489 NE 95 St (6)gellitect
ontractor
Builder
3gal
eseription
3dress of
Aiding
UILDING
ECTRICAL
LUMBING
wner of
aiding
sic#i ordinances
bui lds°
aver shown on t
Sµbdi-
vsion
su er the building or to install the
h the understanding that the wo
d app roved by the p er
plans are changed w�out au th+
ve assum the r onsibi for a
ora .i ts pr
Coftraetor
tise No.
ark covered hereunder in compliance with all or
specif ications submitted to the proper authorities
ay agent, servant or employee.
This permit is : ' - to
tion herefor in strict compliance with
ns, drawings, statements or
any time if time mirk is not doss
: mit is granted is the ueaers hi
a atious pdt.inins to the wash
AIIty for work done by Me ageab,
In consideration of the isswnce
gaining thereto and in sh ict
accepting this permft I assume
n .i�
CONTRACTOR 011 f@II.DRB
194
Permit No
Amount 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 applicc �r a is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the SM.. of Florida, all ordinances of Miami Shores Village and all rules and regulation of the Building Division
of Miami Shores Village shall be complied with, whether h pacified or not. A copy of approved plans and specltcations must be kept at
building during progress of work.
Owners Name and Address
;3egistered Architect and /or Engineer ��,r►,//
p >�g bar' °; ' ....
Zm to Plumber's Name. /
Location and Legal Description Lot Block Subdivision di
Street and Number where work is to be performed —No Street..__ 13. 27.8 2 ✓....�_..._.
State work to be performed and purpose of building (By Floors) _.______....._
New Building Remodeling_-. —_______ Addition._
Size Septic Tank_ — .__._.-- - - - - -- —_ - _...Type of Tanit__ - - -- -------- -_ - -
Feet of Drain Tile._.__ c .. -- . Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. ___..______...Size of Soakage Pit
STATE OF FLORIDA, t
COUNTY OF DADE.
us.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
(Signed)_
Street.
Repair No. of Stories
Capacity Gals
My Commission Expires Notary Public, State of Florida
a bing Insp c turd
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s an employer of labor
under the Florida Workmen's Compensation Act, being Section 59138, Compiled General Laws of Florida Permanent '' p1.lement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ 1 y him in ; ` e wcrk o b-e
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such p notice ,r no'icer as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed .. a this vomit, as al dl
licensed by Miami Shores Village.
(Signed) ...
Masts Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty Lppeareo,
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 be did sign the same, and that all pacts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made' necessary by improper notice for inspection, or faulty
materials and /or workmanship.
GLOSET$
BATH
TUBS
O W[R•
SHOWERS
LAVA
TORIES
SINK•
SLOP
SINK{
LAUNDRY
Tuns
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
F IIITL•REll
CONTR.
LICT
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
II
DEEP
WILL
SPRKLR.
SYSTEM
SW IM•O
POOL
CONTR.
LIST
CHICK
Permit No
Amount 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 applicc �r a is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the SM.. of Florida, all ordinances of Miami Shores Village and all rules and regulation of the Building Division
of Miami Shores Village shall be complied with, whether h pacified or not. A copy of approved plans and specltcations must be kept at
building during progress of work.
Owners Name and Address
;3egistered Architect and /or Engineer ��,r►,//
p >�g bar' °; ' ....
Zm to Plumber's Name. /
Location and Legal Description Lot Block Subdivision di
Street and Number where work is to be performed —No Street..__ 13. 27.8 2 ✓....�_..._.
State work to be performed and purpose of building (By Floors) _.______....._
New Building Remodeling_-. —_______ Addition._
Size Septic Tank_ — .__._.-- - - - - -- —_ - _...Type of Tanit__ - - -- -------- -_ - -
Feet of Drain Tile._.__ c .. -- . Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. ___..______...Size of Soakage Pit
STATE OF FLORIDA, t
COUNTY OF DADE.
us.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
(Signed)_
Street.
Repair No. of Stories
Capacity Gals
My Commission Expires Notary Public, State of Florida
a bing Insp c turd
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s an employer of labor
under the Florida Workmen's Compensation Act, being Section 59138, Compiled General Laws of Florida Permanent '' p1.lement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ 1 y him in ; ` e wcrk o b-e
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such p notice ,r no'icer as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed .. a this vomit, as al dl
licensed by Miami Shores Village.
(Signed) ...
Masts Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty Lppeareo,
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 be did sign the same, and that all pacts
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.
Permit No Fe r Date..._ - / /e / o 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 Vlllage, 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 GR ANT)R.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By
New Building.._ -.._ ___•-- - - -... - - - -_ -- Remodeling____ __ .__ Addition
Size Septic Tank_. -. _Type of Tangy
Feet of Drain Tile 300 gg.. f Drat_ Feet of Tank or Drain Field from Well ..._.__.
Nature of Water Supply: City —WeIL Size of Soakage Pit
plied with the provisions thereof, and will require similar compliance from all contractors or s
performed under this permit; and will post or cause to be posted' for inspection on the site
required by the Act. The undersigned agrees to employ only such sub - contractors, on
licensed by Miami Shores Village.
(Signed)
No 489 Street..NE 95.. St • .. _.._ .
Registered Architect and /or Engineer — _...._ .
11 to g Fl �� Nerve G . TIT �OYfl SFPT T G TANS , Na 8 00 .,.... /t t,�NW / 1 � 1 . 1 S t . „ -..
/l � 8on and Legal pH= Lot. .�L! g 3LA Block -
Subdivision-7d ! 0(
Street and Number where work is to be performed —No 1 189 Street .- -• - NE- 9.}_•S:t.. ....... ._.. --._.
Repairs._XXX
No. of Stories .. . ... ........
— — -- — - - - - - -• -- -- ---Capacity
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 5988, Compiled General Laws of Florida Permanent Supplement, and IIHT con-
tractors employed by him in the work to lx
work such pubis •ce or notices as Err
be perf
/2W
this perinit, as
Plumber.
are
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, pereonelly appeared
to me well known, and who, being by me first duly swan, upon oath deposes and says that be 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 Expo Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made whar, aBai miaspeolb >r ead•'naoswry by bumper notice for inspection, at faulty
materials and/or walananahcp.
CLOSETS
BATH
Tu.S
SHOWERS
LAVA-
TORIES
•INKS
SLOP
mime
LAUNDRY
Tue.
URINAL/
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT 'NS
TOTAL
VIITURES
LIST
CHECK
•—
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SO LA
HEATER
DSuP
WELL
•
SYSTEM
•WIM'O
POOL
CONTn.
LIST
.--
CHECK
Permit No Fe r Date..._ - / /e / o 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 Vlllage, 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 GR ANT)R.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By
New Building.._ -.._ ___•-- - - -... - - - -_ -- Remodeling____ __ .__ Addition
Size Septic Tank_. -. _Type of Tangy
Feet of Drain Tile 300 gg.. f Drat_ Feet of Tank or Drain Field from Well ..._.__.
Nature of Water Supply: City —WeIL Size of Soakage Pit
plied with the provisions thereof, and will require similar compliance from all contractors or s
performed under this permit; and will post or cause to be posted' for inspection on the site
required by the Act. The undersigned agrees to employ only such sub - contractors, on
licensed by Miami Shores Village.
(Signed)
No 489 Street..NE 95.. St • .. _.._ .
Registered Architect and /or Engineer — _...._ .
11 to g Fl �� Nerve G . TIT �OYfl SFPT T G TANS , Na 8 00 .,.... /t t,�NW / 1 � 1 . 1 S t . „ -..
/l � 8on and Legal pH= Lot. .�L! g 3LA Block -
Subdivision-7d ! 0(
Street and Number where work is to be performed —No 1 189 Street .- -• - NE- 9.}_•S:t.. ....... ._.. --._.
Repairs._XXX
No. of Stories .. . ... ........
— — -- — - - - - - -• -- -- ---Capacity
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 5988, Compiled General Laws of Florida Permanent Supplement, and IIHT con-
tractors employed by him in the work to lx
work such pubis •ce or notices as Err
be perf
/2W
this perinit, as
Plumber.
are
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, pereonelly appeared
to me well known, and who, being by me first duly swan, upon oath deposes and says that be 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 Expo Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made whar, aBai miaspeolb >r ead•'naoswry by bumper notice for inspection, at faulty
materials and/or walananahcp.
092-s
Peru:it
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 wor �(vq /
Owner's Name and Address. - -_-_- �� _ -._ No. '1. 1--__ -. -_ Street . a te
Registered Architect and /or ngineer--__.____-____-___-_ _ _________._
ES NELSQN SEPTIG_TANK CONTRI4CTQR , ��,
Employing Plumber's Ma ' No ��� _ _.- �_ -__ -- Street_.. / -,7 ` -,-,-
Lo.ation and Legal Description Lot _.__. --_--.-_____._.___-_.__ _ Blorti
Street and Number where work is to be performed —No
State work to be performe8 and purpose of building (By Floors) --
New Building ____..... -_ _ -. - _ -__ -- Remodeling Addition._.___ _ Repairs No. of Stories... .......... .....
Size Septic Tank._.
Feet of Drain Tile._ -_ -
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 3-13
Subdivision.
Street
_Type of Tank
Dist. Feet of Tank or Drain Field from Well - .__....._.___.�.._
----- .--- .-- _ - -_ -_ Size of Soakage Pit
( Signed) _
(Si
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts � ts 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 , g ,rmed under this permit, as are
licensed by Miami Shores Village.
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.
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'neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSST3 ! BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
U RINALS
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.
LIS
CHECK
✓
_
092-s
Peru:it
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 wor �(vq /
Owner's Name and Address. - -_-_- �� _ -._ No. '1. 1--__ -. -_ Street . a te
Registered Architect and /or ngineer--__.____-____-___-_ _ _________._
ES NELSQN SEPTIG_TANK CONTRI4CTQR , ��,
Employing Plumber's Ma ' No ��� _ _.- �_ -__ -- Street_.. / -,7 ` -,-,-
Lo.ation and Legal Description Lot _.__. --_--.-_____._.___-_.__ _ Blorti
Street and Number where work is to be performed —No
State work to be performe8 and purpose of building (By Floors) --
New Building ____..... -_ _ -. - _ -__ -- Remodeling Addition._.___ _ Repairs No. of Stories... .......... .....
Size Septic Tank._.
Feet of Drain Tile._ -_ -
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 3-13
Subdivision.
Street
_Type of Tank
Dist. Feet of Tank or Drain Field from Well - .__....._.___.�.._
----- .--- .-- _ - -_ -_ Size of Soakage Pit
( Signed) _
(Si
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts � ts 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 , g ,rmed under this permit, as are
licensed by Miami Shores Village.
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.
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'neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
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 wor
Owner's Name and Addres
Registered Architect and /or
Employing Plumber's N
Location and Legal Des
New Building
Amount of Permit $__
ginee
ion Lot_
Street and Number where work is to be performed —No
Remodeling
._._ My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING i"rxMIT
�._ ''_— _ Street_ — Zer
Block_- Subdivision
Street
Type of Tank
No. _ -1 _(1_.__ - -- Street ?.f 72-f'
State work to be performed and purpose of building (By Floors)____
Addition Repairs No. of Stories.
Capacity Gals
Size Septic Tank
Feet of Drain Tile__
Nature of Water Supply: City—Well. _ ___ Size o oakage Pit
__Dist. Feet of Tank or Drain Field from Well
(Signed )-
(Si
Date /../
Plumb
Notary Public, State of Florida
Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an mployer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplem t, 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-contractor •n work to be ,. ed under jis permit, as are
licensed by Miami Shores Village. r
0!
i r
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.
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
'fuss
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TU BS
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
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LisT
CHECK
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 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 wor
Owner's Name and Addres
Registered Architect and /or
Employing Plumber's N
Location and Legal Des
New Building
Amount of Permit $__
ginee
ion Lot_
Street and Number where work is to be performed —No
Remodeling
._._ My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING i"rxMIT
�._ ''_— _ Street_ — Zer
Block_- Subdivision
Street
Type of Tank
No. _ -1 _(1_.__ - -- Street ?.f 72-f'
State work to be performed and purpose of building (By Floors)____
Addition Repairs No. of Stories.
Capacity Gals
Size Septic Tank
Feet of Drain Tile__
Nature of Water Supply: City—Well. _ ___ Size o oakage Pit
__Dist. Feet of Tank or Drain Field from Well
(Signed )-
(Si
Date /../
Plumb
Notary Public, State of Florida
Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an mployer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplem t, 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-contractor •n work to be ,. ed under jis permit, as are
licensed by Miami Shores Village. r
0!
i r
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.
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 1 i r
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_____ 'T le -- 'i� 414-v" 9 S
- - ____---- -_ -__ No. Street_. - --
Registered Architect and /or Engineer___ _ - -_�_ .�
Employing Plumber's Name 000150 t! self14 TA.)
Location and Legal Description Lot_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPL CATION FOR PLUMBING PERMIT
No._______ _____ _— Street. —_
Block
Street and Number where work is to be performed —No Street-_ -- y8 1' -- N' f •
State work to be performed and purpose of building (By Floors) __._ -__. S fT _- -._+Q� � eV __ .F 6, //
New Building ----- _-------- •-- .- _ -__ -- Remodeling— _--- __ -___ Addition-- .- _ -__ -. Repairs r
Date - - /ai4: - --10
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 Soakage Pit
Amount of Permit $ 1 °
ear
mg Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his of 4g tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen ent 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.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed)_
Capacity Gals .....
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.
M C Expir Notary Public, State of Florida
No. of Stories ....... .. .... . .
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insp or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FI %TURES
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 1 i r
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_____ 'T le -- 'i� 414-v" 9 S
- - ____---- -_ -__ No. Street_. - --
Registered Architect and /or Engineer___ _ - -_�_ .�
Employing Plumber's Name 000150 t! self14 TA.)
Location and Legal Description Lot_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPL CATION FOR PLUMBING PERMIT
No._______ _____ _— Street. —_
Block
Street and Number where work is to be performed —No Street-_ -- y8 1' -- N' f •
State work to be performed and purpose of building (By Floors) __._ -__. S fT _- -._+Q� � eV __ .F 6, //
New Building ----- _-------- •-- .- _ -__ -- Remodeling— _--- __ -___ Addition-- .- _ -__ -. Repairs r
Date - - /ai4: - --10
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 Soakage Pit
Amount of Permit $ 1 °
ear
mg Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his of 4g tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen ent 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.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed)_
Capacity Gals .....
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.
M C Expir Notary Public, State of Florida
No. of Stories ....... .. .... . .
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insp or faulty
materials and /or workmanship.
MIS SHORES VILLAGE, FLA. No
JOB
5916
ADDRESS '( 1 71 -
INSPECTION /
TIME
REMARKS :
INSPECTOR DATE
Permit No._ J - / y
Size Septic Tank_ —_ — _ _
Feet of Drain Tile o 4
Nature of Water Supply: City .WelL
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
New Building Remodeling_ Addition
_-_-__Type of Tank____
_—Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Amount of Permit $ 9 c9-Al (Signed)._ -
(Sigma)
No .L?- 9 • Street
Street_
Notary Public, State of Florida
Date-- _ —.._y -� -- (O_ - --
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 lips specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor • `�
Owner's Name and Address / •
Registered Architect and /or E
Employing Plumber's Name
Location and Legal Description Biotic Subdi ._._. _—.._
__.__.____.. - - - - --
Street and Number where work is to be performed — T g 31 _
Street
work to be performed and purpose of building (By
No. of Stories. -- - ... ..... - ._ ....
._ -.
Capacity Gals. ....
P • ing 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on • k to be performed under this permit, as are
liesnsed by Miami Shores Village.
Muter Plumber.
STATE OF FLORIDA, I
a.
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.
NOTE: A re 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
Tuns Tue6
LAVA.
TORIES
aINKE
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
Darr
WELL
BPRKLR.
SYSTEM
SWIM'O
POOL
cetera.
LIST
CHICK
Permit No._ J - / y
Size Septic Tank_ —_ — _ _
Feet of Drain Tile o 4
Nature of Water Supply: City .WelL
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
New Building Remodeling_ Addition
_-_-__Type of Tank____
_—Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Amount of Permit $ 9 c9-Al (Signed)._ -
(Sigma)
No .L?- 9 • Street
Street_
Notary Public, State of Florida
Date-- _ —.._y -� -- (O_ - --
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 lips specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor • `�
Owner's Name and Address / •
Registered Architect and /or E
Employing Plumber's Name
Location and Legal Description Biotic Subdi ._._. _—.._
__.__.____.. - - - - --
Street and Number where work is to be performed — T g 31 _
Street
work to be performed and purpose of building (By
No. of Stories. -- - ... ..... - ._ ....
._ -.
Capacity Gals. ....
P • ing 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on • k to be performed under this permit, as are
liesnsed by Miami Shores Village.
Muter Plumber.
STATE OF FLORIDA, I
a.
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.
NOTE: A re 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.
MIAMI SHORES VILLAGE, FLORIDA
° P Na 5194
❑ Work to be performed under this Permit
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building ' • Ii `
Architect
Contractor
or Builder f - / --
Legal Lot
Description
B1
f.
r
r
DATE
Contractor's
License No.
4 'Lr y 19
Subdi-
vision
Address of t I Value of 1 Amount of
Building '‘ k / / _ t . /.- 1 Project $ 1 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.
.5.,)
r
Signed. t , 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 ae
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
,
CONTRACTOR OR BUILDER BY AUTHORITY ,■ ■o,
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of ,'
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
I�I -
❑ DATE _
PERMIT N° 6171 Contractor's
License No. '
B1
Signed
Work to be performed under this Permit
L- }
1
Subdi-
vision
Value of
Project $
Amount of
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 application
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 upper- -which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or ernes and regulations
pertaining to the work covered hereby whether shown on the plans or drawings ..cr in the statem /nts or specifications and that he assumes sponsibility for work
done by his agents, servants or employees.
- BY.
BY AUTHORITY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder 16' compliance with all ordinances and regulations
pertaining thereto a� n strict conformity v�it)1, the plans, drawings, statements or specifications submitted to tl 'proper authorities of Miami Shores Village. In ac-
cepting this permit - i sumo responsibility' for 1 ork title by either, myself, my agent, servant or employee.
r
f ;ifr a J .7 i ..
tt f
CONTRA�CTCR OR BUILDER _ rte*".
Permit No y6 a
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
Registered Architect and /or ginee
Employing Plumber's Name__ AAA..L.. : ____ -_ No Street
Location and Legal Description L2 t wt_. 4 122 Block - Subdivision_lh �/
Street and Number where work is to be performed— No.__ /r 9 ">") j'_ Street •
State work to be performed and purpose of building (By Floors)
New Building P Remodeling Addition 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 Suppl City `Well * Size of Soakage Pit
Amount of Permit $
My Commission Expires 'I
_ (Signed)
No
Street
Plumbing Inspect—017.---
The undersigned applicant for this building permit does hereby certify that he erstands and accepts his o14i ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
l • �' 'faster 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
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
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
MO f ?
,yont
TOTAL
FIXTURES
CONTR.
LIST
3
..2
!
-1-----
/ U
1
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit No y6 a
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
Registered Architect and /or ginee
Employing Plumber's Name__ AAA..L.. : ____ -_ No Street
Location and Legal Description L2 t wt_. 4 122 Block - Subdivision_lh �/
Street and Number where work is to be performed— No.__ /r 9 ">") j'_ Street •
State work to be performed and purpose of building (By Floors)
New Building P Remodeling Addition 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 Suppl City `Well * Size of Soakage Pit
Amount of Permit $
My Commission Expires 'I
_ (Signed)
No
Street
Plumbing Inspect—017.---
The undersigned applicant for this building permit does hereby certify that he erstands and accepts his o14i ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
l • �' 'faster 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
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
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.
a
a
-J
w
f Y
Permit No.
d
Date r
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address t _. � _ �__ No 1 1 kg Street.P __ 4b.)
„rt..
Registered Architect and /or En ,� y F f r
Employing Plumber's y s Name _ _�_ -- - - • No._ - __ -�^- e b!
- - - - - -- -- - - -- -�-- -- -- --- -- ---- Street - - -- -- �.. L .
Location and Legal Description Lot_-- __-____ __ ......... - _._.____—. __-__ Block._ —_ Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition_. Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile /+u
Nature of Water Supply: City —Well.
Amount of Permit $
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 as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art
licensed by Miami Shores Village. ® I°''
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
Type of Tank__ Capacity Gals
Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
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 fa(
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul
materials and /or workmanship.
(Signed) - - -- --
( Signed ) _____
Street 0.4." Q
$ter Plumber.
Notary Public, State of Florida
CLOSETS
BATH
TUBS
HOWERS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tung
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
_-
CMECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No.
d
Date r
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address t _. � _ �__ No 1 1 kg Street.P __ 4b.)
„rt..
Registered Architect and /or En ,� y F f r
Employing Plumber's y s Name _ _�_ -- - - • No._ - __ -�^- e b!
- - - - - -- -- - - -- -�-- -- -- --- -- ---- Street - - -- -- �.. L .
Location and Legal Description Lot_-- __-____ __ ......... - _._.____—. __-__ Block._ —_ Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition_. Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile /+u
Nature of Water Supply: City —Well.
Amount of Permit $
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 as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art
licensed by Miami Shores Village. ® I°''
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
Type of Tank__ Capacity Gals
Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
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 fa(
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul
materials and /or workmanship.
(Signed) - - -- --
( Signed ) _____
Street 0.4." Q
$ter Plumber.
Notary Public, State of Florida
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
In consideration of the issua
pertaining thereto and in strict
In accepting t permit I ass
❑ PER
Architect
Contractor
or Builder I
Legal Lot
Description.
Address of � V r f
Building
MIAMI SHORES VILLAGE, FLORIDA
IT N? 13604
❑ Work to be Iperformed under this Permit
Signed:
Subdi-
vision
Value of
Project $
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 application
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 hare 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 responsibilie for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the ,plans or dr. i or, in the state : ents or specifications and tilt he assumes Iesponsibi7ity for work
done by his agents, servants or employees.
BY
DATR" �• - �+ Z• 195
Contractor's
License No
if■
BY
Amt. of
Permit
me of this permit I agree to p - the work covered hereunder in compliance with all ordinances a nd tons
with tide plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores 'Village
ibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY