PLUMBINGApplication 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 2
Registered Architect and /or Engineer
Employing Plumber's Name "
n a
Location and Legal Description ........ _Block_ _ _-- .._---- -.__ Subdivision
Street and Number where work is to be performed —No > G
------ .._..r. - u Street--- r---- � - -,>
State work to be performed and purpose of building (By Floors)___._-_______.____.
New Building _-------- - - -- -- - ---_ -- Remodeling___ -- - - - -- Addition /%'
Size Septic Tank Type of Tank_.___ Capacity Gals.
Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Nature of Water Supply: City —Well.
'
Amount of Permit $ -- -- j - - - - -- ---- - - - - -- i
MIAMI SHORES VIV,AGE
PLUMBING INSPECTION DEPARTMEN
APPLICATION FOR PLUMBING " ,�•Ala4
(Signed)__________,__
( Signed
Date
Repairs No. of Stories.
P mg 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 Perinaneni Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, I
COUNT OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBE
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Twos
U RINALS
CATCH
BAs 1N
FLOOR
DRAIN
DRINK NG
FOU NT' NS
TOTAL
FIXTURES
CONTR.
LIOT
CHECK
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I hi' G
POOL
CONTR.
LIST
CNEcK
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 2
Registered Architect and /or Engineer
Employing Plumber's Name "
n a
Location and Legal Description ........ _Block_ _ _-- .._---- -.__ Subdivision
Street and Number where work is to be performed —No > G
------ .._..r. - u Street--- r---- � - -,>
State work to be performed and purpose of building (By Floors)___._-_______.____.
New Building _-------- - - -- -- - ---_ -- Remodeling___ -- - - - -- Addition /%'
Size Septic Tank Type of Tank_.___ Capacity Gals.
Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Nature of Water Supply: City —Well.
'
Amount of Permit $ -- -- j - - - - -- ---- - - - - -- i
MIAMI SHORES VIV,AGE
PLUMBING INSPECTION DEPARTMEN
APPLICATION FOR PLUMBING " ,�•Ala4
(Signed)__________,__
( Signed
Date
Repairs No. of Stories.
P mg 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 Perinaneni Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, I
COUNT OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
HUILDING
hLECTRICAL
PLUMBING
tOOFING
MIAMI SHORES VILLAGE. FLORIDA
DATR 195
PERMIT N9 6309 Contractor s
License No.
❑ Work to be performed wider this Permit
Owner of
wilding
architect
_,ontractor
lr Builder
.egal Lot
)escription ! Bi.
Subdi-
vision
•
'address of Value of I Amount of
wilding Project iI 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
cerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance witl any ;ions
irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked a any
ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which tt is permit is
(ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances anc regulations
'ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specific gif> hs and that he assumes responsibi ity for work
one 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 regulation:;
, ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vi:lage. .n ac•
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CON'IRACTCR OR BUILDER
BY AUTHORITY
C
BETS
BATH
TUDS
SHOWERS
LAVA-
TORIES
SINKS
SLOP.
SINKS
LAUNDRY
TUBS
UR
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONYR.
LIST
"
\
�
I /(
�'
^ -
% ,n.
CHECK
i
I
--
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPBMLR.
/ `BOPSTEM '
— Z vV
SW IM'G
POOL
CONTR.
LI64
CHSex
'
L
�
—
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.
Location and Legal Description
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors j_
Neva Building__ _ -- Remodeling - __ --
Size Septic Tank
Feet of Drain Tile__ —
Nature of Water Supply: City —Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r' ;,,.moT
Addition._
Amount of Permit $ ✓� - � '' � --_ , �- : (Signed) - __�.. --
Date //
(Signed) " 7'
. /le
Owner's Name and Address ...... ^�^_ �'`� - - _a ..._ No._ /1 1 ` L Street
Registered Architect and /or Engineer- _------- .- ___________
Employing Plumber's Name � �'' �,� �?.� ! �l No Street 1! r`� : - � _• Y
lock_ /� _ -. Subdivision -__ —` -- ! - -'
Street/ / r
Repairs No. of Stories.
Type of Tank__ Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and 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 worn 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 perfo ned under this permit, as are
lied by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
STATE OF FLORIDA,
COUNTY OF :s ADE. 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 bind 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 end /or workmanship.
5 e
Df
e‘
MBAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING , ' ;0., NIT
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 wor
Ownef a Name and Address _
Registered Architect and /or Ed sneer ____ ____
Employing Plumber's Name_-_ ' _ :_,! :-�f ' d
Location and Legal Description Lot--_-- --_ - - - -_ _ ____ -- H Block Subdivision
Street and Number where work is to be performed —No �� Street
State work to be performed and purpose of building (By Floors)______
New ::wilding —_ Remodeling_ ___. Addition__
SLL.e Saptic Tank .8 -
Feet of Drain Tile_ —_ P SL =
Nature of Water Supply: City — Well.__.
mer40 .y
Date
Amount of Permit $ t.- (Signed) _
/- _- _________ No.__._ _ Street
-°ezZ No.___----- -___ -- Street ---- ___----- - - -_ --
Repairs No. of Stories_
4.T .e of Tank__ Capacity Gals
'eet of Tank or Drain Field from Well
__Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 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 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)..
("?
Master lumber.
STATE OF FLORIDA,
COUNTY OF DADE. J
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
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
Tues
URINALS
I A
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHUCK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
ry
CONTR.
LIST
CaccK
MBAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING , ' ;0., NIT
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 wor
Ownef a Name and Address _
Registered Architect and /or Ed sneer ____ ____
Employing Plumber's Name_-_ ' _ :_,! :-�f ' d
Location and Legal Description Lot--_-- --_ - - - -_ _ ____ -- H Block Subdivision
Street and Number where work is to be performed —No �� Street
State work to be performed and purpose of building (By Floors)______
New ::wilding —_ Remodeling_ ___. Addition__
SLL.e Saptic Tank .8 -
Feet of Drain Tile_ —_ P SL =
Nature of Water Supply: City — Well.__.
mer40 .y
Date
Amount of Permit $ t.- (Signed) _
/- _- _________ No.__._ _ Street
-°ezZ No.___----- -___ -- Street ---- ___----- - - -_ --
Repairs No. of Stories_
4.T .e of Tank__ Capacity Gals
'eet of Tank or Drain Field from Well
__Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 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 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)..
("?
Master lumber.
STATE OF FLORIDA,
COUNTY OF DADE. J
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
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.