PLUMBINGBUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE ( r - ' ` -- 19— —
� PERMIT N9 5871 8 71 contractor's
License No. , C
❑ Work to be performed under this Permit_
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of 1 Amount of
Project $ 1 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 applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed- 1` ;INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinance s.,,ygulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mlami Shores Village. In ac•
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
A II HOT ■7N
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Legal
Description
Address of
Building
Lot
f
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 9546
Work to be performed under this Permit
Architect
Contractor
or Builder
Bl.
Subdi-
vision
Value of
Project $
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• y' BY
. — -INSPE `OR
In consideration of the issuance to me of this permit I agree ti perform the work covered' reunder in compliance with alh+ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings' statements or specifications subrniitted 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.
DATE 195
Contractor's
License No
Amt. of
Permit $
CONTRACTOR OR BUILDER AUTHORITY
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 complies/ea 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.
Onrner Name and Address ____________ ________
Registered Architect and /or Engineer _ A__�-- _ --_ --
N o. -- --
Employing Plumbers Name
Location and Legal Description Lot
Street and Number where work is to he performed —No
State work to be performed and purpose of building (By Floors)—
n t
Amount of Permit $ 3
STATE OF FLORIDA,
Bs. COUNTY OF DADE.
My Commission Expires
1N10 &,10 SHORES VILLAGE
PLU °ASING INSPECTION DEPARTMENT
APPLMTECM FOR PLUMBING PERMIT
No. __._.__ 4 _ "r _ '_______ Street__
Block
_Type of Tank_— Capacity Gals.
(Signed)_
41 r 76 ci
Date __.__/7- 21_'C�r
Notary Public, State of Florida
Street —
New Building ___ Remodeling__ -- -- _ -__ -_ Addition -- ---- _.___ -_ -- __ -_ -. Repairs No. of Stories
Size Septic Tank_
Feet of Drain Tile - ____Dist. Feet of Tank or Drain Field from Well
Nature of Water Supp y: City — 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 5968, 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 he performed under this permit, 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 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.i10 will be made wham rim re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOOQT6
BATH
TUBS
SHOWERS
LAVA
TORIES
S
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CH¢ea
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'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 complies/ea 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.
Onrner Name and Address ____________ ________
Registered Architect and /or Engineer _ A__�-- _ --_ --
N o. -- --
Employing Plumbers Name
Location and Legal Description Lot
Street and Number where work is to he performed —No
State work to be performed and purpose of building (By Floors)—
n t
Amount of Permit $ 3
STATE OF FLORIDA,
Bs. COUNTY OF DADE.
My Commission Expires
1N10 &,10 SHORES VILLAGE
PLU °ASING INSPECTION DEPARTMENT
APPLMTECM FOR PLUMBING PERMIT
No. __._.__ 4 _ "r _ '_______ Street__
Block
_Type of Tank_— Capacity Gals.
(Signed)_
41 r 76 ci
Date __.__/7- 21_'C�r
Notary Public, State of Florida
Street —
New Building ___ Remodeling__ -- -- _ -__ -_ Addition -- ---- _.___ -_ -- __ -_ -. Repairs No. of Stories
Size Septic Tank_
Feet of Drain Tile - ____Dist. Feet of Tank or Drain Field from Well
Nature of Water Supp y: City — 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 5968, 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 he performed under this permit, 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 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.i10 will be made wham rim re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
'-
Amount of 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 comp ether . erein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address__- - ;. - -_ -- -- ._.- .__ _, i N'o
N A 4 � y
Registered Architect and /or Engineer- ___ - -- F/ f.23 -- J- - .
U
Employing Plumber's Name 1., _... li -- --
Location and Legal Description Lot-____._ I_ ,,
STATE OF FLORIDA,
COUNTY OF DADE. J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
(Signed)
/ //_ Street_ __
Date ' ` ,
Street_
Subdivision
Street and Number where work is to be performed —No Street .._'___f
2
State work to be performed and purpose of building (By Floors)____..____ _____---- __....- __- ___..._r: —� (Z-
New Building __ _ -- Remodeling - -__ ___ __ Addition-- - -_ -__ _ Repairs No. of Stories.
Size Septic Tank Type of Tank___
Feet of Drain Tile__-_-__ _- - ------------------- --- - - -- -- _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well -Size of Soakage Pit
Capacity Gals
bing 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. d
( Signed) -- - - -- (- --
Before me, the undersigned authority, a notary public, duly authorized to administer oaths an 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.
•
Master Plumber.
CLOSETU
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
LIST
CHECK
I
'-
Amount of 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 comp ether . erein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address__- - ;. - -_ -- -- ._.- .__ _, i N'o
N A 4 � y
Registered Architect and /or Engineer- ___ - -- F/ f.23 -- J- - .
U
Employing Plumber's Name 1., _... li -- --
Location and Legal Description Lot-____._ I_ ,,
STATE OF FLORIDA,
COUNTY OF DADE. J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
(Signed)
/ //_ Street_ __
Date ' ` ,
Street_
Subdivision
Street and Number where work is to be performed —No Street .._'___f
2
State work to be performed and purpose of building (By Floors)____..____ _____---- __....- __- ___..._r: —� (Z-
New Building __ _ -- Remodeling - -__ ___ __ Addition-- - -_ -__ _ Repairs No. of Stories.
Size Septic Tank Type of Tank___
Feet of Drain Tile__-_-__ _- - ------------------- --- - - -- -- _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well -Size of Soakage Pit
Capacity Gals
bing 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. d
( Signed) -- - - -- (- --
Before me, the undersigned authority, a notary public, duly authorized to administer oaths an 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.
•
Master Plumber.
TOo THE PLANNING ZONING,& BUILDING DEPARTMENTS
Mini Shores Village Florida
"I hereby agree that the pool being constructed on my property at
will not be filled with
water until the proper and legal enclosure has been erected around
such pool and final inspection made and pool and enclosure approved
and said enclosure will be erected simultaneously with and prior
to completion to the pool and in accordance with the plans and
specifications submitted."
PROCESS NO
Plumbing Division
City Hall
Miami Shores, Florida
AMERICAN
TITLEAivn
INSURANCE COMPANY
37 N. E. FIRST AVENUE
MIAMI 32, FLORIDA
October 24, 1950
In Re: Paul Larks
Lots 4 & 5, Blk. 181, Section 8,
Miami Shores, Florida
1122 N. E. 97th Street
Gentlemen:
Per telephone conversation of October 24th, please issue your
Final Plumbing Certificate for captioned case at your earliest
possible convenience.
Horace ;3ronson Plumbing did the plumbing for this construction.
Very truly yours,
XL:MI= TITLE & INSURIINCE C 0ia'J I Y
Mortgage Department
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. k' `' ± 5 1y/ z .. No._ � z ------ .- ____ -- Street
Registered Architect and /or Engineer /7A_r_ y ____ - _ _.--- --.
Employing Plumber's Name _S. �'e s —° �' � ,� _ / y' __-- -- -- --- �1 S _ s - _ Street- 4. =' _ '
Location and Legal Description Lot -_ Block J 1 / Subdivision. - ,?yu � 1-- ' S '
Street and Number where work is to be performed—No 2 Z street. .22 __ :_ ` x d r •
State work to be performed and purpose of building (By Floors)-- ..._ --1 =-------- --
New Buildin g _ -- Remodeling __ _____ -_ Addition Repairs -- --- .--- ...- -__ -_- __ -- No. of Stories.... .....
--
Size Septic 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, }
COUNTY OF DADE.
s
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
__Type of Tank___
(Signed) —
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obilk ions 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 site of the work such public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit. as are
licensed by Miami Shores Village.
( Signed ) _ ___� -
Date.___ 3` O c e s
_ Capacity Gals._
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 r inspectiona in made ' necessary by improper notice for inspection, or faulty
materials and /or workmanship.
9
�R�
CLOSETS
BATH
TUBS
§MOWER®
LAVA
TORIES
NKS
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•Ns
TOTAL
FIXTURES
CONTR.
LIST
4 /
/ /
7
/
[�
CHECK
/. 5,-, . .
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
DEEP
WELL
SPRKLR.
SYSTEM
SwuM'G
POOL
p) SI
12/A 4;4c>
O✓v.---
_i___.
LLIPo0.
-7 + %4E4,Is•
— --
SO Q
HEATER
Come.
Liar
_
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. k' `' ± 5 1y/ z .. No._ � z ------ .- ____ -- Street
Registered Architect and /or Engineer /7A_r_ y ____ - _ _.--- --.
Employing Plumber's Name _S. �'e s —° �' � ,� _ / y' __-- -- -- --- �1 S _ s - _ Street- 4. =' _ '
Location and Legal Description Lot -_ Block J 1 / Subdivision. - ,?yu � 1-- ' S '
Street and Number where work is to be performed—No 2 Z street. .22 __ :_ ` x d r •
State work to be performed and purpose of building (By Floors)-- ..._ --1 =-------- --
New Buildin g _ -- Remodeling __ _____ -_ Addition Repairs -- --- .--- ...- -__ -_- __ -- No. of Stories.... .....
--
Size Septic 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, }
COUNTY OF DADE.
s
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
__Type of Tank___
(Signed) —
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obilk ions 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 site of the work such public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit. as are
licensed by Miami Shores Village.
( Signed ) _ ___� -
Date.___ 3` O c e s
_ Capacity Gals._
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 r inspectiona in made ' necessary by improper notice for inspection, or faulty
materials and /or workmanship.
9
�R�
Perm
New Building_
NO,st SHORES VILLAGE
PLUMING INSPECTION DEPARTMENT
APPLOCAVION FOR PLUMBING PER IT
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 Cohen-Ager (Morton-Hill)
No. 1122 N. E.
Street 97th St.
Registered Architect and/or Engineer
Employing Plumber's Nameikae...Sgatig__TALik_c_am_p_111.02.__________ No- 2, 52_W st Erd AVO o kaaloah,
Location and Legal Description Lot Blocir Subdivision ..
Street and Number where work is to be performed—No _1122_1. Y Street 97th St
State work to be performed and purpose of building (3y Floors)._
Remodeling _- _ Addition__ Repairs No. of Stories_
Size Septic of Tank__ Precast
Feet of Drain Tile_ .35 blk .drahat_nDist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well-______ ______ _____________________Size of Soakage Pit
Capacity Gals.
Amount of Permit $ 4 ,,00 (Signed) —1,b-N‘n--41k (1').- . .......... -
V PlumliiiiTospector.
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 tile Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Mimi Shores Village.
(Signed)
3/10/65
Date
600 gal.
hr)
My Commission Expires Notary Public, State of Arida
Master Plumber.
STATE 07 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/ea workmanship.
CLOCSECTO
BATH
TUBS
SH°W
LAVA.
TORIES
S
SLOP
SINKS
LAUNDRY
rues
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUPOT• NS
TOTAL
FIXTURES
CONTR.
LIST
CNIECIt
---
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SW I M G
POOL
COMM .
LUST
-.--
-
CHECK
Perm
New Building_
NO,st SHORES VILLAGE
PLUMING INSPECTION DEPARTMENT
APPLOCAVION FOR PLUMBING PER IT
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 Cohen-Ager (Morton-Hill)
No. 1122 N. E.
Street 97th St.
Registered Architect and/or Engineer
Employing Plumber's Nameikae...Sgatig__TALik_c_am_p_111.02.__________ No- 2, 52_W st Erd AVO o kaaloah,
Location and Legal Description Lot Blocir Subdivision ..
Street and Number where work is to be performed—No _1122_1. Y Street 97th St
State work to be performed and purpose of building (3y Floors)._
Remodeling _- _ Addition__ Repairs No. of Stories_
Size Septic of Tank__ Precast
Feet of Drain Tile_ .35 blk .drahat_nDist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well-______ ______ _____________________Size of Soakage Pit
Capacity Gals.
Amount of Permit $ 4 ,,00 (Signed) —1,b-N‘n--41k (1').- . .......... -
V PlumliiiiTospector.
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 tile Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Mimi Shores Village.
(Signed)
3/10/65
Date
600 gal.
hr)
My Commission Expires Notary Public, State of Arida
Master Plumber.
STATE 07 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/ea 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 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__ „ //r.____,:_—_ -_- -- !\ - — No.__ _ r _ Street_
Registered Architect and /or Engineer -___ -- - ;---- -- - -_ - -- - ---- -_ - --
Employing Plumber's Name ,___.. — Street-..-.- _...._
Location and Legal Description Lot_.._..._ ..... _________ Block Subdivision . --- __•--- - --
Street and Number where work is to be performed —No 3 Street
State work to be performed and purpose of building (By Floors) _.. L _..___. -__ -- ' ' —_w,_
New Building -- _ -_ Remodeling____ -- Addition.
Size Septic Tank -,, v Type of Tank_ Capacity Gals.
Feet of Drain Tile______ _- .... _ ........... _ ...... - - -- .__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well — _Size of Soakage Pit
Amount of Permit $ ...
___ - _.. - �
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an mployer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplesiient, 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, 1
CUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r';L9,MlT
(S _ -___'—
Repairs No. of Stories.
Date__
My Conunission Expires Notary Public, State of Florida
Plumbin inspector.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBE
SHOWERS
LAVA
TORIES
INKS
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
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
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__ „ //r.____,:_—_ -_- -- !\ - — No.__ _ r _ Street_
Registered Architect and /or Engineer -___ -- - ;---- -- - -_ - -- - ---- -_ - --
Employing Plumber's Name ,___.. — Street-..-.- _...._
Location and Legal Description Lot_.._..._ ..... _________ Block Subdivision . --- __•--- - --
Street and Number where work is to be performed —No 3 Street
State work to be performed and purpose of building (By Floors) _.. L _..___. -__ -- ' ' —_w,_
New Building -- _ -_ Remodeling____ -- Addition.
Size Septic Tank -,, v Type of Tank_ Capacity Gals.
Feet of Drain Tile______ _- .... _ ........... _ ...... - - -- .__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well — _Size of Soakage Pit
Amount of Permit $ ...
___ - _.. - �
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an mployer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplesiient, 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, 1
CUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r';L9,MlT
(S _ -___'—
Repairs No. of Stories.
Date__
My Conunission Expires Notary Public, State of Florida
Plumbin inspector.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
PERMIT N° 9348
1
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
DATE
Contractor's
License No _
Amt. of
Permit $
195!
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.
BY AUTHORITY
BATH
CLOOHTES SHOWERS
TUBS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
I NALS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
COMM
LIoT
CNBCK --_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
COMM
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.
Ownzs' Name and Address--- __ --.-
Registered Architect and /or Engineer.._ _ _ _ ? . 1. 2 1 str al C o r p . . _
'Employing Plumber's Name ROSS Soptie Talk Co ®® g%tc T7� vo. ,� .aloah, Fl No.------ �2 3k d A
--- - -._._ Street. - - - - -- ------------ ..._.. - --
'Location and Legal Description Lot_
Street and Number where work is to be performed —No 1122
State work to be performed and purpose of building (By Floors) _
New Building _-- •----- --- - -- - - - - - -- Remodeling— _- _- - - -___ __ __ Addition
Size Septic Tank
Feet of Drain Tile__
ltjure of Water Su : City— Well._____ ...... - ..... ---- _ -_ - _.-- - - - - -_ -Size of Soakage Pit
y 65 drairf catch basjm 4 - -- - --
Amount of Permit $ 7
Block
(Signed)_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1 .2/5/'3
Date
Repairs No. of Stories
1122 J•E. 97th St.
No._ -------- _ - -. -- Street_ _.__.
Street_ N.E. 97th St.
_Type of Tank____ Capacity Gals
__Dist. Feet of Tank or Drain Field from Well
1 ° 75 cu.ft scakafc - tit yJ
(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 5968, 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
COUNTY I.�,F 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.
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
nsatrrials anal /or workmanship.
9 /4 ` ����
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City -Well
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMOT
Permit No 4 C 4 v �! __ Date / - Z 'I
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 Mega .1_2/__ cd._•_ __ Street.
Registered Architect and /or Engineer______ ____.____ ____.______________
Employing Plumber's Name t° �P� -- � �� � Q F' ___-.- ' -- - -- No. -_ S-�'-_` _._ Street_ -- - -/ -
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) _
New Building_____ _-_ -- Remodeling_-_- Addition
Subdivision
Street.
Repairs No. of Stories.
___ -- - Type of Tank Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
_ __Size of Soakage Pit
( Signed)_ Z
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 workto be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)._
My Commission Expires 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 /ca workmanship
CLOSSTS
®AYH
TUDS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BAs 1N
FLOOR
DRAIN
DRINKING
FOUNT' NS
/ �6Jli
C
�l09'
f
TOTAL
FIXTURES
CONTR.
LIST
CHECK
--7 (3.,-__
�:/‹'�-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW MVO
POOL
CONTR.
LIST
CHECK
9 /4 ` ����
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City -Well
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMOT
Permit No 4 C 4 v �! __ Date / - Z 'I
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 Mega .1_2/__ cd._•_ __ Street.
Registered Architect and /or Engineer______ ____.____ ____.______________
Employing Plumber's Name t° �P� -- � �� � Q F' ___-.- ' -- - -- No. -_ S-�'-_` _._ Street_ -- - -/ -
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) _
New Building_____ _-_ -- Remodeling_-_- Addition
Subdivision
Street.
Repairs No. of Stories.
___ -- - Type of Tank Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
_ __Size of Soakage Pit
( Signed)_ Z
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 workto be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)._
My Commission Expires 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 /ca workmanship
Permit No `P
fOn 0 SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
AL Q A N " • R PLUMBING PUNT
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.
O w n e r o Name and Address_____1q I 11 - _ - _ _ _- — ._ No._— ____— _.____ -__ __ Street
Registered Architect and /or Engineer
Employing Plumber's Name ROSe___aeati-c _T%lk_ CR , Inc No.__ - - - - -- 5?ti oo 3g°b yg.Hulce Fla.
Location and Legal Description Lot 11 22 AL 97th S Block Subdivision__ -__.
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
S ize Septic Tank -- 600 gal °-- -_ _ —_- ___Type of Tank_ — ___Precast
Feet of Drain Tile _32
- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well. - - -- ...... ___________________Size of Soakage Pit
Amount of Permit
X4000
(Signed)_
mbingin
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. p
(Signed)_
Date
Street
Repairs No. of Stories.
600 Capacity Gals
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per orally 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 $1.01) will be made when =eh re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /er vinaianan.ship.
CLOIIQTII
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
Comm.
LIST
Co -:Eau
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
CONTR.
Lica
Cm ca
Permit No `P
fOn 0 SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
AL Q A N " • R PLUMBING PUNT
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.
O w n e r o Name and Address_____1q I 11 - _ - _ _ _- — ._ No._— ____— _.____ -__ __ Street
Registered Architect and /or Engineer
Employing Plumber's Name ROSe___aeati-c _T%lk_ CR , Inc No.__ - - - - -- 5?ti oo 3g°b yg.Hulce Fla.
Location and Legal Description Lot 11 22 AL 97th S Block Subdivision__ -__.
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
S ize Septic Tank -- 600 gal °-- -_ _ —_- ___Type of Tank_ — ___Precast
Feet of Drain Tile _32
- -Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well. - - -- ...... ___________________Size of Soakage Pit
Amount of Permit
X4000
(Signed)_
mbingin
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. p
(Signed)_
Date
Street
Repairs No. of Stories.
600 Capacity Gals
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per orally 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 $1.01) will be made when =eh re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /er vinaianan.ship.
Permit No ...(4 5
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application 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.
Ownex'a Name and Address
Registered Architect and/or Engineer ..... -
Employing Plumber's Name po.opao---Sygten— No. 564 Street_BEt_ _i25.th.
Location and Legal Description Lot Block Subdivision.
Street and Number where work is to be performed—No 2 Str r
State work to be performed and purpose of building (By Floors)_
New Building _ Remodeling Addition
Size Septic Tank_
Feet of Drain
Marton Hill
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
N 65=907 91
N 1122
_Type of Tank_ Capacity Gals
__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: .... ____ .... of Soakage Pit
Amount of Permit $
My Commission Expires
Date ..
200 ( Signed )
Street. 97th
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 Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this ?emit, as are
licensed by Miami Shores Village.
(Signed ar..,-(,(AL&A>
Master Plumber.
STATE OF FLORIDA, es.
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
NOTE: A re-inspection fee of 81.00 will be made when suck re-inspection is made.necessary by improper notice for inspection, or faulty
materials and/or workmanship.
CLOGIETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
„
URINAL
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' N6
G,,, n
caw
Gi. al
TOTAL
FIXTURES
CONTR.
LMT
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I M • G
POOL
corm.
LIST
CHECK
___.—
Permit No ...(4 5
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application 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.
Ownex'a Name and Address
Registered Architect and/or Engineer ..... -
Employing Plumber's Name po.opao---Sygten— No. 564 Street_BEt_ _i25.th.
Location and Legal Description Lot Block Subdivision.
Street and Number where work is to be performed—No 2 Str r
State work to be performed and purpose of building (By Floors)_
New Building _ Remodeling Addition
Size Septic Tank_
Feet of Drain
Marton Hill
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
N 65=907 91
N 1122
_Type of Tank_ Capacity Gals
__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: .... ____ .... of Soakage Pit
Amount of Permit $
My Commission Expires
Date ..
200 ( Signed )
Street. 97th
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 Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this ?emit, as are
licensed by Miami Shores Village.
(Signed ar..,-(,(AL&A>
Master Plumber.
STATE OF FLORIDA, es.
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
NOTE: A re-inspection fee of 81.00 will be made when suck re-inspection is made.necessary by improper notice for inspection, or faulty
materials and/or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
PERMIT
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
Architect
Contractor
or Builder �-
Legal Lot
Description II Bl
CONTRACTOR OR BUILDER
N? 6210
Work to be performed under this Permit
Contractor's
License No.
.'.
Subdi-
vision
Address of ( Value of II Amount of
Building Project $ I! 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 applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. _ -_ __ — _ _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 regt
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
■
DATE 19 — "•_'
Awnoi
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
DATP 195
PERMIT N? 6460 Contractor s
License No.
❑ Work to be performed under this Permit
CONTRACTCR OR BUILDER
B1
Subdi-
vision
Value of
Project $
I'
II
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
•
MIAMI SHORES VIL LAGE
PLUMBING INSPECTION DEPARTMENT PERMIT
APPLICATION FOR PLUMBING 17 $..:
148: -
Date -_. or other
'Miami Shores Village, Florida.
s and specifications herewith ncesof nutted for the
D i ` •ision
ent of the plan specifications regulations oft e kept r
- -- the detailed statement with the B and all rules and
- r oyal of th hanCe and ro ved plans and specifications must
Permit l'o - m ade for the app o f Miami Shores Villag of app
application is made in comp A copy
Application Is hereby This app l ordinances specified or not. - -
described. ,_ ,Sh,OTeB y -
structure Herein ) lied with, whether herein sP Street -- M] BII►
provisions of the Laws of the State of Florida Flon a>
and all P e shall be coral gTil
1122 I�- - 1-• -
Florid --
o E Miami Shores Village N0' - - - -- -
ess o f work.
during pr — a`
------ - - - - - - --
building :1-1._._ �� -- - -- - - - - - --- -- - -
r s
Address- kCx----- - - - - -- _ - - - -- ----- - - --- 3.4___,_W . �+ t Street- - - - - -- - - - - -- -
Paz'- -- - - -- at
N and A1fTed_ -s- � 75 a a -
Owner's No._ - - - --
dl or Engineer _ - - - - -- -- - - - - - -- 181. S - - - - - - - -
} _B golf.--- - -- - - -- res.
R Horace - -Z �Subdiv - S
Plumber's Name
-- -- - - - - -- - - - Block ----- --------- - - - - -- _
Employing and _�--------- - - - - -- - E ��r•�h_- street - -- Street----. _Iii_ 931
_ -- -
l o m g $
Legal Description Lot 1122__li_____ � -- --- - - --
Location and Leg performed—No - - -- - -- - - -- No. of Stories
Locatz ---- --- --- -- - - - - - -
where work is to e P
Number ' /ding (BY Floors)---- - - - - - -- - Repairs - aS TOTAL
Street and purpose of bra - DD —
S y,
g i S c l • F IXTUR E
and Purp _____ ______ Addition_ _ FLOOR DRINKING �.j� l�
b performed . __ __. __. _ FOUNT 'NS WAS e �� 11
State work to b Remodeling_ CATCH DR AIN F = 1
-- SLOP LAUNDRY Y U BASIN N \iii_-_\
eW Building LAVA' SINKS SINKS —�
BA TH SHOWERS TORIES —_-�
CLOSE 1 —� wa er
cON R S OLAR DEEP SPRKLR. SP h
L EI -- W � SYSTEM --
SOAKAGE GREASE HE��
GHECK p1Y T� - '�
SEWER GRA
I CONN. — Fl —
SEPTIC ' - -- - -- -
TANK Capacity Gals.
1 Cap
-- - - -- - --
LI'�
T of Tank w -
CHECK _ e Tli - a i r Field from --
- ist. Feet of Tank
Septic Tank - - -- - - - --- D - - -- -Size of Soakage Pit .-- --------- -
-- -- - - - - --
Size P City
of D Tile Supply: Feet City —� ell • - -- - -- - - ---
Nature of Water P r
--- -- _____________ - - lambing Inspector.
l -
labor
-- -- -- -- - ---
(Signed)__ __ ___t_
*ations as an emp Dyer
is his o blib• an d has coin
- -- -- -- - accepts lucent '
Florida Permanent S that he understands and to I him in the work to are
Amou of Permit -- -- - - - -- . hereby certify General Laws of
it does C employed
1 ,� notice or notices as
5966, or sub -contractors Pe Pub Y" omit, as are
a licant for this building permit
Section from all co ntractors of the work under this P'
r ed ns Compensation r A Hance the site be Pcrformt
The d Mid , Come wire similar come for inspection on ork to /
Florida �Vorklnen - will require to be posted sub- ,
un der the employ only such contractors, on ,
the provisions thereof, w1 post or cause .7z--s.\-./(.1/(4''
� � y
plied with it; • Tee to emp V aster Plumber•
undersigned agrees performed under this ores there. z
required by to Act. Village. (Signed) i
licensed by
Miami Shores /
1 a ppeared
inister oaths and
take acknowledgments, Personally : Pp'
T OF FLORIDA ss. to adm
STATE duly a uthorized - that ;
OF DADE' a notary public,
- -- --- --- - -- _
COUNTY re d authority, -- --- - sign the same, arc
lt ,, •11 facts
e the un dersigne d _ that 11e is the
-- h that he did . •
Before m > -------- - - - - -- deposes and say. , and
first duly s worn, ly upon read oath foregoing application,
being by me first has c arefully
who, that - - - -- - - -- --
- - - - - - -- - -- -
to me well known, anal con struction , Public, State of Florida — above described Notary or fault }
of the L o i
him stated are tru e '
notice for
therein by _ - - - " "- improper
------ - -- -
_ - - - - -` - -� -� is made necessary by M Commission Expires
-- -- - -- __- - -- -- -- - r e-inspect ion - - -- - - -- fee of X1.00 will be made when such re -insp
NOT A re - inspect
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 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 he complied with, whether herein specified or not. A copy of approved pans and specifications must he kept at
building during progress of work.
Owner's Name and Address - Paul H. Marks
Registered Architect and /or Engineer Alfred B. Parker
Employing Plumber's Name -- --- Horace_ _2— __Br_unson N N.W. 24th Street Miami, Fl
Location and Legal Description Lot 4 and 5 Block 181 Subdivision Miami Shores
Street and Number where work is to be performed—No. 1122 N,E, 97th Street Street___ Miami Shores
State work to be performed and purpose of building (By Floors)
New Building X Remodeling - Addition____- ____.________ _ _ Repairs
Size Septic Tank BY others
Feet of Drain Tile -
Nature of Water Supply: City —Well.
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 5966, Compiled General Laws of Florida Permanent Supplement, and has coin -
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 publ$( notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on Ark to be performecx tinder this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
Dist. Feet of Tank or Drain Field from Well
City Size of Soakage Pit
(Signed)
No. 122__ i.E »9.7-_th Street Miami Shores,
t
Date May 17, 1950
Capacity Gals.
1
No. of Stories
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT-NS
Dis W
Was Mach.
_
TOTAL
FIXTURES
CONTR.
LIST LIST
2
1
3
1
1
1
11
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
water
htrs.
CONTR.
LIST
__
1
2
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 he complied with, whether herein specified or not. A copy of approved pans and specifications must he kept at
building during progress of work.
Owner's Name and Address - Paul H. Marks
Registered Architect and /or Engineer Alfred B. Parker
Employing Plumber's Name -- --- Horace_ _2— __Br_unson N N.W. 24th Street Miami, Fl
Location and Legal Description Lot 4 and 5 Block 181 Subdivision Miami Shores
Street and Number where work is to be performed—No. 1122 N,E, 97th Street Street___ Miami Shores
State work to be performed and purpose of building (By Floors)
New Building X Remodeling - Addition____- ____.________ _ _ Repairs
Size Septic Tank BY others
Feet of Drain Tile -
Nature of Water Supply: City —Well.
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 5966, Compiled General Laws of Florida Permanent Supplement, and has coin -
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 publ$( notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on Ark to be performecx tinder this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
Dist. Feet of Tank or Drain Field from Well
City Size of Soakage Pit
(Signed)
No. 122__ i.E »9.7-_th Street Miami Shores,
t
Date May 17, 1950
Capacity Gals.
1
No. of Stories
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
1:!
4 -
1
°
it
rs.
'
/ 1
oxf
s •
New Building
Amount of Permit $_
STATE OF FLORIDA, i ss.
COUNTY OF DADE. s
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No ____ Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name _.._ No. Street ___
Location and Legal Description Lot Block Subdivision
and Number where work is to be performed —No. Street_
State work to be performed and purpose of building (By Floors)
(Signed)
No. Street _
Remodeling Addition Repairs
•
Size Septic Tank. 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
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 hint in the work to he
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public' notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
No. of Stories _
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 Plu nber.
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
SWIM'G
POOL
CONTR.
LIST
-
CHECK
New Building
Amount of Permit $_
STATE OF FLORIDA, i ss.
COUNTY OF DADE. s
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No ____ Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name _.._ No. Street ___
Location and Legal Description Lot Block Subdivision
and Number where work is to be performed —No. Street_
State work to be performed and purpose of building (By Floors)
(Signed)
No. Street _
Remodeling Addition Repairs
•
Size Septic Tank. 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
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 hint in the work to he
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public' notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
No. of Stories _
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 Plu nber.
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.