15 NE 95 St (5)r.r
OWNER
LOT
BLOCK
SUBDIVISION
gn
For a_i____story
Total
Received Payment by
iami cfhores9llage
F L 0 A 7 D A
PLUMBING PERMIT N° 958
Issued to ;A
to install the following describ /plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing p bing and
drainage work done in /7 Mia Shores Village, Florida. ,
, z ., .;
/1.4.- building at i f (. (M/sY{
Fixtures
Fixtures $
Sewer $_ �� 0
tic Tank $
Village Plumbing InapecIor
2,
Permit No.___ 3 7
MIAMI SHORES VILLAGE
1)/ I
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address B o n n i e _ B - ! � Lancaster No _ Street_ N _ .
Registered Architect and /or Engineer _____
Employing Plumber's Name ABC SEPTIC TANK SERVICE 3123 / N. W. 54th Street
_. —__—_ -- ----- ---- -- -•-- No.---- -_--- - - - - - Street_ __._
Location and Legal Description Lot__.__.__ ..... _ __ _ Block -- __.__.._.__..__ ___.__.. Subdivision
Street and Number where work is to be ..... Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling_ .- ___ -__ Addition -- - Repairs
No. of Stories . . . ........
Type of Tank_ Capacity Gals._
_-Dist. Feet of Tank or Drain Field from Well
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well . _ Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
251
a�
— (Si
Plumbing 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- ntractors 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 a 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 r this permit, as are
licensed by Miami Shores Village. � — ,�f
(Sig - _ � l — `�-e4,
z ��
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to adminisi : er oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
N ALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SW IM•G
POO
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
CONTR.
LIFT
-
CHECK
2,
Permit No.___ 3 7
MIAMI SHORES VILLAGE
1)/ I
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address B o n n i e _ B - ! � Lancaster No _ Street_ N _ .
Registered Architect and /or Engineer _____
Employing Plumber's Name ABC SEPTIC TANK SERVICE 3123 / N. W. 54th Street
_. —__—_ -- ----- ---- -- -•-- No.---- -_--- - - - - - Street_ __._
Location and Legal Description Lot__.__.__ ..... _ __ _ Block -- __.__.._.__..__ ___.__.. Subdivision
Street and Number where work is to be ..... Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling_ .- ___ -__ Addition -- - Repairs
No. of Stories . . . ........
Type of Tank_ Capacity Gals._
_-Dist. Feet of Tank or Drain Field from Well
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well . _ Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
251
a�
— (Si
Plumbing 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- ntractors 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 a 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 r this permit, as are
licensed by Miami Shores Village. � — ,�f
(Sig - _ � l — `�-e4,
z ��
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to adminisi : er oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. //��—
Owners Name and Address �� No.__-
-greet •s
Registered Architect and /or Engineer____ _____ —__ — ______- —
f r,
Employing Plumber's Name ' / �tLaL D c s.1 - No._— ;r-)2.,_e 4 reet___
Location and Legal Description Block
Street and Number where work is to be performed— No.___ " _� ` __ Street
State work to be performed and purpose of building (By Floors)
New Building. ._...... .__..,__....... ._. - -__ Remodeling____ Addition Repairs No. of Stories..
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date / /elle 5
Subdivision
Size Septic Tank Type of Tank_ Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well _ ____Size of Soakage Pit
7
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 a are
required by the Act. The undersigned agrees to employ only such sub - contractors, on •' to • ' performey <er thIs permit, �s teee
licensed by Miami Shores Village.
STATE OF FLORIDA, I
COUNTY OF DADE.
Master P lumber.
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
of the above described construction, that he has
therein i, !"��M } f1c cif FLORIDA at LAttG
S M COMMISSION EXPIRES DEC. 4, 196Q
U LIT H THII ELT -� iS?on�rDeRs D
sworn, upon oath deposes and says that he is the_ 42i c c -n 4- / 0 '( t 4 4—
carefully read the foregoing application, and that he did sign the 4 me, and that all facts
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 an` /or workmanship.
1
_CI,C'3Fr?'H
BATH
Tu s
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
��``�
TOTAL
XTURE6
CONTR.
L NT
CHECK
_
--
—�-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
Corm.
LIST
N
- -.
CHECK
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. //��—
Owners Name and Address �� No.__-
-greet •s
Registered Architect and /or Engineer____ _____ —__ — ______- —
f r,
Employing Plumber's Name ' / �tLaL D c s.1 - No._— ;r-)2.,_e 4 reet___
Location and Legal Description Block
Street and Number where work is to be performed— No.___ " _� ` __ Street
State work to be performed and purpose of building (By Floors)
New Building. ._...... .__..,__....... ._. - -__ Remodeling____ Addition Repairs No. of Stories..
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date / /elle 5
Subdivision
Size Septic Tank Type of Tank_ Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well _ ____Size of Soakage Pit
7
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 a are
required by the Act. The undersigned agrees to employ only such sub - contractors, on •' to • ' performey <er thIs permit, �s teee
licensed by Miami Shores Village.
STATE OF FLORIDA, I
COUNTY OF DADE.
Master P lumber.
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
of the above described construction, that he has
therein i, !"��M } f1c cif FLORIDA at LAttG
S M COMMISSION EXPIRES DEC. 4, 196Q
U LIT H THII ELT -� iS?on�rDeRs D
sworn, upon oath deposes and says that he is the_ 42i c c -n 4- / 0 '( t 4 4—
carefully read the foregoing application, and that he did sign the 4 me, and that all facts
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 an` /or workmanship.
1
1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
e
Permit No Date. �
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer__
Employing Plumber's Name i f
/
Size Septic Tank
Feet of Drain Tile
-- — - No.__._ AC
Location and Legal Description Lot______ ..... __.____ _ __ _ __ _ _Block Subdivision _ ..__..__.._._.
Street and Number where work is to be performed —No /` / Street- j `‘4.
State work to be performed and purpose of building (By Floors)_______
New Building —_ Remodeling— ________________ Addition
No.- 21 — -/ /e Z' Street
Repairs No. of Stories .. . ...
_-- _---- _--- __Type of Tank__
/C
Capacity Gals
__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._____—_ ...... ___..... __________________— ____Size of Soakage Pit
Amount of Permit $__ -_
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General. Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. 4
(Signed)_. ..2-4-L-2- / Master Plumber.
r
STATE OF FLORIDA,
COUNTY OF DADE.
(SiRned)_ � a.c.=X-.
Plumbing Inspector.
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 macte•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
1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
e
Permit No Date. �
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer__
Employing Plumber's Name i f
/
Size Septic Tank
Feet of Drain Tile
-- — - No.__._ AC
Location and Legal Description Lot______ ..... __.____ _ __ _ __ _ _Block Subdivision _ ..__..__.._._.
Street and Number where work is to be performed —No /` / Street- j `‘4.
State work to be performed and purpose of building (By Floors)_______
New Building —_ Remodeling— ________________ Addition
No.- 21 — -/ /e Z' Street
Repairs No. of Stories .. . ...
_-- _---- _--- __Type of Tank__
/C
Capacity Gals
__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._____—_ ...... ___..... __________________— ____Size of Soakage Pit
Amount of Permit $__ -_
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General. Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. 4
(Signed)_. ..2-4-L-2- / Master Plumber.
r
STATE OF FLORIDA,
COUNTY OF DADE.
(SiRned)_ � a.c.=X-.
Plumbing Inspector.
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 macte•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
comi&croa oat summit
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N ?' '4095 coutivelleell
License
Work to be performed under this Permit
Architect
Contractor
or uillder ` ? L �' .. _ i ,4 COr
Legal Lot I BL Subdi-
Desc ription vision
Address of /
/ w , ' w /
. .�' Value of
Building - •' r' ; j ••-- r ' Protect
This permit is granted to the contractor or builder named above to construct the building or to the
cation herefor in compliance with all ordinances pertaining thereto and with the undemanding that work
� drawings, or specifications that may have been subnhitted to and'' approved by tE m uoidpr
y time if the w the is not done in compliance with such ordinances or if the plans are changed w
permit is granted is the understanding that the contractor or builder named above assumes the cciposisiblity
Pertaining to the work covered hereby whether shown on the plans or
or go (be
for work done by his agents, servants or employees. r f s "
Signed: �. D q
In consideration of the issuance to me of this permit I agree to „ the work covered :l etewfder in
( thereto add in strict conformity with the plans, , , to the
accepting this peflnit I assume responsibility for an work dons • �"•:�•” -
1 MIAMI SHORES VILLAGE
,
PLUMBING INSPECTION DEPARTMENT FOR PLUMBING PERMIT
Permit No ,r; Date...7 /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. � J Iry /� �� �(
Owner' �
s Name and Address ` f" �
No. street .C/"
Registered Architect and /or Engineer
—
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floor) -..___
New Building Remodelling — __ — _.___ Addition.
Size Septic Tank_...— .--- ----- --- -- - - - - -- --Type of Tank —_
Feet of Drain Tile._ _ - - -- _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.--_— ___— .___-- ---. -- -- -__- ---Size of Soakate Pit
Amount of Permit $
My Commission Expires
N o, 1 ..�,/ ,.....m.,....., Street.
Street.
Capacity Cals.
Bloch Su vWon.._.___.___
Repair No. of Stories
(Signed) ---- -... --
-- - P t bing Ins
Notary Public, State of Florida
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations fli an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Su ement, ,d has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed b him i e ork to be
performed under this permit; and will post or cause to be posted' for inspection on the a ,f the wor such .u. notice o notic. as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on • . to f. ed u � this pettni , as are
licensed by Miami Shores Village. •
STATE OF FLORIDA,
u.
COUNTY OF DADE. b
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by hirn stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re- inapee&1ui is made•neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CLOSETS
BATH
TUB[
6NOW[RE
LAVA
Tonics
SINKS
SLOP
SINKS
LAUNDRY
Tugs
U RINALS
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN SOAKAGE
G
TRAPHHEATTEER
SOLAR
,,
1,
DEEP
W[LL
/
SPRKLR.
SYSTEM
$WIM•O
P001.
CL
/� FIICCLLD- �j ®�) P
LV C.. C-
���
LIST
T
CHECK
e00
1 MIAMI SHORES VILLAGE
,
PLUMBING INSPECTION DEPARTMENT FOR PLUMBING PERMIT
Permit No ,r; Date...7 /
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. � J Iry /� �� �(
Owner' �
s Name and Address ` f" �
No. street .C/"
Registered Architect and /or Engineer
—
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floor) -..___
New Building Remodelling — __ — _.___ Addition.
Size Septic Tank_...— .--- ----- --- -- - - - - -- --Type of Tank —_
Feet of Drain Tile._ _ - - -- _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well.--_— ___— .___-- ---. -- -- -__- ---Size of Soakate Pit
Amount of Permit $
My Commission Expires
N o, 1 ..�,/ ,.....m.,....., Street.
Street.
Capacity Cals.
Bloch Su vWon.._.___.___
Repair No. of Stories
(Signed) ---- -... --
-- - P t bing Ins
Notary Public, State of Florida
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations fli an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Su ement, ,d has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed b him i e ork to be
performed under this permit; and will post or cause to be posted' for inspection on the a ,f the wor such .u. notice o notic. as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on • . to f. ed u � this pettni , as are
licensed by Miami Shores Village. •
STATE OF FLORIDA,
u.
COUNTY OF DADE. b
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by hirn stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re- inapee&1ui is made•neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
APPLICATION FOR PLUMBING PERMIT
Permit No ` � D ate.--- .._... '7 7
Owner's Name and Address
Registered Architect and /or E
Employing Plumber's Name
Locating and Legal Description Lot. Al 4-114: ,/ 1 Street..
Street and Number where work is to be performed —No
State work to be performer and purpose of building (By Floors)__ _
New Building..-_ _— ..... ..._._.. Remodeling ____.._.._.__..__ Addition
Size Septic Tank__
Feet of Drain Tile
Nature of W er Supply:
Amount of Permit 8
My Commission Expire
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
_ Type of Tank
No.
Repairs.
Size of a Pit-__
¢ = - -_ •-
(Signed)
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.
Apt-dz
0119.111,, `7/ ( ..�... 77' .. •
. _.... _ _ ___Capacity Gals... _..
No. of Stories ...............
nut. Feet of T a n k at D r a i n F i e l d from Well. .._.__
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations s an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent S plement, and bat corn -
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employ . 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, op„work to be performed under th{s- ipgsrgit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
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
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
NOTE: A re inspection fee of 81.00 will be made whoa amok trispeeda r is mods.neossnary by improper notion for dspection, at faulty
materials and /or workmanship.
GLOESTb
BATH
Tubs
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tubb
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
'wrung.
CoNT*.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
6
TRAP
SOLAR
H HEATER
/\
f
DuP
WELL
SPRKLR
S
I SWIM'O
POOL
CONT *.
LIST
CHECK
APPLICATION FOR PLUMBING PERMIT
Permit No ` � D ate.--- .._... '7 7
Owner's Name and Address
Registered Architect and /or E
Employing Plumber's Name
Locating and Legal Description Lot. Al 4-114: ,/ 1 Street..
Street and Number where work is to be performed —No
State work to be performer and purpose of building (By Floors)__ _
New Building..-_ _— ..... ..._._.. Remodeling ____.._.._.__..__ Addition
Size Septic Tank__
Feet of Drain Tile
Nature of W er Supply:
Amount of Permit 8
My Commission Expire
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
_ Type of Tank
No.
Repairs.
Size of a Pit-__
¢ = - -_ •-
(Signed)
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.
Apt-dz
0119.111,, `7/ ( ..�... 77' .. •
. _.... _ _ ___Capacity Gals... _..
No. of Stories ...............
nut. Feet of T a n k at D r a i n F i e l d from Well. .._.__
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations s an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent S plement, and bat corn -
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employ . 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, op„work to be performed under th{s- ipgsrgit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
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
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
NOTE: A re inspection fee of 81.00 will be made whoa amok trispeeda r is mods.neossnary by improper notion for dspection, at faulty
materials and /or workmanship.
BUILDING ❑ MIAMI SHORES VILLAGIE FLORIDA
ELECTRICAL ❑ Date — 19 7
PLUMBING � PERMIT N9 8837
ROOFING ❑
❑ Work to be performed under this Permit
Owner of ,� r
Building � G A-244„6, i�4!',.:��,, _ ..�►
Architect
Contractor
or Builder �tY
Legal Lat
Description
Building of y' 9$
Building / 2,/ (o ,r
Subdi-
vision
Sq Ft
Value of 11 Amount of
Project ' 11 Permit $
This permit is granted to the contractor or builder named above to construct the buildi:ag or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or mployees.
Signed•
CONTRACTOR or BUILDER
(INSPECTOR)
BY
BY
Contractor's Q Q�
License No. �r"l
AUTHORITY
In consideration of the issuance to me of this permit gree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, dr ings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, mysylf, my agent, servant or employee.
9
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
DATE. 19
ELECTRICAL °
PLUMBING MBING PERMIT N9 . 4961 9 6 1 Contractor's
License No. 4z
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder / J " t ; }"
Legal Lot
Description Bl
. r
CONTRACTOR OR BUILDER
Work to be performed under this Permit E /
/-
,
Subdi-
vision
Address of t. i Value of 11 Amount of
Building = -
/ . 7 . " 'A -, Project $ I� 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 applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit, may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. Loll • 'l.t: INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in cd ipiiance wit Fi "C1 krintin ces 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 ao
ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
4111 SOT
Permit ;r
Permission is hereby granted
to install the following described plumbing in accordance with the
laws, statutes and regul'.tions of the State of Florida, governing
plumbing and drainage work done in Dade County, Florida.
For a gyp. it f l La (Ct i; At 1:0 {! J'/ • }wa t r'
Lot / — j 5 Block Subdivision l j..t L'la ,1
Fixtures 44
As shwon on attached approved. plans.
Fixtures Roughed. in
Fixtures Set
Sewer
Permit
Ir.uM4I SHARES VILLAGE
OFFICE OF COUNTY PLUMBING INSPECTOR
Dade County Court House
Plumbing Permit
, x
Total
A. H. NYchols, Cony P
Inspector
Miami, Fla.
19 3(P
rt f 1/,? e
-7
OWNER
LOT
BLOCK
UBDIVISIO
r
i
r
1/
/
d
f
."=r
r
,,
4/A
�te `:f (r -/
Issued to`:
Received Payment by
aiami clzores
F 1. 0 R 1 D .
PLUMBING PERMIT : � N? 960
Village Plumbing Inspector
to install the following described' `plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village,, Florida and the State of Florida, governing plumbing and
drainage work done in Miami. %ores Village, Florida.
1,
For a / story
1
t" ' .'' building at / --
Fixtures
Fixtures $
Sewer $
r / tic Tank / 4) ; $ / " } c
Total $
- GA 1 r ?
- vvoRw- AT mi\-73uck e\
No- -kr-- 1• 4
L
C R
Date 2
Issued to
41■111WANNIMIlli
Fixtures
Fixtures
Sewer
Septic Tank
alhami Jhores9llage
FLOR IID A
PLUMBING PERMIT
Total $
Received Payment by
LOT
$
r
$
N? 958
to install the ollowing describ plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the S tate of Florida, governing p bins and
drainage work done in Miami Shores Village, Florida.
For a _ / story irel building at /6 Yet . . 4
Village Plumbing Inspec /Ar
11 k
Tr
OWNER
LOT
BLOCK
-. SUBDIVISIO*
.0
..„..,,,..,
Date
Issued to
For a_t_story
Received Payment by
Aiores9111age
FLOR ID A
PLUMBING PERMIT N? 960
building at
Fixtures
Fixtures
Sewer
Septic Tank '
Total
Village Plumbing Inspector_
to install the following described plumbing, in accordance with the laws, statutes an 4 regu•
lations of Miami Shores Village, Florida and the State of Florida, governing plumb g and
drainage work done in Miami Shores Village, Florida.
16...
Permit #
Permission is hereby granted
to install the following described plumbing, in accordance with the
laws, statutes and regulations of the State of Florida, governing
plumbing and drainage work done in Dade County, Florida.
For a .f : "< At No. .�,- .�....
Lot .lock 4 Subdivits on
Fixtures
As shown on attached approved plans.
Fixtures Roughed in
Fixtures Set
Sewer
Permit P
L .+
IAII SHORES VILLAGE
OFFICE OF COUNTY PLUT:IBING INSPECTOR
Dade County Court House
Plumbing Permit
~Tot
w
Miami, Fla.
c
fr
19