PLUMBINGMIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No lv' 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. n
Owner's Name and Address 1 2 ` L n CA...AO A , r l ]/J
< t - No 1 Z ■(-)t
Registered Architect and /or Engineer / I#V
Employing Plumber's Name C1,.Cs P P?o G S •
... - - - .Y.. Nt j ,�� o. Ste .111114•7..e 81,:.......01.... ...••.....
Location and Legal Description Lot_ Subdivision. a: S Wo Ne-eS
Street and Number where work is to be performed —No 1 2 -5 1 ou 96 Street_. .__�..._
State work to be performed and purpose of building (By Floors T C 5
New Building. _ .._ _ _ - _ Remodeling_ __ _. —__ Addition.- - __,8___... Repairs No. of Stories
Type of Tank
(Sigma)
Capacity Cab.
Size Septic Tank_.
Feet of Drain Tile —Dist Feet of Tank or Drain Field from
Nature of Water Supply: City —WeUL Size of Soakage Pit
A mount of Permit $ J • o (Signed)- 1 : a , I _ Yy
8888
Plumbing Inspector. ._
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor 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, • k to be performed under this permit, as are
licensed by Miami Shores Village.
Matter Plumber.
STATE OF FLORIDA, l u.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
M Co ion Esping Notary Public. State of Florida
NOTE: A re inspection fee of $1.00 will be shade when snob selaspectien is saads•m.assery by improper notice for Memnon, or faulty
materials and /or workmanship.
CLOSETS
BATH
Tuna
/ MOWER/
LAVA•
RIE
TOS
SINKS
SLOP
SINKS
LAUNDRY
Tuna
U RINAL/
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT •NS
TOTAL
POSTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
IW IM'G
POOL
y
/ ph_
CONTR.
LIST
CHECK
t �
,
1 �
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No lv' 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. n
Owner's Name and Address 1 2 ` L n CA...AO A , r l ]/J
< t - No 1 Z ■(-)t
Registered Architect and /or Engineer / I#V
Employing Plumber's Name C1,.Cs P P?o G S •
... - - - .Y.. Nt j ,�� o. Ste .111114•7..e 81,:.......01.... ...••.....
Location and Legal Description Lot_ Subdivision. a: S Wo Ne-eS
Street and Number where work is to be performed —No 1 2 -5 1 ou 96 Street_. .__�..._
State work to be performed and purpose of building (By Floors T C 5
New Building. _ .._ _ _ - _ Remodeling_ __ _. —__ Addition.- - __,8___... Repairs No. of Stories
Type of Tank
(Sigma)
Capacity Cab.
Size Septic Tank_.
Feet of Drain Tile —Dist Feet of Tank or Drain Field from
Nature of Water Supply: City —WeUL Size of Soakage Pit
A mount of Permit $ J • o (Signed)- 1 : a , I _ Yy
8888
Plumbing Inspector. ._
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor 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, • k to be performed under this permit, as are
licensed by Miami Shores Village.
Matter Plumber.
STATE OF FLORIDA, l u.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
M Co ion Esping Notary Public. State of Florida
NOTE: A re inspection fee of $1.00 will be shade when snob selaspectien is saads•m.assery by improper notice for Memnon, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No iq cr. 3 Date..._.._`U . t- 2 ._ 2..77
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made In compliance and conformity with the Building Ordinance of Miami Shores VtWge, 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.
Owners Name and Address 1 2 M 4 A , W 1440E C L r lL N 7 s 7 - Y 7 Z 7 Steel? ? 9/ //E 2‘.s:
Registered Architect and /or Engineer
Employing Plumber's Name STo -P w ov/v Plu 014 /pi
No,„ .5. e IF '�� ...,... itzset ttEs .av ... /u,t1 ar / 6 CH
Location and Legal Desctlption Lot- Block Subdivision.
Street and Number where work is to be performed —No Street-.._.. ? 99 / AIL' 1 76..... _?7
State work to be performed and purpose of building (By Floors!)__ 21[✓. 1. rQ -LcSltsls.*.____!�l.ieS -_.._. Z
New Building- -__._— _..---- ........__. Remodeling__! _.__.. - -_ Addition Repairs. No. of Stories ...... ..........
Size Septic Tank__ -Type of Tank
Feet of Drain Tile Dist. Feet of Teak or Drain Field fronts Well __.__ .._.._
Nature of Water Supply: City—Well. Size of Soakage Pit
Amount of Permit 8 2 2 .5 n
My Commission Expires
(Signed) 111
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
thereintblrthasc stAted tuss■trueF F! f .. Rt3@
SAT COPaMYS....C, 1 X8 i! -rE e: 5, 1979
BONDED THEW GENERAL INSURANCE uNDERWRITEElS
lumbing
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and ham 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
licensed by Miami Shores Village.
did sign the
Init, as are
Master Plumber.
STATE OF FLORIDA,
sr.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
that all facts
NOTE: A re- inspection fee of 81.00 will be made when snob serlairpeeti n 1s soada•neoaoasy by improper notice for inspection, or family
materials and /or wodonanship.
GLOnxr[
BATH
Tun[
aHOW[Rn
LAVA•
Tonics
SINKa
SLOP
t:i1NKS
LAUNDRY
TUBS
URINALS
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT•N•
A
!J O tr
TOTAL
FIKTUR[O
CONTR.
LIST
2
/
3
I
7
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
Di LATIR
D IIP
WILL
SPRKLR•
SYSTEM
SWIM
POOL
Corm.
LIST
CHECK
��-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No iq cr. 3 Date..._.._`U . t- 2 ._ 2..77
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made In compliance and conformity with the Building Ordinance of Miami Shores VtWge, 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.
Owners Name and Address 1 2 M 4 A , W 1440E C L r lL N 7 s 7 - Y 7 Z 7 Steel? ? 9/ //E 2‘.s:
Registered Architect and /or Engineer
Employing Plumber's Name STo -P w ov/v Plu 014 /pi
No,„ .5. e IF '�� ...,... itzset ttEs .av ... /u,t1 ar / 6 CH
Location and Legal Desctlption Lot- Block Subdivision.
Street and Number where work is to be performed —No Street-.._.. ? 99 / AIL' 1 76..... _?7
State work to be performed and purpose of building (By Floors!)__ 21[✓. 1. rQ -LcSltsls.*.____!�l.ieS -_.._. Z
New Building- -__._— _..---- ........__. Remodeling__! _.__.. - -_ Addition Repairs. No. of Stories ...... ..........
Size Septic Tank__ -Type of Tank
Feet of Drain Tile Dist. Feet of Teak or Drain Field fronts Well __.__ .._.._
Nature of Water Supply: City—Well. Size of Soakage Pit
Amount of Permit 8 2 2 .5 n
My Commission Expires
(Signed) 111
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
thereintblrthasc stAted tuss■trueF F! f .. Rt3@
SAT COPaMYS....C, 1 X8 i! -rE e: 5, 1979
BONDED THEW GENERAL INSURANCE uNDERWRITEElS
lumbing
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and ham 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
licensed by Miami Shores Village.
did sign the
Init, as are
Master Plumber.
STATE OF FLORIDA,
sr.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
that all facts
NOTE: A re- inspection fee of 81.00 will be made when snob serlairpeeti n 1s soada•neoaoasy by improper notice for inspection, or family
materials and /or wodonanship.
BUILDING
ELECTRICAL
PLUMBING
In consideration of the issuance to me of this permit I agree
pertaining thereto and in strict conformity with the plans, drawin
In accepting this permit I assume responsibility for a work don
MIAMI SHORES VILLAGE, FLORIDA
Owner of
Building .."
DATE
RMIT N° 4546 Contractor's
License No.
r
Work to be performed under this Permit Af..
- ^�
Architect
Contractor f , � °A►
. /
or Builder
Legal Lot Bl.
Description
Address of ` y .Y 14/ /r 9 G lue of 11 Amt. of t
Building Cr "�`[l 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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance it any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be ev ed
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 t is
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances a
regulations pertaining to the work covered hereby whether shown on the plans or drawings or i a statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. Ji_
Subdi-
vision
Signed. Z
INSPECTOR
By " 1
e wg rk cov :d hereunder in compliance with all ordinances and regulations
ons su •. itted to the proper authorities of Miami Shores Village.
• sery . ± or em. 1 yee.
Whig
6- 3
CONTRACTOR OR BUILDER BY AUTHORITY
194
- -+
CLOSETS
BATH
Tuna
6NOW[R•
LAVA•
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuna
U RINAL/
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' Ns
TOTAL
FtxTURES
Copan.
LIST
1
CHECK
t
_
--
S[rTIC
TANK
SEWER
CONN.
DRAIN
FIELD
BOAKAO[
PIT
G
TRAP
SOLAR
H[AT[R
DEEP
WELL
SPRKLR.
SYSTEM
SW 114'0
POOL
CU .•
��
1 ®N
CONTa.
LIST
I
r ✓
15
CHECK
Permit No
a31)4(
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.
%72;
Owner's Name and Address
Registered Architect and /or Engineer -
Employing Plumber's Name �� /P- To ...., No.,.ZD 7 b 0 .._....m. s ttwe.� �l/ G 7" --
Location and Legal Description Lot Bloom Subdivision.-___— __ ._...___
Street and Number where work is to be performed —No Street_._..._. -- .._._ .............. _.. ... _.
State work to be performed and purpose of building (By Floors)_ T6_ ES' _p_. _ _— _............� -
New Building- - - - - -_ —_.._ _.. Remodeling— _•_--- .—.___ AddiHon..X Repairs No. of Stories ........
Size Septic Tank__— _Type of Tanit ---
Feet of Drain Tile _---Dist. Feet of Tank or Drain Field from Well .
Nature of Water Supply: City—Well. C `T Size of Soakage Pit.
Amount of Permit $
0. _ .
/ 0 6 17 (signed)_ \V; \ W-T-Ze 91(, _ tQl§Al
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 Su • . - t, and It earn -
plied with the provisions thereof, and will require similar compliance from all contractors or su . • .. rs . oyed hi in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the wor h . ubllc noti • or notices as err
required by the Act. The undersigned agrees to employ only such sub - contractor, on wor to • . • - ormed • er this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t u. COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oath[ 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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(S
Date../ / .
No. / t>? 9 / street... Pe S
Notary Public, State of Florida
Plumbing Inspector.
NOTE: A re- inspection fee of $1.00 will be made what such Maspeoeian is mede-neammtry by improper notice for inspection, err faulty
materials and /or workmanship.
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street.
895 -c/67
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 specification must be kept at
building during progress of work.
(� 1
Owners Name and Address _ 1Y^n 1L 1 ' 1 R-� '`F L (-E2-- No Mgt N-. Street.. -__
Registered Architect and /or Engineer A V 1c, E11/4) a, •
Employing Plumber's Name - --- 4�-a ..,..
Location and Legal Description Lot. Mode
Street and Number where work is to be performed —No. J A"M
State work to be performed and purpose of building (By FIoon)_.. JY 1 Uk ,_PO
Date..._.._ 1� .. • / (�_�• —.—
•A Subdivisionam_La a S ern
New Building. _ Remodeling —__ __.._.. _ __ Addition... -__ .. -__ Repairs No. of Stories
(Signed)
Size Septic Tank.. -_ _Type of Tank - -_._ _------- •--- ..._....__...Capaclty C,als..._..._.
Feet of Drain Tile Dist- Feet of Tank of Drain Field from Well ..._._ ._.- .--- .- -...__
Nature of Water Supply: City— WelL._C l Size of Soakage Pit...__A
SST CLE P -. ef c ,?
11 t �- - - 1 --
Amount of Permit 8 1 � �� S (�►�) - J -• - - -- - - -- �- � - -.. ......... _
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 5986, Compiled General Laws of Florida Permanent Supplement, and h„ •I earn-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort to br
performed under this permit; and will post or cause to be posted' for inspection on the sit • e work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub -oontr • • work •, be perf • • • u y this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, ( µ
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 dep oses 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 81.00 will be made when rich srispeotina it made.neceesery by improper notice for lespecflou, or faulty
materials and /or workmanship.
CLOSETS
BATH
Tub[
SHOWERS
LAVA•
TORIES
SINKS
SLOP
•INKS
LAUNDRY
Tuve
U RINAL/
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT' NS
TOTAL
FIXTURES
CONTP.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
F I[LD
SOAKAGE
PIT
0
TRAP
SOLAR
HEATER
D[[P
WELL
•PRKLR.
SYSTEM
•W 1M'O
POOL
I �-
CONTR.
LIST
I !
I
CHICK
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street.
895 -c/67
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 specification must be kept at
building during progress of work.
(� 1
Owners Name and Address _ 1Y^n 1L 1 ' 1 R-� '`F L (-E2-- No Mgt N-. Street.. -__
Registered Architect and /or Engineer A V 1c, E11/4) a, •
Employing Plumber's Name - --- 4�-a ..,..
Location and Legal Description Lot. Mode
Street and Number where work is to be performed —No. J A"M
State work to be performed and purpose of building (By FIoon)_.. JY 1 Uk ,_PO
Date..._.._ 1� .. • / (�_�• —.—
•A Subdivisionam_La a S ern
New Building. _ Remodeling —__ __.._.. _ __ Addition... -__ .. -__ Repairs No. of Stories
(Signed)
Size Septic Tank.. -_ _Type of Tank - -_._ _------- •--- ..._....__...Capaclty C,als..._..._.
Feet of Drain Tile Dist- Feet of Tank of Drain Field from Well ..._._ ._.- .--- .- -...__
Nature of Water Supply: City— WelL._C l Size of Soakage Pit...__A
SST CLE P -. ef c ,?
11 t �- - - 1 --
Amount of Permit 8 1 � �� S (�►�) - J -• - - -- - - -- �- � - -.. ......... _
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 5986, Compiled General Laws of Florida Permanent Supplement, and h„ •I earn-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort to br
performed under this permit; and will post or cause to be posted' for inspection on the sit • e work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub -oontr • • work •, be perf • • • u y this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, ( µ
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 dep oses 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 81.00 will be made when rich srispeotina it made.neceesery by improper notice for lespecflou, or faulty
materials and /or workmanship.
Hank Keller
Owner's Name and Address
Registered Architect and/or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
5
Permit No.. 2051 D 9 1984
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.
C & A Engineering
No 1291 N.E. 96ths&g Miami Shores_ Fla
Eu1004111 Plumbs Name QugljLiesiF limb; In r F
Location and Legal Description Lot. Mork
Street and Number where work is to be performed-No 1291 NE. 96th S tree tst
State work to be performed and purpose of building (By Floon)___ remodeling Est .pn mark. ,.Q QQ... Q
•
New Building. Remodoling--X - Addition Repairs No. of Stories... ....
N/A
Size Septic Tenir
N/A
Type of Tank- ...
nist. Feet of Tank or Drain Field from Well.
city
Nature of Water Supply: City-Well. Size of Soakage Pit.
Feet of Drain Tile
( Signed )11.J_ 1- S-‘ 1 0ZOkg. ,
Amount of Permit $ 7 0 . 00
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 hav com-
plied with the provisions thereof, and will require similar compliance from all contractors or rub-contractors employed by him in the worir to he
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub! c nod or notices as err
required by the Act. The undersigned agrees to employ only such sub-contractors, on be z
this permit, as are
licensed by Miami Shores Village. FLOYD Li TOLAR; ata ' u
262-72-7068 r (Signed
CC 000003744
STATE OF FLORIDA, I CRF003783Z
se.
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, drily authorized to administer oaths and take acknowledgments, personally appeared
Floyd j J1ar .Tr
for Qualified ung: agent
to me well known, and who, being by me first duly sworn, upon oath deposes and says t h i the . .24
of the above described construction, that be has carefully reed the foregoing application, and that sign the facts
P OfinIc STATE OF FLORIDA
therein by him stated are true.
_161.-CDMAiisSux4-64445-stpri-s-r9 8 6
My ComotieRIPKIYIENnELIERAl, INSURANCE UND
NOTE: A re fee of 0.00 will be made whoa nab roatapsatiaa M Rode =mom by hamper wake for brpscdon, at faulty
materials and/or workmanship.
CLO$fTS
BATH
Turns
SH°""
LAVA-
Tomas
Gomm
SLOP
SINKS
LAUNDRY
Tugs
URINALS
CATCH
spasm
FLOOR
DRAIN
DRINKING
FOUNT • NS
TOTAL
FIXTURES
Gown.
LIST
5
2
2
4
--
14
CHECK
SEPTIC
SEWER
CONN.
RR
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLA
HEATER
y
Da TANK
WELL
SPRKLR.
SYSTEM
•
!hot IM 0
POOL
,,,
Gown.
LIST
CHECK
Hank Keller
Owner's Name and Address
Registered Architect and/or Engineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
5
Permit No.. 2051 D 9 1984
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.
C & A Engineering
No 1291 N.E. 96ths&g Miami Shores_ Fla
Eu1004111 Plumbs Name QugljLiesiF limb; In r F
Location and Legal Description Lot. Mork
Street and Number where work is to be performed-No 1291 NE. 96th S tree tst
State work to be performed and purpose of building (By Floon)___ remodeling Est .pn mark. ,.Q QQ... Q
•
New Building. Remodoling--X - Addition Repairs No. of Stories... ....
N/A
Size Septic Tenir
N/A
Type of Tank- ...
nist. Feet of Tank or Drain Field from Well.
city
Nature of Water Supply: City-Well. Size of Soakage Pit.
Feet of Drain Tile
( Signed )11.J_ 1- S-‘ 1 0ZOkg. ,
Amount of Permit $ 7 0 . 00
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 hav com-
plied with the provisions thereof, and will require similar compliance from all contractors or rub-contractors employed by him in the worir to he
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub! c nod or notices as err
required by the Act. The undersigned agrees to employ only such sub-contractors, on be z
this permit, as are
licensed by Miami Shores Village. FLOYD Li TOLAR; ata ' u
262-72-7068 r (Signed
CC 000003744
STATE OF FLORIDA, I CRF003783Z
se.
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, drily authorized to administer oaths and take acknowledgments, personally appeared
Floyd j J1ar .Tr
for Qualified ung: agent
to me well known, and who, being by me first duly sworn, upon oath deposes and says t h i the . .24
of the above described construction, that be has carefully reed the foregoing application, and that sign the facts
P OfinIc STATE OF FLORIDA
therein by him stated are true.
_161.-CDMAiisSux4-64445-stpri-s-r9 8 6
My ComotieRIPKIYIENnELIERAl, INSURANCE UND
NOTE: A re fee of 0.00 will be made whoa nab roatapsatiaa M Rode =mom by hamper wake for brpscdon, at faulty
materials and/or workmanship.
Permit No. __La. . — Date - 1- 23 -69 - -
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th- 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. ----- -___ -- - Oscar E. Doo]y - _ No 1291 N.E. 96 st t
Registered Architect and /or Ei l�► - Septic TaT11 .O Bo g i lean - - - - -- - - -- -- •
Employing Plumber's Name _- __._ No. 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.___ _ _ __ ___ .. _ Repairs.
Size Septic Tank ..... . .. .. .. .
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $ ___ -. _3.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
-- Type of Tank - - - .
Feet of Tank or Drain Field from We11.
_ - Size of Soakage Pit
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
- (Signed)-
( Signed)
Street
Subdivision_
No. of Stories _
Capacity Gals.
Plumli In .pecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .`Tgations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and 1:as com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 no' ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. eed under this per nit, as are
licensed by Miami Shores Village. -
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn?ents, personall 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 .acts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00\vill 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
SINK8
LAUNDRY
TUBS
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT' NS
TOTAL
F XTURES
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
1
a •
_______
CHECK
JV
Permit No. __La. . — Date - 1- 23 -69 - -
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th- 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. ----- -___ -- - Oscar E. Doo]y - _ No 1291 N.E. 96 st t
Registered Architect and /or Ei l�► - Septic TaT11 .O Bo g i lean - - - - -- - - -- -- •
Employing Plumber's Name _- __._ No. 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.___ _ _ __ ___ .. _ Repairs.
Size Septic Tank ..... . .. .. .. .
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $ ___ -. _3.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
-- Type of Tank - - - .
Feet of Tank or Drain Field from We11.
_ - Size of Soakage Pit
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
- (Signed)-
( Signed)
Street
Subdivision_
No. of Stories _
Capacity Gals.
Plumli In .pecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .`Tgations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and 1:as com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 no' ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. eed under this per nit, as are
licensed by Miami Shores Village. -
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn?ents, personall 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 .acts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00\vill be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.