85 NE 94 St (7)MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL El DATE
' 195
PLUMBING ❑ PERMIT N? 8055 ®5 5 Contractor's
License No ( = C
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $
Amt. of
Permit $ 2-
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 or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
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 responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA V
❑ DAT ! 195
❑
PERMIT N9 _ 3899 Contractor s
License No.
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
11
Description — Bi
Address of
Building
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition 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. 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 ac-
cepting this permit I assume responsibility 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
❑ DATF 1 195
PERMIT N9 3865 Contractor s
License No.
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
B1
Subdi-
vision
Value of II Amount of
Project $ 11 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough 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. 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY 6
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ DATF 195
PERMIT N® 3874 Contractor s
License No.
0
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description (I Bl
Address of
Building
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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. HY // r 7
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
Subdi-
vision
Value of Amount of
Project $ Permit $
BY AUTHORITY 6
Permit No.-___ 0 6103 .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
z
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. �}
-: g �
Owner's Name and Address / !2. [ No / /; $�
. �� Street. -
O Registered Architect and /or En ineer -
Employing Plumber's Nita@ -- - /
/ ' L., f
Location and Legal Description Lot. Bloch Subdivision
: -
Street and Number where work is to be performed —No. .� % , %!�i� � �'
S treet_ - -- .•- =.r
State work to be performed and purpose of building (By Floora)___Z _D. /,n/
New Building__ ._ _ _____....._..__. Remodeling___..... -___._... —_ Addition.- -___ -_ Repairs No. of Stories ........
'T °
Il o
Amount of Permit $ �
STATE OF FLORIDA, }
COUNTY OF DADE.
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
Capacity Gals
( Signed) _
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and 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 si e of work such public n ' :.: or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, ' be per o s , nit, ..as are
licensed by Miami Shores Village.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
t � N s TE: re-in specti hip
fee of $1.00 will be made when such re-inspection is mede•neoessary by improper notice for inspection, or faulty and/or
S�,
GLOeETa
BATH
TUBE
SHOWHRe
LAVA.
TORIES
SINKS
SLOP
SINK{
LAUNDRY
Tuee
URINAL[
CATCH
BAe1N
FLOOR
DRAIN
DRINKING
FOUNT'N8
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
$PRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
I
-
CHECK
Permit No.-___ 0 6103 .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
z
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. �}
-: g �
Owner's Name and Address / !2. [ No / /; $�
. �� Street. -
O Registered Architect and /or En ineer -
Employing Plumber's Nita@ -- - /
/ ' L., f
Location and Legal Description Lot. Bloch Subdivision
: -
Street and Number where work is to be performed —No. .� % , %!�i� � �'
S treet_ - -- .•- =.r
State work to be performed and purpose of building (By Floora)___Z _D. /,n/
New Building__ ._ _ _____....._..__. Remodeling___..... -___._... —_ Addition.- -___ -_ Repairs No. of Stories ........
'T °
Il o
Amount of Permit $ �
STATE OF FLORIDA, }
COUNTY OF DADE.
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
Capacity Gals
( Signed) _
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and 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 si e of work such public n ' :.: or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, ' be per o s , nit, ..as are
licensed by Miami Shores Village.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
t � N s TE: re-in specti hip
fee of $1.00 will be made when such re-inspection is mede•neoessary by improper notice for inspection, or faulty and/or
S�,
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. !
Owner's Name and Address _Ci�� 'r! 0_ No._ 5 Street__Ve
Registered Architect and /or Engineer
Employing Plumber's Name �_ __ _ 4_ No._ '1 fC___
Location and Legal Description L ____ -- _____ Block_____________— ___________— Subdivision___________
Street and Number where work is to be performed—No .___________�1
State work to be performed and purpose of building (By Floors)
New Building_____________________ Remodeling X __ 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
Amount of Permit $_
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
APPLICATION FOR PLUMBING PERMIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
_(Signed)
Date_ __ - -1/' / . . .W
Street _ fo
_Capacity Gals.___________ —______
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work public notice or n•'ces as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work rfo nder• t as are
licensed by Miami Shores Village.
(Signed) 4
Master Plu
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
TUBS BATH
SHOWERS
LAVA TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK NG
FOUNT' NS
TOTAL
FIXTURES
/
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. !
Owner's Name and Address _Ci�� 'r! 0_ No._ 5 Street__Ve
Registered Architect and /or Engineer
Employing Plumber's Name �_ __ _ 4_ No._ '1 fC___
Location and Legal Description L ____ -- _____ Block_____________— ___________— Subdivision___________
Street and Number where work is to be performed—No .___________�1
State work to be performed and purpose of building (By Floors)
New Building_____________________ Remodeling X __ 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
Amount of Permit $_
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
APPLICATION FOR PLUMBING PERMIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
_(Signed)
Date_ __ - -1/' / . . .W
Street _ fo
_Capacity Gals.___________ —______
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work public notice or n•'ces as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work rfo nder• t as are
licensed by Miami Shores Village.
(Signed) 4
Master Plu
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.
p a)vvi f7(
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
P -- Date / , 19
Owner's Name and Address . - t - No ‘-c Street � . ���
Registered Architect and /or Engineer �/ O
Name and address of licensed contractor_.._i/ 0 f ���iF?'..a_l; - , 4 ' , -• �,) , e .*
Location and legal description of lot to be built on:
Lot -1 -I-- 's . 3, Block ¢ Subdivision..._._._..ni n c? •,-.• t c.c 6„ ^,..,' s� 5 ^ ?
Street and Number where work is to be done v_.... .0 ,...Z. „ 5 _. c1 dg, i
State work to be done and purpose o building (by floors)
w C.- l ' @ `band for no other purpose.
Ne* Building Rmodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit $
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Permanent Supplement,
and has complied 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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA, j
COUNTY OF DADE. as
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member • Member
Member Member
Council Approved Date Disapproved Date .
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn=oJtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Permit
No .3 Q_Z
Date__t
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm 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
Owner's Name and Address
building during progress of worl(/
Registered Architect and /or Engi eer 1
i
Amount of Permit $ b" ''
MIAMI SHORES VILLAGE
/ PLUMBING INSF DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
____— ___Block_
(Signed
Employing Plumber's Name
Location and Legal Description Lot_____
° ___2
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Remodeling A
No.__ 5`_5'�_ 6 Street 2j �) e
•rte- 7 - - -- = - - --
�-
N Street.eale_GY_I
Subdivision__ ` z i 'P.22
Street_ -_ y I` _=— "__ -- –
Repairs ___ —___ No. of Stories______® ...
_.
Capacity Gals
Size Septic Tank Type of Tank
Feet of Drain Dist. Feet of Tank or Drain Field from Well____ —_— — _______________________
Nature of Water Supply: City —Well _______ .... _____.Size of Soakage Pit ____________ ____________ __________________
(Signed)
Plumbing Inspector.
Notary Public. State of Florida
Master P1uiAber.
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- contr ployed by the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the Fork publi not' s as are
required by the Act. The under signed agrees to employ only such sub - contractors, on ! be nder this t, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, i
COUNTY OF DADE. j ss•
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared _ — _ _ — — _._ — – - - - – -- – – — — — – to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
i �,
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
`
4 (
TOTAL
FIXTURES
CONTR.
LIST
/
31 /�
F- 1
CHECK
�IIIi
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
V
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
,l F` `,p+{`' .
g i i ie c
CONTR.
LIST
/Sf
4' °
I
CHECK
Permit
No .3 Q_Z
Date__t
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm 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
Owner's Name and Address
building during progress of worl(/
Registered Architect and /or Engi eer 1
i
Amount of Permit $ b" ''
MIAMI SHORES VILLAGE
/ PLUMBING INSF DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
____— ___Block_
(Signed
Employing Plumber's Name
Location and Legal Description Lot_____
° ___2
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Remodeling A
No.__ 5`_5'�_ 6 Street 2j �) e
•rte- 7 - - -- = - - --
�-
N Street.eale_GY_I
Subdivision__ ` z i 'P.22
Street_ -_ y I` _=— "__ -- –
Repairs ___ —___ No. of Stories______® ...
_.
Capacity Gals
Size Septic Tank Type of Tank
Feet of Drain Dist. Feet of Tank or Drain Field from Well____ —_— — _______________________
Nature of Water Supply: City —Well _______ .... _____.Size of Soakage Pit ____________ ____________ __________________
(Signed)
Plumbing Inspector.
Notary Public. State of Florida
Master P1uiAber.
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- contr ployed by the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the Fork publi not' s as are
required by the Act. The under signed agrees to employ only such sub - contractors, on ! be nder this t, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, i
COUNTY OF DADE. j ss•
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.
cr)
N
L1
Size Septic Tank.... . 0
Feet of Drain
Amount of Permit $
My Commission Expires
0 I SHORES Bd".,54,G
PLUMBING INSPECTION DEPARTMEi•<'
PPUICATION9 FOR PLUMINNG r 'OW
Permit No Dat
Application is hereby made for the approval of the detailed statement of the plans and specifications here6Gith 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 Engine
Employing Plumber's Name_, • L! j �'� ivo - ' • Street
No
Street
Location and Legal Description Lot____.__ M_______w__ Block________ ..._.__.._________.___.. Subdivision
Street and Number where work is to be performed —No 1 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
G ( Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.-.---_-.-_________ _______ ........ of Soakage Pit
(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 5966, Compiled General Laws of Florida Permanent Supplement, and has min-
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, work to j' perfo 'ed under this permit, as are
licensed by Miami Shores Village.
(Signed)__ --
Notary Public, State of Florida
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.
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
S INKS
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LICIT
CHOCK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIOT
-
CHOCK
L1
Size Septic Tank.... . 0
Feet of Drain
Amount of Permit $
My Commission Expires
0 I SHORES Bd".,54,G
PLUMBING INSPECTION DEPARTMEi•<'
PPUICATION9 FOR PLUMINNG r 'OW
Permit No Dat
Application is hereby made for the approval of the detailed statement of the plans and specifications here6Gith 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 Engine
Employing Plumber's Name_, • L! j �'� ivo - ' • Street
No
Street
Location and Legal Description Lot____.__ M_______w__ Block________ ..._.__.._________.___.. Subdivision
Street and Number where work is to be performed —No 1 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
G ( Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.-.---_-.-_________ _______ ........ of Soakage Pit
(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 5966, Compiled General Laws of Florida Permanent Supplement, and has min-
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, work to j' perfo 'ed under this permit, as are
licensed by Miami Shores Village.
(Signed)__ --
Notary Public, State of Florida
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.
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 3 540 5 Date d
Application is hereby made for the approval of the detailed statement of the plans and specifications here ith 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� r0y.. A copy of approved plans and specifications must be kept at
building during progress of work. C r
Owner's Name and Address v -- --- ------ ---- ----- --__ -- No Street
Registered Architect and /or Engineer _ _________ —
Employing Plumber's Name /6
Location and Legal Description Lot_ - - -- _- _-- __ -_ -- ---- ___ -� — _ / Block - - - -� _.__ _.- _- _ - - - - -. Subdivision - --
Street and Number where work is to be performed —No t2 .1 �-t `Ar22- F. - - .614 .__. Street
State work to be performed and purpose of building (By Floors)__.___
New Building 1...,-- ___ Remodeling ____ Addition Repairs
Sire Septic Tank 0 -------- - - ---_ Type of Tank
Capacity Gals
Feet of Drain Tile3i_' ' 6 4 _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
Amount of Permit $
L rry — - -- - -- - - — — -- (Signed) LS
My Commission Expires
MIAMI SHORES ViLlAGZ-
PLUMBING INSPECTION DEPARTMEr':'
APPL CATIOt1 FOR PLUM HG " .�•. tf(8 '
(Signed)
Street__
No. of Stories.
__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 blic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, work to b perfor ed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, f
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.10 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERG
LAVA-
TORIES
INKS
SINKS
SLOP
SINKS
LAUNDRY
TUBS
RINALS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CoNTR.
LIDT
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL.
CONTR.
LIST
-
CHRcK
Permit No 3 540 5 Date d
Application is hereby made for the approval of the detailed statement of the plans and specifications here ith 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� r0y.. A copy of approved plans and specifications must be kept at
building during progress of work. C r
Owner's Name and Address v -- --- ------ ---- ----- --__ -- No Street
Registered Architect and /or Engineer _ _________ —
Employing Plumber's Name /6
Location and Legal Description Lot_ - - -- _- _-- __ -_ -- ---- ___ -� — _ / Block - - - -� _.__ _.- _- _ - - - - -. Subdivision - --
Street and Number where work is to be performed —No t2 .1 �-t `Ar22- F. - - .614 .__. Street
State work to be performed and purpose of building (By Floors)__.___
New Building 1...,-- ___ Remodeling ____ Addition Repairs
Sire Septic Tank 0 -------- - - ---_ Type of Tank
Capacity Gals
Feet of Drain Tile3i_' ' 6 4 _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well
Amount of Permit $
L rry — - -- - -- - - — — -- (Signed) LS
My Commission Expires
MIAMI SHORES ViLlAGZ-
PLUMBING INSPECTION DEPARTMEr':'
APPL CATIOt1 FOR PLUM HG " .�•. tf(8 '
(Signed)
Street__
No. of Stories.
__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 blic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, work to b perfor ed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, f
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.10 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
,Zet
1 6,2„,
Lt
N;e/vc ,-tt
AAP
a
434
4.
LA4
tillage of Miami Shores
JOB 14
ADDRESS
ft 5v
INSPECTION �° `k.) c°
TIME READY
E. 9 vt
o di
N9 4894
REMARKS
INSPECTOR DATE ? - 5-- -CI-
njege of Miami Shores N° 4477
JOB Cc" d %
ADDRESS ' E
INSPECTION j de o' 1)
TIME READY
REMARKS
d� L
INSPECTOR
(..).vc /3 /
DATE 6 ��