PLUMBINGVi1Hawe of Miami Shores
JOB
5 3
I Ii P (
TIME READY
REMARKS
ADDRESS
y
INSPECTION I?
,e tAts.
N? 4521
INSPECTOR DATE ) "J
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
❑ MIAMI SHORES VILLAGE. FLORIDA
DATE_,/ 195
� PERMIT 11T° 3943 Contractor's
License No i/
❑ Work to be performed under this Permit
, i y
I 1
Bl.
Subdi-
vision
Value of
Project $
Amount of /
Permit $
This permit is granted to the contractor or balkier named above to construc the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. J j
Signed- BY 7/i ./>/ f , '• f /
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.
r
CONTRACTOR OR BUILDER BY AUTHORITY a
tY
ti
image of Miami Shores
JOB
ADDRESS 6) e c P 7 1 -
INSPECTION it
TIME READY e
REMARKS
r K
INSPECTOR
CO
N° 4968
DATE
9 •
Al llave of Miami Shores
N° 4740
JOB
ADDRESS
INSPECTION
TIME READY
REMARKS
INSPECTOR /
DATE
Permit No. .3 u ,
MIAMI SHORES VILLAG e
PLUMBING INSPECTION DEPARTMEK.'
APPLICATION FOR PLUMBING
Application is hereby made for the approval of the detailed statement of tce plans and specifications herewit submit ed 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 Eng —
Employing Plumber's Name 'fC_ � i C • No._ .
Street-
Location and Legal Description Lot_ __i "... _______ __ Block ___._____________. Subdivision..__..__
Street and Number where work is to be performed —No _4 fd /! • i _ g • Street
State work to be performed and purpose of building (By Floors)___.
New Building `-"--- Remodeling____.___.____ _____ Addition_.____. Repairs No. of Stories
No._
Amount of Permit $ - . - - - -- — - -- — -- ( Signed) __
( Signed).
Date._
Street
My Conunission Expires Notary Public, State of Florida
ter Plumber.
Size Septic Tank / — 6 ' ° ° Q,� — Type of Tank_ Capacity Gals.
Feet of Drain Tile.__0 f � A st. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and has coin-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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 n lice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on to be performed u • er this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to 'me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the._ _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
matcdals and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
•
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
I -
CONTR.
LIST
-
CHECK
Permit No. .3 u ,
MIAMI SHORES VILLAG e
PLUMBING INSPECTION DEPARTMEK.'
APPLICATION FOR PLUMBING
Application is hereby made for the approval of the detailed statement of tce plans and specifications herewit submit ed 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 Eng —
Employing Plumber's Name 'fC_ � i C • No._ .
Street-
Location and Legal Description Lot_ __i "... _______ __ Block ___._____________. Subdivision..__..__
Street and Number where work is to be performed —No _4 fd /! • i _ g • Street
State work to be performed and purpose of building (By Floors)___.
New Building `-"--- Remodeling____.___.____ _____ Addition_.____. Repairs No. of Stories
No._
Amount of Permit $ - . - - - -- — - -- — -- ( Signed) __
( Signed).
Date._
Street
My Conunission Expires Notary Public, State of Florida
ter Plumber.
Size Septic Tank / — 6 ' ° ° Q,� — Type of Tank_ Capacity Gals.
Feet of Drain Tile.__0 f � A st. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and has coin-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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 n lice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on to be performed u • er this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to 'me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the._ _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
matcdals and /or workmanship.
Permit No.
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____ F'!"? : __ ! //__ `I' No.
Registered Architect and /or
Employing Plumber's Name
�. --- -_ _ :
Location and Legal Description Lot_ ___._.
Street_
Street and Number where work is to be performed —No 6
State work to be performed and purpose of building (By Floors)___
New Building -_ -__ �! Remodeling --- -__ - -- Addition _ -__ --
Size Septic Tank ........... Type of Tank_ Capacity Gals
Feet of Drain Tile. ________Dist. Feet of Tank or Drain Field from We11 _______________________
Nature of Water Supply City-w. -___ ____._________ ___ Size of Soakage Pit
Amount of Permit $
(Signed) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed).
Date
Street.
�I I
; 4=t t
-
Subdivision .____________________-_____..
Repairs No. of Stories _ ......� ..............
Master Plumber.
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made' necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWER!
LAVA-
TORIES
SINKS
SLOP
SINK!
LAUNDRY
Tuns
U RINAL!
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CDNTR.
LIST
7"
/
CHECK
l
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
VIOOIR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
! "' -
CONTR.
LIST
amuck
` '
r
Permit No.
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____ F'!"? : __ ! //__ `I' No.
Registered Architect and /or
Employing Plumber's Name
�. --- -_ _ :
Location and Legal Description Lot_ ___._.
Street_
Street and Number where work is to be performed —No 6
State work to be performed and purpose of building (By Floors)___
New Building -_ -__ �! Remodeling --- -__ - -- Addition _ -__ --
Size Septic Tank ........... Type of Tank_ Capacity Gals
Feet of Drain Tile. ________Dist. Feet of Tank or Drain Field from We11 _______________________
Nature of Water Supply City-w. -___ ____._________ ___ Size of Soakage Pit
Amount of Permit $
(Signed) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed).
Date
Street.
�I I
; 4=t t
-
Subdivision .____________________-_____..
Repairs No. of Stories _ ......� ..............
Master Plumber.
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made' necessary by improper notice for inspection, or faulty
materials and /or workmanship.