384 NE 94 St (7)MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS, '))
INSPECTION
TIME READY
REMARKS
ck
•
N9 6388
DATE
INSPECTOR
T 8
MIAMI SHORES VILLAGE, FLA. N9 6380
JOB OR' w r I Lk) p ►�_ - 2
ADDRESS :3 S' C • ? s � $7
INSPECTION L C c-' 2 r c
r p L
TIME READY kw' • 7— i3-S
REMARKS
tA.1 is . a pm C T ,z AK 7 I
c (C
tAil
"PECTOR
a
DATE 1 i 3 �l
Permit No._I1/ ....._.__
Application is hereby made for the approval of the detailed statement of tho plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and confox -r,b,y with the i 'iilding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami S;.cres Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with whether herein specific n° ^*r A copy of approved plans and specifications must be kept at
building during progress of work. /�
Ownei s Name and Address.... 1t /_ ?i -. .__ /41e1..__. - - -- No. __, # - .2.4._ Street. 7.1 4,11— J
Registered Architect and engineer--_ __._____
Employing Plumber's i �'_�i�i" _l_,F%G
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
New Building - -__ -- _.__.._ _ -- Remodeling__ ....
._.
Size Septic Tank
Feet of Drain Tile.____
Nature of Water Supply: City— Well.---_. __._.____ ..... __ -- -Size of Soakage Pit
Amount of Permit $----- -� -� 0.0 0 -
•
MIAMI SHORES
PLUMBING INSPECTION DEPARTMEo
APPLICATION FOR PLUMBING
Date _._. 7, �.�i�_�
4128E hf No. _f c Street--12-�
Block-
2 i `f el Street Y4 s ,./.....
Floors)____ILV Lam! r.1 . ;yy_ , d 4 A
_ Addition.- .- __.._.___ Repairs No. of Stories. _
Type of Tank- - Capacity Gals
-Dist. Feet of Tank or Drain Field from Well ............._..___._
( Signed) - - �`'.
(Si
Plumbing Inspector. -..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob _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
rewired by the Act. The undersigned agrees to employ only such sub - contractors, on work to • : p formed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, t
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 cdnstruction, 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 Erpires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
RINKS
LAUNDRY
Tuff
URINALS
CATCH
BASIN
FWf R-
DRAINS
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
//
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
y�
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
tv
22
' Joc ,
Permit No._I1/ ....._.__
Application is hereby made for the approval of the detailed statement of tho plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and confox -r,b,y with the i 'iilding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami S;.cres Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with whether herein specific n° ^*r A copy of approved plans and specifications must be kept at
building during progress of work. /�
Ownei s Name and Address.... 1t /_ ?i -. .__ /41e1..__. - - -- No. __, # - .2.4._ Street. 7.1 4,11— J
Registered Architect and engineer--_ __._____
Employing Plumber's i �'_�i�i" _l_,F%G
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
New Building - -__ -- _.__.._ _ -- Remodeling__ ....
._.
Size Septic Tank
Feet of Drain Tile.____
Nature of Water Supply: City— Well.---_. __._.____ ..... __ -- -Size of Soakage Pit
Amount of Permit $----- -� -� 0.0 0 -
•
MIAMI SHORES
PLUMBING INSPECTION DEPARTMEo
APPLICATION FOR PLUMBING
Date _._. 7, �.�i�_�
4128E hf No. _f c Street--12-�
Block-
2 i `f el Street Y4 s ,./.....
Floors)____ILV Lam! r.1 . ;yy_ , d 4 A
_ Addition.- .- __.._.___ Repairs No. of Stories. _
Type of Tank- - Capacity Gals
-Dist. Feet of Tank or Drain Field from Well ............._..___._
( Signed) - - �`'.
(Si
Plumbing Inspector. -..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob _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
rewired by the Act. The undersigned agrees to employ only such sub - contractors, on work to • : p formed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, t
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 cdnstruction, 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 Erpires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty
materials and /or workmanship.
. 7 ' C1 ivr rTC _
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BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Einikker
,
Lot •;. .
Lot J ' Z.4 x
Legal
Description
Address of "
th
MIAMI
-
SHORES VILLAGE, FLORIDA
DATE A** .0iir 194_0
Contractor's ,r
License No.
PERMIT N? 1144
Work to be performed under this Permit ` z `.1
me of this
s
INSPEG"rC3R
gree to perform the work covered hereunder in compli
s , drawings, statements or specifications submitted to
1 work done by either myself, my agent, servant or
Amt. of
Permit
By
itoe...
e" . ' c)
Building
This permit is granted to the contractoz or budder named above to construct the building or to install the equipment or device described in the
?pplication 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_subnutted to and,. approved by the proper municipal authorities. This Permit may
,e revoked at any time if the work is not done in compliance with such - ordinances toc tyre plans are changed without authorization. A further condition
-pon which this permit is granted is the and itand'ng that the contractor or bu r nutted above assumes the responsibility for a rho h knowledge of
ordinances and regulations pertaining to the work covered hereby whether s wn Olans or drawuj s,„o in the a is cations and
'iat he assumes responsibility for work done by his gents, servants or emplo v —
In consideration o
ns pertainin
lage. I `�' -
With all ordinances and regula-
oper authorities of Miami Mono
AUTHORITY
MIAMI
IT A 612 su i tiOi lel I
dotes heretofore filed in this office. This permit is
conottacdon complies strictly with the plans and speei6
and with the binding ordinances and zoning laws
T =' penult may be revoked it time
l e `;plane and specifications ores v hY bull
E
PL I a
Owner of Building
Architect andjor Engineer
Contractor or Builder
Proposed Location .
This permit is Issued to
the building above described, as per
that all facts stated in the `E? a...!''' don
and compliance with the
regulations of the building d
laws, ordinances or tales and
+W'
AMOUNT
In
plans and
building • ,r
Dated
LOT
NAME
I�
ADDRISU
SWtiO/VflISOFI NO.
y, To
no Is ore filed in this ace. This permit . is :granted upon the e:p
complies strictly with the plans and oort�b* ktsd. aad it ammaritscel
and with the banding ordinances aad zoning laws 4 L iuinYShona; Ville.„ eNn; sad
This permit` may be revoked at any time upon' dta *lolation q! # 4 mid
in the plans and specifications anaathorlzed by 'the heildIng
d construction in tire::
of 'all building vuc sf tear d:,
ins the building department of ' Shame
ECTIO
PLUMBING
Owner of Building
Architect and /or Engineer
Contractor or Builder
Proposed Locati .i
This permit is issued
the baling above described; ae, p
that all facts sated in the
and compliance with the
regulations of the
laws, ordinance®
AMOYNI
In
plans and
building
Dated
ADDRESS
MIAMI
BUILDING t
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE r f 195
ELECTRICAL ❑ PERMIT IT? 11759 Contractor's
PLUMBING License No
Owner of
ROOFING [] Work to be ormed under this Permit_
l���}}
Building 04e r
Architect
Contractor
or Builder
Legal i t it
Descriptiof
Address of
Building
Lot
I
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 havje been submitted to and approved by the proper municipal authorities. This Permit may be revoked at arty
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 o i builder named above assumes the responsibility for a thorough knowledge of the ordinances and regu lations
pertaining to the work covered hereby whether shown on the plans or drawinger in the statem ts or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
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 accepting this permit I assume responsibility for all work done by either, myself my agent, servant or employee.
CO I3TRACTOR OR BUILDEtt Aumatu T
fird
Subdi-
vision
Value of
Project $
Signed • J7 e ' r4 BY Ve
INSAC: T0R
1 1
Amt. of
Permit $
•
ti 4/ I ( /?1,
friA E i zeM/
Hnnle4" °� "e-efss
nks in bars and eat or drink
30 to 45
persons
1200 gallon
septic tank
colation rate and amount of
(Authority 170C -4.12)
� R
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No k_
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 ISO.b_ Daviq
Registered Architect and/or Engineer
887
Employbsg Plumber's Name Roat.....aelatic Tank ri
••■•••••••■■••••■■•■•••••■•■•11.11.1.
P.O.Box 344 Hialealm
Location and Legal Description Lot Subdivision
9P
Street and Number per f orme d_N O 384 N. E • 4th stret
ber where work is to be Street.
State work to be performed and purpose of building (By Floors) _
New Building. Remodeling Addition
Amount of Permit $ 5.50
(Signed)
No Street_
Repairs. No. of Stories. ......
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 So./cage
(Sed 3J
Capacity Gals..._______.
. ........ _
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 Pennanent 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 penult, MS are
licensed by Miami Shores Village.
61.
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 swam, upon oath deposes and says that be is the
of the above described construction, that be has outlay read the foregoing application, and that be did slim 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 BLOB will be made whoa mob rwitrpoottaa soodo.nocnosory by Improper notice far Inspection. or faulty
materials and/or worlananahlp.
CLOSETS
BATH
Tullis
11/4
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
StWILR
CONN.
DRAIN SOAKAGE
FIELD PIT
GRICASt SOLAR
TRAP MEATIER
DEEP
WILL
BPRKLR.
SYSTEM
SWII4'0
POOL
COMM
LIST
25q2100
sq.ft.)
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No k_
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 ISO.b_ Daviq
Registered Architect and/or Engineer
887
Employbsg Plumber's Name Roat.....aelatic Tank ri
••■•••••••■■••••■■•■•••••■•■•11.11.1.
P.O.Box 344 Hialealm
Location and Legal Description Lot Subdivision
9P
Street and Number per f orme d_N O 384 N. E • 4th stret
ber where work is to be Street.
State work to be performed and purpose of building (By Floors) _
New Building. Remodeling Addition
Amount of Permit $ 5.50
(Signed)
No Street_
Repairs. No. of Stories. ......
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 So./cage
(Sed 3J
Capacity Gals..._______.
. ........ _
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 Pennanent 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 penult, MS are
licensed by Miami Shores Village.
61.
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 swam, upon oath deposes and says that be is the
of the above described construction, that be has outlay read the foregoing application, and that be did slim 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 BLOB will be made whoa mob rwitrpoottaa soodo.nocnosory by Improper notice far Inspection. or faulty
materials and/or worlananahlp.
BUILDING
ELECTRICAL
PLUMBING
Owner of 1
Building �-�
Work to be performed
1/ 1/ )
3ec Li)/ 6
t\
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 6
ERMIT N9 3097
nder this Perini
gAd
Contractor's
Licens
Amt. of /w
Permit
awIngs r in the stateme
Architect
Contractor
or Builder
Legal
Description
Address of
Building
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or devicb 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 submits .•.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 ordina if the plans are c : nged without authorizati : n. 'A ther condition
upon which this permit is granted is the understanding that the contractor orb above as �t es the responsibility for th Jt nowled of
the ordinances and regulations pertaining to the wen* covered hereby whether s o F ns • r to
that he assumes responsibility for work done by his agents servants or employee r
Signed.
By f . •
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform t ork covered hereunder in compliance with' all ordinances and reply
tions pertaining thereto and in strict conformity with the plans, drawings, star- nts or specifications submitted to the proper authorities of Miami Shorn
Village. In accepting this permit I assume responsibility fbr all work done by elt pr myself, my agent, servant or employee. -
AUTHORJTT
194
5 • 'ons nd
BUILDING 0 MIAMI SHORES VILLAGE, FLORIDA
Date 1 " Le. 191: . .
ELECTRICAL ❑
PLUMBING It PERMIT N° 8197 Contractor's .�,, Z 7 r*",
ROOFING ❑ License No.
❑ Work to be performed under this Permit
Owner of --
Building $4. • C. Ore $4...E. �..
Architect
Contractor
or Builder 1/� 3 t1 r` ‘z: [
r' /t
Legal Lot
Description I BI
Address of `
Building tl 41 C� f 7
tTV �-
This pertnit 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 shpwn on the plans or ngs or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or eJttployees.
/ f
Signed•
• r.. 19r.—•
am .
D c 1 . he • 1' !
Subdi-
vision
Sq. Ft.
Value of I I Amount of
Project $ II Permit $
a
BY
In consideration of the issuance to me of this permit I agree rform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings ements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume rer nsibility for all work don- .y either, myself, my a se ant or employee.
.f" ripits.
ONTRAC'FOR or BUILIj R BY AUTHORITY
HUILDING
:LECTRICAL
'LUMBING
iOOFING
CONTRACTOR OR BU3LDER
MIAMI SHORES VILLAGE. FLORIDA
❑
❑ DATE J '
PERMIT N? 5808
❑ Work to be performed under this Permit
Owner of
Huilding { , ?
Architect
Contractor (:
or Builder
Legal Lot
Description — BI
Address of ; /
Building
, i ' f
Subdi-
vision
Value of
Project
,
/4
Contractors
License No. '
195
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 upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough nowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the ytements or specifr ' ns aril at he assumes responsibility for work
done by his agents, servants or employees. r., //
Signed.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered ereunder 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
t
BY AUTHORITY
6
New Building
Registered Architect and /or Engi eer
Employing Plumber's Name
Location and Legal Descriptio ot___
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. Date ff /'___- _l
Application is hereby made for the approval of the detailed statement of the plans and specifications herewitYa/submitt 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 dr not A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.. .lt " � No Street
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Rig Addition_
Size Septic Tank /- 5-.6 C
i
Feet of Drain Tile Z.5 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
i t L(
Amount of Permit $ t p ------- - - - - -- (Si
No. 7 b - Street4/ `r 7 /
Block Subdivision_
e ' Street 9 y
Repairs _. No. of Stories
Type of Tank___- Capacity Gals
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 are
licensed by Miami Shores Village.
( Signed)
My Commission Expires Notary Public, State of Florida
er Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
. % `
/
TOTAL
FIXTURES
CONTR.
LIST
�(
Z
/
2
CHECK
1 '7r
7,-
0
44r-
,,
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
/
/
— /
CHECK
I.
New Building
Registered Architect and /or Engi eer
Employing Plumber's Name
Location and Legal Descriptio ot___
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. Date ff /'___- _l
Application is hereby made for the approval of the detailed statement of the plans and specifications herewitYa/submitt 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 dr not A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address.. .lt " � No Street
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Rig Addition_
Size Septic Tank /- 5-.6 C
i
Feet of Drain Tile Z.5 Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
i t L(
Amount of Permit $ t p ------- - - - - -- (Si
No. 7 b - Street4/ `r 7 /
Block Subdivision_
e ' Street 9 y
Repairs _. No. of Stories
Type of Tank___- Capacity Gals
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 are
licensed by Miami Shores Village.
( Signed)
My Commission Expires Notary Public, State of Florida
er Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that 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.
REQUEST FOR INSPECTION
Company • ',C3,-'� -+
jobs `/■)
Address
Inspection
PHONE
Time Ready A.M. P.M.
Q�
Date Ready l� �
APPLICATION FOR PLUMBING PERMIT
Permit No /
Owner's Name and Address * No
Registered Architect and /or Engineer _ _______
Employing Plumber's Name
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Size Septic Tank Type of Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $_
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No.
(Signed)
(Signed)
Street
Size ,of Soakage Pit._
Notary Public, State of Florida
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.
Street
Street -._ — — -- — .
Subdivision —___ __f __��_ —_�__
New Building Remodeling Addition Repairs No. of Stories
Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
The undersigned applicant for this building permit does hereby certify that he un.erstands and accepts his obi' ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
nspector.
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
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
SPRKLfi.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
t'
APPLICATION FOR PLUMBING PERMIT
Permit No /
Owner's Name and Address * No
Registered Architect and /or Engineer _ _______
Employing Plumber's Name
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Size Septic Tank Type of Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $_
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
No.
(Signed)
(Signed)
Street
Size ,of Soakage Pit._
Notary Public, State of Florida
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.
Street
Street -._ — — -- — .
Subdivision —___ __f __��_ —_�__
New Building Remodeling Addition Repairs No. of Stories
Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
The undersigned applicant for this building permit does hereby certify that he un.erstands and accepts his obi' ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
nspector.
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.- l�I /14
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be tom
building during progress of work.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PE
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Fl da, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
cified . not. A copy of approved plans and specifications must kept at
Owner's Name and Address _ —__-
Registered Architect and /or Eng
Employing Plumber's Na, - ,. Ile — - -- - -- 4e;_"'"
Location and Legal Description Lot_ —:_ /" 2` r s
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
Size Septic Tank_________.__ Type of Tank._
Feet of Drain Tile_______ ___________________________ Dist. Feet of Tank or Drai Field from Well
Nature of Water Supply: City —Well
Amount of Permit $
appeared
NOTE:
materials and /or
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a
15.
My Commission Expires
notary public, duly
(Sign
authorized to administer oa hs
Notary
M IT
Date
,1
Street_ e 1_
Street
Street
Subdivision__:
Repairs_______ __ __ No. of Stories_—___ —_
Capacity Gals._
Y / j
> ,.t • Spector.
The undersigned applicant for this building permit does hereby certify that he u <erstands and a c epts his ob_i. ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma 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 s .ublic notice or
required by the Act. The under signed agrees to employ only such sub - contractors, on wo — ! ifD ed under his
licensed by Miami Shores' Village.
and take acknowledgments, personally
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is he
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.
ublic. State of Florida
lum •e
es as are
as are
,fee tak will be made when such re- inspection is made necessary by improper notice for inspection, or)ulty
CLOSETS
BATH
TVeS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
URINALS
CATCH
BASIN
,IOOR
LA IN
g
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CNSCK
•
SEFPtC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
CHECK
Permit No.- l�I /14
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be tom
building during progress of work.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PE
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Fl da, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
cified . not. A copy of approved plans and specifications must kept at
Owner's Name and Address _ —__-
Registered Architect and /or Eng
Employing Plumber's Na, - ,. Ile — - -- - -- 4e;_"'"
Location and Legal Description Lot_ —:_ /" 2` r s
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
Size Septic Tank_________.__ Type of Tank._
Feet of Drain Tile_______ ___________________________ Dist. Feet of Tank or Drai Field from Well
Nature of Water Supply: City —Well
Amount of Permit $
appeared
NOTE:
materials and /or
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a
15.
My Commission Expires
notary public, duly
(Sign
authorized to administer oa hs
Notary
M IT
Date
,1
Street_ e 1_
Street
Street
Subdivision__:
Repairs_______ __ __ No. of Stories_—___ —_
Capacity Gals._
Y / j
> ,.t • Spector.
The undersigned applicant for this building permit does hereby certify that he u <erstands and a c epts his ob_i. ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma 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 s .ublic notice or
required by the Act. The under signed agrees to employ only such sub - contractors, on wo — ! ifD ed under his
licensed by Miami Shores' Village.
and take acknowledgments, personally
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is he
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.
ublic. State of Florida
lum •e
es as are
as are
,fee tak will be made when such re- inspection is made necessary by improper notice for inspection, or)ulty
Permit No r✓` _"
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.
My Commission Expires
Owner's Name and Address
Registered Architect and /or Engin
Employing Plumber's Name )
Location and Legal Description Lot___ 2 3- 14 Block
Street and Number where work is to be performed —No
r
New Building Remodeling_____ Addition
Size Septic Tank Type of Tank
No Al 7
4
(Signed)
• " No.
r
vv
State work to be performed and purpose of building (By Floors)
Repairs X No. of Stories
Capacity Gals.
07 b
Date - -- - - — - - --
r
Street_g
r �
Street
Subdivision_ - 2 _L
Street __ — a._
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 $ it .1 S (Signed) __„!" ;CIA _.?t= -1''' - ,-•••••(--' ----- - - - - --
.,..+'' 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 under signed agrees to employ only such sub - contractors, on wprk to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
ss.
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
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
CONTR.
LIST
"►`/
- ;'
/ FIXTURES
I �' T .,�
, , :2.4—
CHECK
__
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No r✓` _"
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.
My Commission Expires
Owner's Name and Address
Registered Architect and /or Engin
Employing Plumber's Name )
Location and Legal Description Lot___ 2 3- 14 Block
Street and Number where work is to be performed —No
r
New Building Remodeling_____ Addition
Size Septic Tank Type of Tank
No Al 7
4
(Signed)
• " No.
r
vv
State work to be performed and purpose of building (By Floors)
Repairs X No. of Stories
Capacity Gals.
07 b
Date - -- - - — - - --
r
Street_g
r �
Street
Subdivision_ - 2 _L
Street __ — a._
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 $ it .1 S (Signed) __„!" ;CIA _.?t= -1''' - ,-•••••(--' ----- - - - - --
.,..+'' 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 under signed agrees to employ only such sub - contractors, on wprk to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
ss.
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.
CLIFF MARR
OWNER
MARR PLUMBING COMPANY
INSTALLATIONS and REPAIRS
Salar Heaters — Septic Tanks
1137 N. W. 40tH STREET
MIAMI. FLORIDA
/ 1
, 4 4
f
• •
1111
• ) '
f .
/ 0 e)
Permit No 6,/ 4 V - Date 7 _ _
Application is hereby made for the approval y pproval 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 ______
2 - ;iifzixt No. Street
Location and Legal Description Lot— _i 2 3
Block u
Street and Number where work is to be perform/ e d —No.
State work to be performed and purpose of building (By Floors)
New Building Remodelii g Addition
Size Septic Tank
Feet of Drain Tile l:
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Before me, the undersigned
appeared
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1 No Street__
Street
Subdivision_
Type of Tank K �seQl� M r�� ____Capacity Gals ✓ 0 O '
Dist. Feet of Tank or Drain Field from Well
(Signed)
authority, a notary public, duly
Nature of Water Supply: Ci —Well Size of Soakage Pit._
V
10-21t7
Repairs ' No. of Stories l_____
Amount of Permit $_ -i 4$ "•" 1 " . " - ±
The undersigned applicant for this bu 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 e by him in to be
performed under this permit; and will post or cause to be posted for inspection on the sit t'; ch u lic': •t ' 'o notices are
required by the Act. The under signed grees to employ only such sub - contractors, o work►, xe peer this permit, u are
licensed by Miami Shores Village.
Plumbing Inspector.
authorized to administer oaths and take acknowledgments, personally
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
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.
xpires
Notary Public, State of Florida
CLOSETS
BATH
Tues
SHOWERS
LAVAL.
TORIES
SLOP
SINKS SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAK GE
PI
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
I
J
/
/
CHECK
Permit No 6,/ 4 V - Date 7 _ _
Application is hereby made for the approval y pproval 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 ______
2 - ;iifzixt No. Street
Location and Legal Description Lot— _i 2 3
Block u
Street and Number where work is to be perform/ e d —No.
State work to be performed and purpose of building (By Floors)
New Building Remodelii g Addition
Size Septic Tank
Feet of Drain Tile l:
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Before me, the undersigned
appeared
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1 No Street__
Street
Subdivision_
Type of Tank K �seQl� M r�� ____Capacity Gals ✓ 0 O '
Dist. Feet of Tank or Drain Field from Well
(Signed)
authority, a notary public, duly
Nature of Water Supply: Ci —Well Size of Soakage Pit._
V
10-21t7
Repairs ' No. of Stories l_____
Amount of Permit $_ -i 4$ "•" 1 " . " - ±
The undersigned applicant for this bu 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 e by him in to be
performed under this permit; and will post or cause to be posted for inspection on the sit t'; ch u lic': •t ' 'o notices are
required by the Act. The under signed grees to employ only such sub - contractors, o work►, xe peer this permit, u are
licensed by Miami Shores Village.
Plumbing Inspector.
authorized to administer oaths and take acknowledgments, personally
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
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.
xpires
Notary Public, State of Florida
•
Permit No.
D9 9
Amount of Permit
My Commission Expires
re-inspection fee of $ .00
will 1LtL
94
No
(Signed) _
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.
_(Signed) ,_
Notary Public. State of Florida
Street!__ __ ,e__ 2 (�3+" -� -
Owner's Name and Address —1 .
F .
Registered Architect and /or Engin r .. ________�I liR Employing Plumber's Narne No._I 2 __ _! _ L' L________. Street____Q a' �
Location and Legal Description Lot___.1 ^_i �_ _______Block Subdivision _ 7i
Street and Number where work is to be performed —No. 3_-g L a l_lt ____ ___________________ Street I_ �� - - -_
State work to be performed and purpose of building (By Floors)
New Building Remodeli Addition Repairs_____ �___ No. of Stories
I
Size Septic Tank I 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.
,7SI
1
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 po 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, on w•rk to be performed under this permit, as are
licensed by Miami Shores Village.
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA, ,
t as.
COUNTY OF DADE.
Before me, the undersigned authoy a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by ml 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 -insp be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
Tu s
SHOWERS
LAVA-
TORIESI
SINKS
SLOP
SINKS
LAUNDRY
Tues
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTuna
CONTR.
LIST
1
I
Z
/ /
31ter
CHECK
I
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT!
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL.
CONTR.
LIST
1
CHECK
1
•
Permit No.
D9 9
Amount of Permit
My Commission Expires
re-inspection fee of $ .00
94
No
(Signed) _
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.
_(Signed) ,_
Notary Public. State of Florida
Street!__ __ ,e__ 2 (�3+" -� -
will 1LtL
Size Septic Tank I 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.
,7SI
1
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 po 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, on w•rk to be performed under this permit, as are
licensed by Miami Shores Village.
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA, ,
t as.
COUNTY OF DADE.
Before me, the undersigned authoy a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by ml 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 -insp be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Date
Time
PLUMBING - I2,fSPECTION
Work done by
Iq
, •
t?
, ,
Address of work 4. i 2 /Ai 42'
I ■ .
>■,. I : /
-
Owner /
(,2 ,,,,
Se /
ptic Tank 4 LI ' Q /
,...ev er
•
1 11.—
Penult
Drainfield k ' Gas
Plumbing - Final Rcuath Top out
When ready AM PM
Received by
Permit N___1__�.[+'
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.
r r
Owner's Name and Address l i ` ' tit-` . ' No. Street
Registered Architect and /or Engineer i - __ ____—
3 �r
Employing Plumber's Name ' -6.-,- • t "-'1` 1 xt �.t. No Street____ ___________
Location and Legal Description Lot____L ' f . Z . Y Block Subdivision _JP ' "+ '
Street and Number where work is to be performed —No. ° Street •" . !/' — __
/ t: �
Amount of Permit $- I
STATE OF FLORIDA,
COUNTY OF DADE.
Before me,
ss.
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Type of Tank _ sth { ast
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition_
Size Septic Tank
Feet of Drain Tile "1► Dist. Feet of Tank or Drain Field from Well
1 w
Date
Nature of Water Supply: Ci — Well.____. Size of Soakage Pit
Repairs / No. of Stories /
Capacity Gals._____________c_
__________
(Signed) ----- ---- - --- -- — - — `--- -�_ &if--- -- - - --
----------------------
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 enlployejl.by him in t. to be
performed under this permit ; and will post or cause to be posted for inspection on the site,,ctri h • ublic ; npt' 'o notices s are
required by the Act. The under signed agrees to employ only such sub-contractors, o work ' :this permit, as are
licensed by Miami Shores Village.
4 0, - *„.0 111617. 41iiiir
Notary Public. State of Florida
Master lumber.
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
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
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
/
CHECK
Permit N___1__�.[+'
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.
r r
Owner's Name and Address l i ` ' tit-` . ' No. Street
Registered Architect and /or Engineer i - __ ____—
3 �r
Employing Plumber's Name ' -6.-,- • t "-'1` 1 xt �.t. No Street____ ___________
Location and Legal Description Lot____L ' f . Z . Y Block Subdivision _JP ' "+ '
Street and Number where work is to be performed —No. ° Street •" . !/' — __
/ t: �
Amount of Permit $- I
STATE OF FLORIDA,
COUNTY OF DADE.
Before me,
ss.
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Type of Tank _ sth { ast
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition_
Size Septic Tank
Feet of Drain Tile "1► Dist. Feet of Tank or Drain Field from Well
1 w
Date
Nature of Water Supply: Ci — Well.____. Size of Soakage Pit
Repairs / No. of Stories /
Capacity Gals._____________c_
__________
(Signed) ----- ---- - --- -- — - — `--- -�_ &if--- -- - - --
----------------------
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 enlployejl.by him in t. to be
performed under this permit ; and will post or cause to be posted for inspection on the site,,ctri h • ublic ; npt' 'o notices s are
required by the Act. The under signed agrees to employ only such sub-contractors, o work ' :this permit, as are
licensed by Miami Shores Village.
4 0, - *„.0 111617. 41iiiir
Notary Public. State of Florida
Master lumber.
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.
MI
Permit No."... 9.3 5
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 isl, 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
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
AMI SHORES VILLAGE
Employing Plumber's Namf,._‘_L :�___:__ 407#
Date__
--
No. w _ L Street__ ___�l,�C_
No .- --- ------- -- - -
Location and Legal Description Lot_ —_ /_ 7 ?_ _.�} � p L )1 >, Street
Subdivision_ �}
o/
Street and Number where work is to be performed —No T
3 DI
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories__________
Size Septic Tan) _____ v ________________! _______ 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._
•
Amount of Permit 5_____U Q (Signed)
The undersigned applicant for this building permit does hereby certify that
under the Florida Workmen's Compensation Act, being Section 5966, Compile 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
understands and accepts is obligations
Notary Public. State of Florida
as an employer of labor
STATE OF FLORIDA,
ss.
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. j
My Commission ixpires
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
S
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
I
CHECK
SEPTIC
TANK
SEWER DRAIN OAKA
CONN. FIELD P ,
r
_ - EASE
RAP
SO
HE
f
R
E
��
DEEP
WELL
/PRKLR.
YSTEM
SWIMG
POOL
CONTR.
LIST
/4!
CHECK
MI
Permit No."... 9.3 5
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 isl, 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
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
AMI SHORES VILLAGE
Employing Plumber's Namf,._‘_L :�___:__ 407#
Date__
--
No. w _ L Street__ ___�l,�C_
No .- --- ------- -- - -
Location and Legal Description Lot_ —_ /_ 7 ?_ _.�} � p L )1 >, Street
Subdivision_ �}
o/
Street and Number where work is to be performed —No T
3 DI
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories__________
Size Septic Tan) _____ v ________________! _______ 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._
•
Amount of Permit 5_____U Q (Signed)
The undersigned applicant for this building permit does hereby certify that
under the Florida Workmen's Compensation Act, being Section 5966, Compile 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
understands and accepts is obligations
Notary Public. State of Florida
as an employer of labor
STATE OF FLORIDA,
ss.
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. j
My Commission ixpires
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.
JOB: u ,
BUILDING
ELECTRICAL
PLUMB' NB
Inspector s Report :-
A Dr;
:
. .
. .
. .
• • - d OR ii
Od'''-- . r
• • ,e_te.1,tiet,
] 'ili' TESTED : W BE READY
i,2 5 6 •
The following is ready for inspection:-
. ft
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No... / _ 9.--
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 En sneer �_
Employing Plumber's Nam :�__ lY y9__4._ i No /_ - _- 6 - 1 ----- --- - - -- __ - -_
Location and Legal Description Lot____ !d 7 __ _Block l I p _ Subdivision 'N ..
Street and Number where work is co be perform 3
ed— No. 11 9 '______ Street
State work to be performed and purpose of bt>lilding (By Floors)
New Building_____________.. Remodeling Addition Repairs No. of Stories
Size Septic Tank_____ __ Type of Tank
Feet of Drain Tile___.______ _________ _____ _ __ iDist. Feet of Tank or Drain Field from Well_______
Nature of Water Supply: City —Well ! Size of Soakage Pit
O
Amount of Permit $__ C 4 (Signed)
The undersigned applicant for this building permit does hereby certify that understands and accepts is 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 I 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 under signed 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,
ss.
COUNTY OF DADE.
Before me, the undersigned
appeared
authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
No _ ______. C EStreet _____�L
Date_ 7/2 __- %_C L _
Notary Public. State of Florida
Capacity
Plumbing Inspector.
(Signed) _____ -
ster Plumber.
to me well known, and who, being by mei 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
NOTE: A re- inspection fee of $1100 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- i
TORIES r
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
l
1
SEPTIC
TANK
SEWER
CONN.
DRAIN
IELD
SOA
PIT ��
,
REASE
TRAP
SO A DEEP
H WELL
/
YS,M
SWIMG
POOL
CONTR.
LIST
.
/
MP/
/' diprio
Air
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No... / _ 9.--
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 En sneer �_
Employing Plumber's Nam :�__ lY y9__4._ i No /_ - _- 6 - 1 ----- --- - - -- __ - -_
Location and Legal Description Lot____ !d 7 __ _Block l I p _ Subdivision 'N ..
Street and Number where work is co be perform 3
ed— No. 11 9 '______ Street
State work to be performed and purpose of bt>lilding (By Floors)
New Building_____________.. Remodeling Addition Repairs No. of Stories
Size Septic Tank_____ __ Type of Tank
Feet of Drain Tile___.______ _________ _____ _ __ iDist. Feet of Tank or Drain Field from Well_______
Nature of Water Supply: City —Well ! Size of Soakage Pit
O
Amount of Permit $__ C 4 (Signed)
The undersigned applicant for this building permit does hereby certify that understands and accepts is 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 I 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 under signed 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,
ss.
COUNTY OF DADE.
Before me, the undersigned
appeared
authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
No _ ______. C EStreet _____�L
Date_ 7/2 __- %_C L _
Notary Public. State of Florida
Capacity
Plumbing Inspector.
(Signed) _____ -
ster Plumber.
to me well known, and who, being by mei 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
NOTE: A re- inspection fee of $1100 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No.._ ____ ___
Owner's Name and Address" ` -�'� i_`�_ �T-_
Registered Architect and /or Engineer
Street and Number where work is to be
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 Stare 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.
Employing Plumber's Name 1 ____
Location and Legal Description Lot__ Block
performed—No
Date___
r
Street ' I LI
State work to be performed and purpose of building (By Floors)
New Building_____.____ Remodeling Addition Repairs No. of
Size Septic Tank___
Feet of Drain Tile________
._ _mil_______________ Dist. Feet of Tank or Drain Field from Well_______________
Nature of Water Supply: City —Well. Size of Soakage Pit
1
P „r ing Ins • or
The undersigned applicant for this building permit does hereby certify that he nderstands and accepts his obligations a 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Type of Tank .__ '� � ' s r• +"'c
Amount of Permit $__ _ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. as.
Before me, the undersigned
authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared — 1
--Capacity i O CS ._________ Gals
(Signed) - -_- --_--- i_____---- ---- --�____�__
Master Plumber.
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
TUGS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
/
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
y PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
P001.
CONTR.
LIST
/V
//
CHECK
Permit No.._ ____ ___
Owner's Name and Address" ` -�'� i_`�_ �T-_
Registered Architect and /or Engineer
Street and Number where work is to be
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 Stare 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.
Employing Plumber's Name 1 ____
Location and Legal Description Lot__ Block
performed—No
Date___
r
Street ' I LI
State work to be performed and purpose of building (By Floors)
New Building_____.____ Remodeling Addition Repairs No. of
Size Septic Tank___
Feet of Drain Tile________
._ _mil_______________ Dist. Feet of Tank or Drain Field from Well_______________
Nature of Water Supply: City —Well. Size of Soakage Pit
1
P „r ing Ins • or
The undersigned applicant for this building permit does hereby certify that he nderstands and accepts his obligations a 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Type of Tank .__ '� � ' s r• +"'c
Amount of Permit $__ _ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. as.
Before me, the undersigned
authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared — 1
--Capacity i O CS ._________ Gals
(Signed) - -_- --_--- i_____---- ---- --�____�__
Master Plumber.
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. ._ r
Owner's Name and Address
Amount of Permit $_ 2
STATE OF FLORIDA,
COUNTY OF DADE.
appeared
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 oi 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.
St _ _S. 1_. No .. _- 1
Registered Architect and /or Engineer - __�__
Employing Plumber's Name - a --__- _ --_ -- ___ _ No.L t_e _ I . N Street_-_ A-I--_
Location and Legal Description Lot____ _L ______ Block Subdivision_______—_________
Street and Number where work is to be per —No__
State work to be performed and purpose df building (By Floors)
New Building_ Remodeling Addition Repairs ____ No. of Stories__ ______
Size Septic Tank__.__ a Type of Tank . Nvt""401111 _____________Capacity Gals.__!_ e
Felt of Drain Tile__ .... __ __. Disc. Feet of Tank or Drain Field from Well__
Nature of Water Supply: City —Well Size of Soakage Pit.____
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed] agrees to employ only such
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when such
materials and /or workmanship.
-r- -- - -- -- (Signed) --
rtify that he "1 nderstands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplemept, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
Street C t+!
Notary Public. State of Florida
Street ( kV* Agt
Master Plumber.
ing In or.
\-*N.L0-04 &Zuti-
authorized to administer oaths and take acknowledgments, personally
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.
re- inspection is made necessary by improper notice for inspection, or faulty
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
., RINALS
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN SOAKAGE
FIELD ' PIT
V
j
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
-
CONTR.
LIST
L
CHECK
1
Permit No. ._ r
Owner's Name and Address
Amount of Permit $_ 2
STATE OF FLORIDA,
COUNTY OF DADE.
appeared
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 oi 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.
St _ _S. 1_. No .. _- 1
Registered Architect and /or Engineer - __�__
Employing Plumber's Name - a --__- _ --_ -- ___ _ No.L t_e _ I . N Street_-_ A-I--_
Location and Legal Description Lot____ _L ______ Block Subdivision_______—_________
Street and Number where work is to be per —No__
State work to be performed and purpose df building (By Floors)
New Building_ Remodeling Addition Repairs ____ No. of Stories__ ______
Size Septic Tank__.__ a Type of Tank . Nvt""401111 _____________Capacity Gals.__!_ e
Felt of Drain Tile__ .... __ __. Disc. Feet of Tank or Drain Field from Well__
Nature of Water Supply: City —Well Size of Soakage Pit.____
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed] agrees to employ only such
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when such
materials and /or workmanship.
-r- -- - -- -- (Signed) --
rtify that he "1 nderstands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplemept, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
Street C t+!
Notary Public. State of Florida
Street ( kV* Agt
Master Plumber.
ing In or.
\-*N.L0-04 &Zuti-
authorized to administer oaths and take acknowledgments, personally
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.
re- inspection is made necessary by improper notice for inspection, or faulty