PLUMBINGPermit No
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
,›1 2.7. q - /
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__
Registered Architect and /or Engineer
Employing Plumber's Name _
Amount of Permit $_ —`� -
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
No/0/ .t!____. Street ___`:'7___
(Signed)
(Signed)
Nos
/4
Size Septic Tank__
Feet of Drain Tile__
Nature of Water Supply: City —Well. Size of Soakage Pit
Dist. Feet of Tank or Drain Field from Well
R
Street___ 4441;
Location and Legal Description Lot_______-_— __________
______________________Block_
Street and Number where work is to be performed— No. /Q_ _______ Street
State work to be performed and purpose of building (By Floors)
New Building____— Remodeling Addition Repairs No. of Stories
Type of Tank _____. 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 IaBS'
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 b:
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 an:
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as an:
licensed by Miami Shores Village.
_6,4,, a
t ,• � stet Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ack' 6wledgments, 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
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
,›1 2.7. q - /
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__
Registered Architect and /or Engineer
Employing Plumber's Name _
Amount of Permit $_ —`� -
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
No/0/ .t!____. Street ___`:'7___
(Signed)
(Signed)
Nos
/4
Size Septic Tank__
Feet of Drain Tile__
Nature of Water Supply: City —Well. Size of Soakage Pit
Dist. Feet of Tank or Drain Field from Well
R
Street___ 4441;
Location and Legal Description Lot_______-_— __________
______________________Block_
Street and Number where work is to be performed— No. /Q_ _______ Street
State work to be performed and purpose of building (By Floors)
New Building____— Remodeling Addition Repairs No. of Stories
Type of Tank _____. 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 IaBS'
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 b:
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 an:
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as an:
licensed by Miami Shores Village.
_6,4,, a
t ,• � stet Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ack' 6wledgments, 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.
Work done bir
S0rt1" ",
old
P lumbin
/
^
^
�
�
PL
/
/
.'l}at
� _
/ _
! -- ��
^ ^^
___�-_ ' _ _--
-_---__
-_____-----_--_-___-_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMI
Permit No / — Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith mitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordina .f Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules gulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved ns and specifications must be kept at
building during progress of work. Al D 1
Owner's Name and Address ___ _'�C n Q A D L (n l {_ _ No. Street
Registered Architect and /or Engineer ___ _LYE � l_1 __ ! v _ ___ 1 r y
3
Employing Plumber's Name __' _ALA __ E No
Nature of Water Supply: City —Well C. T
Amount of Permit $_
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
My Commission Expires
Type of Tank
1
Block
Location and Legal Description Lot
Street and Number where work is to be performed —No 1 ___� _I____________�Y_t►
State work to be performed and purpose of building (By Floors) � Z .. ul
___ _ __ '/
Size Septic Tank
Feet of Drain Tile 1 Dist. Feet of Tank or Drain Field from Well
Street
r
" Street •
New Building Remodeling____ Addition Repairs____.. - No. of Stories /
Capacity Gals. " ?
Size of Soakage Pit.
(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 under signed agrees to employ only such sub - contractors, on work to be perfo,rfned under this permit, as are
licensed by Miami Shores Village. 1
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
•
Notary Public. State of Florida
af f-
Subdivision__
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
TOT.iL
FIXTL RES
CONTR.
LIST
.D
1-
/
/
.2
42
/
4
_L/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
\�
X
CHECK
asp
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMI
Permit No / — Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith mitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordina .f Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules gulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved ns and specifications must be kept at
building during progress of work. Al D 1
Owner's Name and Address ___ _'�C n Q A D L (n l {_ _ No. Street
Registered Architect and /or Engineer ___ _LYE � l_1 __ ! v _ ___ 1 r y
3
Employing Plumber's Name __' _ALA __ E No
Nature of Water Supply: City —Well C. T
Amount of Permit $_
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
My Commission Expires
Type of Tank
1
Block
Location and Legal Description Lot
Street and Number where work is to be performed —No 1 ___� _I____________�Y_t►
State work to be performed and purpose of building (By Floors) � Z .. ul
___ _ __ '/
Size Septic Tank
Feet of Drain Tile 1 Dist. Feet of Tank or Drain Field from Well
Street
r
" Street •
New Building Remodeling____ Addition Repairs____.. - No. of Stories /
Capacity Gals. " ?
Size of Soakage Pit.
(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 under signed agrees to employ only such sub - contractors, on work to be perfo,rfned under this permit, as are
licensed by Miami Shores Village. 1
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
•
Notary Public. State of Florida
af f-
Subdivision__
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.
Owner
PLUMBING - LifSPECTION
i c - ) • (,
Work' done by
Address of work /0 V/
Septic Tank
Drainfleld
Plumbing - Final
When ready ;
Received by Y6
Date
;I O
Time /
ci
Permit NO. e7/6
Q. W01
Gas
Rough v Tout
4/
AM PM
APPLICATION FOR PLUMBING PERMIT
Permit No
Amount of Permit $_4
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Registered Architect and /or Engineer
My Commission Expires
(Signed) ______
Date I = –t –
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 a:
building during progress of work.
i ry
__ r j
Owner's Name and Address �__ _ �' No ,''v r .,� : Street
q
Employing Plumber's Name _ �/
�±�,, .,;,�,,c± � '_ =..�'� NO CL n ,-., Street- -- ;.,LfiliA4 c:/.r
Location and Legal Description Lot_________ Block Subdivision _____________________________ „_
Street and Number where work is to be performed— No._E__Li__ . -� --_., . Street 4 T ~'
Ii ›
__ --
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
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ___________ ___-_-_ ___________ __ ____
___________�__
Nature of Water Supply: City —Well Size of Soakage Pit.
_,
Plumbing Inspect r. -
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lab r
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has cora-
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 a re
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as a re
licensed by Miami Shores Village.
e •
(Signed) –'� –'
-r Master Plumber.
STATE OF FLORIDA, l
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackp6wledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
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
DRAI
DRINKING
FOUNT' NS
TOTAL
FIXTUFIES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
EEP-
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
V+
CHECK
APPLICATION FOR PLUMBING PERMIT
Permit No
Amount of Permit $_4
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Registered Architect and /or Engineer
My Commission Expires
(Signed) ______
Date I = –t –
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 a:
building during progress of work.
i ry
__ r j
Owner's Name and Address �__ _ �' No ,''v r .,� : Street
q
Employing Plumber's Name _ �/
�±�,, .,;,�,,c± � '_ =..�'� NO CL n ,-., Street- -- ;.,LfiliA4 c:/.r
Location and Legal Description Lot_________ Block Subdivision _____________________________ „_
Street and Number where work is to be performed— No._E__Li__ . -� --_., . Street 4 T ~'
Ii ›
__ --
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
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ___________ ___-_-_ ___________ __ ____
___________�__
Nature of Water Supply: City —Well Size of Soakage Pit.
_,
Plumbing Inspect r. -
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lab r
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has cora-
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 a re
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as a re
licensed by Miami Shores Village.
e •
(Signed) –'� –'
-r Master Plumber.
STATE OF FLORIDA, l
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackp6wledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
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
ELECTFRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
[ZSI
/4 -- ))/Icte 9 e(
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 ,ippli
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoi
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;
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and re
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responSibilit'i fo
done by his agents, servants or employees.
Signed- � " ,44 t— BY _+ `", _
r INSPE TOR
In consideration of the issuance to me of this permit I agroe perform the work covered hereunder in compliance with all ordinances and
pertaining thereto and in strict conformity with the plans, drawing statements or specifications submitted to the proper authorities of Miami Silo
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
I
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIbA
,PERMIT N? 10314
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
DATE
Contractor's
License No
Amt. of
Permit
M
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 Fiar_r_y____St_aple_a No 1941 Street
Registered Architect and /or Engineer
Employing Plumber's Nainea..ff'_en .___Inciu _tfele_s,--- I -ne-, No.- �.- - - -$-0Y 63ZaStreet Coral Gable_s_
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 1041 Street_ _94th _St..
State work to be performed and purpose of building (By Floors) Rep_lac.ing____si_lar tank
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
DateJ Qg mhar____2Q -1-95Q
Subdivision
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
(Signed).
Y 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 Ire
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. GIFF I IJST TS, INC.
Master Plumber.
•
R. K. Thompson, 'Secretary-Treasurer
STATE OF FLORIDA,
COUNTY OF DADE.
Before nee, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appetred
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fi.ulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT' NS
TOTAL
FIXTURES
CONTR.
LIST
___
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LI BT
1
l 00 Gas.
1 1I
-
-
CHECK
M
Permit
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address Fiar_r_y____St_aple_a No 1941 Street
Registered Architect and /or Engineer
Employing Plumber's Nainea..ff'_en .___Inciu _tfele_s,--- I -ne-, No.- �.- - - -$-0Y 63ZaStreet Coral Gable_s_
Location and Legal Description Lot Block
Street and Number where work is to be performed —No 1041 Street_ _94th _St..
State work to be performed and purpose of building (By Floors) Rep_lac.ing____si_lar tank
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
DateJ Qg mhar____2Q -1-95Q
Subdivision
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
(Signed).
Y 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 Ire
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. GIFF I IJST TS, INC.
Master Plumber.
•
R. K. Thompson, 'Secretary-Treasurer
STATE OF FLORIDA,
COUNTY OF DADE.
Before nee, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appetred
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 fi.ulty
materials and /or workmanship.
BUILDING ❑ DATE 19;5
ELECTRICAL ❑ PERMIT N° 15283
PLUMBING
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Atchitect
Contractor
or Builder -
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
r
Contractor's
License No
Legal Lot II Bl.
Description
Address of l f r Value of Amt, of
Building Project $ Permit $ t 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 revokes 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
pertainin thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In a pxSng slf permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
/ a 4 s �
BY AUTHORITY
lJd'
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Address of
Building
Architect
Contractor
or Builder ;
Legal Lot BI.
Description
MIAMI SHORES VILLAGE, FLORIDA
DATE f ci0/
194/
PERMIT N9 2432 Contractor's :' .,
License No
r this Permit ,, 6 J `f ' w f . f �[,.•�.fl
Work to be performed un
1
j J
Subdi-
vision
Value of
Project
4 e/,' J
Amt. of
Permit
f
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 corfidition
on which this permit is granted is the understanding that the contractor or builder named above assume he reskoonsibil for a thorough knowledge of
Drdinances and regulations pertaining to the work covered hereby whether shown on the plans 'Near 'itgspr in the'` statements or specifications and
he assumes responsibility for work done by his agents, servants or employees f r "'
Signed: >
` -i' '' �s, .: rg��''`'
'14 \ INSPECTOR
`Aeration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
thereto and in strict conformity with the plans, 'f}+
drawings, statements or specifications sub tied to the proper authorities of lvliami Shores
'ing ( phis permit I assume ponsibility for all work dune by lithe yself, m. agent, sent or employee. ,
A
` r,� d ;".! .d '' J.'.: " " lam . ° . , .
/Le
OR,BUILDER BY AUTHORITY
-ELEe-TRICAll PERMIT A N? 463
PLUMBING
Owner of Building I -
bui
T-
LOT
NAME
NAME
Architect and /or Engineer i t E = ' ""
NAME
Contractor or Builder
Proposed Location
r ..
Dated__ ——� —t __' i° , 19
—may...
SUB=DIVISION
RECD. PAYMENT ACCT. DEPT.
ADDRESS
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING .INSPECTION DEPARTMENT
« A` 9 1944
NO.
LICENSE NO.
L ICENSE, NO
'
i < f
STREET
This permit is issued to —4_4. ' ' '._ To
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
- Ilations of the building department of Miami Shores 1.1i. age. This permit may be revoked at any time upon the violation of any provisions of said
ordinances or rules and regulations, or upon aiy {yhae in the plans and specifications unauthorized by the building inspector.
INSPECTOR
•
sideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
ecifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
aces and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
(SEAL)
NOTE: /A charge of $1.00 Will be made for making corrections or changes to this application after approval has been obtained from the Planning Board,
A re - i ection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /oI worarip.
BUILDING ❑
ELECTRICAL ❑ N? PLUMBING j27 PERMIT N. 9 8 8 3
ROOFING ❑
Owner of
Building_
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
B1.
Work to be performed under this Permit_
Subdi-
vision
r
Sq. Ft
Value of
Project $
DATE "2-- f 19 .r
Contractor's
License No. ..5
t.
Amt. of
Permit $ e
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 apr lication
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: F 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
17
BUILDING ❑
ELECTRICAL ❑ PERMIT N9 9899
g PLUMBING
ROOFING ❑
Owner of
Building
Address of
Building
t
Architect
Contractor
or Builder
Legal Lot Bl.
Description
MIAMI SHORES VILLAGE, FLORIDA
t j
CONTRACTOR OR BUILDER
Work to be performed under this Permit
4
Signed:
Subdi-
vision
Sq. Ft
Value of
Project $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the z pplication
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 a'nd that he assumes responsibility for work
done by his agents, servants or employees.
DATE
Contractor's
License No
Amt. of
Permit $
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hi'reunder 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
I7
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
contractor
or Builder L L
Legal Lot
Description.
Address of
Building 1 J 'I 1
1 •1 . �1 A t 4 ...r
CONTRACTOR OR BUILDER
PERMIT IT? 12180
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project
DATE 1
Contractor's
License No
Amt. of
Permit
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 tae 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 ar d 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 "t.►- ,) . t is B r6F- t. BY 5.'r `L .. 'l,j A..� c.. c--
INSPECTOR 1
In consideration of the issuance to me of this permit I agree to pe?form the work covered hereunder in compliance with all ordinances ar..d 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.
L
AUTHORITY
, .ELE
EL PERMIT A N?
PLUMBING
ner. of Building � '� r1 f ;
g
Architect and /or Engineer
Contractor or Builder
Proposed Location
LOT
l
ADDRESS
ADDRESS
NAME ADDRESS LICENSE, NO.
' 4/4 s k% 6 4e-y 24
NAME
NAME
1�
463
SUB - DIVISION
_�'.... k, tJ�
ff JJ RECD. PAYMENT ACCT. DEPT.
MIAMI SHORES VILLAGE
BUILDING NSPECTION DEPARTMENT
NO.
i
LICENSE NO.
STREI:T
Sq� To
This permit is issued to
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Sho es ``✓i age. This permit may be revoked at any time upon the violation of any pro\ isions of said
laws, ordinances or rules and regulations, or upon a a ' e in the plans and specifications unauthorized by the building inspector.
INSPECTOR
nsideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
p ans an specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
Dated
19
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re -i ection 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 during progress of work.
Owners Name and Address. '
Registered Architect and /or Engineer __...
Employing Plumber's Name `�?_�: Po-L_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No... _ 0 5 � G . �? _ 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kei t al
Location and Legal Description Lot- ._____._.__._..--- .__ ________
Street and Number where work is to be performed —No Street_
State work to be performed and purpose of building (By Floors ) _
New Building ___ Remodeling Addition__.___.__..__... __... Repairs
Size Septic Tank.. Type of Tank_ Capacity Gals. .-
Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL _____._..
Nature of Water Supply: City —Well
No._. _.__ Street
No._ Street
Subdivision
No. of Stories
_ Size of Soakage Pit
Amount of Permit $ --L Lc! ------- - - - - -- -- (Signed)_____ -
— �- Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al. employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ccm-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wank 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 a; are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this rcrmit, aI; an
licensed by Miami Shores Village.
, F .
(Signed).)..
STATE OF FLORIDA, i �.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tac
therein by him stated are true.
- - - - -- - - - - - -- My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Ltd
materials and /or workmanship.
CLOSETS
BATH
TU BS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
—�
TOTAL
FIETUR[I
- -
LIST
- -
CHECK
- - - —
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELO
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
---
building during progress of work.
Owners Name and Address. '
Registered Architect and /or Engineer __...
Employing Plumber's Name `�?_�: Po-L_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No... _ 0 5 � G . �? _ 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kei t al
Location and Legal Description Lot- ._____._.__._..--- .__ ________
Street and Number where work is to be performed —No Street_
State work to be performed and purpose of building (By Floors ) _
New Building ___ Remodeling Addition__.___.__..__... __... Repairs
Size Septic Tank.. Type of Tank_ Capacity Gals. .-
Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL _____._..
Nature of Water Supply: City —Well
No._. _.__ Street
No._ Street
Subdivision
No. of Stories
_ Size of Soakage Pit
Amount of Permit $ --L Lc! ------- - - - - -- -- (Signed)_____ -
— �- Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al. employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ccm-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wank 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 a; are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this rcrmit, aI; an
licensed by Miami Shores Village.
, F .
(Signed).)..
STATE OF FLORIDA, i �.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tac
therein by him stated are true.
- - - - -- - - - - - -- My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Ltd
materials and /or workmanship.
Permit No.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
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, F:,orida
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 Dvisior
of Miami Shores Village shall be complied with, w ether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Street and Number where work is to be performed —No ___________ ____.__________ _____- Street
State work to be performed and purpose of building (By Floors ) _
( Signed) _
No. __ 1_ Street.
No. ,67 Stre e
Block-___.____ - Subdivis',n
( Signed) — - - - - - --
Date _ ■ /
Notary Public, State of Florida
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 WeIL
_Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he under '.nds 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 ha; com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort: 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 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 fur
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 Ltd
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUea
URINALS
I S
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURE:
CONTR.
LIST
__
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CowrR.
LIeT
CHECK
- T--
Permit No.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
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, F:,orida
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 Dvisior
of Miami Shores Village shall be complied with, w ether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor
Street and Number where work is to be performed —No ___________ ____.__________ _____- Street
State work to be performed and purpose of building (By Floors ) _
( Signed) _
No. __ 1_ Street.
No. ,67 Stre e
Block-___.____ - Subdivis',n
( Signed) — - - - - - --
Date _ ■ /
Notary Public, State of Florida
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 WeIL
_Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he under '.nds 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 ha; com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort: 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 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 fur
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 Ltd
materials and /or workmanship.
Permit No
Amount of Permit $ N-
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)_ .___
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
New Building__ ...... Remodeling ____......._..__..__ Addition.. -__ _..__ Repairs.
Size Septic Tank_ Type of Tank
Feet of Drain Tile Test. Feet of Tank or Drain Field from
Nature of Water Supply: City —Well. Size of Soakage Pit .....
No. of Stories.
c0 `7 /.2- 7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. f 1 9 / H - - No. 10 7-1 S tr eet L E C'/ 4-6,2 . 7
Owner's Name and Address 7' #1
Registered Architect and /or Engineer
Em ploying Plumber's Name Ai J- 7 tV S....... No., Street..-84.17.1. � .:1.
Location and Legal Description Lot Bloc Subdivision. _ __
/0 Street. �' � � - 4- —
Capacity
f
, „ T
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor
under the Florida Worlanen s Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent upplement, and haw com-
plied with the provisions thereof, and will require similar compliance from all contra ..•• • or sub - contractors empl• . • by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site • the work su pu • c notice or notices as are
required by the Act. The undersigned agrees to employ only such sub -con • on to be - • , ' • er this permit, as are
licensed by Miami Shores Village.
tor.
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personably 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 be has carefully read the foregoing application, and that be did sign the same, and that all Thos
therein by him stated are true.
M Commission EEpina Notary Public, State of Florida
NOTE: re-inspection on of $1.00 will be made when snob t..lospeod n is made oo ry by improper nod far inspection, or fluky
CLOSETS
BATH
TUO�
SHOWERS
LAVA•
TORIES
SINK[
SLOP
SINKS
LAUNDRY
TUSS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
F 'ETON CS
CONTR.
LIST
--
CHICK
SEPTIC
TANK
SEWER
Comm.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
MEATIER
DRIP
WILL
S
SYSTEM
SWIM'G
POOL
- -��
CONTR.
LIST
CHECK
-
r-
--
Permit No
Amount of Permit $ N-
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)_ .___
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
New Building__ ...... Remodeling ____......._..__..__ Addition.. -__ _..__ Repairs.
Size Septic Tank_ Type of Tank
Feet of Drain Tile Test. Feet of Tank or Drain Field from
Nature of Water Supply: City —Well. Size of Soakage Pit .....
No. of Stories.
c0 `7 /.2- 7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. f 1 9 / H - - No. 10 7-1 S tr eet L E C'/ 4-6,2 . 7
Owner's Name and Address 7' #1
Registered Architect and /or Engineer
Em ploying Plumber's Name Ai J- 7 tV S....... No., Street..-84.17.1. � .:1.
Location and Legal Description Lot Bloc Subdivision. _ __
/0 Street. �' � � - 4- —
Capacity
f
, „ T
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor
under the Florida Worlanen s Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent upplement, and haw com-
plied with the provisions thereof, and will require similar compliance from all contra ..•• • or sub - contractors empl• . • by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site • the work su pu • c notice or notices as are
required by the Act. The undersigned agrees to employ only such sub -con • on to be - • , ' • er this permit, as are
licensed by Miami Shores Village.
tor.
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personably 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 be has carefully read the foregoing application, and that be did sign the same, and that all Thos
therein by him stated are true.
M Commission EEpina Notary Public, State of Florida
NOTE: re-inspection on of $1.00 will be made when snob t..lospeod n is made oo ry by improper nod far inspection, or fluky
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r"
Permit N o 1 VS3 __ Date 222/60
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.
Morritz 1041 N.B.
Owner's Name and Address 94th St,
No
____ -_ .______- --- -- ____ -_ Street___
Registered Architect and /or Engineer. R Se tic Tskk 2552 3!1 W. 3rd Ave.,Hia.
Employing ]' i3rs Name � No._ Street_ __�____�
Location and Legal Description Lot----- -- -------- --- --- -- --- -__ ____ _ _ _. _ Block--_ _ _ Subdivision .- ------- -_ -•.-
Street and Number where work is to be performed —No 1041 N.E. 94th St.
State work to be performed and purpose of building (By Floors)_
New Building _ ._______ Remodeling Addition
Size Septic Tank
Feet of Drain Tile. 50' BD Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well
Amount of Permit $
My Commission Expires
Type of Tank__ as t
Street
Repairs No. of Stories
(Signed)_
Capacity Gals 1000
__Size of Soakage Pit
g 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 5988, Compiled General Laws of Flori • : Permanent Supplement, and llas LI n-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -con ctors 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 die 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.
STATE OF FLORIDA, t soh
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 hire stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINAL{
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXT. RE8
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE'
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'O
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r"
Permit N o 1 VS3 __ Date 222/60
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.
Morritz 1041 N.B.
Owner's Name and Address 94th St,
No
____ -_ .______- --- -- ____ -_ Street___
Registered Architect and /or Engineer. R Se tic Tskk 2552 3!1 W. 3rd Ave.,Hia.
Employing ]' i3rs Name � No._ Street_ __�____�
Location and Legal Description Lot----- -- -------- --- --- -- --- -__ ____ _ _ _. _ Block--_ _ _ Subdivision .- ------- -_ -•.-
Street and Number where work is to be performed —No 1041 N.E. 94th St.
State work to be performed and purpose of building (By Floors)_
New Building _ ._______ Remodeling Addition
Size Septic Tank
Feet of Drain Tile. 50' BD Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well
Amount of Permit $
My Commission Expires
Type of Tank__ as t
Street
Repairs No. of Stories
(Signed)_
Capacity Gals 1000
__Size of Soakage Pit
g 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 5988, Compiled General Laws of Flori • : Permanent Supplement, and llas LI n-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -con ctors 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 die 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.
STATE OF FLORIDA, t soh
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 hire stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
/APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot Block Subdivision
1 /5.1; Street
DA te_
- F
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinapc of Miami Shores Village, Florid:,,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rul2s -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 t
building during progress of work.
H
Owner's Name and Address ___ _ 't „ __ No. Street
Registered Architect and /or Engineer
Employing Plumber's Name - No I� Street =-
New Building 7____ Remodeling Addition Repairs No. of Stories !�
Amount of Permit $_
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well.
Type of Tank
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
(Signed)
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 :,re
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as :,re
licensed by Miami Shores Village. 5
(Signed)
)y . Master Plumber.
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
T
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.
r
My Commission Expires
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
'�tials and /or workmanship.
Notary Public, State of Florida
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
RIES
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURE:
CONTR.
3^
/ B
/
y,
y
BY
f
7
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
X
CHECK
Permit No.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
/APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot Block Subdivision
1 /5.1; Street
DA te_
- F
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinapc of Miami Shores Village, Florid:,,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rul2s -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 t
building during progress of work.
H
Owner's Name and Address ___ _ 't „ __ No. Street
Registered Architect and /or Engineer
Employing Plumber's Name - No I� Street =-
New Building 7____ Remodeling Addition Repairs No. of Stories !�
Amount of Permit $_
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well.
Type of Tank
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
(Signed)
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 :,re
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as :,re
licensed by Miami Shores Village. 5
(Signed)
)y . Master Plumber.
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
T
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.
r
My Commission Expires
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
'�tials and /or workmanship.
Notary Public, State of Florida
Permit No )
Size Septic Tank_ Type of Tank
Amount of Permit $_
STATE OF FLORIDA, }
COUNTY OF DADE.
4.00
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.
Owners Name and Address ............ ____________ St . Thomas ------------ -.____ No.1041 N.E. 94i street __ _--- _ -_ - --
Registered Architect and /or Engineer____ ______________-__- -_ -_
Employing Plumber's NameRQB E S 1t1� I aIl}L_S : Q.�� . B O�Q�10 44 H i a 1 . a h Strcet__
Location and Legal Description Lot Block__ Subdivision ______..___._________ _____..,
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) _
New Building _ Remodeling_ -_ - -- _-- ____ -- Addition Repairs No. of Stories . . . ....
( Signed)_ (.4.)
(Signed)_
13
Date__._ 9- V -71 __
Street
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
•
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.
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 insp . m, or fau:ity
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
Comm
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
$W IM'G
POOL
CONTR.
'LIST
CHECK
1
F", 1
- -
Permit No )
Size Septic Tank_ Type of Tank
Amount of Permit $_
STATE OF FLORIDA, }
COUNTY OF DADE.
4.00
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.
Owners Name and Address ............ ____________ St . Thomas ------------ -.____ No.1041 N.E. 94i street __ _--- _ -_ - --
Registered Architect and /or Engineer____ ______________-__- -_ -_
Employing Plumber's NameRQB E S 1t1� I aIl}L_S : Q.�� . B O�Q�10 44 H i a 1 . a h Strcet__
Location and Legal Description Lot Block__ Subdivision ______..___._________ _____..,
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) _
New Building _ Remodeling_ -_ - -- _-- ____ -- Addition Repairs No. of Stories . . . ....
( Signed)_ (.4.)
(Signed)_
13
Date__._ 9- V -71 __
Street
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
•
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.
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 insp . m, or fau:ity
materials and /or workmanship.
41
Permit 1VIo_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Appication 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_ ____M_'!��_ / -- -- - - - - -- No._ T� ------ - - - --- Street___ --_ -_ 7 sr
Registered Architect and /or Engineer
Employing Plumber's Name �� � � � `— No.___L__?'_ _ Street._ ___1)1 LO
Location and Legal Description Lot________ ______________ _ _._ Block_
Street and Number where work is to be performed —No I ° { 1
State work to be performed and purpose of building (By Floors) __A_P? A_ , _s___ o -_ -
New Building - -- Remodeling----------------- ____ -- Addition
Type of Tank
__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply City Well.____ __ _ ____Size of Soakage Pit
Size Septic Tank
Feet of Drain Tile
Amount of Permit $_
C?-
(Signed) _
( Signed) __
• Subdivision
Street. NI . ` • ° 1 4--Y-
Repairs No. of Stories.... ........ ......
Capacity Gals.
'� mom✓
My Commission Expires Notary Public, State of Florida
fl
-
Plu . g I ..ector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob dons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin nt Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e . oyed 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 suc public notice or notices as .lire
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as lire
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 appea red
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 $1.00 will be made when such re- inspection is made•necessary. by improper notice for inspection, or faulty
materials and /or workmanship.
CLO$ET8
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDR
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
D
FOUNT'NB RINKING
6,1 4 1 —
`✓
TOTAL
FIXTURES
CONTR.
1.13T
/
/
2
1
—
CHECK
`2....c70
-2 `-
L Gam _
Z -t7G
--
SEPTIC
TANK
SEWER
CONN.
DRAIN.
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'O
POOL
CONTR.
LIST
CHECK
/
-----
'2 _ `J
_ _
41
Permit 1VIo_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Appication 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_ ____M_'!��_ / -- -- - - - - -- No._ T� ------ - - - --- Street___ --_ -_ 7 sr
Registered Architect and /or Engineer
Employing Plumber's Name �� � � � `— No.___L__?'_ _ Street._ ___1)1 LO
Location and Legal Description Lot________ ______________ _ _._ Block_
Street and Number where work is to be performed —No I ° { 1
State work to be performed and purpose of building (By Floors) __A_P? A_ , _s___ o -_ -
New Building - -- Remodeling----------------- ____ -- Addition
Type of Tank
__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply City Well.____ __ _ ____Size of Soakage Pit
Size Septic Tank
Feet of Drain Tile
Amount of Permit $_
C?-
(Signed) _
( Signed) __
• Subdivision
Street. NI . ` • ° 1 4--Y-
Repairs No. of Stories.... ........ ......
Capacity Gals.
'� mom✓
My Commission Expires Notary Public, State of Florida
fl
-
Plu . g I ..ector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob dons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin nt Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e . oyed 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 suc public notice or notices as .lire
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as lire
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 appea red
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.
MAU12 IDI.IJM[31NG CC.
4. 1#0. °
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Sett CI 0 C*1111
Cot
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1277 N. W. 54th STREET
MIAMI 42, FLORIDA
TELEPHONE f=13#63
PL. l x7
L.
L.
3'
C.