PLUMBING474 N. E. 95th St.
"trip( F. nnito (o)
-g.- �'a�•rrnr rj -
year annual tax
/4s/
period used
/a ,b/• 5f
s °c7l
amount paid
date paid receipt #
/lo
..41001 PAID BY
�S y
✓ f
'�/ �/
/ YEA
'ANNUAL TAX
.
PERIOD USED
AMOUNT PAID
. °P°6
DATE PAID
b
NUMBER
// f
AlIFAM
„., ,/e._.-
0
1940
i '
` / _ i.
� .r i/
1941
/ L/
J / -c. - /
&43--_2,
Al. e. I / ,
1942.
l0 O0
/ .1 7 -s‘)
- 7 -J
as://
'/7' )-
5 P7
71) a e
?/61
6 ,
1 Altil.
? f
f , //t J/.... -x '
1943
/V ' o o
,
( r
1944
1945
*
/ 3-0
/../8”- a •-
/et ei'�
/d II
1946
M. 0 6
, - 0 % "'" `7/
1947
h. 0 O
IV 3 / `
-J�v /
'i
1948
1949
/a�^
9'
00
/.?'r� / -`/
/1p3/ °V7
/a - J/ 5
f/
Q
II
7'2 9
/1- 3e - (ft
a - - c5 4
/ /D F/7
/A 6/0
/7f77
1 r ii -
( o '
- - /o?•ijf
1950
LOCATION 474 lv. .;. 95th titreot
GARBAGE TAX RECORD
OWNER
LOT
BLOCK
SUBDIVISION
— 1 646 X- 1' :7 04:1
Al
gkirfr;*
r'll'20-'
Viiii----1---
Issued to
y ✓ j
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 1 d`nd
drainage work done in Miami Shores Village, Florida. 7 "'
building at r L �
For a_/ story
Fixtures
Fixtures
Sewer
*tic Tank
c1iami chores9llage
F L O S I D A
LUMBING PERMIT N9 1130
20 43
Total $
Village Plumbing Inspector
Received Payment by
r
• OWNER x
LOT
BLOCK
SUBDIVISION
g J' 7 : '
el 1 A
Issued to
For a —/story
Fixtures
Fixtures
Sewer
Y
aiami chores9llage
F L O A ID A
PLUMBING PERMIT N° 1249
to install the following described plumbing, in accordance
lations of Miami Shores Village, Florida and the State of
drainage work done in Miami Shores Village, Florida.
,
r I
!�� . �
building at '� rde.
*tic Tank / L $
with the laws, statutes and regu-
Florida, governing plumbing and
Total $
Village Plumbing Inspector
Received Payment by
Permit No Q--- -
MIAMI SHORES VILLAGE
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_a_irS___ 1? arY'_Qli,i No srl ! ____ Street f= - • t •
Registered Architect and /or Engineer
7 • L
Employing Plumber's Name :.�C�i.dU X111_ _?1'�7.�2.1._]rl�__�2._sIT 7 Street---- ____- _'.__-''- _ '- _ '- _- _
Location and Legal Description Lot — — _______ Block_____— Subdivision _____________
Street and Number where work is to be performed—No ________ __ ": __ I Street 95th St •
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition____ Repairs
Size Septic Tank Type of Tank Capacity Gals._
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $ .3-- •-Q0 - -- - --_ (Signed) - rt /
The undersigned d e _%/ � ` 1 ` `� L ' '
ed a licant for this building permit does hereby certify t hat he understands and accepts his obli ati
gn pp • g y p g paws an employer of labor
der the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
p ed 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)
ss.
No. of Stories
J'lumbing Inspector.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persona'
to me well known, and who, being by me first duly swom, upon oath deposes and says that he is the_
of the above described construction, that he has fully read the foregoing application, and that he did sign the same, and
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 wen such re- inspection is made necessary by improper notice for inspec'
materials and /or workmanship.
Master Plumber
CLOSETS
BATH
TUBS
E
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL-
kiec
1
- ..ute�r
� _
__.eai.
CONTR.
LIST
CHECK
Permit No Q--- -
MIAMI SHORES VILLAGE
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_a_irS___ 1? arY'_Qli,i No srl ! ____ Street f= - • t •
Registered Architect and /or Engineer
7 • L
Employing Plumber's Name :.�C�i.dU X111_ _?1'�7.�2.1._]rl�__�2._sIT 7 Street---- ____- _'.__-''- _ '- _ '- _- _
Location and Legal Description Lot — — _______ Block_____— Subdivision _____________
Street and Number where work is to be performed—No ________ __ ": __ I Street 95th St •
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition____ Repairs
Size Septic Tank Type of Tank Capacity Gals._
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $ .3-- •-Q0 - -- - --_ (Signed) - rt /
The undersigned d e _%/ � ` 1 ` `� L ' '
ed a licant for this building permit does hereby certify t hat he understands and accepts his obli ati
gn pp • g y p g paws an employer of labor
der the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
p ed 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)
ss.
No. of Stories
J'lumbing Inspector.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persona'
to me well known, and who, being by me first duly swom, upon oath deposes and says that he is the_
of the above described construction, that he has fully read the foregoing application, and that he did sign the same, and
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 wen such re- inspection is made necessary by improper notice for inspec'
materials and /or workmanship.
Master Plumber
UILDING
ECTRICAL
LUMBING
wner of
gilding
A n
-
CONTRACTOR' OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA t
DATE „jar._ 1
PERMIT N9 8662
Value of
Project
e buil
under
. roved
are c
sumes
awings or
. y the
ange .
e r :..
Aint. of
Permit
Work to be performed under this Per
/-4
-chitect
=tractor
Builder
:gal Lot
escription
idress of
Aiding
This perm is granted to the contractor or buil named above to onstruct
tion herefor in strict compliance with all ordinances .ertaining thereto d with th
ins, drawings, statements or specifications that may have been submit -d to and a
any time if the work is not done in compliance with such ordinances or if the pla
rmit is granted is the understanding that the contractor or buil ...named above
ulations pertaining to the work covered hereby whether slip n on the p
,ility for work done by his agents, servants or employees.
le 6
itor
Subdi-
vision
BY
Contractor's
License No.
194
g or\ to install the equipment or device described in the ap
andin
that the work will be performed in compliance with any
roper municipal authorities. This Permit may be revoked
without authorization. A further condition upon which this
onsibility for a thorough knowledge of the ordinances and
statements or specifications and that he assumes respon-
Signed' t ",, 'V;B;a
S CTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordi
staining thereto and in strict conformity with th plans, drawings, statements or specifications submitted to the proper authorities o
accepting this permit I same lresporlsibi ' r all work done by either myself, my agent, servant or employee.
antes and regulations
Miami Shores Village.
AUTHORITY
H WILL BE SUFFICIENT
:AN BE CLEARLY SHOWN
rr+
THIS SPACE FOR PLAN SKETCH
Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock con-
nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build-
ing showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in ref-
erence to same.
F
N
W
Sketch position of building and lot lines in square (which represents an entire city block) , showing on which street
the building and lot faces; also show exact locations of "Y" in street and position of lateral or srtici tank. Show
sewer and any change in direction same may make. The purpose of this plan is to have an aceur , layout of all
underground pipes for future references. ' J
•
WEST
NORTH
A
EAST
Remarks:
NORTH
SOUTH
•
In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond
with the opening shown in floor plan or ground plan on opposite page.
THIS SPACE FOR. ELEVATION SKETCH A PERSPECTIVE SKETC
`J
PROVIDED THE WORK
CLOSETS
2
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
1
1
2
1
1
8
A -244 5M 3-38
Address
I herewith submit the following plan of plumbing for approval:
Employing Plumber CITY PLUMBING COMPANY
New
For a
Dwelling
Owner or Agent
Builder or Contractor is SELF
Sewer Connections
Plan No.
MIAMI SHORES VILLAGE
Date
r ;1*
a
DIVISION OF PLUMBING INSPECTION
DEPARTMENT OF PUBLIC SERVICE
FLORIDA
Old ❑ Story CU
Store ❑
DUNNING PROPERTIES ( Rr, NOLDS
Work executed by A. J,HILD
Address
Address
Lot No. 3 & W . - Of iBlock No. 52 Subdivision MIAMI SHORES
474 N.E. 95 St
At center of St. ❑ At curb ❑
JUNE 30, 1939
, 19
Addition ❑ Remodeled ❑
Garage ❑ Apartment ❑ Hotel ❑ Office Bldg. ❑
At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
To septic tank CZ Existing bldg. drain ❑ To dry well ❑
A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information.
DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY.
ROUGH -IN INSPECTION
Ground Rough -In Rain Leader
AM P M.
Approved by
Condemned by
REMARKS
Date
SEWER INSPECTION
AM P M
Approved by
Condemned by
REMARKS
Sewer Permit No
AM P M
Approved by
Condemned by
REMARKS
Date
FINAL INSPECTION
Date: / '' d -.
v
I herewith submit the following application for a permit covering the installation
of a Septic Tank
Relaying:
Installed by :
For a (Store:
NEW: Old: Story:
(Garage wash floor:
Building has: Stores;
Owner or A_•ent:
LOT NO ��- LOCK NO. 2.
Address of work: II
No. of Plumbing Fixtures:
Size of Soakage Pit:
Additional information:
Ready for Inspection: Date:
e
APPROVED BY �'C�/',,
Remarks:
PERMIT NO. /i
• DADE COUNTY ZONING ICE
Garage:
DIVISION OF PLUMBING INSPECTION
Form #11
Apt.:
Laundry Tubs:
Nature of water supply: City: V Well:
Soakage Pit:
New:
Offices. Apts.;
SUBDIVISION
Purpose of same:
CONDE! ED BY:
Feet of drain tile/
Address:
Addition: Rbatodeled:
Hotel: Office Bldg: Res:
Waste water from a:
z
Type of tank installed: Tank capacity in iallons:
Hotel Rms;
Floor Drains:
w
Feet distant from all wells:
Time:
sz-- --
Bedrms
't
■,
•
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
CONTRACTOR,/ OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 8976
Work to be performed under this Permit
Architect
Contractor
/
or Builder
�% `, { ' 4 '
Legal Lot Bl.
Description /
Address of ) . - r:.0 Value of Amt. of
Building f� / 1 �� ! / Project 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 appli-
cation 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 $swings or in the state nknts or specifications and that he assumes respon-
,.
■
Subdi-
vision
sibility for work done by his agents, servants or employees. ; , r: f
Signed.
DATE— /
19aC
Contractor's
License No
By 'V
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the w4rk covered hereunder in compliance with all 9tdirOnces and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities o €'Miami Shores Village.
Incepting this permit I assume responsibit for all work t � done by either myself, y agent, servant or employee.
' ' ..
AUTHORITY
V
/-
Permit No .___L —_
Owner's Name and Address
Registered Architect and /or En ineer I
Employing Plumber's Name nz_) L
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 Floors)
Amount of Permit $
err
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1 1 l 4
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...„
(Signed) _ ___
Date
A_tZIZ-! (0 No Street
T' C& .r'_L!!s1_ C!^_• Street-- -- __-- -__ -__ -_
Subdivision
Street
( f.7.)C
New Building Remodeling Addition v Repairs No. of Stories
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
Plug 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.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. J
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 workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
/I�
/eo r
/-
Permit No .___L —_
Owner's Name and Address
Registered Architect and /or En ineer I
Employing Plumber's Name nz_) L
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 Floors)
Amount of Permit $
err
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1 1 l 4
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...„
(Signed) _ ___
Date
A_tZIZ-! (0 No Street
T' C& .r'_L!!s1_ C!^_• Street-- -- __-- -__ -__ -_
Subdivision
Street
( f.7.)C
New Building Remodeling Addition v Repairs No. of Stories
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
Plug 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.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. J
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 workmanship.
Permit No ) P j
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 - °_ t No. -- .�� ____ - Street-- 11 ...?.‘"g_.? ....... _ -_ -_ --
Block Subdivision ______.__._..____.
Street and Number where work is to be performed —No + N e. 9 S Street
State work to be performed and purpose of building (By Floors )_._. ___------------- _-- ____ -- _......_
Location and Legal Description Lot_______________________
New Building.--- - - -.—. Remodeling_._- -__- _ ___ Addition
Size Septic Tank-- __.________._______-_._._ —__-_— _-_--Type of Tank
Capacity Gals .......
Feet of Drain Tile 3O 13 o C __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well..__--__- ....... _________ ..... _______ .Size of Soakage Pit
Amount of Permit $_
f! _
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
doAii To
No.__.___— 41 2' . d71 __ Street. e. / f
(Signed)-
(Signed).—
Date.----- .... - -- - - - __ •- .. ......
Repairs.._ No. of Stories.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, 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.
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.
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 worlmianship.
CLOSETS
BATH
TUBE
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKB
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
()REP
WELL
SPRKLR.
SYSTEM
SW IM'CI
POOL
CONTR.
LIST
CHICK
Permit No ) P j
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 - °_ t No. -- .�� ____ - Street-- 11 ...?.‘"g_.? ....... _ -_ -_ --
Block Subdivision ______.__._..____.
Street and Number where work is to be performed —No + N e. 9 S Street
State work to be performed and purpose of building (By Floors )_._. ___------------- _-- ____ -- _......_
Location and Legal Description Lot_______________________
New Building.--- - - -.—. Remodeling_._- -__- _ ___ Addition
Size Septic Tank-- __.________._______-_._._ —__-_— _-_--Type of Tank
Capacity Gals .......
Feet of Drain Tile 3O 13 o C __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well..__--__- ....... _________ ..... _______ .Size of Soakage Pit
Amount of Permit $_
f! _
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
doAii To
No.__.___— 41 2' . d71 __ Street. e. / f
(Signed)-
(Signed).—
Date.----- .... - -- - - - __ •- .. ......
Repairs.._ No. of Stories.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, 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.
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.
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 worlmianship.
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
nE q5 .34-
Job Address
Legal Description ( Historically Designated: Yes
Owner/Lessee / Tenant ,73
1 r R
Owner's Address 4- ? 1 ► E W S�
WORK DESCRIPTION Ce_ 't ■ 1C c ,D
Square Ft. I S'bQ
Tax Folio
Master Permit #
Phone 365— C( 3 - ( �(
Contracting Co. OLL) 2- ( Address
Qualifier SS#
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL ' LUMBING ECHANICAL ROOFING PAVING FENCE SIGN
O c ) of
Estimated Cost (value)
,,
Phone
ndca 4 `'
No
Q 02. rkQn,
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do thgwork stated.
Signature of owner and/or Condo President Date
Signs of Contracto or' Owribr- Builder
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date
My Commission Expires: My Commission Expires: - -
Electrical
Date
FEES: PERMIT RADON C.C.F. NOTARY C3 — BOND
TOTAL DUE 44 7 12 ..
APPROVED:
Zoning Building
Mechanical Plumbing Engineering