PLUMBINGMIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATP 1.� ,� /« y' Z 1 _
I.CTMcAL ❑ PERMIT N? 12712 Contradoes
PLUMBING License Pio
ROOFING ❑ Work to be performed under this Permit
Owner of t
Building -- •J Z 04.
Architect
Contractor
or Builder
Legal Lot
Description.
Address of
Building
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of Amt. of
•� L . k Project $ Permit $
/
BY
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device daalbed in
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Perm may be
time if the work is not done in compliance with such ordinances or if the plane are changed without authorization. A further condition whi
granted is the understanding that the contractor or budder named above assumes the responsibility for a thorough knowledge of the o
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and thj& he assumes re
done by his agents, servants or employees.
Signed i Y1 '* . `� ++.;., 4 4. By
t m � J INSPECTOR
In consideration of the issuance to me of this permit I agree to pa6rm the work covered hereunder in compliance with all ordiaaaou
pertaining thereto and in strict conformity with the plane, drawings, statements or specifications submitted to the proper authorities of Wald
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or emeloyee.
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address. SST - t'Lli No Street
Registered Architect and /or En ine r I , fe
Employing Plumber's Name _LL.�'D�.. L . : ___e,0 - No. _2.- St[rstt_S" _ L�-__
/
Location and Legal Description Lot V Block Subdivision___ __ r !
Street and Number where work is to be performed —No.24 S /I/ i_r. Street 9 It
State work to be performed purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories____!
Size Septic Tank Type of Tank Capacity Gals.__
Peet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water $uppl ell {+ ' Size of Soakage Pit_
Amount of Permit
$
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
f D �__ • • / �� R Y
(Signed) ,�_ � .•
Plumbing Inspector.
The undersigned applicant f f this building permit does'hereby certify that he understitfids and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Date
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
Master Plumber.
NOTE: A spection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials an workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TU BS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
M/
TOTAL
FIXTURES
-
CONTR.
LIST
4
/
CHECK
/
i I 1
7 .4-
" S
7
�f,
j J v
r7
:ij
(7 t�
,
--
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
$WIM'G
POOL
p0441
!
1
r f -
I
k 0
CIt5T
LIST
CHECK
J D 0
'' Z
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address. SST - t'Lli No Street
Registered Architect and /or En ine r I , fe
Employing Plumber's Name _LL.�'D�.. L . : ___e,0 - No. _2.- St[rstt_S" _ L�-__
/
Location and Legal Description Lot V Block Subdivision___ __ r !
Street and Number where work is to be performed —No.24 S /I/ i_r. Street 9 It
State work to be performed purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories____!
Size Septic Tank Type of Tank Capacity Gals.__
Peet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water $uppl ell {+ ' Size of Soakage Pit_
Amount of Permit
$
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
f D �__ • • / �� R Y
(Signed) ,�_ � .•
Plumbing Inspector.
The undersigned applicant f f this building permit does'hereby certify that he understitfids and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Date
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
Master Plumber.
NOTE: A spection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials an workmanship.
/
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t '
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A
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3
iftiff
Lo'
BUILDING ❑
ELECTRICAL ERIN IT 12°. 12062
PLUMBING ❑
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
.0, Building
Lot
t
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device derdlied in
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will he performed in coin
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be
time if the work is not done in compliance wlth such ordinances or if the plans are hanged ut authorisation. A further condition upon wbi
granted is the understanding that the contractor or builder named above assumes the respon y for a though knowledge of the afdioanoes
pertaining to the work covered hereby whether shown on the plans or dra u ngp or in the statements or specifications and that he assumes
done by his agents, servants or employees.
Signed. ,- "'"".**‘
BO'
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances p� ee
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shoes
In accepting this permit I assume nbility for all work done bpeitlier 1f, my agent, servant of employs.
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of
Project $
BY
DAT 105—_
Contractor's
License No
Amt. of
Permit $ / (;
BY