46 NE 92 St (4)MIAMI SHORES VILLAG
BUILDING DEPARTMEN
305- 795 -2204
Buil ing Inspection Re uest
Date n . e4-4d )o
Type Insp'n ' ' 1 v^
Permit No. ' 0U o q
Name 3en t i r s
Address 4 G �� o
Company
Phone #
Inspection Date S ��✓
Approved
Correction ❑
Re- Insp'n Fee ❑
Date
Type Insp'n
Permit No.
Name
Address
Company
MIAMI SHORES VILLAGE
0 UILDING DEPARTMENT
305- 795 -2204
Building Inspection Re
Phone # 3 os - 53 1 - 0 LI (�
Inspection Date ) 3D b\\
Apppved
Correction
Re- Insp'n Fee
Size Septic Tank—_
Feet of Drain Tile
Nature of Water Supply: City—Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTME T
APPLICATION FOR PLUMBEI
Employing Plumber's MUM ACM S CO-MP—
Location and Legal Description Lot.
Street and Number where work is to be performed—No
Block
(Signed)
G PERMIT
S%virE Street-
Permit No L EI 1 0 Date.. 10-11-83
._._____•_•.•_____.....•__.•_•_
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 risks 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 1 Li7ik2fl No 4 s treet.. NIF, 92 St
Registered Architect and/or Engineer
Street—.
Subdivision
State work to be performed and purpose of building (By Flonrs)__. Insta11_1(10.Lgas y.JJ. - cooking
New Building Remodeliesg___—.— -_____ Addition Repairs No. of Stories ....... .... . .
_Type of Tank__
Dist Feet of Tank or Drain Field from Well
Sizo of Soakage Pit_
Capacity
Amount of Permit $__1. OD_ ( Signed) :L. k:AV_Q . ...... _
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 Permanent Supplement, and lie ('om-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worTY to h'
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, to be performed under this permit, as are
licensed by Miami Shores Village.
Irwin Freoklin Plumber.
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 ciesfully mad 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
STATE OF FLORIDA, }
U. COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclaxnvIedgments, personally appeared
NOTE: A re-inspection fee of $1.00 win be made whim saris relsoimotIon Is mono-'jr by Improper nodes for bsspsctkm, or faulty
materials and/or workmanship.
CLOSETS
BATH
Tue.
SHOWERS
LAVA.
T oma s
SINKS
SLOP
'INK S
LAUNDRY
Tue.
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK I NG
POUNT
TOTAL
FIXTURES
....
Cor(re.
LIST
CHECK
es.
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
GOLAN
HEATER
Du
WELL
SPRKLR.
SYSTEM
$W1140
POOL
CONTR.
LIST
CHECK
Size Septic Tank—_
Feet of Drain Tile
Nature of Water Supply: City—Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTME T
APPLICATION FOR PLUMBEI
Employing Plumber's MUM ACM S CO-MP—
Location and Legal Description Lot.
Street and Number where work is to be performed—No
Block
(Signed)
G PERMIT
S%virE Street-
Permit No L EI 1 0 Date.. 10-11-83
._._____•_•.•_____.....•__.•_•_
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 risks 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 1 Li7ik2fl No 4 s treet.. NIF, 92 St
Registered Architect and/or Engineer
Street—.
Subdivision
State work to be performed and purpose of building (By Flonrs)__. Insta11_1(10.Lgas y.JJ. - cooking
New Building Remodeliesg___—.— -_____ Addition Repairs No. of Stories ....... .... . .
_Type of Tank__
Dist Feet of Tank or Drain Field from Well
Sizo of Soakage Pit_
Capacity
Amount of Permit $__1. OD_ ( Signed) :L. k:AV_Q . ...... _
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 Permanent Supplement, and lie ('om-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worTY to h'
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, to be performed under this permit, as are
licensed by Miami Shores Village.
Irwin Freoklin Plumber.
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 ciesfully mad 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
STATE OF FLORIDA, }
U. COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclaxnvIedgments, personally appeared
NOTE: A re-inspection fee of $1.00 win be made whim saris relsoimotIon Is mono-'jr by Improper nodes for bsspsctkm, or faulty
materials and/or workmanship.
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Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and/or Engin
Employing Plumber's Name
MIAMI SHCIZES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLhCalTOM FOR PLUMBING PERMIT
No. Street_
9 s - 36 Atr °7
Date 3 .. :711
Street__
Location and Legal Descripti Lot Blork Subdivision
Street and Number where work is to be performed—No .9 Street
State work to be performed and purpose of building (By Floors )_
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE.
New Building Remodeling Addition Repairs No. of Stories...............
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
Capacity Gals
(Signed)_*)
My Commission Expires Notary Public, State of Florida
7 1.10
P umbing Inspector c /
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 Pennanent Supplement, and bus 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 tNe Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this perinit, as are
licensed by Miami Shores Village.
aster Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made 'necessary by improper notice for ins -1, 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 I M•G
POOL
CONTR.
LIST
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 work.
Owner's Name and Address
Registered Architect and/or Engin
Employing Plumber's Name
MIAMI SHCIZES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLhCalTOM FOR PLUMBING PERMIT
No. Street_
9 s - 36 Atr °7
Date 3 .. :711
Street__
Location and Legal Descripti Lot Blork Subdivision
Street and Number where work is to be performed—No .9 Street
State work to be performed and purpose of building (By Floors )_
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE.
New Building Remodeling Addition Repairs No. of Stories...............
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
Capacity Gals
(Signed)_*)
My Commission Expires Notary Public, State of Florida
7 1.10
P umbing Inspector c /
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 Pennanent Supplement, and bus 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 tNe Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this perinit, as are
licensed by Miami Shores Village.
aster Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made 'necessary by improper notice for ins -1, or faulty
materials and/or workmanship.
Permit No a `-
IAMI SHORES VF
PLUMBING INSPECTION DEPARTMF.:•?"
APPLICATION FOR PLUME INS
Application is hereby made for the approval of the detailed statement of
structure herein described. This application is made in compliance and conf:,x
and all provisions of the Laws of the State of Florida, all ordinances of Miam:
Miami iami Shores Village shell be complied with, whether herein specific
building during progress of work.
Owner's Name and Address C • • PROCHASK&
Registered Architect and /or Engineer
Employing Plumber's Name LASSE`1'ERPLUMBING CORP «
Location and Legal Description Lot_.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building ..... _--........ - - --___ ..... Addition._______.. --_-_-_
Date _ J lax - -. _2$, 1 9 6 /k
,Mans and specir':cis iins herewith submitted for the building or other
::::� with the Building Ordinance of Miami Shores Village, Florida,
.,tyres ViiIage aim all rules and regulations of the Building Division
cog; •if approved plans and specifications must be kept at
NokM 92Ststreet
No.13 '-____.___— Street-. i1.:. __E . 12.E St
Block_ _ __ __.._._.__.____.._.___ Subdivision.
Street
Repairs No. of Stories. one
Size Septic Tank Type of Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City — Well.__
Amount of Permit $____________L
STATE OF FLORIDA, }
COUNTY OF DADE.
(Sign
Capacity Gals.
/Plumblng 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 s' of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, �r work , • be performed u . = this permit, as are
licensed by Miami Shores Village.
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 $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tulle
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N8
TOTAL
FIXTURES
COS.
LIST
/
�/
/
/
_-
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
LIST
CHECK
/
Permit No a `-
IAMI SHORES VF
PLUMBING INSPECTION DEPARTMF.:•?"
APPLICATION FOR PLUME INS
Application is hereby made for the approval of the detailed statement of
structure herein described. This application is made in compliance and conf:,x
and all provisions of the Laws of the State of Florida, all ordinances of Miam:
Miami iami Shores Village shell be complied with, whether herein specific
building during progress of work.
Owner's Name and Address C • • PROCHASK&
Registered Architect and /or Engineer
Employing Plumber's Name LASSE`1'ERPLUMBING CORP «
Location and Legal Description Lot_.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building ..... _--........ - - --___ ..... Addition._______.. --_-_-_
Date _ J lax - -. _2$, 1 9 6 /k
,Mans and specir':cis iins herewith submitted for the building or other
::::� with the Building Ordinance of Miami Shores Village, Florida,
.,tyres ViiIage aim all rules and regulations of the Building Division
cog; •if approved plans and specifications must be kept at
NokM 92Ststreet
No.13 '-____.___— Street-. i1.:. __E . 12.E St
Block_ _ __ __.._._.__.____.._.___ Subdivision.
Street
Repairs No. of Stories. one
Size Septic Tank Type of Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City — Well.__
Amount of Permit $____________L
STATE OF FLORIDA, }
COUNTY OF DADE.
(Sign
Capacity Gals.
/Plumblng 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 s' of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, �r work , • be performed u . = this permit, as are
licensed by Miami Shores Village.
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE_ 1 /19
o PERMIT N9 5560 Contractor's
"'�• License No.
0
❑ Work to be performed under this Permit—__
Legal Lot
Description
CONTRACTOR OR BUILDER
B1
Subdi-
vision
Address of Value of II Amount of
Building 0.: . Project $ II Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances 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 4;
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of f '
Building
MIAMI SHORES VILLAGE, FLORIDA
❑
° PERMIT Np 8970
o
Architect
Contractor
or Builder
Legal Lat
Description 1 1 Bl
Address of
Buildings F / '
Work to be performed under this Permit
Signed • (J /J ' :' { `' (INSPECTOR)
In consideration of the issuance to me of this permit Free to perform the work covered hereunder
pertaining thereto and in strict conformity with the plans, dra ings, statements or specifications submitted to
CONTRACTOR or 3UILDER BY
Date—_/
Contractor's y
License No. 4_1
Q._ 7J_
Subdi-
vision
Sq Ft ,.
Value of II Amount of
Project $ 11 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 an
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.
BY
AUTHORITY
f
in compliance with all ordinances and regulation
the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BUILDING
ELECTiICAL
PLUMBING
f
Owner of
Building'
!
Architect
Contractor°
or Budder '.(,
Legal ' t Lot
Description
r
CONTRA OR OR, BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 6220
'
Work to be performed under this Permit ,
' ' , r r `
BL
Subdi-
vision
DATE
Contractor's
License No.
I r ?_.
BY AUTHORITY
19&.L)
Address of Value of
Building
This pe i s granted to the ` contractor or builder named above to construct the building or to install the equipment or device described in the appli-
t 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 ordinan s and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or the statements or specifications and that he assumes spon-
sibility 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 X11 ordinances and eguul ons
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authonties of Miami Sho s V�ge.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
Permit No.
MIAMI SHORES 'VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
1 -
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 he kept at
building during progress of work.
Owner's Name and Address 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 Street
State work to be performed and purpose of building (By Floors)
New Building - Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
( 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.
( Signed)
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
1
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT'NS
TOTAL
FIXTURES
CONTR.
LIST
;.
,.
r
-
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
'
I1' S
CONTR.
LIST
1
CHECK
Permit No.
MIAMI SHORES 'VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
1 -
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 he kept at
building during progress of work.
Owner's Name and Address 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 Street
State work to be performed and purpose of building (By Floors)
New Building - Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
( 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.
( Signed)
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
1
Permit N
New Building
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
.•
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR .PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 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. •
Registered Architect and/or Engineer
Employing Plumber's NameLi
Location and Legal Description Lot Block /
..).
, _
Owner's Name and Address No Street
Street and Number where work is to be performed—No. Street
State work to be performed and purpose of building (By Floors)
Remodeling Addition Repairs
Amount of Permit $----/- (Signed)
(Signed)
Date
7
- ' No.
Street it" ' -
Subdivision
No. of Stories
-•
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
Capacity Gals.
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 Se 5966, C G enera l L aws of Florida Permanent Suppleinent, 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.
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
Master Plumber.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUBS
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
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
-
CHECK
Permit N
New Building
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
.•
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR .PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 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. •
Registered Architect and/or Engineer
Employing Plumber's NameLi
Location and Legal Description Lot Block /
..).
, _
Owner's Name and Address No Street
Street and Number where work is to be performed—No. Street
State work to be performed and purpose of building (By Floors)
Remodeling Addition Repairs
Amount of Permit $----/- (Signed)
(Signed)
Date
7
- ' No.
Street it" ' -
Subdivision
No. of Stories
-•
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
Capacity Gals.
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 Se 5966, C G enera l L aws of Florida Permanent Suppleinent, 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.
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
Master Plumber.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
BUILDING
ELECTRICAL
'. PLUOING
Ownej`
Buil g
Architect
Contractof
or Build
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE :,
RMIT N9 6362 '
Contr2[ctor s
Lieele No.
Work to be performed under this Permi
This pe it is granted to the contracr or .uilder named above to construct the building or to install the equipment or device . escribed in the appli-
cation herefor in strict compliance with all bordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condi • pon which this
permit is granted is the understanding that the contractor or builder named above assumes the respon§ibility for a thorough knowled f or inances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in tdtatements or specifications atjd n th i a Imes respon-
sibility for work done by his agents, servants or employees.
Si ed ', By
INSPECTOR
consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances andiregtt}}1s[ ions
pertaining' thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vi
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
/ �
1
Subdi-
vision
Value of
Project
BY
Amt. of
Permit
AUTHORITY
-C1 194