PLUMBINGPermit No. l I '
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure
herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions
of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall
be complied with, whether herein s ecified or no J . A co of ap roved plans and specifications must be kept at building during the progress of work.
/0 / q Na l/'Y Street `v • %4
Owner's Name and Address
New Building
Amount of Permit $
f/.41€.
Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or Engineer
Employing P1 bar's m :
3'46 /d /
Location and Legal Description Lot 9 9 Block 4
Street and Number where work is to be performed — No. Y7 ' / • % AS
Street
State work to be performed and purpose of building (By Floors)
No. 4 Street
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
•
(Signed
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the
Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions
thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will
post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ
only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village.
gn
(Si
d��� star Plumber.
/ . pes
, oho
ss.
Date (5 ��/ //
Subdivision
tY
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated
are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials
and/or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA•
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTAINS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G.
POOL
CONTR.
LIST
CHECK
Permit No. l I '
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure
herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions
of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall
be complied with, whether herein s ecified or no J . A co of ap roved plans and specifications must be kept at building during the progress of work.
/0 / q Na l/'Y Street `v • %4
Owner's Name and Address
New Building
Amount of Permit $
f/.41€.
Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and /or Engineer
Employing P1 bar's m :
3'46 /d /
Location and Legal Description Lot 9 9 Block 4
Street and Number where work is to be performed — No. Y7 ' / • % AS
Street
State work to be performed and purpose of building (By Floors)
No. 4 Street
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
•
(Signed
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the
Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions
thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will
post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ
only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village.
gn
(Si
d��� star Plumber.
/ . pes
, oho
ss.
Date (5 ��/ //
Subdivision
tY
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated
are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials
and/or workmanship.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date ob Address 3 L/7 S / - Tax Folio // � l D '
Legal Description /94010 43 ` ,41J aster Permit #
� l t)
Owner's Address Y N 6 7G Ste"
Owner / Lessee / Tenant
Phone ,757 '3 cy
Contracting Co. 144 I )/1.? f (O `74_,/ 1177 Address /30/ / IV ( c-5' •
Qualifier CA 02 Off' 6 � �. e e SS#; & Phone 3 -2 6.56
State4 Competency¢ _j WW/ Ins. Co/-2 ( '-S .net'
Architect /Engineer Address
Bonding Company Address
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGt:
WORK DESCRIPTION :f ?
T " /C / A
Square Ft. Estimated Cbst .� % C20
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
nO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
KECORDING YOUR NOTICE OF COMMENCEMENT).
.pplication is hereby made to obtain a permit to do work and installation as indicated above, and
.n the attached addendum (if applicable). I certify that all work will be performed to meet the
.tandares of all laws regulating construction in this jurisdiction. I understand that separate
'emits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
JWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate•and that all work
'ill be done in compliance with all applicable laws regulating construction and zoning.
Furthermore, I authorize the above -named contractor to do the work stated.
signature of Owner and {•r Condo President
, ate:
otary a to ewer and o Ig' i n ORIDA
.�30T�• �,i99e�
y Commi ion Expires:
L1Y �OfC4 SSI Z,p�S UND.
* SONDE*114RU CENE1Rt. *
ERMIT FEE: APPROVED: Fire
� Zoning Building
9 _ Mechanical Plumbin
Address
6://,/t/- -s;447,‹
Signatu Contractor or Own - Builder
Date:
Notary ' - to Contractor' or Owner-Builder
My Comm ss Exp i re s :NOTARY 1 STATE IRIDA
* * . BONDED TJ J I'i�1S.
Other
Electrical
') ?S)gILEngineering
Permit No
a22
MIAMO SHORES VILLAGE
UMBING INSPECTION r!'EPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street and Number where work is to be perform:. —No Stream..
State work to be performed and purpose of building (By Floors)_ —._._
New Building--- _.__- _..__._......._.. Remodeling —_ ____ Addition.- --- _,..__._... Repairs
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 Lows 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 s Name and Address ,F 7 15 4 ? C.,-
No. 3zi % street _.A( ..2(t S L
Registered Architect and /or Engineer
1 � l = ana l LZ .. YlUeg co itneLaidr, 2g..1,77
Lot /' Bloete SubdivWoa. ,, r ..tc/ 4A
•
No. of Stories
Size Septic Task__. _Type of Tank
Feet of Drain Tile _ D+3*- Feet of Tank ce Drain Field frown Well ...- .- --- __._---- _-- _- - - - - -- _ - - -•—
Nature of Water Supply: City —Well. Sins cf Soakage Pit
Amount of Permit i ---•
.1 v � �!
Plumbing Inspector.
(Sim)
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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and ha c com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wori• to he
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as aura
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as sae
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. __ - -- - • - -• - _ - ... _..
of the above described construct ion, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therela by him stated are true.
M Commission Expires Notary Public, State o l Florida
er Plumber.....
NOTE: A re- inspection fee of *1.00 will be made when soon railaspeed°. is ®ade'naoawrf by improper notice for impaction, er fates
materials and /or wer
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TONICS
SINKS
SLOP
SINKS
LAUNORY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N®
1
TO °A L
FIXTURES
CONT'.
LIST
CHICK
SEPTIC
TANK
SEWLR
CONN.
DRAIN
FIELD
BOAKAOI
PIT
G
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
SYSTEM
SWIM'
POOL
Gown.
LIFT
0,4 CC
CHICK
Permit No
a22
MIAMO SHORES VILLAGE
UMBING INSPECTION r!'EPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street and Number where work is to be perform:. —No Stream..
State work to be performed and purpose of building (By Floors)_ —._._
New Building--- _.__- _..__._......._.. Remodeling —_ ____ Addition.- --- _,..__._... Repairs
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 Lows 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 s Name and Address ,F 7 15 4 ? C.,-
No. 3zi % street _.A( ..2(t S L
Registered Architect and /or Engineer
1 � l = ana l LZ .. YlUeg co itneLaidr, 2g..1,77
Lot /' Bloete SubdivWoa. ,, r ..tc/ 4A
•
No. of Stories
Size Septic Task__. _Type of Tank
Feet of Drain Tile _ D+3*- Feet of Tank ce Drain Field frown Well ...- .- --- __._---- _-- _- - - - - -- _ - - -•—
Nature of Water Supply: City —Well. Sins cf Soakage Pit
Amount of Permit i ---•
.1 v � �!
Plumbing Inspector.
(Sim)
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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and ha c com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wori• to he
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as aura
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as sae
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. __ - -- - • - -• - _ - ... _..
of the above described construct ion, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therela by him stated are true.
M Commission Expires Notary Public, State o l Florida
er Plumber.....
NOTE: A re- inspection fee of *1.00 will be made when soon railaspeed°. is ®ade'naoawrf by improper notice for impaction, er fates
materials and /or wer
ItBING
ELEffittelkt PERMIT A N9 87
PLUMBING
Owner of Building
Architect and/or Engineer .4.
NAME
Contractor or
NAME
Proposed Location
•
Dated
•
1
NAMG, ADDRESS
•ti 4
J 5
41—
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
, 1 9
,
1
LICENSE NO.
(
LICENSE NO.
LOT BLOCK VISION NO. STREET
, / / , ,.` ,_, ok '' t To . ;.
This This permit is issued to ! , i f
i- 4 i • A n.,._
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon any change in the plans and specifications Asnag,thcktized by the building inspector.
1
to
.0 . ,. ..
0'
......._,_ .
„
_
4-__,_ i .,z. ..1.
$
AMOUNT RECD. PAYMENT ACCT. DEPT. i INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 3541
Work to be performed under this Permit
Bl.
Subdi-
vision
DATE
Contractor's
License No.
BY AUTHORITY
194
Address of Value of Amt. of
- _ � ' Project Permit
Building
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• By
INSPECTOR
In consideration of the issuance to me of this permit I agree .tio perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict :onformity 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 15y ,,either myself, my agent, servant or employee.
Date
Issued to
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
OWNER
aiami fhores llage
F L 0 R 1 D A
PLUMBING PERMIT
Village Plumbing Inspector
Received Payment by -
LOT
Fixtures $
Sewer $
Sepiic.TT.ank $
Total $ 1
BLOCK
N9 1273
SUBDIVISION
atntlatictG
ELECTRICAt PERMIT A N° 87
PLUMBING
O vner of Building
A M
Architect and/or Engineer ) • k ' 1
NAME
•
) ' /
Contractor or Bulder_ j LL
NAME
LOT
, 1 BLOCK NO STREE
This permit is issued to i / 1 r :' 'Li I i f . i, To
the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any,me upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon any change in the plans and specifications rtianthorized by the building inspectir.
,i
, t ' ,,'
,p- / ,
4. - ..e /
Proposed Location _of
$
AMOUNT
Dated
twa
•
- 4eL. .. k4r2- ,te
4
e
ADDRESS
19
RECD. PAYMENT ACCT. DEPT.
ADDRESS
ADDRESS
ISION
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
; ,
/ LICENSE NO.
4- .L•2 # )14
, •
.4
LICENSE NO.
r
INSPECTOR
II ) In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
ans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
t a i
AL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
Apylication is hereby mace for the approval of the detailed statement of the plans and specifications herewith submitted for the building or . other
serzrztJm herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
a=d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
bunting dosing progress of work. r I+
1? d .0 . 1 T illiams 3
O .rneZ o Nasat2 and Address ____.__. °___________ No.__
Regi .1te.:ed Architect and /or Engineer___ ______ —_______________________-
R ® So
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and. Legal Description Lot__--. .... ___--- _.____ ___ — Block
12/1/60
Date
N.E. 96th St.
Street
Septic Tank 2552 W. 3rd Av . pialeah,Fla.
Subdivision.
Stssr~t €v -d Numbxz where work is to be performed-No 3 14 9 Street N E. 96th St.
S^c?� worlh to be performed and purpcse of building (By Floors)
N Remodeling__.. -- -- __ -- -- Addition Repairs
No. of Stories.
Size Septic Tank_ - ----- Type of --- Tank -
Feet of Drain Tile___ 25 t Rely - ,$ - - Dist. Feet of Tank or Drain Field from Well
Name of Water Supply: City - Well.-----_-.___ - _ ...... _-- ___..... ----- __ - - -- -Size of Soakage Pit
Amount a# Permit $ ---
(Signed)-
Capacity Gals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has corn -
plie% with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
peaformad under thin permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
revised by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Mimi Shores Village.
Master Plumber.
STATE 4 F FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to ma wet, known, and who, being by me first duly sworn, upon oath deposes and says that he is the.-._
or the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
thervin by him stated are true.
My Ccnnn fission Expires Notary Public, State of Florida
NOTE: A re-inspacticm fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
¢c2a0. 4a!a and /or wcrkmnnship.
CLZIUTG
A7N
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CG .V h.
L.ct'
Cuis.x
~ j; QPTIC
'TA=
SQWQR
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
Can't.
LIST
-
CHECK
Apylication is hereby mace for the approval of the detailed statement of the plans and specifications herewith submitted for the building or . other
serzrztJm herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
a=d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
bunting dosing progress of work. r I+
1? d .0 . 1 T illiams 3
O .rneZ o Nasat2 and Address ____.__. °___________ No.__
Regi .1te.:ed Architect and /or Engineer___ ______ —_______________________-
R ® So
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and. Legal Description Lot__--. .... ___--- _.____ ___ — Block
12/1/60
Date
N.E. 96th St.
Street
Septic Tank 2552 W. 3rd Av . pialeah,Fla.
Subdivision.
Stssr~t €v -d Numbxz where work is to be performed-No 3 14 9 Street N E. 96th St.
S^c?� worlh to be performed and purpcse of building (By Floors)
N Remodeling__.. -- -- __ -- -- Addition Repairs
No. of Stories.
Size Septic Tank_ - ----- Type of --- Tank -
Feet of Drain Tile___ 25 t Rely - ,$ - - Dist. Feet of Tank or Drain Field from Well
Name of Water Supply: City - Well.-----_-.___ - _ ...... _-- ___..... ----- __ - - -- -Size of Soakage Pit
Amount a# Permit $ ---
(Signed)-
Capacity Gals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has corn -
plie% with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
peaformad under thin permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
revised by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Mimi Shores Village.
Master Plumber.
STATE 4 F FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to ma wet, known, and who, being by me first duly sworn, upon oath deposes and says that he is the.-._
or the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
thervin by him stated are true.
My Ccnnn fission Expires Notary Public, State of Florida
NOTE: A re-inspacticm fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
¢c2a0. 4a!a and /or wcrkmnnship.
BU?LDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Owner of
Building _,
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE ` 194_7
PERMIT N9 3541
Work to be performed under this Permit
Bi.
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed- By
INSPECTOR
In consideration of the issuance to me of this permit I agree to- perform the work covered hereunder in compliance with all gg�zjlinances and regu,Ja- +�d
tions pertaining thereto and in strict conformity with the plans, aiuings, stare s or specifications submitted to the proper autbbbOies of Miami sh
Village. In accepting this permit I assume responsibility for all w g ,,work done: uh¢c myself, my agent, servant or employee.
Subdi-
vision
Value of
Project
Contractor's
License No.
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder��
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 7836
Bl.
Subdi-
vision
Value of
Project
This permit is grar_ted to the contractor 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 crdinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed • INSPECTOR BY ,
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either myself, my, agent, servant or employee.
Div
DATE 194_
Contractor's
License No.
}
Amt. of
Permit
AUTHORITY
BUILDING ❑
ELECTRICAL
PLUMBING ❑
ROOFING
Owner of I
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT N° 15648
❑ Work to be performed under this Permit_
Architect
Contractor
or Builder ` !
Legal Lot II BL
Description
CONTRACTOR OR BUILDER
Subdi-
vision
,,1t 4t"
DATE '4
Contractor's
License No.
Address of -, a y Value of Amt. of
Building 4 ` ` L f n i f Project $ Pe rmit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
P e S
Signed: . BY iet
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent,.servant or employee.
BY s AUTHORITY
195
Issued to
OWNER
t
ILI
to install the ftllowing 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 + � ' ` ti ' ' Lt f building at
Fixtures
Fixtures
Sewer
iami cfhores'9illage
F L O R D A
PLUMBING PERMIT N9 1273
Total $ �`
LOT
Village Plumbing Inspector
Received Payment by
BLOCK
SUBDIVISION
Work done by
ddress of work
Owner
Se-tic Tail:
-
Plumbinc - Final
When roady
Received_ by
Da to
IJAS.?:CTION
•
Permit "Zo.
Time
_________•____.__
y ror
Ga
Routh Top out
Permit No. ____
, i
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name _
Location and Legal Description Lot
Street and Number where work is to be performed—No.
work to be performed and purpose of building (By Floors)
New Building
Size Septic Tank _ y _'__
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit: and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
ss.
/
My Commission Expires
Type of Tank
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
/ No.____ Street
No. Street
ti
Block Subdivision
1 '
Remodeling___ ______. ___ Addition -_ Repairs
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
Capacity Gals. _
(Signed)
Plumbing Inspector.
reify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and whn, 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
therein by him stated are true.
•
No. of Stories
Master Plaamber.
the same, and that 'all facts
Notary Public, State of Florida Alb
•
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
I LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
,
CHECK
Permit No. ____
, i
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name _
Location and Legal Description Lot
Street and Number where work is to be performed—No.
work to be performed and purpose of building (By Floors)
New Building
Size Septic Tank _ y _'__
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit: and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
ss.
/
My Commission Expires
Type of Tank
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
/ No.____ Street
No. Street
ti
Block Subdivision
1 '
Remodeling___ ______. ___ Addition -_ Repairs
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
Capacity Gals. _
(Signed)
Plumbing Inspector.
reify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and whn, 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
therein by him stated are true.
•
No. of Stories
Master Plaamber.
the same, and that 'all facts
Notary Public, State of Florida Alb
•
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.
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Permit No
Owner's Name and Address ___.._:_:.____ No._____ . Street
. N <
Registered Architect and /or Engineer
Employing Plumber's Name _________ _______ _ No Street
Location and Legal Description Lot z Block 1. Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling_
Nature of Water Supply: City —Well.
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR PLUMBING PERMIT
s s.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
(Signed)
Street
Amount of Permit $_ (Signed)
Addition Repairs. No. of Stories
V'
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
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed 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 oaths and take acknowledgments, personally
Master Pinmbef.
1
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
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING'
FOUNT'NSi
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
P /
CHECK
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Permit No
Owner's Name and Address ___.._:_:.____ No._____ . Street
. N <
Registered Architect and /or Engineer
Employing Plumber's Name _________ _______ _ No Street
Location and Legal Description Lot z Block 1. Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling_
Nature of Water Supply: City —Well.
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR PLUMBING PERMIT
s s.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
(Signed)
Street
Amount of Permit $_ (Signed)
Addition Repairs. No. of Stories
V'
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
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed 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 oaths and take acknowledgments, personally
Master Pinmbef.
1
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 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 ______ '_____ No v . Street
Employing Plumber's Name No.___-¢___.
Location and Legal Description Lot Block 4 - 40, Subdivision_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Registered Architect and /or Engineer
Amount of Permit $
Type of Tank
Size Septic Tank_
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
APPLICATION FOR PLUMBING PERMIT
ss.
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit:; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA, i
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
//•
(Signed)
Date
Street --
Capacity Gals
PLjfmbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
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
therein by him stated are true.
Notary Public. State of Florida
'l r r
Master Plumber.
authorized to administer oaths and take acknowledgments, personally
foregoing application, and that he did sign the same, and that all facts
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
e
CHECK
•
6/
gg
/ 'i 71'
: /°
Permit No. ______�
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ______ '_____ No v . Street
Employing Plumber's Name No.___-¢___.
Location and Legal Description Lot Block 4 - 40, Subdivision_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Registered Architect and /or Engineer
Amount of Permit $
Type of Tank
Size Septic Tank_
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
APPLICATION FOR PLUMBING PERMIT
ss.
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit:; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA, i
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
//•
(Signed)
Date
Street --
Capacity Gals
PLjfmbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
(Signed)
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
therein by him stated are true.
Notary Public. State of Florida
'l r r
Master Plumber.
authorized to administer oaths and take acknowledgments, personally
foregoing application, and that he did sign the same, and that all facts
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. .___' - - -_ i
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address _„
Registered Architect a rd /or-
Employing Plumber's Name _____
Location and Legal Description Lot e / 1
Street and Number where work is to be perfo
State work to be perfor;rned and purpose of building (By Floors)
New Building
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well.______ .Size of Soakage Pit.
Amount of Permit $ _ / [__, e + � q
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
rmed —No.
Remodeling
No. / .
• Block__ (t
Street:____.)
Addition
Type of Tank F "` fit'c'
_ Dist. Feet of Tank or Drain Field from Well._
No. Street_��`
(Signed)
(Signed)
Repairs
Date
Street.__2�� .
Subdivision. ' '
Capacity Gals.
My Commission Expires Notary Public, State of Florida
No. of Stories __/
Plumbing Inspor.,..
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 under signed 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 t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
matetials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DR INKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No. .___' - - -_ i
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address _„
Registered Architect a rd /or-
Employing Plumber's Name _____
Location and Legal Description Lot e / 1
Street and Number where work is to be perfo
State work to be perfor;rned and purpose of building (By Floors)
New Building
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City — Well.______ .Size of Soakage Pit.
Amount of Permit $ _ / [__, e + � q
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
rmed —No.
Remodeling
No. / .
• Block__ (t
Street:____.)
Addition
Type of Tank F "` fit'c'
_ Dist. Feet of Tank or Drain Field from Well._
No. Street_��`
(Signed)
(Signed)
Repairs
Date
Street.__2�� .
Subdivision. ' '
Capacity Gals.
My Commission Expires Notary Public, State of Florida
No. of Stories __/
Plumbing Inspor.,..
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 under signed 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 t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
matetials and /or workmanship.
Penult No
Application is hereby made for the approval cif the detailed etateanent of the plats 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,
arzd all provisions of the Laws of the State of Florida, all ordiarances of Miami Shoes Village and all rules and regulations of the Building Division
of Miami Shores Village shall he complied with, whether hersin specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. e l
Oar's Name and Address
Registered Architect and /ca Engin
Zcaploying Pettmbcr's Nsotee A
Location and Legal Descriptico Lat. Movie
Street and Number where wont is to be p erfaxrmtsd 4 &
State work to be pen-forma and gurpar a of but t (t I Lga )__._._
New Building..__..- -- _ . Rem
CG' t.
L10T
SEPTIC
TANK
omaca
Size Septic Tank
Feet of Drain Tile
s[WBR
CONN.
SHOWCFIS
DRAIN
PHILO
Type cf Tank
Met. F=3 of Tsh az fain teld N. =:n Well
The undersigned applicant for this building permit does by acetify that he understands and accepts his obligati as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5 , Compiled Genet= l Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contracts 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 undersi .«..• agrees to employ oar ». a sub - contractors, on work to pert under nit, as are
licensed by Miami Shores Village. / '
Master Plumber.
II
e►iwg— _.— ._._...__ Ac�dlieia�.
LAVA.
TORIES
SOAKAGE
PIT
My Co
EtnOGYJO 5G8g1;11Z M00 AGE
f um mav Sf'11 CT Old DEPARTMENT
MPdOCAT0ON FOR PLUM Y IN PERM
@INKS
onesse
TRAP
41"
IILOP
SINGS 1 Time
SOLAR
O 7 KAYCW
LAUNORV
DEW
WELL
MISSALS
SPRKLR.
SYSTEM
9 vr9
Repairs_
CATCH
BASIN
SW 1 M'0
P001.
FLOOR
DRAIN
Subdiv Won._. __..Y.._
No. of Stories. .......
DRINKING
FOUNT'NS
_Capacity Gall.
Notesy Babliet, State of Florida
TOTAL
FIXTURES
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a no3apy public„ d r,l, atefigained agniniKez oaths and r . a acknowledgments, personally appeared
the
to o f the above known, described d c who, brunt 119, tL me 2 ..se duly swam, d Ali and that he did sign the same, and that all facts
o the desibconstruction, , B� he � 4' nod '�?�
therein by him stated are true.
NOTE: A re- inspectionu fee s1 81.1) will 1 as& teas U* 4 made•sseceasaly r tamper mike far inspection, or husky
materials and /or
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date � a �% /� � . � ; � .lob Address � /
Loo g4-- 14.4
Owner/Lessee / Tenant F
Owners Address ,34 AiE ,4
Contracting Co. '0 b � S ' I�� e. 'm r' Address 1*() PE a 6 -
Qua;:i8er o ,5' E yeI
State # Municipal # 6u1- Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
My Commissi n
Permit Type (circle one): BUILDING ELECTRIC
WORK DESCRIPTION
WARNING TO OWNE .: YOU MUST :' CORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY SUIT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
xl
FEES: PERMIT,
RADON
Not . as to Owner and/or Condo President
APPROVED:
Zoning Building
Mechanical Plumbing
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do o r stated.
y "`'1LL� t7WL�V�L.
Signature of owner and/or Condo Presit
v
Date
,01-4-) q0-1
C.C.F. � 2°
Signa
Tax Folio /1 ,. 0 L q /6
Historically Designated: Yes
Estimated Cost (value)
ter ermit #
one L'5.6S'.
1/ ')
Electrical
1
No
7 7 3(7
Ins. Co. `' G
MECHANICAL ROOFING PAVING FENCE SIGN
C - 3/E-611; F 0
NOTARY BOND 0
TOTAL DUE ) (�
e of Contra
Date
Notary as to ontractor,or Owner i Id f F E;:. n`3 Date
My Commission Expiret u: G�"zy t USK:7.0 STA ^ y `."'.0 E 3 A
cC;aLl %O i NO. CC7vl.) M
i 7 ` — ' 7 .�j ") MTON c.',„5771.
Structural Engineer
Notes:
Plan Approved
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number
Scale: Each block represents 5 feet and 1 inch = 50 feet.
DH 4018,1®+98 (Replaces HRS•H Form 4015 which may be used)
(Stock NuM : 8744.0 - 4018.
PART II - SITE PLAN-
Site Plan submitted by:
Signature
Not Approved
By County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
:title
',DSte
Page 2 of 3
Company
l
REQUEST FOR INSPECTION
PHON E
Job
Address
Inspection
Time Ready A.M. P.M.
Date Ready
Perm
App
strut
and
of
buil
OK
Re
En
Lc
St
S
r
Permit No.
Application is I:c'reby made for the a pproval of the Date__. __ .___ - ____�
e 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 Ordinr.nce of Miami Shores Village, Florida, Lnd all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building
of Miami Shores Village shall be complied with, whether herein specified or not. A copy g �
building during progress of work. py of approved plans and specifications must be kept at
Owner's Name and Address
Registered Architect and /or Engineer No. Street
to '
Em ------ -- -- - - --
Employing Plumber's Name __ �-' ---- -- - - - -- -
- -- - -------------- - - - --- No-------------------
Lccation and Legal Description Lot Street_ ___________
Street and Number where work is to be performed —No Block
Subdivision_________ _
--------------- - - - - --
State work to be performed and purpose of building (By Floors) Street
New Building Remodeling
Addition Repairs _ -
No. of Stories _.
CONTR.
LIFT
CHECK
CONTR.
LIST
CHECK
CLOSETS
BATH
Tues
SEPTIC SEWER
TANK CONN.
SHOWERS
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amour.: of Permit $ _
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
LAVA-
TORIES SINKS I SLOP
SINKS
LAUNDRY
TUBS
URINALS
(Signed) ___ :________
CATCH
BASIN
DRAIN SOAKAGE GREASE SOLAR
FIELD PIT DEEP SPRKLR. SWIM'G
TRAP HEATER
WELL SYSTEM POOL
- -- Type of Tank
_ Dist. Feet of Tank or Drain Field from Well _- _ - - --
_ Size of Soakage Pit _.
FLOOR
DRAIN
DFRINKING
FO U NT'N3/
Capacity Gals.
(Signed)
The undersigned applicant for this building Plumbing Inspector.
un�:er the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida t Permanent nt 1 employer Supplement, and has labor
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work
performed under this permit; and will post or cause to be posted for inspection on the site of the work such I t, and has are
required by the Act. The undersi to be
licensed by Miami Shores Village. fined agrees to employ only such sub- contractors, on work to be perform d hundo�ic {hlor notices as are s Permit, as are
Master Number -
Before me, the undersigned authority, a notary public, duly acknowledgments, authorized to administer oaths and take acknowled
- -- ----- -- ----- ---- - - - --- personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ___
o ay
h e the he b him s azted ar tone. rustruction, that he has carefully read the foregoing application, and that he did sign e t
h n the same, and that alI facts
My Commission Expires — —
Notary Public, State of Florida
re-inspection
NOTE: A wolcma necessary fee of X1.00 will be made when such re- inspection is made
materials
NOTE: A workmanship, by improper notice for inspection, or faulty
TOTAL
FIXTURES
LOT:
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR
[ ,°] New System [ '•] Existing System
[. ] Repair [ ' Abandonment
APPLICANT: Ce,
PROPERTY ADDRESS:
BLOCK: SUBDIVISION: r• "`' -
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 9 � / [OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065,
F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTORY
PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A
BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION.
SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT
DOES NOT EXEMPT THE APPLIChET FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING
REQUIRED FOR DEVELOPMENT OF T^! PROPERTY.
SYSTEM DESIGN AND SPECIFIC TIM'S
GALLONS/ GPD SEP5'tC TANK /AEROBIC UNIT
GALLONS / GPD
GALLONS GREASE INTERCEPTOR CAPACITY
GALLONS DOSING TANK CAPACITY [
[ Holding Tank [0° ] Innovative
[ Temporary [ ]
D [ ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ ' ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [ ] STANARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [ BED [ ]
N
F LOCATION OF BENCHMARK:
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ ] INCHES
CAPACITY MULTI- CHAMBERED /IN- SERIES [ ]
CAPACITY MULTI- CHAMBERED /IN- SERIES [ ]
[MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
GALLONS @ [ ] DOSES PER 24 HRS C PUMPS [ ]
[INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT
[INCHES /FT] [ABOVE /BELOW]- BENCHMARK /REFERENCE POINT
0
T
H
E
PERMIT NO. 4 ;
DATE PAID:
FEE PAID:
RECEIPT #:.
SPECIFICATIONS BY: " TITLE:
APPROVED BY: TITLE: CHD
DATE ISSUED: EXPIRATION DATE:
DH 4016, 12/99 (Page 1) (Previous Editions May Be Used) Page 1 of 3
pt. L: Health Department
pt. 2: Applicant
pt. 3: Installcr /Contractor
pt. 3uilding D.partment
INSTRUCTIONS:
PERMIT NUMBER: Permit tracking number assigned by CPHU.
CONSTRUCTION
PERMIT FOR: Check type of permit, if "Other" specify type in blank.
APPLICANT: Property owner's full name.
SYSTEM DESIGN AND
SPECIFICATIONS:
TELEPHONE: Telephone number for applicant or agent
AGENT: Property owner's legally authorized representative.
MAILING ADDRESS: P.O. Box or street mailing address for applicant or agent.
LOT, BLOCK, SUBDIVISION or
PROPERTY ID #: 27 character id number for property. (CHD may require property appraiser ID # or section /township /range/parcel number)
TANK: Minimum specifications from Chapter 64E-6, FAC.
DRAINFIELD: Minimum specifications from Chapter 64E-6, FAC.
OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos.
SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed.
APPROVED BY: County Health Department (CUD) personnel reviewing and approving permit.
DATE ISSUED: Date permit is issued by CHD
EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date
issued.