518 NE 94 St (4)Size Septic Tonle
Feet of Drain Tile
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No 1 " __ Date. 2- / 77
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 ba_ : plied with, w herein specified or not. A Dopy of approved plans and specifications must be kept at
building during progress of wor
Owner's Name and Address ,
Registered Architect and/or �g _.� /
Employing Plumber's N ra U , .
Location and Legal Description
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
Bloc
No
(sign
47,4__ Street )
$trNL ,. .....,.L
Subdivision
Street....' 91 Se—
Repairs.. No. of Stories. ..........
Type of Tank__ ..... Gals..
- Feet of Tank at Drain Field from Well
Size of Soakage Pit.
Amount of Permit $ (Signed)- — __ — - - - -- - —__ - - -..— -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida 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 wprk to . be perfrned under this permit, as are
licensed by Miami Shores Village
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and sari that he is the
of the above described construction, that be bas careful* read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Publics, State of Florida
Master Plumber. ...
NOTE: A re- inspection fee of $1.00 will be made when sack seriaspaetlota it made. aeoaa ary by improper notice for inspection, er faulty
materials and /or workmanship.
CLOSETG
BATH
Tuba
SHOWERS
LAVA.
TORIES
S
SLOP
SINKS
LAUNDRY
Tu.s
URINAL!
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
PI
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
NEATER
Damp
WELL
BPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
L��
CHECK
•
Size Septic Tonle
Feet of Drain Tile
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No 1 " __ Date. 2- / 77
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 ba_ : plied with, w herein specified or not. A Dopy of approved plans and specifications must be kept at
building during progress of wor
Owner's Name and Address ,
Registered Architect and/or �g _.� /
Employing Plumber's N ra U , .
Location and Legal Description
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
Bloc
No
(sign
47,4__ Street )
$trNL ,. .....,.L
Subdivision
Street....' 91 Se—
Repairs.. No. of Stories. ..........
Type of Tank__ ..... Gals..
- Feet of Tank at Drain Field from Well
Size of Soakage Pit.
Amount of Permit $ (Signed)- — __ — - - - -- - —__ - - -..— -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida 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 wprk to . be perfrned under this permit, as are
licensed by Miami Shores Village
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and sari that he is the
of the above described construction, that be bas careful* read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Publics, State of Florida
Master Plumber. ...
NOTE: A re- inspection fee of $1.00 will be made when sack seriaspaetlota it made. aeoaa ary by improper notice for inspection, er faulty
materials and /or workmanship.
Date M �. z3 ( �} _.
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 sot. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address �•C Fa _ e . t- No S
Permit No
3723
Registered Architect and /or
Employing Plumber's Name_ r__o a_k -1.. �.. t r . tie r C o .
Location and Legal Description Lot _____,_________.________ ______ Block__
Street and Number where work is to be performed -No 0 $
State work to be performed and purpose of building (By Floors) _:-T±o a t t y c\
New Building Remodeling____ ___ __ Addition______._._
Amount of Permit $
f �
STATE OF FLORIDA, I
COUNTY OF DADE.
MIAMI SHORES VIL .AGE
PLUMBING INSPECTION DEPARTMEi
APPLICATION FOR PLUMBING '' &An'
No.. LEO
(Signed) __ _
Street. _Al, E , 9' — S+
Street___ N ' W . _ q. ' S-t
Subdivision
Street_--- _lV ..... E • 9 � — St .
‘..tn. _1�__l_s c S •
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. 2." U1.) � I I _ - Size of Soakage Pit
Capacity Gals
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
Master Plumber.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o.ligations 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. $ o o k s S .- k ‘e r
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 $LOO 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
Tue6
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHacK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CH¢CK
�d5.
Date M �. z3 ( �} _.
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 sot. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address �•C Fa _ e . t- No S
Permit No
3723
Registered Architect and /or
Employing Plumber's Name_ r__o a_k -1.. �.. t r . tie r C o .
Location and Legal Description Lot _____,_________.________ ______ Block__
Street and Number where work is to be performed -No 0 $
State work to be performed and purpose of building (By Floors) _:-T±o a t t y c\
New Building Remodeling____ ___ __ Addition______._._
Amount of Permit $
f �
STATE OF FLORIDA, I
COUNTY OF DADE.
MIAMI SHORES VIL .AGE
PLUMBING INSPECTION DEPARTMEi
APPLICATION FOR PLUMBING '' &An'
No.. LEO
(Signed) __ _
Street. _Al, E , 9' — S+
Street___ N ' W . _ q. ' S-t
Subdivision
Street_--- _lV ..... E • 9 � — St .
‘..tn. _1�__l_s c S •
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. 2." U1.) � I I _ - Size of Soakage Pit
Capacity Gals
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
Master Plumber.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o.ligations 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. $ o o k s S .- k ‘e r
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 $LOO 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
Date
Permit No..__ -- _. � _ : 6
- - -_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or mho
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Size Septic Tank
Feet of Drain Tile L.A.)
Nature of Water Supply: City —Well
Amount of Permit $_
STATE OF FLORIDA, u.
COUNTY OF DADE. j
Type of Tank_ _ Capacity Gals.
e Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
Owner's Name and Address. - ._-_.t1- -.A_ v1 No. \"/ Street. /
Registered Architect and /or Engineer _._._ . —
Employing Plumber's Name.M_/.t t?4_I__{r___i(A _ _. ZL f A, 41) No.._-_-_..._ .1 Street. ___/LtV�L�
Location and Legal Description Lot..___._. _.__..__.____..__.__________ -__ _-__Bl � Subdiivissi _ _____ �,,.,_
L
Street and Number where work is to be performed—No (p�__ i f treat 1111_.1
State work to be performed and purpose of building (By Floors)__ {' /_? .!. . .1 / aim p P F t 0 1 ( ( J%
New Building _ Remodeling( - Addition_.. Repairs
No. of Stories
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 opal-
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 wpik suc19public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub -con.: or.; .n work to/be ormed under this permit, as an
licensed by Miami Shores Village. j / ( �''
/1
//
er Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 tar
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 Ltd
materials and /or workmanship.
CLOSETS
BATH
TUBS
S
SHOWERS
LAVA.
TORIES
S INKS
SLOP
SINKS
LAUNDRY
TUee
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK INO
rOU NT'NS
--
TOTAL
FIXTUREI
CONTR.
L18T
_ - - ^—
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H [ATER
DEEP
WELL
SPRKLR.
SYSTEM
SW MUG
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Permit No..__ -- _. � _ : 6
- - -_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or mho
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Size Septic Tank
Feet of Drain Tile L.A.)
Nature of Water Supply: City —Well
Amount of Permit $_
STATE OF FLORIDA, u.
COUNTY OF DADE. j
Type of Tank_ _ Capacity Gals.
e Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)
Owner's Name and Address. - ._-_.t1- -.A_ v1 No. \"/ Street. /
Registered Architect and /or Engineer _._._ . —
Employing Plumber's Name.M_/.t t?4_I__{r___i(A _ _. ZL f A, 41) No.._-_-_..._ .1 Street. ___/LtV�L�
Location and Legal Description Lot..___._. _.__..__.____..__.__________ -__ _-__Bl � Subdiivissi _ _____ �,,.,_
L
Street and Number where work is to be performed—No (p�__ i f treat 1111_.1
State work to be performed and purpose of building (By Floors)__ {' /_? .!. . .1 / aim p P F t 0 1 ( ( J%
New Building _ Remodeling( - Addition_.. Repairs
No. of Stories
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 opal-
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 wpik suc19public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub -con.: or.; .n work to/be ormed under this permit, as an
licensed by Miami Shores Village. j / ( �''
/1
//
er Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 tar
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 Ltd
materials and /or workmanship.
Size Septic Tank._
Feet of Drain Tile
Nature of Water Supply: City—Well.
STATE OF FLORIDA, I
COUNTY OF DADE.
MBAMB SH BEES V111.1AGE
PLUMBING INSPECTION DEPARTMENT
Pd8" TI +• 8 F ER PLUM 0 PERMIT
Permit No.. _4 e r g I m S / e
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 13 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 crdinancee of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall he 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
£ la n
" on / 1 )N
a gal Description Lot ,( �'
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Fla ) _. — . _.
New Building.._._._ _ - •---- ........._.. Remodeling-- _._..._ -__.-- Addition
"7amAF PQHLI OF FLORIDA.
MY COMMISSION EXPIRES: JAN. 1. 1992.
BONDED THRII NnTARV ann. IC AiNBEI?WRI i.D•
My Commission
No.
Amount of Permit $ °15 (Si..ed )
Date. _V ...._ -- —
MA
iL
Street -.._ A
r '- P,
Repairs No. of Stories ..........
_Typo of Tanh-
-Dist. Fcst of Tank or Drain Field from Well..._.__..-- -_._
Size of Soakage Pit.
The undersigned applicant for this building permit does baby certify that he understands and accepts his obligations as an employer of labor
under the Florida Worlanen's Compensation Act, being Section 5985, Compiled General Laws of Florida Permanent Supplement, and hay com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worl• to be
performed under this permit; and will post or cause to be pasta far inspection on the sit k such public notice or notices as arP
required by the Act. The undersigned ogres° to employ only ouch sub - contractors, 9a w r performed this permit, as are
licensed by Miami Shores Village.
Plumbing Inspector.
1/4//,14/&.-- Master Plumber.
Before me, the undersigned authority a notary gublls, duly antlecrized to administer oaths and take acknowledgments, personally appeared
- L Sec e"A s _,
to me well known, and who, being by me first duly swam, wan cads depocee and rays that ha is the _ PR e--c
tow of the above described construction, that ha carefully mead dl s feregetrig rapplication, and that he did sign the same, and that all facts
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.99 will ko I tide ineeessery by bap oiler notice for lbnsprsetion, ttr
materials aad /ar workmanship.
CLOSETS
BATH
Tuns
SHOWER®
LAVA•
Tomo
61NKO
SLOP
91NKO
LAUNDRY
'Noe
URINALS
CATCH
eASIN
FLOOR
DRAIN
DRINK NO
FOUNT' N•
TOTAL
FIETURIS
CONTR.
LIST
CHICK
-
SEPTIC
TANK
SIWIR
COHN.
DRAIN
FIILO
SOAKAGE
PIT
GRRAOQ
TRAP
0 OLAP
H[ATIW
DEEP
WILL
oPWKLW.
SYSTEM
SW 94'0
POOL
CONTR.
LIST
CHEEK
Size Septic Tank._
Feet of Drain Tile
Nature of Water Supply: City—Well.
STATE OF FLORIDA, I
COUNTY OF DADE.
MBAMB SH BEES V111.1AGE
PLUMBING INSPECTION DEPARTMENT
Pd8" TI +• 8 F ER PLUM 0 PERMIT
Permit No.. _4 e r g I m S / e
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 13 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 crdinancee of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall he 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
£ la n
" on / 1 )N
a gal Description Lot ,( �'
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Fla ) _. — . _.
New Building.._._._ _ - •---- ........._.. Remodeling-- _._..._ -__.-- Addition
"7amAF PQHLI OF FLORIDA.
MY COMMISSION EXPIRES: JAN. 1. 1992.
BONDED THRII NnTARV ann. IC AiNBEI?WRI i.D•
My Commission
No.
Amount of Permit $ °15 (Si..ed )
Date. _V ...._ -- —
MA
iL
Street -.._ A
r '- P,
Repairs No. of Stories ..........
_Typo of Tanh-
-Dist. Fcst of Tank or Drain Field from Well..._.__..-- -_._
Size of Soakage Pit.
The undersigned applicant for this building permit does baby certify that he understands and accepts his obligations as an employer of labor
under the Florida Worlanen's Compensation Act, being Section 5985, Compiled General Laws of Florida Permanent Supplement, and hay com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worl• to be
performed under this permit; and will post or cause to be pasta far inspection on the sit k such public notice or notices as arP
required by the Act. The undersigned ogres° to employ only ouch sub - contractors, 9a w r performed this permit, as are
licensed by Miami Shores Village.
Plumbing Inspector.
1/4//,14/&.-- Master Plumber.
Before me, the undersigned authority a notary gublls, duly antlecrized to administer oaths and take acknowledgments, personally appeared
- L Sec e"A s _,
to me well known, and who, being by me first duly swam, wan cads depocee and rays that ha is the _ PR e--c
tow of the above described construction, that ha carefully mead dl s feregetrig rapplication, and that he did sign the same, and that all facts
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.99 will ko I tide ineeessery by bap oiler notice for lbnsprsetion, ttr
materials aad /ar workmanship.
Amount of Permit $
Owner's Name and Address
Nature of Water Supply: City —Well
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
e
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
(Signed) _
No Street 4).. j
Registered Architect and /or Engineer
Employing Plumber's Name No. Street
My Commission Expires 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 ojXier
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.
Location and Legal Description Lot Block Subdivision '
Street and Number where work is to be performed —No. Street_
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition__ _ Repairs No. of Stories 1
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile ,t ? -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 accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, ,a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
/
! f
z:- 4i+s..ra r
to me well known, and who, being by me isstd worn, 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
SPRKLR.
SYSTEM-
SW IM•G
POOL
. f�
CONTR.
LIST
a
It
CHECK
Amount of Permit $
Owner's Name and Address
Nature of Water Supply: City —Well
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
e
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
(Signed) _
No Street 4).. j
Registered Architect and /or Engineer
Employing Plumber's Name No. Street
My Commission Expires 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 ojXier
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.
Location and Legal Description Lot Block Subdivision '
Street and Number where work is to be performed —No. Street_
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition__ _ Repairs No. of Stories 1
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile ,t ? -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 accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, ,a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
/
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z:- 4i+s..ra r
to me well known, and who, being by me isstd worn, 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.
�ING
vr pfRICAL
IILIJMB1NG
Work to be performed under this Permit
Owner of r ea' ,,rr�
Building f .!^""
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 1954.
Contractor's
License No
❑ PERMIT N° 10831
Bl.
„7/
Subdi-
vision
Value of
Project $
BY
f
This permit is granted to the contractor or ilder 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 knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. ,,,
Signed: = i # j
INSPEC R�
Amt. of
Permit $ / emeasIro
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.
AUTHORITY
❑ PERMIT N? 15364
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot II Bl.
Description.
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
p
Subdi-
vision
Value of
Project $
DATE - 195
Contractor's
License No
Amt. of
Permit $ f'
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 knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans on drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
p
Signed • BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume ility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA 1`
❑
p PERMIT 11T? 3723
Work to be performed under this Permit
Bl.
Signed:
Z Z i
CONTRACTOR,' OR BUILDER BY
DATE 195
Contractor's
N
License No 1 -
Subdi-
vision _
Value of
Project $
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
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
INSPECTOR
.3
Amount of
Permit $
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
er 4.
AUTHORITY