PLUMBINGA -4
Permit No.id
3 / Z :7-4re
unt of 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 Shore's 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_ No Street
Registered Architect and/or Engineer
1;
Employing Plumber's Name ,k=1 e No Street_
Block £J Subdivision
Location and Legal Description Lot ...
Street and Number where work is to be performed—No. Streeq
No. of Stories
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 0 Dist. Feet of Tank or DraM Field from Well
Nature of Water Supply: Well Size of Soakage Pit
Plumbing. Insteector.
) he undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lab )
$ 3n re Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has co{-
plied ith the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
0 . ' ed by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
c o
r ed 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
1 censed by Miami Shores Village.
SS.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
( Signed )_/'
Date
Capacity Gals (5(f)
Master Plumber.
STATE OF FLORIDA, t
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.
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 worlcmariship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
/
1
CHECK
0
:-...-
'
•
r7 5
)Se
75
- '7 5
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I M ' G
POOL
kl •
CONTR.
LIST
/
/
,..,
•
CHECK
/ I N)
je".53,,
?XcC
,—
A -4
Permit No.id
3 / Z :7-4re
unt of 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 Shore's 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_ No Street
Registered Architect and/or Engineer
1;
Employing Plumber's Name ,k=1 e No Street_
Block £J Subdivision
Location and Legal Description Lot ...
Street and Number where work is to be performed—No. Streeq
No. of Stories
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 0 Dist. Feet of Tank or DraM Field from Well
Nature of Water Supply: Well Size of Soakage Pit
Plumbing. Insteector.
) he undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lab )
$ 3n re Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has co{-
plied ith the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
0 . ' ed by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
c o
r ed 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
1 censed by Miami Shores Village.
SS.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
( Signed )_/'
Date
Capacity Gals (5(f)
Master Plumber.
STATE OF FLORIDA, t
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.
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 worlcmariship.
BUILDING_
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
PERMIT N? 10379
MIAMI SHORES VILLAGE, FLORIDA
Owner of /'
Building
CONTRACTOR OR BUILDER
e performed under this Permit
4
Signed
Subdi-
vision
$ $
g or to install the equipment or device described in the
g that the work will be performed in compliance with any plans,
proper municipal authorities. This Permit may be revoked at any
ged without authorization. A further condition upon which this permit is
esponsibility for a thorough knowledge of the ordinances d regulations
the statements or specifications and that he assume •i ' fo work
Value of
Project
This permit is granted to the contractor or builder amed above to • . truct the bu'
herefor in strict compliance with all ordinances pertaini thereto and with he under
drawings, statements or specifications that may have been submitted to and approved
time if the work is not done in compliance with such ordinances or if the p ns are
granted is the understanding that the contractor or builder named above a umes th
pertaining to the work covered hereby whether shown on the plans i
done by his agents, servants or employees.
INSPECTOR
In consideration of the issuance to me i,5,,ppermit I agree to . rform the work covered hereunder in compliance with
pertaining thereto and in strict conformity with the plan$;'dr. '� •s, sta ments or specifications submitted to the proper author
In accepting this permit I assume responsibility for all work done - ther, myself, my agent, servant or employee.
By
DATE
Contractor's
License No
Amt. of
Permit
inances and gulations
s of Miami Shor Village.
AUTHORITY
y
app I e
Permit No
ST v\
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 _L _��_ ___ No. �.l _____ _ Street__' °�_E S-6
Registered Architect and /or Engineer____
Employing Plumber's Nam Lain _ ( / 6 elYea
Location and Legal Description Lot
Street and Number where work is to be performed —No
160 Street" 9LCS7 _ State work to be performed and purpose of building (By Floors)_— __—___ _Sall.- 1l°. 2-6
New .Building
Amount of Permit $
co
Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic 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
aC A_'tv(No.
Block
Addition._______ Repairs °° No. of Stories
(Signed)_
Street...1ff
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations
under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent S
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors . •loye
performed under this permit; and will post or cause to be posted' for inspection on site of the wor
required by the Act. The undersigned agrees to employ only such sub - contra . work to
licenred by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
Date_. -- /142 _ 1 9
My Commission Expires Notary Public, State of Florida
Capacity Gals
Pl ' bing Inspector.
employer of labor
ment, and has com-
him in the work to be
ublic notice or notices as are
ed under this permit, as are
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to a • ` • 'ster 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
INK
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
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 I
POOL.
CONTR.
LIST
CHECK
Permit No
ST v\
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 _L _��_ ___ No. �.l _____ _ Street__' °�_E S-6
Registered Architect and /or Engineer____
Employing Plumber's Nam Lain _ ( / 6 elYea
Location and Legal Description Lot
Street and Number where work is to be performed —No
160 Street" 9LCS7 _ State work to be performed and purpose of building (By Floors)_— __—___ _Sall.- 1l°. 2-6
New .Building
Amount of Permit $
co
Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic 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
aC A_'tv(No.
Block
Addition._______ Repairs °° No. of Stories
(Signed)_
Street...1ff
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations
under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent S
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors . •loye
performed under this permit; and will post or cause to be posted' for inspection on site of the wor
required by the Act. The undersigned agrees to employ only such sub - contra . work to
licenred by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
Date_. -- /142 _ 1 9
My Commission Expires Notary Public, State of Florida
Capacity Gals
Pl ' bing Inspector.
employer of labor
ment, and has com-
him in the work to be
ublic notice or notices as are
ed under this permit, as are
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to a • ` • 'ster 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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
❑
❑
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Owner of
Building r .
Architect
Contractor
or Builder
Legal Lot
Description II Bl
Address of
Building
N9 5281
Work to be performed under this Permit
Value of
Project $
DATE. 19
Contractor's
License No.
Subdi-
vision
Amount of 2
Permit $ ' By
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. 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 ao
cepting this Npermlt L assum t)sponsibility for cell work done by either, myself, my agent, servant or employee.
CONTRACIOR OR I}jILDER BY AUTHORITY
ASCOT
_ oHORES VILLAGE
,a-I CJEPARTMENT
305- 795 -2204
Building Inspection Request
Date ( 12 1
Type Insp'n C((1 tOr03:
/ l C 5 r^
Permit No. P V I (0 I
Name I G 1 O •
Address l C l V a s4-
Company F. Ie a 2 ` �
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
rz_c,