307 NE 95 St (10)PERIM
BUILDING
ELECTRICAL
PLUMBING
Building r'w
Owner of \)
Architect
Contractor
or Builder
Legal Lot
1
Description
7,
Address of .,
Building
This permit is gr ted to the Contractor or
cation herefor in strict compliance with en
plans, drawings, statements or specifications'ilut
at any time if the work is not &me in
permit is granted is the understanding that
regulations pertaining to the work coveted hereb
sibility for work done by his agents, savants er
In consideration of the issuance Me me of thle
pertaining thereto and in s. A. • 0.1111k w ith
dns
In acce permit I .. - r for
CONTRACTOR OR DUILD111
isi? 4837
VILLAGE, FLORIDA
DATE
under this Permit
Subdi-
vision
Vahte of
P o'ect
pied above to construct the building
• thereto and with the understan
Contractor's
License o.
AWL of
Permit
install the equi ment or devlce desdJbed in the appli-
that the work will be perfo in compliance with my
d to and approved by the proper municipal authorities. Permit may be revoked.
or if the plans are changed without authorization. A further; condition upon which this
ed above assumes the responsibility for a thorough knowl.die of the ordinance. and
e plans or drawings or in the statements or speclhoations and that he assumes esspon-
Signed. C 1
INSPECTOR C l
to perforni the work covered hereunder in compliance with an ordinances and rej
statements or specifications submitted to the proper authorities of Miami Shwas Village.
either myself, ray agent, servant or employee.
By
BY " AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
° PERMIT N? 3838 Contractors
License No.
0
❑ Work to be performed under this Permit
s, Amount of
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 specific'3tions an at he assumes respon-
sibility for work done by his agents, servants or employees.
J
B1
CONTRACTOR OR BUILDER BY
DATE 19
Subdi-
vision
Value of
Project $
AUTHORITY
Signed. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all or ances 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 respon ibility forr all work done by either, myself, my agent, servant or employee.
ABBOT PRINT
I !
Permit 70 ;Fiti l
Application is hereby mate for the approval of the detailed statement of the plans and specifications herewith submitted for th 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, wheiher 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___04 44.4 ��f
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
State work to be perfor and {Arpose of building (
eNewrBuilding
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City -+ iit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
NOTE: A re- inspection fee of $1.00 will be made
materials and /or workmanship.
ss.
ORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPL FOR PLUMBING PERMIT r
Date /0/3/ *!
AoW
Block Subdivision
(Signed)
(Signed)
CA (/-
My Commission Expires Notary Public, State of Florida
Street__2i
Street__( ..A ___,r. /
Street and Number where work is to be performed —No Street
By Floors)
r Remodeling Addition Repairs No. of Stories
r
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for thil 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 1:)e 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.
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.
when such re- inspection is made necessary by improper notice for inspection, or faulty
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
' ZJ "
J
CHECK
I !
Permit 70 ;Fiti l
Application is hereby mate for the approval of the detailed statement of the plans and specifications herewith submitted for th 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, wheiher 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___04 44.4 ��f
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
State work to be perfor and {Arpose of building (
eNewrBuilding
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City -+ iit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
NOTE: A re- inspection fee of $1.00 will be made
materials and /or workmanship.
ss.
ORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPL FOR PLUMBING PERMIT r
Date /0/3/ *!
AoW
Block Subdivision
(Signed)
(Signed)
CA (/-
My Commission Expires Notary Public, State of Florida
Street__2i
Street__( ..A ___,r. /
Street and Number where work is to be performed —No Street
By Floors)
r Remodeling Addition Repairs No. of Stories
r
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for thil 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 1:)e 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.
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.
when such re- inspection is made necessary by improper notice for inspection, or faulty
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 --
PV
41_,..A/ ...se_14
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name _____14,. __. i_](_ No.___._.': Street..
Location and Legal Description Lot- -_e'_.
Street and Number where work is to be performed ---No
New Building Remodeling
g
CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
Size Septic Tank. Au ft/
Feet of Drain Tile. Dist. +
Nature of Water Supply: City — !
CLOSETS
J
SEPTIC
TANK
SEWER
CONN.
Amount of Permit $__ __.__7__ '
STATE OF FLORIDA,
COUNTY OF DADE.
DRAIN
FIELD
MIA
PLU
My Commission Expires
I SHORES VILLAGE
BING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
SOAKAGE
PIT
GREASE SOLAR
TRAP HEATER
_.Block
Addition
DEEP
WELL
(Signed)
+} f �+
No..__� _l Street_,llk..l� - 'S
SPRKLR.
SYSTEM
Date____
Subdivisio
Street s
State work to be performed and purpose of building (By Floors) _____ -___ .!� 47 1 '�� .
Repairs
SWIM'S;
POOL
! i
aft Type of Tank .- ___ -. _ - ' ,____ .Capacity Gals...��.
et of Tank or Drain Field from Well
Size of Soakage Pit.
Notary Public, State of Florida
No. of Stories
BATH
Tues
SINKS
SLOP
SINKS
LAUNDRY
Tues
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
Plumbing Inspecto
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 causei to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, work to be performed : r t permit, as are
licensed by Miami Shores Village.
r Plumber.
TOTAL
FIXTURES
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared – i
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 Sl.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
of
9
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Work to be
MI NI
ER
Architect
Contractor
or Builder
Legal
Description
Address of
Building
This permit is ted to contractor
application herefor in strict compliance withal
with any plans, drawings, statements or s
e revoked at any time if the work is not dose
pon which this permit is granted is the undhwtand'
the ordinances and regulations pertai to
-hat he assumes responsibility for wotlt done
In consideration of the issuance to me '.$
ns pertaining thereto and in strict
illage. In accepting this penult! asmme rebp
•
.. - ..,.
coNTRAcrOR oft WILDER
SHORES VILLAGE, FLORIDA._
DATE
Contractors
License No.
..7 f
IT N? 2397
ed under this Pe
bove to construct the building or to install the
fining thereto and with the understanding that the
ve been submitted to and approved by the proper
wi th such ordinances or if the plans are changed withou
at s4 contractor or builder named above assumes the resp
erect hereby whether shown on the plans or drawings or in
ts, servaats or employees:
Signed.
194
device described in the
be performed in compliance
ii thorities. This Permit may
A don
s or/ slliati' and
,
INBPBCTOR
form ttlrwork covered hereunder in compliance with all ordinances and
ments specifications submitted to the prol$er authorities of Wand
ei ,pyt t, servant or employee.
AUTHORITY
JOB:
BUILDING
•
•
•
•
ELECTRICAL
PLUMBING
Inspector's Report:
IMP
•
•
•
•
•
•
•
•
••
•
•
•
• •
WORK
DONE BY:
: REQUESTED
The following is ready for Inspection:
AD: •c c 7 /or
1
t
: WILL BE READY
•
•
•
•
•
•
•
•
• ▪ •
• ▪ •
•
• • •
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 io 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
Location and Legal Description Lot__
Street and Number where work is to be performed —
State work to be performed and purpose of building
New Building______________ . ___.._______ Remodeling
Nature of Water Supply: City --faIW
Amount of Permit S__ 7
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a not
NOTE: A re- inspection fee of SI.00 will be
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
47-(3
My Commission Expires
99 S
____________________ No. __. 1�__Q_J
No i.__.____ Street...__
Block
(By Floors) l AO- -6a(_C.�i!_
Addition ,Repairs No. of Stories_ 1
_ (Signed)
(Signed)
Street_
Size Septic Tank- __- __- _20- 10._- 7¢r/.c_-a____ Type of Tank ._____.__159 4e___,.____Capacity Gals
Feet of Drain Tile__.___ __ __.._______ ____________ Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
Date 7 / I/
Subdivisio
te
Plumbiif Inspect or
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 s milar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, • • work to be' performed _,s.4er this permit, as are
licensed by Miami Shores Village.
ry 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.
Notary Public. State of Florida
J.
ade when such re- inspection is made necessary by improper notice for inspection, or faulty
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SI
KS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
Z
2
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PR
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
CHECK
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 io 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
Location and Legal Description Lot__
Street and Number where work is to be performed —
State work to be performed and purpose of building
New Building______________ . ___.._______ Remodeling
Nature of Water Supply: City --faIW
Amount of Permit S__ 7
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a not
NOTE: A re- inspection fee of SI.00 will be
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
47-(3
My Commission Expires
99 S
____________________ No. __. 1�__Q_J
No i.__.____ Street...__
Block
(By Floors) l AO- -6a(_C.�i!_
Addition ,Repairs No. of Stories_ 1
_ (Signed)
(Signed)
Street_
Size Septic Tank- __- __- _20- 10._- 7¢r/.c_-a____ Type of Tank ._____.__159 4e___,.____Capacity Gals
Feet of Drain Tile__.___ __ __.._______ ____________ Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
Date 7 / I/
Subdivisio
te
Plumbiif Inspect or
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 s milar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, • • work to be' performed _,s.4er this permit, as are
licensed by Miami Shores Village.
ry 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.
Notary Public. State of Florida
J.
ade when such re- inspection is made necessary by improper notice for inspection, or faulty
Permit No_' k 0 `f
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 7 15172
3 5 ( - 1. 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 be kept at
building during progress of work.
Owner's Name and Address Gerald Turner N 3 _N E 9 5 t hstreet_ 95th Street
Registered Architect and /or Engineer W__ —_— __ -- -� - -�� ___--- - - - - -_ _ -- --
Employing Plumber's Name 0 G Lloyd _ Septic t 8. n'C S r C ? 840.1_2. _ t _ street— ..__.HELtli _ t,
Location and Legal Description Lot_____ —_____ __.__ _ — — —_ Black Subdivision
Street and Number where work is to be performed —No 40.7 N S t r P &t _ St
State work to be performed and purpose of building (By Floors) ----------------- _-------- _ - -_ --
New Building__ Remodeling Addition Re
�5 - - - -- - - --- - -__ -- B - - -- Pairs No. of Stories._ - -- -- - - -- -
Size Septic Tank _ — ___________Type of Tank
Feet of Drain Tile44___Et.......binck_garatin, Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._____ _ — ____Size of Soakage Pit
Amount of Permit $_4.
STATE OF FLORIDA,
COUNTY OF DADE.
( Signed) _
Capacity Gals
My Commission Expires Notary Public, State of Florida
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-
plier 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.
.1 .1110041,
(Signed) �.A1t�►t+i�!1•> .!
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re - inspection is made necessary by improper notice for insp 4 - n, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
S INKS
SLOP
SINKS
LAUNDRY
TUB6
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
CHICK
Permit No_' k 0 `f
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 7 15172
3 5 ( - 1. 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 be kept at
building during progress of work.
Owner's Name and Address Gerald Turner N 3 _N E 9 5 t hstreet_ 95th Street
Registered Architect and /or Engineer W__ —_— __ -- -� - -�� ___--- - - - - -_ _ -- --
Employing Plumber's Name 0 G Lloyd _ Septic t 8. n'C S r C ? 840.1_2. _ t _ street— ..__.HELtli _ t,
Location and Legal Description Lot_____ —_____ __.__ _ — — —_ Black Subdivision
Street and Number where work is to be performed —No 40.7 N S t r P &t _ St
State work to be performed and purpose of building (By Floors) ----------------- _-------- _ - -_ --
New Building__ Remodeling Addition Re
�5 - - - -- - - --- - -__ -- B - - -- Pairs No. of Stories._ - -- -- - - -- -
Size Septic Tank _ — ___________Type of Tank
Feet of Drain Tile44___Et.......binck_garatin, Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._____ _ — ____Size of Soakage Pit
Amount of Permit $_4.
STATE OF FLORIDA,
COUNTY OF DADE.
( Signed) _
Capacity Gals
My Commission Expires Notary Public, State of Florida
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-
plier 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.
.1 .1110041,
(Signed) �.A1t�►t+i�!1•> .!
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re - inspection is made necessary by improper notice for insp 4 - n, or faulty
materials and /or workmanship.
Size Septic Tank
Feet of Drain Tile_�.�,•i
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition
Amount of Permit $ 3 1_ — ( Signed) _
STATE OF FLORIDA, 1
COUNTY OF DADE.
My Commission Expires
(Signed)_ --
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. e
Owner's Name and Address ____!! s!__1 ___ Street
Registered Architect and /or En ineer —
Employing Plumber's Name -- t � -- - d A � - - - -- -- Street_
Location and Legal Description Lot____________ —______________
Subdivision- --------------------- • -----
Street and Number where work is to be performed --No ®• ___9AC St
State work to be performed and purpose of building (By Floors)________________
New Building Remodeling_
Repairs
No. of Stories.
Capacity Gals
st. Feet o' Tank or Drain Field from Well
__Size of Soakage Pit
Pl bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The 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.
Notary Public, State of Florida
Masterllumber.
NOTE: A re- inspection fee of $LOO 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
OWRB
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
~ --
CHECK
Size Septic Tank
Feet of Drain Tile_�.�,•i
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition
Amount of Permit $ 3 1_ — ( Signed) _
STATE OF FLORIDA, 1
COUNTY OF DADE.
My Commission Expires
(Signed)_ --
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. e
Owner's Name and Address ____!! s!__1 ___ Street
Registered Architect and /or En ineer —
Employing Plumber's Name -- t � -- - d A � - - - -- -- Street_
Location and Legal Description Lot____________ —______________
Subdivision- --------------------- • -----
Street and Number where work is to be performed --No ®• ___9AC St
State work to be performed and purpose of building (By Floors)________________
New Building Remodeling_
Repairs
No. of Stories.
Capacity Gals
st. Feet o' Tank or Drain Field from Well
__Size of Soakage Pit
Pl bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The 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.
Notary Public, State of Florida
Masterllumber.
NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
.7Pa
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- •------ . -LS — .___----- -_
Registered Architect and /or Engineer_
Employing Plumber's Name.6 , ..%,z._t E "75 7( 7 z A4.2 z?!fL 4E4:5. No._ ?a `- v _ -_! `� Street. 7_7 -
Location and Legal Description Lot_..___.___.____ __._.__.____ ___._ Block Subdivision
Street and Number where work is to be performed -No ` c=. 7 Pt . 7..m r- Street
State work to be performed and purpose of building (By Floors) _ _.___------ .------------ - - - - -- New Building
Size Septic Tank - - --
Feet of Drain Tile._-____
Nature of Water Supply: City-Well.
. -. - - -
My Commission Expires
Remodeling_------- ---- -__ --_ -_ Addition_
No._ 3°7 - Street_---- /V.s=.
Repairs
_Type of Tank
__Dist. Feet of Tank or Drain Field from Well
_--- _--- -. - - -- -- -_ Size of Soakage Pit
Capacity Gals
Amount of Permit $ < - -- - - - - -- (Signed)_ _ -__ -- - -- frr —_ -�
- - � -Y- - - Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands an• /cccepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws • ; 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)._ ° " • ' r `''`'
Date_ - 2 - 61-
No. of Stories_
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
SNOWF.R•
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
CATCH CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
_
.7Pa
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- •------ . -LS — .___----- -_
Registered Architect and /or Engineer_
Employing Plumber's Name.6 , ..%,z._t E "75 7( 7 z A4.2 z?!fL 4E4:5. No._ ?a `- v _ -_! `� Street. 7_7 -
Location and Legal Description Lot_..___.___.____ __._.__.____ ___._ Block Subdivision
Street and Number where work is to be performed -No ` c=. 7 Pt . 7..m r- Street
State work to be performed and purpose of building (By Floors) _ _.___------ .------------ - - - - -- New Building
Size Septic Tank - - --
Feet of Drain Tile._-____
Nature of Water Supply: City-Well.
. -. - - -
My Commission Expires
Remodeling_------- ---- -__ --_ -_ Addition_
No._ 3°7 - Street_---- /V.s=.
Repairs
_Type of Tank
__Dist. Feet of Tank or Drain Field from Well
_--- _--- -. - - -- -- -_ Size of Soakage Pit
Capacity Gals
Amount of Permit $ < - -- - - - - -- (Signed)_ _ -__ -- - -- frr —_ -�
- - � -Y- - - Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands an• /cccepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws • ; 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)._ ° " • ' r `''`'
Date_ - 2 - 61-
No. of Stories_
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 4837
Wwk to be performed under this Permit _.-,
r ,..,
,..0.--,-)
DATE > 4 :. r
�,�..� _; 194
Contractor's � � O
License No.
j4 Q.
Subdi-
vision
ate-- i ' .
° j Value of Amt. of
°'�` `' .J Project Permit . ■ Building Y � t
This permit is gr ted to the contractor or b 'lder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinance pertaining thereto and w th 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.
gn
S
• ..... ? 9 i ed INSPECTOR By
- 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 acce ti yg h4 permit I sume responsibility for all work done by either myself, my agent, servant or employee. „. ,
CONTRACTOR OR BUILDER dV !! 1 BY AUTHORITY