of the above described construction, that be has carefully read the foregoing application, and that he did slips the same, and that all facts
therein by him stated are true.
My Commissioo Expires Notary Public, State of Florida
NOTE: A re-Inspection fee of 111.00 will be niwie whoa mob mberpeotios mede.ummeery by improper soda for ieepection, er faulty
materials sod/or workmamhip.
CLOSETS
BATH
TOSS
5H° ""
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUNIS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTWS
TOTAL
virtual('
Gowns.
LIST
--
CHECK
.....
-■•••
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
5 .
5 M
swtoca
POOL
cetera.
LIST
•
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No....j...22_P Date ir all
.f,._
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 mud be kept at
building during progress of work.
effee..A: iiii
Owner's Name and Address 3 4 /tee: 93 ST. No Street__
Registered Architect and/or Engineer
ri
11 , I I C141Car- . 4 ! Z44 3d ej7/4 AaNb.feiv No .1 :—
221.......4214...—. lerse 7....
RAFS.at..." iri
don an Lege' ption Lot. fl loelt I / 4- ... Subdivision. 2e. NJ;
Street and Number where work is to be performed-No 3diq Ales q 3 ST. su
State work to be performed and purpose of building (By Floors) _
New Building.._.—_ — Remodeling___.______ Addition...-----.--..... Repairs No. of Stories ....
Size Septic Tank— __Type of Tank___.
Feet of Drain Tile op 4 __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City-Weal. Size of Soakage Pit.
----■
..
" 1 . ' - ) . i
Amount of Permit 8---CZSc(C2 (Signed)'` -
_ l LI \ CV.\ii. '- =' ' 4,/ . \ I , ' \ iii i. * ( \.,
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 Cenral Laws of Florida Permanent Supplement, and Itav com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub 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 se or notices as arr
required by the Act. The undersigned agrees to employ only such sub-contra wok be ormed und permit, as are
licensed by Miami Shores Village.
... ____Capacity
(Signed)
er Plumber.
COUNTY OF DADE. 4#1P6t-
/z 95
STATE OF FLORIDA, I sa.
Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly swam, upon oath deposes and says that he is the..
of the above described construction, that be has carefully read the foregoing application, and that he did slips the same, and that all facts
therein by him stated are true.
My Commissioo Expires Notary Public, State of Florida
NOTE: A re-Inspection fee of 111.00 will be niwie whoa mob mberpeotios mede.ummeery by improper soda for ieepection, er faulty
materials sod/or workmamhip.
'L
-� / MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
-
APPLICATION FOR PLUMBING PERMIT
Permit No
Date _ / 7 — 7
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.
11 / q nn r
Owner's Name and Address sd D1 A) `J • '`� (.( c, ��I
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 $
(Signed)_
STATE OF FLORIDA,
COUNTY OF DADE. ss`
My Commission Expires
(Signed) 2C
No. 4- 1 _._.._ Street.
Registered Architect and /or Engineer
Employing Plumber's Ntae - -
L
Notmessas.enessleassam.......sasasa r.371272:,
ocation and Legal Description Lot Bloch r Subdivision
Street and Number where work is to be performed —No -` - i-` 9 3 ! I
Str eak
State work to be performed and purpose of building (By Floors _ ('�'° � �
.
New Building. _.. Remodeling .._...__ Addition. ..____.. Repairs No. of Stories..... ....
Capacity
Plumbing Ins . tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati ` . s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employ . 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 pu c 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
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ..__.._..._._....._._
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Master Plumber. ....
materials
NOTE: Arr�specU fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
CLOSETS
BATH
TUBS
SHOWER•
LAVA.
TORIES
SINK[
SLOP
SINKS
LAUNDRY
Tu•e
URINALS
CATCH
BASIN
FLOOR
DRAIN
-
DRINKING
FOUNT'NS
ai6
a�.�aL aL
FIXTURES
CONTR.
LIST
1
CHICK
�_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
CHECK
'L
-� / MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
-
APPLICATION FOR PLUMBING PERMIT
Permit No
Date _ / 7 — 7
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.
11 / q nn r
Owner's Name and Address sd D1 A) `J • '`� (.( c, ��I
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 $
(Signed)_
STATE OF FLORIDA,
COUNTY OF DADE. ss`
My Commission Expires
(Signed) 2C
No. 4- 1 _._.._ Street.
Registered Architect and /or Engineer
Employing Plumber's Ntae - -
L
Notmessas.enessleassam.......sasasa r.371272:,
ocation and Legal Description Lot Bloch r Subdivision
Street and Number where work is to be performed —No -` - i-` 9 3 ! I
Str eak
State work to be performed and purpose of building (By Floors _ ('�'° � �
.
New Building. _.. Remodeling .._...__ Addition. ..____.. Repairs No. of Stories..... ....
Capacity
Plumbing Ins . tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati ` . s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employ . 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 pu c 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
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ..__.._..._._....._._
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Master Plumber. ....
materials
NOTE: Arr�specU fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty