PLUMBINGn
Permit No.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othel
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 at
building during progress of work
Owner's Name and Address No. Street
Registered Architect and /or Engine
Employing Plumber's Name
Nature of Water Supply: City —Well
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No Street
Location and Legal Description Lot_ hlock _ Subdivision___________
Street and Number where work is to be performed —No ° x ` :3 __4__: __..: _ 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_
__Size of Soakage Pit
(Signed)_
( Signed ) ________.
Date
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and ackepts 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 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 perniit, as arc
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 fav
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 faul
materials and /or workmanship.
CLOSET!
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tune
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTUREI
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
n
Permit No.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othel
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 at
building during progress of work
Owner's Name and Address No. Street
Registered Architect and /or Engine
Employing Plumber's Name
Nature of Water Supply: City —Well
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No Street
Location and Legal Description Lot_ hlock _ Subdivision___________
Street and Number where work is to be performed —No ° x ` :3 __4__: __..: _ 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_
__Size of Soakage Pit
(Signed)_
( Signed ) ________.
Date
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and ackepts 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 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 perniit, as arc
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 fav
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 faul
materials and /or workmanship.
Permit No.____ /LJ15__
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Owner's Name and Address N. Q - '� W -- • No q 1_ `_£._,Street q .3 --'r ,
Registered Architect and /or Engineer
•-?` -s.._ M` ___ No Street
Block Subdivision
Employing Plumber's Name r 14_�..�..
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 X Remodeling Addition Repairs No. of Stories
Size Septic Tank (r-D
Feet of Drain Tile 1
Amount of Permit $
f�J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
.__ • L.. Street
_Type of Tank
Dist Feet of Tank or Drain Field from Well
Nature of Water Supply: City-Well --------- ____.__. ___- __._Size of Soakage Pit
( Signed) _
( Signed)
Date
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 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.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
•
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
t r . �f - � - � ,
( L•1.- Z
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
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No.____ /LJ15__
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Owner's Name and Address N. Q - '� W -- • No q 1_ `_£._,Street q .3 --'r ,
Registered Architect and /or Engineer
•-?` -s.._ M` ___ No Street
Block Subdivision
Employing Plumber's Name r 14_�..�..
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 X Remodeling Addition Repairs No. of Stories
Size Septic Tank (r-D
Feet of Drain Tile 1
Amount of Permit $
f�J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
.__ • L.. Street
_Type of Tank
Dist Feet of Tank or Drain Field from Well
Nature of Water Supply: City-Well --------- ____.__. ___- __._Size of Soakage Pit
( Signed) _
( Signed)
Date
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 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.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
•
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
t r . �f - � - � ,
( L•1.- Z
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.
Permit No.________. /_�___:�.
Size Septic Tank Type of Tank
Amount of Permit $ 1-1
STATE OF FLORIDA, 1
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date t2
No. / n__4S[__ /__i_L Street
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 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 • w
Registered Architect and /or Engineer
Employing Plumber's Name____LU - C_ , ___ _ ___ No Street
// /�
Location and Legal Description Lot y Block Subdivision N'1 • '7'' C1-.i .,_
Street and Number where work is to be performed —No Q__'2_- `Y1 • e. cc
• Street_____ .3 (f
State work to be performed and purpose of building (By Floors)
New Building Remodeling__ Addition Repairs No. of Stories
Capacity Gals
Disteet of Tank or Drain Field from Well
Feet of Drain Tile____
Nature of Water Supply: City —Wily i Lem Size of Soakage Pit
ss.
(Signed)
(Signed)
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 corn -
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.
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
materia workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA -
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
1
`
TOTAL
FIXTURES
CONTR.
LIST
CHECK
0
U b
• S
s
/- C, 0
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
1'11
SeL-rIr
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•
POOL
CONTR.
LIST
'
/
CHECK
/.0o
V V
Permit No.________. /_�___:�.
Size Septic Tank Type of Tank
Amount of Permit $ 1-1
STATE OF FLORIDA, 1
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date t2
No. / n__4S[__ /__i_L Street
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 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 • w
Registered Architect and /or Engineer
Employing Plumber's Name____LU - C_ , ___ _ ___ No Street
// /�
Location and Legal Description Lot y Block Subdivision N'1 • '7'' C1-.i .,_
Street and Number where work is to be performed —No Q__'2_- `Y1 • e. cc
• Street_____ .3 (f
State work to be performed and purpose of building (By Floors)
New Building Remodeling__ Addition Repairs No. of Stories
Capacity Gals
Disteet of Tank or Drain Field from Well
Feet of Drain Tile____
Nature of Water Supply: City —Wily i Lem Size of Soakage Pit
ss.
(Signed)
(Signed)
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 corn -
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.
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
materia workmanship.
/' •
e 6 \
J
9 f I
T,
Va
, of
,
r 1.
HAMM
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description,
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
VERMIT INS 13476
❑ Work to be performed under this Permit
B
Subdi-
vision
Signed:
In consideration of the issuance to me of this permit I agree to ped n the work covered hereunder i
pertaining thereto and in strict conformity with the plans, drawings, statei►eents or specifications submitted 'to t
In accepting this pr 1 assume responsibility for all work done by either, myself, my agent, servant or employee.
DATE
Contractor's
License No
q ctlue of Amt. of
�` Fro }ect $. . 434`"2°11 Permit $
This permit is granted to the contractor or builder rta ed above to construct the building or tit install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining *Mato 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 ordinanCee or if the plans are chaasged without authorization, A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the re possibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the pilan or drawings or in a statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Ltr4.rs
nce with all ordinances and regulations
per authorities of Miami Shores Village.
u osmr