1234 NE 94 St (7)Permit No. /
New Building
Amount of Permit $_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made or 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 kept al
building during progress of work.
Owner's Name and Address - --- -_ /� - : No._ - - 1 ' -.._. Street. -
Registered Architect and /or Engineer .__
-
Employing Plumber's Name.- __, _- _..- - ._ _ _ _- _ =- _----- --- -•-- _ - -. - _ »�
Location and Legal Description Lot- -
Street and Number where work is to be performed —No. / � , j » ✓i � w __ - -. - -. Street___._.. 4 t
State work to be performed and purpose of building (By Floors )-
Remodeling Addition____ ____._____. _ Repairs
Size Septic Tank. Type of Tank__
Feet of Drain Tile _ __Dist. Feet of Tank or Drain Field from Well
of Water Supply: City— Well . ._ ____ Size of Soakage Pit
No..___.__. » » - - -._ .___._..- _ -..__ Street
Subdivision.
( Signed) _ __..._ - .'. - -- .- -- _ - - --
Date
Capacity Gals.
(Signed) -. \
)Plumbing4nsecto:.
The undersigned applicant f it this building permit does hereby certify that he understands and accepts'his obligations as a employer of labez
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and h:.s -:-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work .o 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 remit, as are
licensed by Miami Shores Village. �.
No. of Stories
Master Plumber.
STATE OF FLORIDA, 1 ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare
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 lac
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 f,.ul
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
IN
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
SWIM 'G
POOL
CONTR.
LIST
CHECK
d
Permit No. /
New Building
Amount of Permit $_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made or 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 kept al
building during progress of work.
Owner's Name and Address - --- -_ /� - : No._ - - 1 ' -.._. Street. -
Registered Architect and /or Engineer .__
-
Employing Plumber's Name.- __, _- _..- - ._ _ _ _- _ =- _----- --- -•-- _ - -. - _ »�
Location and Legal Description Lot- -
Street and Number where work is to be performed —No. / � , j » ✓i � w __ - -. - -. Street___._.. 4 t
State work to be performed and purpose of building (By Floors )-
Remodeling Addition____ ____._____. _ Repairs
Size Septic Tank. Type of Tank__
Feet of Drain Tile _ __Dist. Feet of Tank or Drain Field from Well
of Water Supply: City— Well . ._ ____ Size of Soakage Pit
No..___.__. » » - - -._ .___._..- _ -..__ Street
Subdivision.
( Signed) _ __..._ - .'. - -- .- -- _ - - --
Date
Capacity Gals.
(Signed) -. \
)Plumbing4nsecto:.
The undersigned applicant f it this building permit does hereby certify that he understands and accepts'his obligations as a employer of labez
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and h:.s -:-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work .o 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 remit, as are
licensed by Miami Shores Village. �.
No. of Stories
Master Plumber.
STATE OF FLORIDA, 1 ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare
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 lac
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 f,.ul
materials and /or workmanship.
C t
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address T!V
Registered Architect and /or Engineer_ ____ _- -_ __ - --• _--- _--- •-- -_--- -------- -__ --_ �
Employing Plumber's Nam ; ! '_ _ L13.1._t' '1 '_& C-__ /L`/'M:1<gt_____ / .36 iAAAStreet__ � tr
Location and Legal Description Lot____..- ____________ _t LV
Bllock — t / Subdivision __
Street and Number where work is to be performed -No / �eS_?'` 'A Street_
State work to be performed and purpose of building (By Floors)_
New Building _____________ _______ Remodeling______ _______ Addition__
Size Septic Tank Type of Tank_
Feet of Drain Tile_ � -49G- ist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City - Well._____ ___ ______________.____ _ __._Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, I
se.
" 3UN ! OF DADE.
My'T'ou mission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN•'
APPLICATION FOR PLUMBING "
No. / /a_ T_.!1 - Street___-
(Signed)-
(Signed)...
Repairs No. of Stories..
Capacity Gals.
Date. _____________
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e
performed under this permit; and will post or cause to be posted for inspection on the sit
:required by the Act. The undersigned agrees to employ only such sub- contractors, on
licensed by Miami Shores Village.
Notary Public, State of Florida
Plum Inspector.
ations as an employer of labor
nt Supplement, and has com-
loyed by him in the work to be
of the work such public notice or notices as
rk to be performed under this permit, as
are
are
Before ine, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to ire wen 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
th r JL ']y En, 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
I NALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT' NS
TOTAL
FIXTURES
CONYn.
LIST
CHOCK
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SW IM'O
POOL
CONTR.
LI ST
A
a
CHECK
C t
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address T!V
Registered Architect and /or Engineer_ ____ _- -_ __ - --• _--- _--- •-- -_--- -------- -__ --_ �
Employing Plumber's Nam ; ! '_ _ L13.1._t' '1 '_& C-__ /L`/'M:1<gt_____ / .36 iAAAStreet__ � tr
Location and Legal Description Lot____..- ____________ _t LV
Bllock — t / Subdivision __
Street and Number where work is to be performed -No / �eS_?'` 'A Street_
State work to be performed and purpose of building (By Floors)_
New Building _____________ _______ Remodeling______ _______ Addition__
Size Septic Tank Type of Tank_
Feet of Drain Tile_ � -49G- ist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City - Well._____ ___ ______________.____ _ __._Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, I
se.
" 3UN ! OF DADE.
My'T'ou mission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN•'
APPLICATION FOR PLUMBING "
No. / /a_ T_.!1 - Street___-
(Signed)-
(Signed)...
Repairs No. of Stories..
Capacity Gals.
Date. _____________
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e
performed under this permit; and will post or cause to be posted for inspection on the sit
:required by the Act. The undersigned agrees to employ only such sub- contractors, on
licensed by Miami Shores Village.
Notary Public, State of Florida
Plum Inspector.
ations as an employer of labor
nt Supplement, and has com-
loyed by him in the work to be
of the work such public notice or notices as
rk to be performed under this permit, as
are
are
Before ine, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to ire wen 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
th r JL ']y En, 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.
0
Permit No I Q L/ 7
Location and Legal Description Lot__
Size Septic Tank_ __ --
Feet of Drain Tile_
Nature of Water Supply: City —Well.
STATE OIF FLORIDA, t
COUNTY OF DADE.
8s.
MIAMI SH RES VILLAGE
PLUMBING INSPECTION DEPARTMENT
a[ PLdCATB FEE 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 wo • .
J 1 1.
Owner's Name and Address No._ /— StreeC.!_
Registered Architect and /or Engineer - --------------
Employing Plumber's Namer � - � _E_ @ __ No._ /3 6 g _ _ Street
Block Subdivision ....... — __ ...
___.._.---- - - - -.. .__ - --
Street and Number where work is to be performed —No / — ' Streetk__
State work to be performed and purpose of building (By Floors) ____ -- _ - .---------- _------- __.- -__ - -.
New Building — Remodeling__— —_____ Addition____ Repairs
Type of Tank__
. Feet of Tank or Drain Field from Well ...
------------ _____ -- -_Size of Soakage Pit
Amount of Permit $_ = O b - _____ (Si c � " -!L = - -- o �,
Plumbing In. .ctor.
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 5968, Compiled General Laws of Florida Permanent Supplement, and leas 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 wo to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)_
Date
_Capacity Gals._
My Commission Expires Notary Public, State of Flerida
No. of S t o r i e s . . . . . . . .
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•neoessary by improper notic'a for insr 'n, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
INKS
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT' 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.
LIST
CHECK
- ---
0
Permit No I Q L/ 7
Location and Legal Description Lot__
Size Septic Tank_ __ --
Feet of Drain Tile_
Nature of Water Supply: City —Well.
STATE OIF FLORIDA, t
COUNTY OF DADE.
8s.
MIAMI SH RES VILLAGE
PLUMBING INSPECTION DEPARTMENT
a[ PLdCATB FEE 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 wo • .
J 1 1.
Owner's Name and Address No._ /— StreeC.!_
Registered Architect and /or Engineer - --------------
Employing Plumber's Namer � - � _E_ @ __ No._ /3 6 g _ _ Street
Block Subdivision ....... — __ ...
___.._.---- - - - -.. .__ - --
Street and Number where work is to be performed —No / — ' Streetk__
State work to be performed and purpose of building (By Floors) ____ -- _ - .---------- _------- __.- -__ - -.
New Building — Remodeling__— —_____ Addition____ Repairs
Type of Tank__
. Feet of Tank or Drain Field from Well ...
------------ _____ -- -_Size of Soakage Pit
Amount of Permit $_ = O b - _____ (Si c � " -!L = - -- o �,
Plumbing In. .ctor.
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 5968, Compiled General Laws of Florida Permanent Supplement, and leas 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 wo to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)_
Date
_Capacity Gals._
My Commission Expires Notary Public, State of Flerida
No. of S t o r i e s . . . . . . . .
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•neoessary by improper notic'a for insr 'n, or faulty
materials and /or workmanship.
Registered Architect and/or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. 0 7 ) 1 195 '
e -
Date..1.,..ar el i 0.
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 he kept at
building during progress of work.
Owner's Name and Address No 1 Street
Employing Plumber's Name 0 1.]_uil..;Lan. 21.b. '50 ▪ n c • No. 5 'DO Street • - ' • Ct.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No 12541 • • 9 Street
State work to be performed and purpose of building (By Floors) kaaij
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 Well
Nature of Water Sup( Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
No. of Stories ],
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that heiuriderstands and accepts his obligat' s as an employer of labor
under the Florida Workrrien's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
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 notico for inspection, or faulty
materials and/or workmanship.
CLOSETS
-rues
SHOWERS
LAVA-
TORIES
S INKS
SLOP
SINKS
LAUNDRY
TUBS
U
URINALS
RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
' .3
'
2
1
3
1
_
12
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM' G
POOL.
L111
- nek
.
CONTR.
LIST
1
1
1
CHECK
Registered Architect and/or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. 0 7 ) 1 195 '
e -
Date..1.,..ar el i 0.
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 he kept at
building during progress of work.
Owner's Name and Address No 1 Street
Employing Plumber's Name 0 1.]_uil..;Lan. 21.b. '50 ▪ n c • No. 5 'DO Street • - ' • Ct.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No 12541 • • 9 Street
State work to be performed and purpose of building (By Floors) kaaij
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 Well
Nature of Water Sup( Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
SS.
No. of Stories ],
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that heiuriderstands and accepts his obligat' s as an employer of labor
under the Florida Workrrien's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
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 notico for inspection, or faulty
materials and/or workmanship.
tot
Size Septic Tank
Feet of Drain Tile / 1/ 1
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. __`1 �- d � ' Date / `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 w h, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 2 /
Owner's Name and Address__. No. Street
Registered Architect and /or Engineer
i
1/ 2 - C, , f rt -E.
Employing Plumber's Name ` No. _ Street
Location and Legal Description Lot Block _ ,� Subdivision _.
// / 7
Street and Number where work is to be performed —No. 1__ `� c / Street
State work to be performed and purpose of building (By Floors)
New Building .- Remodeling Addition Repairs
Type of Tank----
Dist. Feet of Tank or Drain Field from Well
Size o --ert •
Capacity Gals.
No. of Stories
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 Jaws - of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em iy by him in the work to he
performed under this permit; and will post or cause to be posted for inspection on the site of the w rk such public tice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work e performed unde this permit, as are
licensed by Miami Shores Village.
ss.
/ Master Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
'o me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
if the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
herein 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
T rials 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.
LtsT
CHECK
/.2
tot
Size Septic Tank
Feet of Drain Tile / 1/ 1
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. __`1 �- d � ' Date / `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 w h, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 2 /
Owner's Name and Address__. No. Street
Registered Architect and /or Engineer
i
1/ 2 - C, , f rt -E.
Employing Plumber's Name ` No. _ Street
Location and Legal Description Lot Block _ ,� Subdivision _.
// / 7
Street and Number where work is to be performed —No. 1__ `� c / Street
State work to be performed and purpose of building (By Floors)
New Building .- Remodeling Addition Repairs
Type of Tank----
Dist. Feet of Tank or Drain Field from Well
Size o --ert •
Capacity Gals.
No. of Stories
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 Jaws - of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em iy by him in the work to he
performed under this permit; and will post or cause to be posted for inspection on the site of the w rk such public tice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work e performed unde this permit, as are
licensed by Miami Shores Village.
ss.
/ Master Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
'o me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
if the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
herein 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
T rials and /or workmanship.
Permit No. Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t 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
Employing Plumber's Name
Registered Architect and /or Engineer
_
Location and Legal Description Lot Block
Street and Number where work is to be performed —No /) 3
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Nature of Water Supply: City —Well.
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
No. h2 3
No. Street
Street
Street
f q 4/
Subdivision
r " L-
No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile J_. / Dist. Feet of Tank or Drain Field from 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 hint 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.
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
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
,
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit No. Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t 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
Employing Plumber's Name
Registered Architect and /or Engineer
_
Location and Legal Description Lot Block
Street and Number where work is to be performed —No /) 3
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Nature of Water Supply: City —Well.
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
No. h2 3
No. Street
Street
Street
f q 4/
Subdivision
r " L-
No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile J_. / Dist. Feet of Tank or Drain Field from 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 hint 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.
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
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building _
Lot
1
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE ' 195 *`
❑ PERMIT N9 4095 Contractor s
License No.
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY e
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of ,
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIQA
DATE /// f
Contractor's
License No
PERMIT N° 9065
Work to be performed undo) this Permit
Bl.
Subdi-
vision
Value of
Project $
Amt. of
Permit $
BY AUTHORITY
<� J
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. °
Signed: x'` , �.,
i., BY
INSPECTOR � a
In consideration o#r the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all, dinances and regulations
pertaining thereto and strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this pe I assume responsibility for,all work done by either, myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor
or Builder .d
Legal
Description
Lot
•
V
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 1) /? " + - / 195
Contractors •
License No
PERMIT N° 9079
Work to be performed
Bl.
er this Permit )
Subdi-
vision
te
Address of �+ Value of Amt. of
Building • '. _ s: e.. Project $ Permit $ t' `/ ,y, .:d
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings oz in the statem is or specifications and that he assumes responsibility for work
done by his agents, servants or employees. / f
Signed: -.'' / art" ,, .. BY /
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all o inances 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 pg,rioit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑ PERMIT N? 14697
PLUMBING eT
ROOFING ❑ Work to be performed under this Permit
Owner of ,....�
Building s
Architect
C,ontractor
or Builder
Legal Lot
Description
Address of
Building
/4 r
CONTRACTOR OR BUILDER
l; d ti,f"..
Subdi-
vision
Value cf
Project $
DATE
Contractor's
License No
Punt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility 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 respons • y for work
done by his agents, servants or employees.
Signed: % 4f : s " �„ BY / i, .1 ,.. :a ' 0!
INSPECTOR 4.
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, statementt 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.