PLUMBINGDate
Type Insp'n
Permit No.
Name
MIAMI SHORES. VILLAGE \
BUILDING DEPARTMENT ��
305- 795 -2204
Buildin: Inspection Request
3
Address / , d5 /v / M - .
Company
Phone # _
Inspection Date
Approved
Correction
Re- Insp'n Fee
utiuuruu
VHICZZ
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/1/2004
Applicant: ELISE
Owner: MASCIOVECCHIO
JOB ADDRESS: 925 NE 92
Contractor LASSETER PLUMBING CO INC
Local Phone: 305 - 893 -7180
Parcel # 1132060060070
Signed:
(INSPECTOR)
Signed: (Contractor or Builder)
P:Linth;rig Perm:t
Permit Number: PL2004 -331
MASCIOVECCHIO
ELISE
ST
Contractor's Address: 865 NE 130 ST
Permit Status: APPROVED Permit Expiration: 5/16/2005 Construction Value: $1,000.00
Work: NEW WATER SERVICE
Page 1 of 1
Legal Description: AMD PL GOLDEN GATE PK PB 7 -54 LOT 9 & W1/2 LOT 8 LOT SIZE 75.000 X 140
Fees:
FEE2004 -11947
FEE2004 -11948
FEE2004 -11949
FEE2004 -11950
FEE2004 -11951
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$120.00
$0.60
$5.00
$0.20
$3.00
$128.80
Total Fees: $128.80
Total Receipts: $0.00
DEC 01 PAID
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
BY:
Bonding Company's Name (if applicable)
Bonding Company's Address '
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will no be approved and a reinspection fee will be charged. n �E
Signature
Chc 12/15/03
Owner or Agent
day of ) .. , 200LI by
NOTARY PUB
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
Commi,siar:
The foregoing instrument was acknowledged befo me this t7 The foregoing A l
instrument was a /:1'�`Z
cknowledged before me this /
rillay of ,YO t'. , 206 by
who ' personally kn me or who has produced
identification and who did take an oath. as identification and who did take an oath.
who is personally known to me or who has produced
Signature
NOTARY PUBLIC:
Sign:
Print:
Ronde(' "i ru
rte n
********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Co r petency Holder)
State Certificate or Registration No L o ` ! W f6;
My Commission E
Certificate of Competency No.
Contractor
9 �;`��// .2
Cl/ kis77Ai �G �FIZf_
4 Stet* RI SSI(' qC 997648
'•�:% a EXPIRES: May 30, 2005
• „ ' ;'' Bonded Thai Notary Public Underwriters
Plans Examiner
Engineer
Zoning
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Master Permit No.
Permit Type (circle): Building Electrical Plumbin Mechanical j Roofing
Owner's Name (Fee Simple Titleholder) JD41//' J) 3 )fl L Phone # (3`i` � .7 Pd
Owner's Address V3 & 9 f 7
u
Cit 122 /,: 49 / J' ? 6
/ -f State f Zip 3..3 )3,1'
Tenant/Lessee Name S ' "'L Phone #
Job Address (where the work is being done) %2 .1 //6-- .
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO L
Contractor's Company Name �- TL /� /1– /3/4) 6– Phone # - d 9J - 9 AU
Contractor's Address � J /YC, /3d J
City /y )97/4 /177 State F
Qualifier - M. L4.11 T/ ,f
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit /660
Type of Work: ['Addition ❑ Alteration ❑New Bfepair/Replace ❑ Demolition
Describe Work: /72.1A-
Submittal Fee $
Notary $
Zip '33/
Square Footage Of Work:
Permit No. ptoq - 331
Zip 33 / ,.34
* * * * * * * * * * * * * * * * * * * * * * * * * *pF * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $ ) An / CCF $ CO /CC
Training/Education Fee $ 0 . dQ Technology Fee $
Scanning $ Radon $ * Zoning Bond $
Total Fee Now Due $ /? �•
(Continued on opposite side)
Code Enforcement $ Structural Plan Review. $
13V 1 7
i
U TILITY -SEWER SIGN TRANSFORMER$ —
U SIGN TIME CLOCK
iILITY -WATER
ANTENNA
TTIC TANK
� � ANTE?UTA
ELAY TELEVISION OUTLETS
OT RAINFIELD, 4' TILE/RES. VIOLATION
FU ME' & ABANDON SEPTIC TANK C REINSPECTION
SO AKAGE PIT CU. FT. C
TCH BASIN -= -
E WELL
MESTIC WELL EA. R
)F �ET
O .AR WATER HEATER -_ .�- . . -_
RE STANDPIPE -= -- —
O PIPING
SPRINKLER SYSTEM
RAGE
-
4S N
ER SET (GAS) =
PPIPING
S
R
C A
ITEM U
UNIT F
FEE I
ITEM U
UNIT F
FEE I
ITEM U
UNIT F
FEE
BIDET L
LIGHT OUTLETS C
= A
CENTRAL HEATING
A/C (CENTRAL) F
FLOOR OMIN S
SERVICE REPAIR/METER WAGE R
REFRIGERATION '
'
GREASE TRAP A
APPLIANCE OUTLETS P
PROCESS ANO PRESS PIPING
INTERCEPTOR R
RANGE TOP U
UNDERGROUND TANKS
LAVATORY O
OVEN ' A
ABOVE GROUND TAMS
LAUN TRAY W
WATER HEATER U
U.F. PRESSURE VESSELS
CLOTHES WASHER M
MOTORS 0- TIP S
STEAM BOILERS
SHOWER M
MOTORS OVER 1- 3 IP R
RIOT WATER BOILERS
SINK, POT /3 COW. M
MOTORS OVER 3- 5 FP b
blEC11A VENTILATION
SINK, RESIDENCE M
MOTORS OVER 5- 8 IP T
TRANSPORTING ASSEM3LIES
SINK, SLOP M
- � A
S
MORS OVER 8- 10 IP E
- V
ELEVATORS /ESCALATORS
STRIP HEATER
= —
—
•
1 III
DI
Kl
R
I
:T
S
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR'BUII.DI?'G PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BET
OBTAINED, THE OWNER'S HOTI \R) ZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
Date tt'8ICc
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 9'2 S iV qZ STREET Tax Folio
Legal Description Aom 0 P L . C 31' P ig
Historically Designated: Yes No
Owner/Lessee / Tenant LA Sly S i rw u N D SC A Master Permit # yi2g
Owner's Address 9 iE CI 2 S - Teel MSh 2.E5 Phone
Contracting Co. SEV - ACc o4S, ; C Address !8S C0 1 A-t+G 1223 MIi 1 I 331
Qualifier \i R SF' - ,0ta„�^.or.1 SS# Phone (3e G ')
State # Municipal # Competency # Ins. Co. N
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PCUMUM MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 'E 1) (tom^ %. (4 i t C
Square Ft. Estimated Cost (value) At I a, Cc ry
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
FEES: PERMIT
APPROVED:
Zoning
�hanical
Signatur of owner and/or Condo President
RADON
//A ate
TERESA J. SOLOMON
MY COMMISSION # CC 854606
EXPIRES: Jul 16, 2003
1.90P3NOTA Fla Notary Service & Bonding Co.
" �
Notary a to Own' and/or Condo President • Date
y Co i mission le
Building
Plumbing
I I -32o , _ 00 vo7o
(1, QC
$Con or\gr Owner- Builder
No . as th ► e
My
Hui! n � y A C L q 7
Electrical
Caoss '1' - 68 f, 9
C.C.F. 1' NOTARY P BOND O D
Date
1/-8-00
Date
Structural Engineer
CONSTRUCTION PERMIT FOR:
[. ] New System ( ) Existing System
( I Repair ( ] Abandonment
APPLICANT:
PROPERTY STREET ADDRESS:
LOT:
PROPERTY ID #:
T [
A [
N
K [
O
T
H
E
R
l
)
]
SPECIFICATIONS BY:
APPROVED BY:
DATE ISSUED:
STATE OF FLORIDA PERMIT #
DEPARTMENT OF HEALTH Y DATE PAID 5,i
ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $
CONSTRUCTION PERMIT RECEIPT #
Authority: Chapter 381, FS &
BLOCK: SUBDIVISION:
SYSTEM DESIGN AND,$PECIFICATIONS
Chapter 10D -6, FAC
DH 4016, 10196 (Replaces HRS -H Form 4016 [page 1J which may be used)
[Stock Number: 5744- 001 - 4016 -0)
[ 1 Holding Tank [ J Temporary /Experimental
(_ -,1 Other(Specify)
AGENT:
D [ ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [: ] STANDARD [I') FILLED
I CONFIGURATION: [ J TRENCH ( ,) BED
N
F LOCATION OF BENCHMARK:
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE [
L
D FILL REQUIRED: [
G [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER)
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6,
FAC. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER
PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. DEPARTMENT OF HEALTH APPROVAL OF SYSTEM DOES
NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL
FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
[GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ")
[GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:( )
GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ )
Applicant
TITLE:
MOUND
.r L
] INCHES EXCAVATION REQUIRED: ( //) INCHES
] [INCHES/FT) [ABOVE /BELOW] BENCHMARK /REFERENCE POINT
] (INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT
TITLE: / CHD
EXPIRATION DATE: ,
Page 1 of 2
INSTRUCTIONS:
PERMIT NUMBER: Permit tracking number by County Health Department.
APPLICATION FOR: Check type of permit; if "Other" specify type in blank.
APPLICANT: Property owner's full name.
TELEPHONE: Telephone number for applicant or agent.
AGENT: Property owner's legally authorized representative.
MAILING ADDRESS: P.O. box or street mailing address for applicant or agent.
LOT, BLOCK, SUBDIVISION or
PROPERTY ID #: 27 character ID number for property. (Health Department may require property appraiser ID# or
section /township /range /parcel number.)
SYSTEM DESIGN AND
SPECIFICATIONS:
TANK: Minimum specifications from Chapter 10D -6, FAC.
DRAINFIELD: Minimum specifications from Chapter 10D -6, FAC.
OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos.
SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed.
APPROVED BY: County Health Department personnel reviewing and approving permit.
DATE ISSUED: Date permit is issued by County Health Department.
EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the
date issued.
APPLICANT:
LOT: g Q. t-,J
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
a mo,s®c -A ‘SPT
BLOCK: - SUBDIVISION:
PROPERTY ID 1: 3 o Go o
TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST
PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: (
TOTAL ESTIMATED SEWAGE FLOW: :X
AUTHORIZED SEWAGE FLOW:
UNOBSTRUCTED AREA AVAILABLE: Pa(r)
BENCHMARK /REFERENCE POINT LOCATION: S
ELEVATION OF PROPOSED SYSTEM SITE IS '40 . / ] (ABOVE/
THE MINIMUM SETBACK WHICH
SURFACE WATER: Cl FT
WELLS: PUBLIC: 1 FT
BUILDING FOUNDATIONS:
CAN BE MAINTAINED FROM THE
DITCHES /SWALES:
LIMITED USE: () A FT
FT PROPERTY LINES:
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES (9 NO 10 YEAR FLOODING? ( ] YES (4 NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL /NGVD SITE ELEVATION: Q` t FT MSL /NGVD
V). T. , o
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
Munsell /1 /Color
Munsell //Color
USDA SOIL SERIES: U �
Texture Depth
C: tod �u
to
to
to
to
to
to
to
to
OBSERVED WATER TABLE: G,?,1 INCHES [ABOVE / BELOW]" EXISTING GRADE. TYPE•' [PERCHED / APPARENT]
ESTIMATED WET SEASON WATER TABLE ELEVATION: X2,0 INCHES [ ABOVE / B4OF ] EXISTING GRADE.
HIGH WATER TABLE VEGETATION: ( ] YES (1' NO MOTTLING: [ ] YES (y1 NO DEPTH: y + n INCHES
SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: / 6CR DEPTH OF EXCAVATION INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH ( A 'BED0 [ ] OTHER (SPECIFY) , ?!9
REMARKS /ADDITIONAL CRITERIA:
• //,
SITE EVALUATED tY
OH 4015, 10/96 (Replaces HR Form 4015 [Page 31 whit y be used)
(Stock Number: 5744- 003 - 4015 -1)
[Section /Township /Range /Parcel No. or Tax ID Number]
'eS 52E
YES ( NO NET USABLE AREA AVAILABLE: 'j' ACRES
GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2]
GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE]
SQFT UNOBSTRUCTED AREA REQUIRED: �K;� SQFT
AGENT: sopTer t;' j 0 (',:2A
PERMIT /1
W] BENCHMARK ReFERENC POINT
PROPOSED SYSTEM TO THE FOLLOWING FEATURES:
dvI Gy FT NORMALLY WET? [ ] YES [ice) NO
PRIVATE: FT NON - POTABLE: FT
¢ FT POTABLE WATER LINES: in FT
Texture Depth
aop 6 ,. to 722
to
to
to
to
to
to
to
yy''
-� r� to
SOIL ISERIE S: �, m�,
USDA
d
J� II
DATE: PP U }�
Page 3 of 3
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number
Scale: Each block represents 5 feet and 1 inch = 50 feet.
STATE OF FLORIDA
DEPARTMENT OF HEALTH
PART 11 - SITE PLAN
3
g .
Notes: 6 6 03 6 c2 511 331,g
Site Plan submitted by: .�f , Ccr-V)
Signature Title
Plan Approved \-- } Not Approved Date o t cE r_,>
By 'tc_ -Ac.i -Q County Health Department
ALL CHANGES
_ UST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
1
OH 4015, 10/96 (Replaces HASH Form 4015 which may be vied)
(Stock Number: 5744.002- 4015 -6) Page 2 of 3
Date Job Address 7:.02.&-- A g 9 S Tax Folio // -320t:,-09C " 007D
Legal Description )4 i‘l L ! DS /dew as )1c 167--57e
Ownr/ Lessee / Tenant 6/r S'f. Alas c i we Cc )i T D Master Permit # 3635S
Signature o
Date:
Owner's Address
** *
APPROVED:
PERMIT APPLICATION .FOR, MIAMI SHORES VILLAGE
G 4 /5 Phone -- g g
)7k3 Qc) Address /Zi2W�Y *74' (r /4-
Contracting Co.
Qualifier T Th s ..+ A ss# / ( 66 Phone 'cyO a &-3 dS
State # G l 1 Y - 7 Municipal #Kg #/et 7 /Ins.Co. V
Architect /Engineer Address
Bonding Company Address
Mortgagor
Permit Type(circle one): BUILDING ELECTRICA PLUMBI G- MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION -,i $7, // v
Address
Square Ft. Estimated Cost(value) ,'25C
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information
be done in compliance with all applicable laws regulating
authorize the =bove -named contractor to do the work stated.
is accurat a.• that all work will
ion = •ning. 'urthermore, I
Notary as to Contractor or Owner- Builder
My Con mi s s i
DAVE LkN 'f.;1L
NO''T`PX'Y PUBLIC STATE OF FLORIDA-
* * * * I CCMMISSI N NO. C 364805 �� **
WAY COMMISSION EXF NAR. 28,1E 3
FEES: PERMIT .34eVO RADON C.C.F. 6Z NOTARY TOTAL DUE
Fire Other
Zoning Buildin / Electrical
'rte! RR
Mechanical Plumbin: Engineering
PO P1 Iwo *II 111
•
SECTION
SCALE
DWG. SY
JUH-0D-'94 THU 1E:55 ID:PGS 7574
/ 4 'th.4.1-14 r4'.4 A/Au_
/Z
ri cspie ca I& et ft viNNICIWBAR
vs•••••••■■----
i150
9
qa 541
1 '
#4628 P02
DATE
SHEET
•
J.0.
A.F.E.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building 4 t
Architect
Contractor
or Builder
Legal Lot
Description I Bl
CONTRACTOR OR BUILDER
` n
MIAMI SHORES VILLAGE, FLORIDA
DATE t i 1 19
PERMIT N? 7080 Contractor's
Work to be performed under this Permi
Address of f, -4•^ Value of I Amount of
Building ( ,r• r -;=` -- 1 Project $— I Permit $ r .../°"..
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.
Subdi-
vision
License No. t
Signed. .' . _ 4j - �, t-• . -- 4 ! ' INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wit all ordin �gulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my ag t, servant or employee.
BY AUTHORITY
AB OT '0E504
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
N 65-1788 30
Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address...D.diS .... ..... No-_925_ ... _
. ...... Street
Registered Architect and/or Engineer
Employing Plumber's Name -Pe.Opie.a_ GA 5 1 EY.S.tAn■ No._ _.5.64 Street__ NE 12.5_ 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__
Block_
Subdivision__
Street
Repairs No. of Stories.
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
STATE OF FLORIDA, I
es.
COUNTY OF DADE.
(Signed)_
(Signed)
Capacity Gals.
Lat41-%-" Ef L- 41ernbitag 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 k under this permit, as are
licensed by Miami Shores Village.
92 Street
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
Heate—
TOTAL
FIXTURES
Corm.
UST
1
-2-y. IT
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
N 65-1788 30
Date.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address...D.diS .... ..... No-_925_ ... _
. ...... Street
Registered Architect and/or Engineer
Employing Plumber's Name -Pe.Opie.a_ GA 5 1 EY.S.tAn■ No._ _.5.64 Street__ NE 12.5_ 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__
Block_
Subdivision__
Street
Repairs No. of Stories.
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
STATE OF FLORIDA, I
es.
COUNTY OF DADE.
(Signed)_
(Signed)
Capacity Gals.
Lat41-%-" Ef L- 41ernbitag 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 k under this permit, as are
licensed by Miami Shores Village.
92 Street
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.
o L
e
4S
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING
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 1 - f_ _�Z--- ---- - ....... -- ----- ..... — No.. -_. _ Street 7 ° ?
Registered Architect and /or Engineer
Employing Plumber's Name 47A .�' P ZLfr.. _ Street.. __ — 4 " L
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
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
` .' 6
Amount of Permit $ ----- - - - - --
Date / 2- G" `S
Subdivision
Street ✓
— ( Signed)
--- -_ --• --
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 is 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)._ .z_ l
Master Plumber.
STATE OF FLORIDA, ( s&
COUNTY OF DADE. J
3efore 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
TUBE
INAf
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIOT
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
o L
e
4S
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING
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 1 - f_ _�Z--- ---- - ....... -- ----- ..... — No.. -_. _ Street 7 ° ?
Registered Architect and /or Engineer
Employing Plumber's Name 47A .�' P ZLfr.. _ Street.. __ — 4 " L
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
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
` .' 6
Amount of Permit $ ----- - - - - --
Date / 2- G" `S
Subdivision
Street ✓
— ( Signed)
--- -_ --• --
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 is 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)._ .z_ l
Master Plumber.
STATE OF FLORIDA, ( s&
COUNTY OF DADE. J
3efore 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
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
DATE
PERMIT N? 9794 Contractoz s
License No
Work to be performed under this Permit
Owner of � �t r '
Building
CONTRACTOR OR BUILDER
BI.
Subdi-
vision
Value of
Project $
Amt. of
Permit $
This pes‘it is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • - BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building '' /
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DA
❑ PERMIT N? 9709
Work to be performed under this Permit
7 e -C
f
4
Value of
Project $
Contractor's
License No
Subdi-
vision
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in 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 fora thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements Q f specifications and that he assumes responsibility for work
done by his agents, servants or employees. ) / / /
Signed: 14/inA, a :• ` ' ` ° BY ' .
INSPECTOR
In considerati n-pf the issuance to me of this permit ,I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining,thereto d inllrict with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting -t ' 1 asssl e. onsibility for all wok done by either, myself, my agent, servant or employee.
f f" -
BY AUTHORITY
195�.2
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
/r
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 10066
Work to be pe
.7
rmed under this Permit
Bl.
Subdi-
vision
Value of
Project $
Amt. of
Permit
DA
Contrt ctoes
License No
195
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements oriecifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
PermitNo._/ C C
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date '
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be 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 - . __ l No '� Street -
Registered Architect and /or Engineer
- ti r
x
Employing Plumber's Name s__._ r , r.._ may_ j'�'` _ No '-- — Street 4
Location and Legal Description Lot a•10—
Block
Street and Number where work is to be performed —No 1
State work to be performed and purpose of building (By Floors)
New Building
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well..
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
2
ss.
Street
7 4 9 - �f
Remodeling _ Addition Repairs
Type of Tank
Dist. Feet of Tank or Drain Field from Well ._____
Size of Soakage Pit
(Signed )::
(Signed)
Subdivision
Capacity Gals.
No. of Stories
The undersigned applicant for this building permit does hereby certify that he , erstands and accepts his obligations n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled G neral Laws of Florida Permanent •ment, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 arc
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
P limbiInspector.
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.
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
I
.�
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
PermitNo._/ C C
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date '
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be 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 - . __ l No '� Street -
Registered Architect and /or Engineer
- ti r
x
Employing Plumber's Name s__._ r , r.._ may_ j'�'` _ No '-- — Street 4
Location and Legal Description Lot a•10—
Block
Street and Number where work is to be performed —No 1
State work to be performed and purpose of building (By Floors)
New Building
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well..
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
2
ss.
Street
7 4 9 - �f
Remodeling _ Addition Repairs
Type of Tank
Dist. Feet of Tank or Drain Field from Well ._____
Size of Soakage Pit
(Signed )::
(Signed)
Subdivision
Capacity Gals.
No. of Stories
The undersigned applicant for this building permit does hereby certify that he , erstands and accepts his obligations n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled G neral Laws of Florida Permanent •ment, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 arc
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
P limbiInspector.
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.
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.
Owner's Name and Address
Employing Plumber's Name
/—
Location and Legal Description Lot ,1
Street and Number where work is to be performed—No
State work to be perforn)ed and purpose of building (By Floors)
New Building
Size Septic Tank _
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
C-7 › ,,
;V
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.
/ e
Registered Architect and/or Engineer
o'
Block
No Street
Remodeling Addition. Repairs
Street 10
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 $.. (Signed)
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
No - Street
Subdivisiont. -1
No. of Stories
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 arc
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
........ ■
lumbing Inspector.
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
,,,,,pc......t
7
y9 ,
_
TOTAL
FIXTURES
CONTR.
LIST
e-{,_.
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIWG
POOL
CONTR.
LIST
CHECK
_
Owner's Name and Address
Employing Plumber's Name
/—
Location and Legal Description Lot ,1
Street and Number where work is to be performed—No
State work to be perforn)ed and purpose of building (By Floors)
New Building
Size Septic Tank _
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
C-7 › ,,
;V
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.
/ e
Registered Architect and/or Engineer
o'
Block
No Street
Remodeling Addition. Repairs
Street 10
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 $.. (Signed)
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
No - Street
Subdivisiont. -1
No. of Stories
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 arc
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
........ ■
lumbing Inspector.
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.
r
t
\\ N
9 r
Permit No.
r / I /
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 __ - ! I
Registered Architect and /or Engine
v ,C
Employing Plumber's Name. _. !____ No. Street
9 � ' " l U ock -�' Subdiv'sion
Street and Number where work is to be performed— No._______
Location and Legal Description Lot
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)
New Building . Y Remodeling Addition Repairs._
Type of Tank__ " a' � 4r y+ ^',, / ap acity Gals
Size Septic Tank
Feet of Drain Tile Digt. F et of Tai or Drain Field from Well
Nature of Water Supply: City —Well y Size of Soakage Pit
( Signed)
No Street - - - - -- -- - - --
Street
Date
_ `
No. of Stories__
(` Elumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he uncjt'rstands and accepts his obligation 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 pu notice or . • Ices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, o w er orn 'd under tl penal as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
(Signed)
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 fo regoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re - inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA -
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No.
r / I /
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 __ - ! I
Registered Architect and /or Engine
v ,C
Employing Plumber's Name. _. !____ No. Street
9 � ' " l U ock -�' Subdiv'sion
Street and Number where work is to be performed— No._______
Location and Legal Description Lot
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)
New Building . Y Remodeling Addition Repairs._
Type of Tank__ " a' � 4r y+ ^',, / ap acity Gals
Size Septic Tank
Feet of Drain Tile Digt. F et of Tai or Drain Field from Well
Nature of Water Supply: City —Well y Size of Soakage Pit
( Signed)
No Street - - - - -- -- - - --
Street
Date
_ `
No. of Stories__
(` Elumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he uncjt'rstands and accepts his obligation 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 pu notice or . • Ices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, o w er orn 'd under tl penal as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
(Signed)
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 fo regoing 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.
„ -
.:-.• ...
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
pplit,..ation is hereby ma :lf: 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 P11 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 S. Sanders
No. 925 Street N.E. 92nd
Registered Architect and/or Engineer —
Employing Plumber's Name NO Street- .
Rose Septic Tank 3rd Ave. ,Hialeah, Fl
Location and Legal Description Lot_ -- Block
Street and Number where work is to be performed—No 925
State work to be performed and purpose of building (By ....
New Building Remodeling Addition_
Size Septic Tank Type of Tank_
Feet of Drain Tile_____ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well-___ ....... ____________ .......... of Soakage Pit
7 \k_
Amount of Permit $._ (Signed)_
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
unL..• 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
- el:mired 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.
My Commission Expires
(Signed)._
Repairs
Subdivision
Street N.E. 92nd St.
Date 10/18/60
Notary Public, State of Florida
No. of Stories.
Capacity Gals.
Plumbing Inspector.
651 •- .4 -
Master Plumber.
STAM OF FLORIDA, I
es.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly 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.
CLOSSHOWERS
BATH
TUBS
SHOWERS
LAVA.
SINKS
SLOP
LAUNDRY
Twat;
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
OTAL
F 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
COM7ii.
LIST
—
---,---
CHECK
„ -
.:-.• ...
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
pplit,..ation is hereby ma :lf: 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 P11 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 S. Sanders
No. 925 Street N.E. 92nd
Registered Architect and/or Engineer —
Employing Plumber's Name NO Street- .
Rose Septic Tank 3rd Ave. ,Hialeah, Fl
Location and Legal Description Lot_ -- Block
Street and Number where work is to be performed—No 925
State work to be performed and purpose of building (By ....
New Building Remodeling Addition_
Size Septic Tank Type of Tank_
Feet of Drain Tile_____ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well-___ ....... ____________ .......... of Soakage Pit
7 \k_
Amount of Permit $._ (Signed)_
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
unL..• 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
- el:mired 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.
My Commission Expires
(Signed)._
Repairs
Subdivision
Street N.E. 92nd St.
Date 10/18/60
Notary Public, State of Florida
No. of Stories.
Capacity Gals.
Plumbing Inspector.
651 •- .4 -
Master Plumber.
STAM OF FLORIDA, I
es.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly 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.