30 NE 97 StAmount of Permit $—
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
4 /3/ 61
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
cf 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.E. 97th St.
Street__ _
Owners Name and Address Dr. '' ri .__ _________________._..______ -... No. 30
Registered Architect and /or Engineer ____ __•_______-___- ----_-_ --------- ----- _--- -_ - - -_
Employing Plumber's Name Rose Septic Tank -- - 2 2 W. 3 Avel,Hialcah,Fla
----- - -- - -- -- — _ No. -- - Street_
Location and. Legal Description Lot_____________ ____ Block Subdivision
Street and Number where work is to be performed —No 3 Street N.E. 97th St.
State work to be performed and purpose of building (By Floors) --_-__- __..._- __ - .__
New Building_.__._ -- Remodeling_ ____ —___ Addition
Repairs No. of Stories . . ........ .............
Precast Capacity Gals. - - -_ -• 700 Gil.
Size Septic Tank _____ Type of Tank
Feet of Drain Tile _-__.3 t Elk • D . _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well. -__Y_ _ _ _ __ _ __ __ ___Size of Soakage Pit
------ ---- --
Additional information: Pumpout and abandon septic tank.
------------ - - - ---
( signed) -
Pluming Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tuns as an employer of labor
tinder the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn n Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em .: ed by him in the work to be
performed nailer 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
req;hcd 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 Plumber.
STATE OF FLORIDA, , es.
COUNTY OF DADE. 11
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
TUBS
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
COMM
LIST
CHECK
t —.
..----..--.
EP TIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
LIST
_
CHECK
Amount of Permit $—
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
4 /3/ 61
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
cf 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.E. 97th St.
Street__ _
Owners Name and Address Dr. '' ri .__ _________________._..______ -... No. 30
Registered Architect and /or Engineer ____ __•_______-___- ----_-_ --------- ----- _--- -_ - - -_
Employing Plumber's Name Rose Septic Tank -- - 2 2 W. 3 Avel,Hialcah,Fla
----- - -- - -- -- — _ No. -- - Street_
Location and. Legal Description Lot_____________ ____ Block Subdivision
Street and Number where work is to be performed —No 3 Street N.E. 97th St.
State work to be performed and purpose of building (By Floors) --_-__- __..._- __ - .__
New Building_.__._ -- Remodeling_ ____ —___ Addition
Repairs No. of Stories . . ........ .............
Precast Capacity Gals. - - -_ -• 700 Gil.
Size Septic Tank _____ Type of Tank
Feet of Drain Tile _-__.3 t Elk • D . _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well. -__Y_ _ _ _ __ _ __ __ ___Size of Soakage Pit
------ ---- --
Additional information: Pumpout and abandon septic tank.
------------ - - - ---
( signed) -
Pluming Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tuns as an employer of labor
tinder the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn n Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em .: ed by him in the work to be
performed nailer 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
req;hcd 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 Plumber.
STATE OF FLORIDA, , es.
COUNTY OF DADE. 11
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.
Permit No
Application is ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildg or other
structure here' 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 A -i 4 . t fca3.Q_ No „/
Location and Legal Description Lot
s v
Street and Number where work is to be performed -No -_ Street
State work to be performed and purpose of building (By Floors ) __
New Building Remodeling Addition____ Repairs No. of Stories
Amount of Permit $ __
ss.
MIAMI 'SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
No ° __L.+' Street 7 ,r"
Block Subdivision
Date
t 1 '2_ \ e-t_
Size Septic Tank Type of Tank__— .,, Capacity Gals.
Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well
1
Nature of Water Supply: City —Well Size of Soakage
it ,
t
I --- I
igned)
1'-
Inspector.
( Signed) - eLw
Master Plumber.
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.
STATE OF• `FLORIDA, 1
' COUNTY OF DADE. I
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 $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
INKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
INALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
-
_ _
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOW"
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
0
CHECK
Permit No
Application is ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildg or other
structure here' 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 A -i 4 . t fca3.Q_ No „/
Location and Legal Description Lot
s v
Street and Number where work is to be performed -No -_ Street
State work to be performed and purpose of building (By Floors ) __
New Building Remodeling Addition____ Repairs No. of Stories
Amount of Permit $ __
ss.
MIAMI 'SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
My Commission Expires
No ° __L.+' Street 7 ,r"
Block Subdivision
Date
t 1 '2_ \ e-t_
Size Septic Tank Type of Tank__— .,, Capacity Gals.
Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well
1
Nature of Water Supply: City —Well Size of Soakage
it ,
t
I --- I
igned)
1'-
Inspector.
( Signed) - eLw
Master Plumber.
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.
STATE OF• `FLORIDA, 1
' COUNTY OF DADE. I
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
1
(I.'�Er', b'
/ --,
A /
BATH
TU8
$HDWER
LA VA•
TOR IES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'
TOTAL
FIXTURES
CONTR. T
LIST
/8
/
//
%: IFCK
—_ --
S£ NK
TAN'
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
— --
CON7R.
LIST
/
!/
- - - --
CHECK
s
/>
1 °frrdt No. - -._' �___ Date ��... � � 4 ' / 1;
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stricture 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.
Size Septic Tank_ _ __ - -_ --
Feet of Drain Tile_____
Nature of Water Supply: City —Well
Amount of Permit s__I
STATE OF FLORIDA, j
COUNTY OF DADE.
O*uer's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No. t Street
No.. —/ f-1
Street_
Location and Legal Description Lot_--_-.— ..... _—___ ---- _____ Block Subdivision
>, r
Street and Number where work is to be performed —No �-- ' . // Street
State work to be performed and purpose of building (By Floors )_____— __!_________.--_
New Building _____... __. ___ Remodeling _ ______ Addition___ t_.___._____..._ Repairs No. of Stories.
Type of Tank Capacity Gals
__Dist. Feet of Tank or Drain Field from Well
r_ — _ __Size of Soakage Pit
(Signed)_ —re / 4 —
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 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.
- _.__. "
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 Lead 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 31.00 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
Work
PERMIT N? 7274
be performed under this Permit
Address of
Building
This permit is granted to the contract or builder named
cation herefor in strict compliance with all o nances pertaining
plans, drawings, statements or specifications that may have been
at any time if the work is not done in compliance with such ordi
MIAMI SHORES VILLAGE, FLORIDA k
Bl.
it 5
ove to construct
ereto and w th
bmitted to and
ances or if the
permit is granted is the understanding that the contractor or builder named abo
regulations pertaining to the work covered hereby whether shown on th --
sibility for work done by his agents, servants or employees.
,.:._. .,�..,
CONTRACTOR BUILDER
Subdi-
vision
Value of
Project
buil
ders
proved
s are
assum
BY
DATE
Amt. of /
Permit
g or to install the equipment or device described in appli-
nding that the work will be p formed in compliance with any
s. This Permit may be revoked
ther condition upon which this
owledge of the ordinances and
lions and that he assumes respon-
the proper municipal author'
ged without authorization. A
e r o. ib'. ity for a thorou
ements
Contractor's
License No.
By
INSPECTOR
In consideration of the issuance to me of this permit I agree to per the work covered hereunde . complia e with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, stat• ents or specifications submitte to the pr..er authorities of Miami Shores Village.
In acting this permit I assume responsibility for all work done by either myself, my agent, servan or employee.
AUTHO
1
Dwner of
uilding
architect
oniractor
a. Builder
3escription
tddress of
;uilding
This
LECTRICAL
- LUMBING
Lot
-4 • F-44- T T
IA141- MIR ES Abt tilLAS E g: F RII
" bATE
ER-M1T 6526 ; Contractor's
• Lir,ense No
Work to
performed under this Permi
Subdi-
vision
In consideration of the issuance to me of this permit I agree to
- .ertainin; thereto and in strict conformity with the lans, drawings,
7n permit I e n ' work done by ei
IL ____
A •
Signed.
Value of
Project
Amt. of
Permit
is granted o •4tractor or d: .. . .... II .. e to construct the building or to install the equipment or desctibed in the appli-
Ation herefor in strict compliance with an or •ces • taining thereto and with the understanding that the work will be performed in . , pliance with any
Inns, drawings, statements or specifications thit may have been submitted to and approved by the proper municipal authorities. This Pe , t may be revoked
-t any time if the work is not done in compliance with such ordinances if the plans are changed without author A further conditi. , upon which this
.ermit is granted is the understanding that the contractor or builder named above es the r nsib"ty for a thoroulh lmowled of • - ordinances and
egulations pertaining to the work covered hereby whether shown on the plans a s or ents or sp kor an , 46 es respon-
Nifty for work done by his agents, servants or employees.
AKA
'
the work covered hereunder in compliance with all orclinan
ants or specifications submitted to the propel,. authorities of M'
er myself, my agent, servant or employee.
and regulations
i Shores Village.
BUILDING'
ELECTRICAL
PLUMBING
Building f / / : t �%/ IC
,1AN4I SHORES VILLAGE, FLDRIDA
DATE
ER IT N° 5940
Work to he performed under this Permit [. / ‘41
Building of -0 1 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 d ' in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Pelmit-inay 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 ted is the understanding that the contractor or builder named above assumes the responsibility a thorough knowledge of the s and
regulations awing to the work covered hereby whether shown on the plans or drawings of in di statemt�s s cifications and thi atem es
sibility for done by his agents, servants or employees.
Signed. 2) 11 ( H ~ e By
TN SPE ,
In consideration o f th issuance to me of thi permit I Agree to perform the work covered hereu der in compliance with all ordi
*cos
and regulations
pertaining thereto and in strict conformity with the plans, drawings, is or specifications submitted to the proper authorities of iami Shores Village.
In acce g this bihty for all work done by ther self, m Agent, servant or employee.
1
Subdi-
vision
Contractor's
License No.
Amt. of
Permit
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder f-)
Legal
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
0
PERMIT N° ,_7041
L
r <
Lot
, .s C .
/ f
Bl.
T.
Subdi-
vision
3
v' f
r�
DATE ¢
Contractor's
License No. Z c>
❑ Work to be performed under this Permit
r
r"
Value of 1! Amount of
Project $ 11 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a orough knowledge gf/fhordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the/statements or ecifications and thayfie as%ume'3•. esponsibility for work.
done by his agents, servants or employees. / / ° 1 ,
Signed ( .-...• ' / BY• .
INSPECTOR -
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder 19, compliance with all ordinances and regulatt
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.. ` 7
f i , / 1 i. / ', 4..------""
CONTRACTCR OR BUILDER BY -- " I /
AUTHORITY
ion is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
c herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all • ovisions of the Laws of the hate of Florida, all ordinances of Miami $hpres Village and all rules and regulations of the Division
of MiamiiShores 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 A » o__ No Street
Registered Architect and /or En • eer_
a Y
Employing Plumber's Name - /�� ▪ l _ - - - - • - No. - - - ▪ Street
Location and Legal Description Lot Block.
Street and Number where work is to be performed —No __ 9' 7 Street
State work to be performed and purpose of building (By Floors)
Reuhodeling Addition 8epairs No. of Stories
New Building
Size Septic Tank___ 5
Feet of Drain Tile
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES %VILLAGE
PLUMBING INSPEPTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Date
1
Subdivision
( 9fr
Typ* of Tank
Dist. Feet of Tank or Drain Field from Well
Capacity * Gals. 4t0
Nature of Water Supply: City —Well Size of Soakage Pit
•
Amoiunt of Permit $ • ___ -__ (Signed)
Plumbing Inspector..
The undersigned applicant for this building permit does hereby certify ttiat he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General L*ws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance ftom all contractors o1 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.
cr
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.
My Commission Expires Notary Public, State of Florida
9
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
LAU NOR Y
TDDS
URINALS •
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
•
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
,FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
ion is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
c herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all • ovisions of the Laws of the hate of Florida, all ordinances of Miami $hpres Village and all rules and regulations of the Division
of MiamiiShores 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 A » o__ No Street
Registered Architect and /or En • eer_
a Y
Employing Plumber's Name - /�� ▪ l _ - - - - • - No. - - - ▪ Street
Location and Legal Description Lot Block.
Street and Number where work is to be performed —No __ 9' 7 Street
State work to be performed and purpose of building (By Floors)
Reuhodeling Addition 8epairs No. of Stories
New Building
Size Septic Tank___ 5
Feet of Drain Tile
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES %VILLAGE
PLUMBING INSPEPTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Date
1
Subdivision
( 9fr
Typ* of Tank
Dist. Feet of Tank or Drain Field from Well
Capacity * Gals. 4t0
Nature of Water Supply: City —Well Size of Soakage Pit
•
Amoiunt of Permit $ • ___ -__ (Signed)
Plumbing Inspector..
The undersigned applicant for this building permit does hereby certify ttiat he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General L*ws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance ftom all contractors o1 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.
cr
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.
My Commission Expires Notary Public, State of Florida
9
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
vor
Architect
*Contractor
or Builder
Legal
Description
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE At,('/' 194
Contractor's /e°5
License No /
ERMIT ■2 5940
Work to be performed under this Permit
Address of � +��„� Value of Amt. of
Building .. d V 9) /�' Project Permit
This permit is granted to the contractbr or builder named above to construct the building or to install the equipment or device described in the appli-
cation 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 res on•'bility • a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in : statem
� s ecifications and tha e mes respon-
sibility ' v for rk done by his agents, servants or employees. ' J L � S lgAed• � 7 f � By (/
` _ � t I SPEC
In consideration of the issuance to me of this permit agree to perform the work covered here der in compliance with 44dinances and rgptiptiyns
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper author ti of Miami Shores• 11 'ge.
In accepting this permit I assume ,onsibility for all work done by either myself, magent, servant o or employee.
re
0�
Subdi-
vision
AUTHORITY
•
Pit No
New Building ' •
STATE OF FLORIDA, ' 1
j ss.
• COUNTY OF DADE.
MIAMI SHQREWILLAGE
PLUMBING INSPECII N DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
A Ii l9n is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the boilding r other
cture 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 all rules and regulations of the Bui ding Division
of Miami Shares Village shallTlit complied with whether herein specified or 'not,. A- copy of approved plans and specifications must be kept at
Wilding dining, progress of work. -
Owner's Name and Address r _LS L No 0
Street I � _ !
Registered Arehite -lt and /or Etigineer f �P�► nn
17
Employing Plumber's Name_ 4 "L1.-_ G_ t, __,:1 __ .2_!51 �1. _S -- N 7 o o~J 4 Street_ 4/ N(,. _ � v __e____
Location and Legal Description Lot __._ ___; Block Subdivision
Street and Number where work is to be performed —No 3_ ' Street ./ . +x• 7
State work to• lif: performed and purpose of building (By Floors)
,
Remodeling Addition_ Repairs No. _ of Stories
Size Septic Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L
Nature of Water Supply: City —Well Size of Soakage Pit
Type of Tank Capacity Gals. '
Amount of Permit $ 7° (Signed)'
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
plie4 with the provisions thereof, and will require similar compliance ,from all ,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 notite • 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.
Before me, the undersigned authority, a notary public, duly authorized to administer o4ths and take acknowledgments, - per+o appeared
to me well known, and who,.being by me first sworn, upon oath de osecttjnd says that he is t r T __ t _'
1 of the above described construction, that he has carefully fead the ,foregoingtapplication, and that he did sign the same, and that all facts
4 `t' therein by him . stated are `true. . , w
My Commission Expires
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.
J
(Signred)
Date
Notary Public, State of )da
Plumbing Inspector.
Mastpr4hunber.' - --
-r
CLOSETS
BATH
TUBS.
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
. BASIN
FLOOR
DRAIN
DRINKING
FOUNWNS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
-•3
sieve
TANK
SEWER
CONN.
i
DRAIN
FIELD
SOAKAGE
' PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
•
CONTR.
LIST
CHECK
•
,
•
Pit No
New Building ' •
STATE OF FLORIDA, ' 1
j ss.
• COUNTY OF DADE.
MIAMI SHQREWILLAGE
PLUMBING INSPECII N DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
A Ii l9n is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the boilding r other
cture 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 all rules and regulations of the Bui ding Division
of Miami Shares Village shallTlit complied with whether herein specified or 'not,. A- copy of approved plans and specifications must be kept at
Wilding dining, progress of work. -
Owner's Name and Address r _LS L No 0
Street I � _ !
Registered Arehite -lt and /or Etigineer f �P�► nn
17
Employing Plumber's Name_ 4 "L1.-_ G_ t, __,:1 __ .2_!51 �1. _S -- N 7 o o~J 4 Street_ 4/ N(,. _ � v __e____
Location and Legal Description Lot __._ ___; Block Subdivision
Street and Number where work is to be performed —No 3_ ' Street ./ . +x• 7
State work to• lif: performed and purpose of building (By Floors)
,
Remodeling Addition_ Repairs No. _ of Stories
Size Septic Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L
Nature of Water Supply: City —Well Size of Soakage Pit
Type of Tank Capacity Gals. '
Amount of Permit $ 7° (Signed)'
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
plie4 with the provisions thereof, and will require similar compliance ,from all ,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 notite • 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.
Before me, the undersigned authority, a notary public, duly authorized to administer o4ths and take acknowledgments, - per+o appeared
to me well known, and who,.being by me first sworn, upon oath de osecttjnd says that he is t r T __ t _'
1 of the above described construction, that he has carefully fead the ,foregoingtapplication, and that he did sign the same, and that all facts
4 `t' therein by him . stated are `true. . , w
My Commission Expires
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.
J
(Signred)
Date
Notary Public, State of )da
Plumbing Inspector.
Mastpr4hunber.' - --
L.2€"
Company .rr i' •
FOR INSPECTIO
PHONE
r
Job
s
A ddress
Ai
Inspection
Time Ready
A.M. P.M.
qt
•
Permit No.
•
New Building lllemodeling
My Commission Expires
MIAMI SHORES VJLLAGE
PLUMBING INSPECTION DEPARTMENT '
•
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structl a herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all wovisions 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 cdmplied 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 I
____ _ ' {__ _ ,_ '�" / �r
��l - �------ -�- �- -ll_ � _,w - � ` � No. � d � Street-- -1y__� - - - � '�'7
Registered Architect and /or Engineer
Employing Plumber's Name / 7 1 V Ti' e- ,8 Q TS No ?S / 4 _ Street N 4' 2 _k 4
Location and Legal Description Lot Block 1 Subdivision
Date
Street and Number where work is to be performed —No 30 Su i A
State work to be performed and purpose of building (By Floors
Addition Repairs No. of Stories
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
Amount of Permit $ ( Signed)
kkx
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 C'ompensition Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn-
plied with the provisions thereof, and *ill require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this perrfiit; 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 k to e erformed under t s permit, as are
( Signed)
licensed by Miami . Shores Village:
ster Plumber.
Notary Public, State of Florida
STATE OF FLORIDA,
ss.
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,te- inspection fee of $1,00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
material3 9nd /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
ry
'
CHECK
'
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLIZ.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
,
CHECK
qt
•
Permit No.
•
New Building lllemodeling
My Commission Expires
MIAMI SHORES VJLLAGE
PLUMBING INSPECTION DEPARTMENT '
•
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structl a herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all wovisions 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 cdmplied 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 I
____ _ ' {__ _ ,_ '�" / �r
��l - �------ -�- �- -ll_ � _,w - � ` � No. � d � Street-- -1y__� - - - � '�'7
Registered Architect and /or Engineer
Employing Plumber's Name / 7 1 V Ti' e- ,8 Q TS No ?S / 4 _ Street N 4' 2 _k 4
Location and Legal Description Lot Block 1 Subdivision
Date
Street and Number where work is to be performed —No 30 Su i A
State work to be performed and purpose of building (By Floors
Addition Repairs No. of Stories
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
Amount of Permit $ ( Signed)
kkx
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 C'ompensition Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn-
plied with the provisions thereof, and *ill require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this perrfiit; 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 k to e erformed under t s permit, as are
( Signed)
licensed by Miami . Shores Village:
ster Plumber.
Notary Public, State of Florida
STATE OF FLORIDA,
ss.
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,te- inspection fee of $1,00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
material3 9nd /or'workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
CO ` RA •R OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
ERMIT N° 6520
Work to e performed under this Permi
DATE
Contractor'
License No.
Subdi-
vision
BY
'4 19467
/a/
Address of ...0011"" ' Value of Amt. o
Building .� / 11r �/ Project Permi / r •....��
This permit il. it is grantee to t e contractor . .0 r nam above to construct the building or to install the equipment • 1 d -vice described in the appli-
cation herefor in strict compliance with all or. ances •ertaining 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 abqv ass es the res.ons' •ili for a thorough knowledge of + - ordinances and
regulations pertaining to the work covered hereby whether shown on the plans o dr ings o we . a ments or s a '.ns an: umes respon-
1, sibility for work done by his agents, servants or employees.
•
Sign
INSPECTOR
In consideration of the issuance to me of this permit I agree to •e the work covered hereunder in compliance withrrtY ordinances andiretjr)eion
pertaining thereto and in strict conformity with the plans, drawings ements or specifications submitted to the proper authorities of Miami Shores Village.
In ac • sting is permit I - espo ib' ' o 11 work done by either myself, my agent, servant or employee.
AUTHORITY
Ow ii
Building
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor _ - ,
or Builder
Legal Lot
Description
Address of
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
' N2 6080
Work to be performed under this Permit
Bl.
Signed-
Subdi-
vision
Value of
Project
DATE 194
Contractor's
License No.
i
/5S"/
AUTHORITY
w
Building,' t{ f T • G•• ••�
This permit is grante to the con acto or builder named above to construct the building or to install the equipment or evice described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be pe ormed 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 upo hich this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge ofaririnces and
regulations pertaining to the work covered hereby whether shown on the plans or dra s or i hglstatsments tiene -tira
sibility for work done by his agents, servants or employees.
f A CTORJ` j`
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, rp3t agent, servant or em
1
BY
') ` °���
c
Permit No
Location and Legal Description Lot.
Street and Number where work is to be performed -No
Size Septic Tank ....... ----..... ----------..... - - - ... _Type of Tank
Feet of Drain Tile
-- L —' - -- - -5- - 2.
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r ` ; MIT
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.
7
Owner's Name and Address a y___l ._ __ _ No._ s _s� 4s Street. ___1_Z ��
Registered Architect and /or Engineer - _ -- _ - _ - __ -- _-- --.- -_ --- __ _ _- -- --- --- - - -- -__ _------ --- ------- ----- ._--- __-- -..__..
Employing Plumber's Name 0 NE" __ -4S- 4 1 !r __ se -. No. _- __.-jl 4 ,1 Street- (g ' • 1 - 1
New Building ____ Remodeling ___ Addition.
Block
Nature of Water Supply: City - Well.---_--_-....... _ ....... _.--------..... ____ _ -- -Size of Soakage Pit
/ .4
(Signed)_
Date _-- ----- b - •---- - ='---
Subdivision
Street
State work to be performed and purpose of building (By Floors)_!i_� a�._._� , .I - ti
Repairs No. of Stories_
Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli 'dons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman &nt 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 u er this permit, as are
licensed by Miami Shores Village. �
i
(Signed) -, -' /
Master
Plumber.
um er. •
STATE OF FLORIDA, t 85.
COUNTY OF DADE.
3efore 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 $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINK•
LAUNDRY
Tuns
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FI %TURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER .
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H CATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
_
CHECK
c
Permit No
Location and Legal Description Lot.
Street and Number where work is to be performed -No
Size Septic Tank ....... ----..... ----------..... - - - ... _Type of Tank
Feet of Drain Tile
-- L —' - -- - -5- - 2.
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r ` ; MIT
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.
7
Owner's Name and Address a y___l ._ __ _ No._ s _s� 4s Street. ___1_Z ��
Registered Architect and /or Engineer - _ -- _ - _ - __ -- _-- --.- -_ --- __ _ _- -- --- --- - - -- -__ _------ --- ------- ----- ._--- __-- -..__..
Employing Plumber's Name 0 NE" __ -4S- 4 1 !r __ se -. No. _- __.-jl 4 ,1 Street- (g ' • 1 - 1
New Building ____ Remodeling ___ Addition.
Block
Nature of Water Supply: City - Well.---_--_-....... _ ....... _.--------..... ____ _ -- -Size of Soakage Pit
/ .4
(Signed)_
Date _-- ----- b - •---- - ='---
Subdivision
Street
State work to be performed and purpose of building (By Floors)_!i_� a�._._� , .I - ti
Repairs No. of Stories_
Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli 'dons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman &nt 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 u er this permit, as are
licensed by Miami Shores Village. �
i
(Signed) -, -' /
Master
Plumber.
um er. •
STATE OF FLORIDA, t 85.
COUNTY OF DADE.
3efore 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 $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and/or workmanship.
'GWNER
LOT
BLOCK
SUBDIVISION
r
Date L,
Issued to
- r'
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shores Village, Florida.
�. ,, �
For a story building at
Fixtures
Fixtures $
Sewer $
Septic Tank $
Village Plumbing Inspector �• { (� r . .
Total i •
Received Payment by
aiami Jhores9llage
F L 0 R I D A
PLUMBING PERMIT N9 758
f
Architect
Conti actor
or Budder
Legal
Description
Address
Building
Th9
herefot in
drawn
gran is
done E7
CAL
ttj1IAMI SHORES VILLAGE. FLORIDA
DA
PORM IT N° 10830
Contractor's
License N
Work to be performed under this Permit
81.
3 0 7106 y')
4L .r '
Value of
Project $
Amt. of
Permit $
ted to the Contractor or budder named above to construct the building or to install the equipment or device d
ce with all ordinances pertaining thereto and with the understanding that the work will be performed in com
ea ts or specifications that ma have been submitted to and approved by the proper municipal authorities. This Permit
is not done in comp liance such ordinances or if the plans are changed without authorization. A further condition u
understanding that the i con r or builder named above assumes the responsibility for a thorough knowledge of the or
the work covered hereb7t whether shown on the plane or drawings or in • e statements or specifications and that he assum
agents, servants or employees.
Signed:
In consideration of the issuance to me of this permit I agree
pertaining th and in strict conformity wi the plans, drawings,
n 'a • • this . ! e responsibility for all work done
BY
rform the work covere • hereunder in compliance with all o
eats or specifications submitted to the proper authorities of
either, myself, my agent, servant or employee.
'bed in the application
fiance with any phi
ay be revoked at saes
which this 'pe+fodlt
and
rresponsabtlity of r ■oork
•