PLUMBING PERMITSI r . _
i N SHORES VILLAGE.. FLDRIDA
BUILDING ❑ I I DAV: °- 195
ELECTRICAL ❑ PERMIT ? 12165
PLUMBING f , Imo'
ROOFING ❑ i'cr t • be pe rformed under this Permit
• "` 'Owner of
Building ' 0."Ne--- 84 -4r..
Architect
Cd-
Legal Lot I 4
Description t 1 us .'�F
Address of
Building 1 1 - `i t
This permit is granted .to the
herefor in strict compliance with all
drawings, statements or epadficuIoes
time if the work is not done in one
granted is the understanding that
pertaining to the work covered
done by his agents, servants or
Contractor
or Builder
In consideration of the
pertaining thereto and in strict o
In accepting this permit I annum r,
1 s vision ')" , 5
547 Value of
e Project
1.
Amt, of
Permit lc y f
or builder named above to construct the building or to install the equipment or device daseribedn the ap
erdindness pertaining .thereto and with the understanding that the work will be performed in r: with an
that may have been submitted to and approved by the proper municipal authorities. This Perndt mar
With such ordinances or if the plans are changed without authorizpstion. A further condition
or builder named above assumes the responsibility for a
shown on the plans or drawings or in the statements o
Signed-
e of this permit I agree to
Contractor's
License No
ough. knowledge of the and
ei ifications and that he moms reepossibility
(A)
Y
t ^
AurnoRny
1
iN$P EOTOR
work covered hereunder in compliance with all ordinances and
the plans, drawings, tCatements or specifications submitted' to the proper authorities of Miami Shores Vilidge.
for all work done by either, myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Legal
Description,
Address of
Building
In consideration of the issuan
pertaining thereto and in strict confo
In accepting this permit I assume responsibility
CONTRACTOR
MIAMI SHORES VILLAGE,. FLORIDA
i
El l : 9 15' 1951
C] PE RMIT IN? 12116
❑ Work to be performed under this Permit_
Architect
Contractor �J
or Builder
Lot w a II BE
.11 : �
Subdi-
vision
Contractor's
License No
Value of
Project $
BY
Amt. of
Permit
This permit is granted to the contray�tor or builder named above to construct the building or to install the equipment or device
herefor in strict compliance with all ordinances ertaining thereto and with the understanding that the work will be performed in compliance with any p
drawings, statements or specifications that ray 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 w su h ordinances or 0 the plans are changed without authorization. iA further condition upon which this permit is
granted is the understanding that the contractor Jr builder named above assumes the responsibility for a thorough knowledge of the ordinances and OWL
pertaining to the work covered hereby whether s lawn on the plans or drawings or in the statements or specificatidns and t a he assumes responsibility work
done by hit agents, servants or employees.
Signed • BY
1NSP
permit I agree to iWform the work covered hereunder in compliance with afi ordinances and regulations
e plans, drawings, state ants or specifications submitted to the proper authorities of Miami Shares Village.
or all work done by either, myself, my agent, servant or employee.
AUTHORITY
�UILDING
;LECTRICAL
'LUMBING
:OOFING
?wner of
�uflding
,
In consideration of the issuance to me
.ertaining thereto and in strict conformity with
opting this permit I assume for
CON`FRACPOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
❑ t
❑ DATE
PERMIT 249 ° 4113 Contractor's
License No
ti
Work to be performed under this Permit
tt
1
195
architect
ontractor ; r --
Ir Builder T . l .
.ega1 ' Lot 1I Subdi-
)escription 131 vision
address of Value of I Amount of / a °'
I
;wilding 7 , / N I ` ' - r4,'` Project $ I Permit $
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
ierefor in strict compliance with all ordinances pertaining thereo and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me if the work is not done in compliance with such ordinance or if the plans are changed without authorization. A further condition upon which this permit is
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorou noittedge of the ordinances and regulations
ertaining to the work covered hereby whether shown on the ans or drawings cr in the statements or specific y s and that he assumes responsibility for work
one by his agents, servants or employees. / �'.
Signed• irrM'
of this permit Ilagree to perform the work covered INSPECTOR
Il�reunder in compliance with all ordinances and regulations
the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In w-
all work done by either, myself, my agent, servant or employee.
BY
AUTHORITY
Permit No. ___.1 _
Application is hereby made for the apt3roval 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_____________6!' r ' No Street___
Location and Legal Description Lot___ ______L _____� ? BBlock___11�__v s Subdivision
J
Street and Number where work is to be performed —No ___ • Q_ :__Its" Street
State work to be performed and purpose of building (By Floors)
New Building__ 4./ Remodeling Addition Repairs No. of Stories
Size Septic Tank_________
Feet of Drain Tile _473_
Nature of Water Supply: City —Well
Amount of Permit_.$_
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Q
•
Capacity Gals
Type of Tank.
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
(Signed)
Date_
No Street
My Commission Expires Notary Public, State of Florida
Plumbing Insp
The undersigned a cant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida W en's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and v.'ill require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned author►ty, 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 cafefully 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materi and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
FIXTURTOTAL
ES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
'
f _ 1.
CHECK
Permit No. ___.1 _
Application is hereby made for the apt3roval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address__
Registered Architect and /or Engineer__
Employing Plumber's Name_____________6!' r ' No Street___
Location and Legal Description Lot___ ______L _____� ? BBlock___11�__v s Subdivision
J
Street and Number where work is to be performed —No ___ • Q_ :__Its" Street
State work to be performed and purpose of building (By Floors)
New Building__ 4./ Remodeling Addition Repairs No. of Stories
Size Septic Tank_________
Feet of Drain Tile _473_
Nature of Water Supply: City —Well
Amount of Permit_.$_
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Q
•
Capacity Gals
Type of Tank.
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
(Signed)
Date_
No Street
My Commission Expires Notary Public, State of Florida
Plumbing Insp
The undersigned a cant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida W en's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and v.'ill require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned author►ty, 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 cafefully 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
materi and /or workmanship.
1227
Permit No._J
Owner's Name and Address_
Registered Architect and /or Engineer
Employing Plumber's Name___J�/�!
Location and Legal Description Lot
State work to be performed and purpose of building (By Floors)
to me well known, and who, being by
of the above described construction,
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date L `
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, alhordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be comphed with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
_- Q -
S
o 3 ' Street 4' �� ` SST
No. Street_ —
......... Block Subdivision
Street and Number where work is to be performed —No. 7 .3 / Ai ___L
New Building Rennodeling Addition__ _ Repairs No. of Stories
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
ne first duly sworn, upon oath deposes and says that he is the
that he has carefully read the foregoing application, and that he did sign the same, and that all facts
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
TUpS
SHOWERS
(LAVA-
TORIES
I-
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
I
CHECK
0
lee _`
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP SPRKLR.
WELL SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Size Septic Tank - - - --
Feet Drain Tile
Type of Tank Capacity Gals — __
Dist Feet of Tank or Drain Field from Well — _____ _.
of
Nature of Water Supply: City — Well.__ Size of Soakage r _________ ........ _____ g /
Amount Permit $ - - - - - Signed) g ) -
of
The undersigned applicant
under the Florida Workmen's
plied with the provisions thereof,
performed under this permit;
required by the Act. The
licensed by Miami Shores
STATE OF FLORIDA,
rnhTNT 'Iv nAnR_
- - .�..
for thi
Compensation
and
and will
undersigned
Village.
j
_________
umbing 'actor.
building permit does hereb certify that h- .nderstands and accepts his obligati ns as an empl• er of labor
Act, being Section 596:, - . .r. General Laws of Florida Permanent Supplement, a : has com-
will require similar compliance from all contractors or sub - contractors employed by him in the work to be
post or cause to be posted for inspection on the site of the work su4k public notice or notices as are
agrees to employ only such sub - contractors, on work to be per ormed under this permit, as are
(Signed)- - / /--' - Master Plumber.
1227
Permit No._J
Owner's Name and Address_
Registered Architect and /or Engineer
Employing Plumber's Name___J�/�!
Location and Legal Description Lot
State work to be performed and purpose of building (By Floors)
to me well known, and who, being by
of the above described construction,
therein by him stated are true.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date L `
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, alhordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be comphed with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
_- Q -
S
o 3 ' Street 4' �� ` SST
No. Street_ —
......... Block Subdivision
Street and Number where work is to be performed —No. 7 .3 / Ai ___L
New Building Rennodeling Addition__ _ Repairs No. of Stories
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
ne first duly sworn, upon oath deposes and says that he is the
that he has carefully read the foregoing application, and that he did sign the same, and that all facts
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-
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 applicatiin 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 ! _ f . L' it i /A/ 6'� et /L
No 3 G _---- _ - ____ -- Street N£ r C T
Location and Legal Description Lot__! _!_lr / 3 nit ig Block 6 u a___ Subdivision_____________ s .____1.__
,y q S� _ s �
Street and Number where work is to be performed —No 3 Street___ f r_ -_
State work to be performed L ___/ d and purpose of building (By Floors) i v� 2../ / w ,S._ ___ /
New Building ,L Remodeling Addition Repairs No. of Stories
Employing Plumber's Name
T� Mt/10
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
C Ai C»U6 /
Size Septic Tank p {_ Type of Tank Capacity Gals
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
ss.
Dist. Feet of Tank or Drain Field from Well
'J ! 1. at Size of Soakage Pit
( Signed)
( Signed)
Date
/b - 3--
No 3 / Street A
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employee of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
------ --
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
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 E,:pires 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
MI►
mSN
�
1
Ci it-
0 cow
9
TOTAL
FIXTURES
_L
CLN TR.
2-
/
/
/
CHECK
1. i f
7 . s -
,-7,..c.
t �
/� \ b
7.1.-
_
/
SEPTIC
TANK
SEWER
CONN.
1
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
4 915rX1r .
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
•
/
/
CHECK
�.�\
/ °I)
-
t SO
Permit No-
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This applicatiin 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 ! _ f . L' it i /A/ 6'� et /L
No 3 G _---- _ - ____ -- Street N£ r C T
Location and Legal Description Lot__! _!_lr / 3 nit ig Block 6 u a___ Subdivision_____________ s .____1.__
,y q S� _ s �
Street and Number where work is to be performed —No 3 Street___ f r_ -_
State work to be performed L ___/ d and purpose of building (By Floors) i v� 2../ / w ,S._ ___ /
New Building ,L Remodeling Addition Repairs No. of Stories
Employing Plumber's Name
T� Mt/10
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
C Ai C»U6 /
Size Septic Tank p {_ Type of Tank Capacity Gals
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
ss.
Dist. Feet of Tank or Drain Field from Well
'J ! 1. at Size of Soakage Pit
( Signed)
( Signed)
Date
/b - 3--
No 3 / Street A
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employee of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
------ --
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
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 E,:pires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
A✓
w 14 v
< < =1
3 "
tr
Permit
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.
n
Owners Name and Address .- _._____':-'_____ -s. - -_ __ ,._ _...__ -_ No. Street.
C
Registered Architect and /or Engineer__._—.._ —_______ —__ _ _ ________
Employing Plumber's Name_' - _._ ��4! °'�_�_.:�___ =�
Location and Legal Description Lot ----- - - - - -_ _ .. - -_ - -_
r ,a,
Street and Number where work is to be performed —No -
Size Septic
Nature of Water Supply: City —Well
Amount of Permit $ ! rs+
My Commission Expires
No. ___ ._____
yl
Date
0
Street_ —_—___ —
Subdiviston _— ___._____________-- -___ - -.
Street
State work to be performed and purpose of building (By Floors)_
New Building Remodeling —__ Addition__.___.___. Repairs No. of Stories.
Type of Tank _ ___ Capacity Gals .....
Feet of Drain Tile._-__.- _Dist. Feet of Tank or Drain Field from Well
_ Size of Soakage Pit
( Signed) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obpigations 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 etnployed 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 wor to e performed =under this permit, as are
licensed by Miami Shores Village. , ;7,.bre"
(Sign' -'- .:�,*' ry
`� Master Plumber.
STATE OF FLORIDA, 1 u.
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
Tuff
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUTS
URINALS
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
r{
CONTR.
LIST
CHECK
ti''
Permit
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.
n
Owners Name and Address .- _._____':-'_____ -s. - -_ __ ,._ _...__ -_ No. Street.
C
Registered Architect and /or Engineer__._—.._ —_______ —__ _ _ ________
Employing Plumber's Name_' - _._ ��4! °'�_�_.:�___ =�
Location and Legal Description Lot ----- - - - - -_ _ .. - -_ - -_
r ,a,
Street and Number where work is to be performed —No -
Size Septic
Nature of Water Supply: City —Well
Amount of Permit $ ! rs+
My Commission Expires
No. ___ ._____
yl
Date
0
Street_ —_—___ —
Subdiviston _— ___._____________-- -___ - -.
Street
State work to be performed and purpose of building (By Floors)_
New Building Remodeling —__ Addition__.___.___. Repairs No. of Stories.
Type of Tank _ ___ Capacity Gals .....
Feet of Drain Tile._-__.- _Dist. Feet of Tank or Drain Field from Well
_ Size of Soakage Pit
( Signed) _
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obpigations 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 etnployed 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 wor to e performed =under this permit, as are
licensed by Miami Shores Village. , ;7,.bre"
(Sign' -'- .:�,*' ry
`� Master Plumber.
STATE OF FLORIDA, 1 u.
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
mx
2/1
m/i9n/ I z - H ore E ,--
,e. '-
73 /A/L =.9s-s
r/6 ,(
MIAMI SHORES VIL'_AGZ
PLUMBING INSPECTION DEPARTME ";
APPLICATION FOR PLUMBING " .u•.,I°
Date __ ...
!y
Application is hereby made for the approval of the detailed statement of thtl plans and specifications herewit bmitted for the building or other
structure herein described. This application is made in compliance and coafornity with the .,tilding 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 er net. A copy of approved plans and specifications must be kept at
building during progress of work
f
Owner's Owner's Name and Address__ _.'D _ :1. fit." e� 742_24
Registered Architect and /or Engineer _.__— _____._____.,
Permit No
Employing Plumber's Name___.!..
Location and Legal Description Lot__
Street and Number where work is to be performed -No
Size Septic Tank
Nature of Water Supply: City -Well.
t
State work to be performed and purpose of building 4By
New Building __ Remodeling — __ - ______ Addition .______ Repairs No. of Stories.
' Type of Tank
--- - - - --- -
Amount of Permit $ `— ----------- - - - - -- - (Signed)_
No.__ __.__________ Street
,'... No._. - - - — Street_... -.
Block_ Subdivision
Street
(Signed)_
Capacity Gals._
Feet of Drain Tile ��";. 1 __t_ _______Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Plumbing Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer • 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.
STATE OF FLORIDA,
COUNTY OF DADE. J
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
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
SHOWlRS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
-N
URINALS
URINALS
CATCH
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H CATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
r/6 ,(
MIAMI SHORES VIL'_AGZ
PLUMBING INSPECTION DEPARTME ";
APPLICATION FOR PLUMBING " .u•.,I°
Date __ ...
!y
Application is hereby made for the approval of the detailed statement of thtl plans and specifications herewit bmitted for the building or other
structure herein described. This application is made in compliance and coafornity with the .,tilding 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 er net. A copy of approved plans and specifications must be kept at
building during progress of work
f
Owner's Owner's Name and Address__ _.'D _ :1. fit." e� 742_24
Registered Architect and /or Engineer _.__— _____._____.,
Permit No
Employing Plumber's Name___.!..
Location and Legal Description Lot__
Street and Number where work is to be performed -No
Size Septic Tank
Nature of Water Supply: City -Well.
t
State work to be performed and purpose of building 4By
New Building __ Remodeling — __ - ______ Addition .______ Repairs No. of Stories.
' Type of Tank
--- - - - --- -
Amount of Permit $ `— ----------- - - - - -- - (Signed)_
No.__ __.__________ Street
,'... No._. - - - — Street_... -.
Block_ Subdivision
Street
(Signed)_
Capacity Gals._
Feet of Drain Tile ��";. 1 __t_ _______Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Plumbing Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer • 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.
STATE OF FLORIDA,
COUNTY OF DADE. J
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VIL:' A.GZ
PLUMBING INSPECTION DEPARTMEi<'
APPLICATION FOR PLUMBING '' .
Permit No. /" Date
Application is hereby made for the approval of the detailed statement of tnm plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and co.:far:e.:ty with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified rot. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address____
Registered Architect and /or Engineer _______
Employing Plumber's Name /J_ • 1 I( Q No._«L$ f-t.
Size Septic Tank
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)_
Street
New Building_ ....... _._.._......... _ _______ Remodeling_____ ___ Addition Repairs No. of Stories
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 $ c (Signed) _ - -- _.
umbing Inspect
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.
STATE OF FLORIDA, t aa.
.COUNTY OF DADE.
1 efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to tc well known, and who, being by me first duly sworn, upon oath deposes and says that he is the____
of tae above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
thexein by him stated are true.
My S;ounnission Expires Notary Public, State of Florida
aster Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINK/
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
----/—
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR,
LIST
•
______
-
CHECK
MIAMI SHORES VIL:' A.GZ
PLUMBING INSPECTION DEPARTMEi<'
APPLICATION FOR PLUMBING '' .
Permit No. /" Date
Application is hereby made for the approval of the detailed statement of tnm plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and co.:far:e.:ty with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified rot. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address____
Registered Architect and /or Engineer _______
Employing Plumber's Name /J_ • 1 I( Q No._«L$ f-t.
Size Septic Tank
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)_
Street
New Building_ ....... _._.._......... _ _______ Remodeling_____ ___ Addition Repairs No. of Stories
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 $ c (Signed) _ - -- _.
umbing Inspect
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.
STATE OF FLORIDA, t aa.
.COUNTY OF DADE.
1 efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to tc well known, and who, being by me first duly sworn, upon oath deposes and says that he is the____
of tae above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
thexein by him stated are true.
My S;ounnission Expires Notary Public, State of Florida
aster 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.