PLUMBINGPermit No
New Building Remodeling
O
Size Septic Tank
Feet of Drain Tile_. f
2
Nature of Water Supply: City
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
' licensed by Miami Shores Village.
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when such
materials and /or workmanship.
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 mplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work rw
Owner's Name and Address r _ O f Y`' No.L ' 'V , r E Street t
Registered Architect and /or En ..irteer ___,....,....1_____
V e
Employing Plumber's Name _____,..__' '_ ' _ No
i-
Street_
Location and Leg al Description Lot_
P ti �
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Block
2/4
Addition Repairs
Type of Tank L 1 e `� — _Capacity Gals
Dist, F t of Tank or ain Field from Well
—Well Size of Soakage Pit
(Signed) •
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer
Date
Street
Subdivision
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 foregoipg application, and that he did sign
therein by him stated are true.
ary
.S7
No. of Stories
Plumbing Inspector.
rtify that he understands and accepts his obligations as an employe of labor
Compiled General Laws of Florida Permanent Supplement, and as com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or • • ices as are
sub - contractors, on w r per • •d u this .erm , as are
! /lam
M. ter Plumber.
oaths and take acknowledgments, personally
the same, and that all facts
Notary Public. State of Floriclx''
re- inspection is made necessary by impropet,:6tice for inspection, or faulty
CLOSETS
BATH
TueS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
CONTR. ST
LIST
CHECK
1
_
Permit No
New Building Remodeling
O
Size Septic Tank
Feet of Drain Tile_. f
2
Nature of Water Supply: City
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
' licensed by Miami Shores Village.
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when such
materials and /or workmanship.
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 mplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work rw
Owner's Name and Address r _ O f Y`' No.L ' 'V , r E Street t
Registered Architect and /or En ..irteer ___,....,....1_____
V e
Employing Plumber's Name _____,..__' '_ ' _ No
i-
Street_
Location and Leg al Description Lot_
P ti �
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Block
2/4
Addition Repairs
Type of Tank L 1 e `� — _Capacity Gals
Dist, F t of Tank or ain Field from Well
—Well Size of Soakage Pit
(Signed) •
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer
Date
Street
Subdivision
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 foregoipg application, and that he did sign
therein by him stated are true.
ary
.S7
No. of Stories
Plumbing Inspector.
rtify that he understands and accepts his obligations as an employe of labor
Compiled General Laws of Florida Permanent Supplement, and as com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or • • ices as are
sub - contractors, on w r per • •d u this .erm , as are
! /lam
M. ter Plumber.
oaths and take acknowledgments, personally
the same, and that all facts
Notary Public. State of Floriclx''
re- inspection is made necessary by impropet,:6tice for inspection, or faulty
_
•
1
Permit No.____
New Building
Size Septic Tank
Amount of Permit $
Feet of Drain Tile
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
My Commission Expires
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date__ _1.4.. %
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub iht tted for building or other
PP Y PP P P g
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 a__, /4.___t_l !'t'___ __ No Street
Registered Architect and /or Engineer _ _LL.e___ _ //
Employing Plumber's Name _ _ — _-4.4 77 _ No.___ 7 Street_
Location and Legal Description Lot �L .___ Blocckk _ Q___# Subdivision_
Street and Number where work is to be performed —No/ 45 o } Street _____________ __ ____ _______________,__
State work to be performed and purpose of building (By Floors) ____
Aalst
Type of Tank _ et _ ;.4214 Capacity Gals.__
Remodeling Addition Repairs ____ No. of Stories
' Dist. Feet of Tank or Drain Field from Well
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 performed undet this permit, as are
licensed by Miami Shores Village.
(Signed
Notary Public. State of Florida
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
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
TOTAL
FIXTURES
CONTR.
LIST
3
/
2..
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
I
/
CHECK
Permit No.____
New Building
Size Septic Tank
Amount of Permit $
Feet of Drain Tile
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
My Commission Expires
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date__ _1.4.. %
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub iht tted for building or other
PP Y PP P P g
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 a__, /4.___t_l !'t'___ __ No Street
Registered Architect and /or Engineer _ _LL.e___ _ //
Employing Plumber's Name _ _ — _-4.4 77 _ No.___ 7 Street_
Location and Legal Description Lot �L .___ Blocckk _ Q___# Subdivision_
Street and Number where work is to be performed —No/ 45 o } Street _____________ __ ____ _______________,__
State work to be performed and purpose of building (By Floors) ____
Aalst
Type of Tank _ et _ ;.4214 Capacity Gals.__
Remodeling Addition Repairs ____ No. of Stories
' Dist. Feet of Tank or Drain Field from Well
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 performed undet this permit, as are
licensed by Miami Shores Village.
(Signed
Notary Public. State of Florida
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
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.
11 6 •
Permit No.__ r
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 wo
Owner's Name and Address
Amount of Permi
Registered Architect and /or Eng'
Employing Plumber's Name
APPLICATION FOR PLUMBING PERMIT
r k. , fib �'"'611'f'4t►
Location and Legal Description Lot_ _______ b
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No
No. F - Y)
Date�1__
Street/4 c 9 J
Street_
Block 7 Subdivision
/ y r . Street �C � ! _ _ _ _ _ _ --
_(Signed)
Addition Repairs
Capacity Gals
Size Septic Tank Type of Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
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 - contractor on work to be performed under
licensed by Miami Shores Village.
(Signed)d.
die
authorized to administer oaths and take ac now a gments, onally
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
No. of Stories .
tlys permit, as are
Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
CHECK
Permit No.__ r
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 wo
Owner's Name and Address
Amount of Permi
Registered Architect and /or Eng'
Employing Plumber's Name
APPLICATION FOR PLUMBING PERMIT
r k. , fib �'"'611'f'4t►
Location and Legal Description Lot_ _______ b
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No
No. F - Y)
Date�1__
Street/4 c 9 J
Street_
Block 7 Subdivision
/ y r . Street �C � ! _ _ _ _ _ _ --
_(Signed)
Addition Repairs
Capacity Gals
Size Septic Tank Type of Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
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 - contractor on work to be performed under
licensed by Miami Shores Village.
(Signed)d.
die
authorized to administer oaths and take ac now a gments, onally
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
No. of Stories .
tlys permit, as are
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.
•
.11
L e-
Permit No.__t________ ____ 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 _
STATE OF FLORIDA,
COUNTY OF DADE. i
'MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
ss.
Registered Architect and /or Engi eer
Employing Plumber's Name 1 '��
-- �� No
7
Location and Legal Description Lot L " Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Size Septic Tank Type of Tank
My Commission Expires
No. / �� . Street
�.
Street /'
New Building Remodeling Addition Repairs No. of Stories
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)
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 performed under t permit, as are
licensed by Miami Shores Village.
��yy
(Signed)t
Notary Public, State of Florida
■
4
Street-."
•
1
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
TOTAL
FIXTURES
CONTR.
LI
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LI
/
CHECK
Permit No.__t________ ____ 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 _
STATE OF FLORIDA,
COUNTY OF DADE. i
'MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
ss.
Registered Architect and /or Engi eer
Employing Plumber's Name 1 '��
-- �� No
7
Location and Legal Description Lot L " Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Size Septic Tank Type of Tank
My Commission Expires
No. / �� . Street
�.
Street /'
New Building Remodeling Addition Repairs No. of Stories
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)
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 performed under t permit, as are
licensed by Miami Shores Village.
��yy
(Signed)t
Notary Public, State of Florida
■
4
Street-."
•
1
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.
Permit No / f
Owner's Name and Address
Location and Legal Description Lot
Street and Number where work is to be performed —No
14IAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
PLUMBING INSPECTION DEPARTMENT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Registered Architect and /or Engineer ___,
Employing Plumber's Name No' 2
No/AN
o /A N ' 5•
Block
2/4-- 1
/ Street
Date
Street 7:
Street. 1 /°
Subdivision -� 3
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Type of Tank LI i° Capacity Gals.
Dist. Fe of Tank or D in Field from Well
Amount of Permit $_ ' .+.. (Signed) + -- - --
Size of Soakage Pit
(Signed
'Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatipfrs as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida PermanenttSupplement, 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 n.tices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on wo j�erf . rn'. unde this ermit, as are
licensed by Miami Shores Village. _j
Mas r Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
s s.
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
T
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
CHECK
Permit No / f
Owner's Name and Address
Location and Legal Description Lot
Street and Number where work is to be performed —No
14IAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
PLUMBING INSPECTION DEPARTMENT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Registered Architect and /or Engineer ___,
Employing Plumber's Name No' 2
No/AN
o /A N ' 5•
Block
2/4-- 1
/ Street
Date
Street 7:
Street. 1 /°
Subdivision -� 3
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Type of Tank LI i° Capacity Gals.
Dist. Fe of Tank or D in Field from Well
Amount of Permit $_ ' .+.. (Signed) + -- - --
Size of Soakage Pit
(Signed
'Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatipfrs as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida PermanenttSupplement, 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 n.tices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on wo j�erf . rn'. unde this ermit, as are
licensed by Miami Shores Village. _j
Mas r Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
s s.
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
" RINALS
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
..1
>t!2
*now
.' 9
.. •
f
d1
J i
I
CHECK
w 9<
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
. SWIM'G
POOL
CONTR.
LIST
CHECK
A
APPLICATION FOR PLUMBING PERMIT
Permit No.___ 11_____ _.
Da te # � .
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfhitted for t e building or of
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flori
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 Divisic.
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 .G_ ___,'''0
Registered Architect and /or Engineer
Employing Plumber's Name ___ ___T`'
Nature of Water Supply: City —Well
Amount of Permit $
•
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
My Commission Eitpires
f •
No Street
"h `�• —
________ --_________ —__________
—
'` t — - t_;: - No / � i Street 9 _'
j
Location and Legal Description Lot .., - � ; I_ 3_ , --4 Block + _ _£ii Subdivision____ _ _t ..,e!'rr_.r
Street and Number where work is to be performed —No 7, . 4 A Street_o t ,c_ ''''''''t
State work to be performed and purpose of building (By Floors) ____ _'�'1. . ,- ' ,,. a 3 " l'' _ s.. 2 a
New Building Remodeling Addition Repairs
(Signed)
Notary Public, State of Florida
No. of Stories
gM�r+rs
Size Septic Tank Type of Tank Capacity Gals
•
Feet of Drain Tile r Dist. Feet of Tank or Drain Field from 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. ?^, 1
, ! -
x
(Signed) —� Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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 wor>manship.
)
•
°
1 BATH
CLOSETS! TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTk.
LIST
_-
c
Dm=
sap=
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM' G
POOL
-__!-
CONTR.
LIST
CHECK
,
-
Pemth. No.._. /o / 6
Application is hereby ma tie 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 x i
Registered Architect and /or Engin r __
Employing Plumber's Name !
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot B1
Street and Number where work is to be performed —No _Al
State work to be performed and purpose of building (By Floors)_ . —__.._______.____________ - -___
New Building — ___.___ Remodeling Addition.
Date
Street
Street--
Subdivision -------..._._----_ - _ — •---_---
Street
Repairs No. of Stories.
Capacity Gals.
_Type of Tank_
. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and a •> • is his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl•rida Permanent Supplement, and has con
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to
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
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be per rmed under this permit, as
licensed by Miami Shores Village.
( Signed).
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally apps
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
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 •neoessary by improper notice for inspection, or
materials and /or workmanship.
- Estimated
Quantity
Actual
Quantity
_Size
---- - - - -- - - --
e;
• Description
Retirement
Disposition
Pipe (Indicate Type)
Cocks, Lube
Fittings
PEOPLES GAS.SYSTEM
INSPECTOR'S REPORT:
Status of Building:
Estimated Installation Date:
Municipal Permit:
Approved By:
PGS - EC 7
-
Descrri pt ion: 71•2i
Locatio • /c1+ /5 1 � rte
No. of Risers Type-Of Service
Residence
No. of Apt. Units
Commercial
.Supt.
- tilt‘ -rms s _
64-5 I
i
JOB .ORDER SHEET
Remarks:
"M" J. 0. No. / ,7 /
Tax District
Date
By Inspector
-
"C" J. 0. No. — 24/ C % -C
A.F.E. No. ,+ /— /P- Ik
Date Issued //6:/6
--A/1 6441(01
Date Reinspected . Remarks: By
Date Job Completed
By
/.9z2-6y
Permit No / 7j-4--
Location and Legal Description ______ Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors ) __
New Building ___._.. Remodeling
Size Septic Tank_ ........
Nature of Water Supply: City —Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING " ;kMIT
Type of Tank
(Signed)_ 4_s
Date a E!/
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 Miam? Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified er not. A copy of approved plans and specifications must be kept at
building during progress of work. ,, //
Owner's � Name and Address 1_____ e /___? ____ �otR_ !� No._ (7' .t_ Street_._
Registered Architect and /or Engineer .....
- --_ --_ -- ---- _--- ��-- _--- _-- _- --- _ -_._ --
Employing Plumber's Name________!' Q Af.g_ ___ G . 42 41 54 1e5 te No._1 _.7g1_ Street__
Subdivision._
Street.
Addition-- -- --- _•--- --- ------ -- Repairs No. of Stories - - ...---- ...----- • --....
Capacity Gals
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts • obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida ruianent Supplement, and Ilan com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract rs° 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, o . " =rk to be perforr'ed_tnder • permit, as are
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 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 hirr, 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•nesssry 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
^d y d
& 1
ht
TOTAL
,FIXTURES
CONTR.
LIST
(9//42W
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
CHECK
Permit No / 7j-4--
Location and Legal Description ______ Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors ) __
New Building ___._.. Remodeling
Size Septic Tank_ ........
Nature of Water Supply: City —Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING " ;kMIT
Type of Tank
(Signed)_ 4_s
Date a E!/
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 Miam? Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified er not. A copy of approved plans and specifications must be kept at
building during progress of work. ,, //
Owner's � Name and Address 1_____ e /___? ____ �otR_ !� No._ (7' .t_ Street_._
Registered Architect and /or Engineer .....
- --_ --_ -- ---- _--- ��-- _--- _-- _- --- _ -_._ --
Employing Plumber's Name________!' Q Af.g_ ___ G . 42 41 54 1e5 te No._1 _.7g1_ Street__
Subdivision._
Street.
Addition-- -- --- _•--- --- ------ -- Repairs No. of Stories - - ...---- ...----- • --....
Capacity Gals
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts • obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida ruianent Supplement, and Ilan com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract rs° 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, o . " =rk to be perforr'ed_tnder • permit, as are
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 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 hirr, 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•nesssry by improper notice for inspection, or faulty
materials and /or workmanship.
°°
Amount of Permit $
MIAMI SHORES .VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
• My Commission Expires
. Size Septic Tank _.----- - - - -_. _ Type of Tank.
Feet of Drain Tile.___ :_.__- __. -...— __ .—Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well _--- - -_ - -- _-- .__.._.__, _ ___Size of Soakage Pit.
Date
Street-_
Repairs
Capacity Gals.
Notary Public, State of Florida
Application is hereby shade 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--__ _L7? `_° 0.. - __.- __- .-.._. No. __.._�
Registered Architect and /or Engineer __- __-__._____- — ____________. •
Employing Plumber
lumber's Name__fi C C .. . e A¢ 0 % ; No 1 ' �. e k ' ' A � ,'
Location and. Legal Description Lot_ __.7 ' • .` _ e B1 • Subdivision --_- :_.- ..- __- __ - -._ —_ _...
Street and Number where work is to be performed —No. l/1' C Z� C: j ,`_'-` C
._Street
State work to be performed and purpose . of building (By Floors)____-.-._._____.______ •
New Building--:_.- _._.__,___.__._ -_. Remodeling ..._ .____ Addition_
No. of Stories.
(Signed)_�� 9�
The undersigned applicant for this building permit does hereby certify that he understands and his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and 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 p : nit, as are
licensed by Miami Shores Village.
Plumbing Inspector.
aster Plumber.
STATE OF FLORIDA,
COUNTY OF' DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgnments, 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
materiels and /or workmanship.
C 1 - 05276
BATH•
TUBS TUBS
S
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
U RINALS
CATCH.
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
FIXTURES
CONTR.,
LIST •
Q
u
,�...
CHECK
•
__
`
SEPTIC
TANK
SEWER
CONN.
DRAIN.
PILLD
SOAKAGE
PIT
GREASE'
TRAP
SOLAR
H CATER
DELP
WILL
SPRKLR.
SYSTEM
SWIM•G
POOL
•
ly—
CONTR.
LIST
CHECK
U
•
-
°°
Amount of Permit $
MIAMI SHORES .VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
• My Commission Expires
. Size Septic Tank _.----- - - - -_. _ Type of Tank.
Feet of Drain Tile.___ :_.__- __. -...— __ .—Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well _--- - -_ - -- _-- .__.._.__, _ ___Size of Soakage Pit.
Date
Street-_
Repairs
Capacity Gals.
Notary Public, State of Florida
Application is hereby shade 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--__ _L7? `_° 0.. - __.- __- .-.._. No. __.._�
Registered Architect and /or Engineer __- __-__._____- — ____________. •
Employing Plumber
lumber's Name__fi C C .. . e A¢ 0 % ; No 1 ' �. e k ' ' A � ,'
Location and. Legal Description Lot_ __.7 ' • .` _ e B1 • Subdivision --_- :_.- ..- __- __ - -._ —_ _...
Street and Number where work is to be performed —No. l/1' C Z� C: j ,`_'-` C
._Street
State work to be performed and purpose . of building (By Floors)____-.-._._____.______ •
New Building--:_.- _._.__,___.__._ -_. Remodeling ..._ .____ Addition_
No. of Stories.
(Signed)_�� 9�
The undersigned applicant for this building permit does hereby certify that he understands and his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and 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 p : nit, as are
licensed by Miami Shores Village.
Plumbing Inspector.
aster Plumber.
STATE OF FLORIDA,
COUNTY OF' DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgnments, 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
materiels and /or workmanship.