535 NE 95 St (4)N
ELECTRICAL
PLUMBING
Ovmer of
Buildin
Architect
Contractor
or
Legal
Des
Address of
Building
This permit is spank
herefor in strict
drawings, statements or
time if dos work is not
prates. in the
pa _to the work
done by Ns agents,
In consideration of
per
In scenting tJs
o
/7 S-r)
Application is hereby made for the approval of the detailed statement of the plans and specifications herew' ub d for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordin n of ami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules an 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.
Permit No. ___ / 7
Amount of Permit $__
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed$—
Date
Owner's Name and Address____ •
Registered Architect and /or Engine
Employing Plumber's Name. ■On '— v'"G` • No Street
Location and Legal Description Lot l 7 �" t ].�__� L Block Subdivision
Street and Number where work is to be erformed —No � !___? t
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
No Street
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 A ell Size of Soakage Pit
u mbing Inspector.
The undersigned applicant for this building permit, does hereby certify that he . stands and accepts his obligatio • an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge - .1 Laws of Florida Permanent . .. ement, and has com-
plied with the provisions thereof, and will require similar compliance from all contr .ctors or sub - contractors employed •y 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) _ _ ,.__
Q. �•t �C, -` Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SINKS
LAUNDRY
TUBS
URINALS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
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fr%Mr1
4/7
�
TOTAL
FIXTURES
_-
CONTR.
LIST
Z�
f
c.,,,
/
_
—/
CHECK
!/
'
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAPI
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
/late
/9,es
CONTR.
LIST
/
/
r
3
CHECK
/7 S-r)
Application is hereby made for the approval of the detailed statement of the plans and specifications herew' ub d for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordin n of ami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules an 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.
Permit No. ___ / 7
Amount of Permit $__
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed$—
Date
Owner's Name and Address____ •
Registered Architect and /or Engine
Employing Plumber's Name. ■On '— v'"G` • No Street
Location and Legal Description Lot l 7 �" t ].�__� L Block Subdivision
Street and Number where work is to be erformed —No � !___? t
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
No Street
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 A ell Size of Soakage Pit
u mbing Inspector.
The undersigned applicant for this building permit, does hereby certify that he . stands and accepts his obligatio • an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge - .1 Laws of Florida Permanent . .. ement, and has com-
plied with the provisions thereof, and will require similar compliance from all contr .ctors or sub - contractors employed •y 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) _ _ ,.__
Q. �•t �C, -` Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Pel, �_it Nv._ - -- � ___._
Size Septic Tank. ...... _________
- - - --
Feet of Drain Tile. - --
Nature of Water Supply: City— Well. —_
Amount of Permit .10 _
My Commission Expires
(Signed)- .
Date
u.uc I 154, 0
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or.other
stru::ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address `? _? No. _. S Z _ Street CI- E. 5 ' 4
Registered Architect and /or Engineer - - -- _ __ —.__ -__ _ ------- _- _- _ -__ -_
Employing Plumber's Name _ _$!12,/ No.. 3 7 Street_ ! i 4,dxt'
Location and Legal Description
Street and Number where work is to be performed —No._ _S C E • S
State work to be performed and purpose of building (By Floors)_ 2" ___.- -'2°.P_�_ - - - -- 4 - 4 - ) c-k-- o . j
New Building _ Remodeling_____ ___ Addition______ Repairs No. of Stories.
Subdivision
Street -
__Type of Tank____ Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep, ;s obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florid erinanent 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.
1
( Signed) ____
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 Flo ida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLbHYTC! TUBS BATH
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BABIN
FLOOR
DRAIN
DRINKING
FCUNT'NB
TOTAL
FIXTURES
rONTR.
CAL=
� __.
1 .........„ _ ,
l
—
--
S EPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE'
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWING
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Pel, �_it Nv._ - -- � ___._
Size Septic Tank. ...... _________
- - - --
Feet of Drain Tile. - --
Nature of Water Supply: City— Well. —_
Amount of Permit .10 _
My Commission Expires
(Signed)- .
Date
u.uc I 154, 0
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or.other
stru::ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address `? _? No. _. S Z _ Street CI- E. 5 ' 4
Registered Architect and /or Engineer - - -- _ __ —.__ -__ _ ------- _- _- _ -__ -_
Employing Plumber's Name _ _$!12,/ No.. 3 7 Street_ ! i 4,dxt'
Location and Legal Description
Street and Number where work is to be performed —No._ _S C E • S
State work to be performed and purpose of building (By Floors)_ 2" ___.- -'2°.P_�_ - - - -- 4 - 4 - ) c-k-- o . j
New Building _ Remodeling_____ ___ Addition______ Repairs No. of Stories.
Subdivision
Street -
__Type of Tank____ Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep, ;s obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florid erinanent 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.
1
( Signed) ____
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 Flo ida
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 IC 9-2'_
Amount of Permit $__ 5,
Location and Legal Description Lot
Street and Number where work is to be performed -No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address No. 53_5 _ Stree�. =95th Street
Registered Architect and /or Engineer ________ _T__
Employing Plumber's Name Brooks — American Sprinkler Cci 2430 Street N. 'nth_ th Street
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date - -- 7 - 1 2-77
Bloch Subdivision .......
_ -- _- - - - - -- ___ --
535 StreetN.E' 95th Street
State work to be performed and purpose of building (By Floors)_____
New Building - -_- -_ __- ___ Remodeling_ ____-- __-____ -- Addition 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 Soakage Pit
(Signed)-
(Signed)__
Capacity Gals -
My Commission Expires Notary Public, State of Florida
ing Ins tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations : n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup ement, 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 t work such public notice or notices as are
required by die Act. The undersigned agrees to employ only such sub - contractors, on w o be performe. �'�� .rte _ -. nit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
SH OWER6
LAVA
To
SINKS
SINKS
SLOP
LAUNDRY
TUBS
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' Ns
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LAST
n
5 -n"
-
CHICK
-
Permit No IC 9-2'_
Amount of Permit $__ 5,
Location and Legal Description Lot
Street and Number where work is to be performed -No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address No. 53_5 _ Stree�. =95th Street
Registered Architect and /or Engineer ________ _T__
Employing Plumber's Name Brooks — American Sprinkler Cci 2430 Street N. 'nth_ th Street
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date - -- 7 - 1 2-77
Bloch Subdivision .......
_ -- _- - - - - -- ___ --
535 StreetN.E' 95th Street
State work to be performed and purpose of building (By Floors)_____
New Building - -_- -_ __- ___ Remodeling_ ____-- __-____ -- Addition 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 Soakage Pit
(Signed)-
(Signed)__
Capacity Gals -
My Commission Expires Notary Public, State of Florida
ing Ins tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations : n employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup ement, 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 t work such public notice or notices as are
required by die Act. The undersigned agrees to employ only such sub - contractors, on w o be performe. �'�� .rte _ -. nit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.