74 NE 97 St (10)•
•
DATE ,
ISSUED TO
c
FOR A STORY
FIXTURES`
FIXTURES
SEWER
SEPTIC TANK
TOTAL $,,
VILLAGE PLUMBING INSPECTOR
MIAMI SHORES VILLAGE
PLUMBING PERMIT
to install the following described plumbing, in accordance with
the laws, statutes and regulations of Miami Shores Village,
Florida and the State of Florida, governing plumbing and dra5i-
age work done in Miami Shores Village, Floida,
l
BUILDING AT
,.•
•
BY
N0, 622
THIS SPACE FOR ELEVATION SKETCH
In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to
correspond with the opening shown in floor plan or ground plan on opposite page.
Ar- 4 00
A PERSPECTIVE SKETCH
PROVIDED THE WORK CA
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTAINS
TOTAL
FIXTURES
2
N
2 1
/
/ I
f
A -244 yS- '�.5lu
I herewith submit tyre following plan of plumbing for approval:
Employing Plumber' ( ? S? Work executed by J
New V (. ` Old ❑ Story ❑
For a
Dwelling Store ❑ Garage ❑ Apartment ❑
Owner or Agent Q „I' f v „ ',�°, Address
Builder or Contractor is
Lot No. — '/Z Block No.
Address
Sewer Connections
Ground
DIVISION OF PLUMBING INSPECTION
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
.47: A /te , //r /' , Address
Date
ROUGH -IN INSPECTION
Rough -In Rain Leader
AM PM.
Approved by
Condemned by
REMARKS
19
Addition ❑ Remodeled ❑
Hotel ❑ Office Bldg. ❑
Subdivision -/ Y -v'
At center of St. ❑ At curb ❑ At property line ❑ EEting in alley ❑ Existing bldg. sewer ❑
To septic tank !� Existing bldg. drain ❑ To dry well ❑
A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information.
DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY.
Date—
SEWER INSPECTION
A M P M
Approved by
Condemned by
REMARKS
Plan No Sewer Permit No
Date
FINAL INSPECTION
A M P M.
Approved by
Condemned by
REMARKS
WILL BE SUFFICIENT
BE CLEARLY SHOWN
THIS SPACE FOR PLAN SKETCH
Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the
stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw
floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal
soil and waste pipes, in reference to same.
Sketch position of building and lot lines in square (which represents an entire city block), showing on wTiich
street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic
tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate
layout of all underground pipes for future references.
WEST
NORTH
A
EAST
Remarks :
NORTH
SOUTH
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sui:y(iitted f tha• building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miam 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.
Registered Architect an g'lneer 1
J C / �, /
Employing Plum s N ` _!J._`�._ No._w ___�_________�_ Stree-�L�_'
Location and Legal Description ...... ____ __.____Block__
Street and Number where work is to be performed —No
State work to be performed 'and purpose of building (By Floors)
New Remodeling ....... Addition--_______ ............... Repairs r_ No. of
appeared
to me well known, and who, being by me first
of the above described construction, that he
therein by him stated are true.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date_L O
7g A Street_._9 7e
Street__
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
Notary Public, State of Florida
duly sworn, upon oath deposes and says that he is the..
has carefully read the foregoing application, and that he did sign the same, and that all facts
My Commission Expires
NOTE: A re- inspection fee of SIAM) 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.
DRAI
FIE
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
CHECK
Size Septic Tank___ Type of Tank Gals
_ _ - _ - __ _____ ___-___--Capacity �.
Feet of Drain Tile---- Dist. Feet of Tank or Drain Field from Well-.__
____- _- __—__- ____- .
Nature of Water Supply: City Wel .
7fSoakaPlt.
r
. ear " "L CC-t.,1(..." !� �w /BOO
Amount of Permit $ a
(Signed)
_12 -
wiping Inspector.
The undersigned applicant for this building permit does hereby certify that 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 corn-
plied with the provisio 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. 1
STATE OF FLORIDA,
r^ni7NTV (W DADS_
/! Master Plumber.
1 } f l � ,
1 .1
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sui:y(iitted f tha• building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miam 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.
Registered Architect an g'lneer 1
J C / �, /
Employing Plum s N ` _!J._`�._ No._w ___�_________�_ Stree-�L�_'
Location and Legal Description ...... ____ __.____Block__
Street and Number where work is to be performed —No
State work to be performed 'and purpose of building (By Floors)
New Remodeling ....... Addition--_______ ............... Repairs r_ No. of
appeared
to me well known, and who, being by me first
of the above described construction, that he
therein by him stated are true.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date_L O
7g A Street_._9 7e
Street__
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
Notary Public, State of Florida
duly sworn, upon oath deposes and says that he is the..
has carefully read the foregoing application, and that he did sign the same, and that all facts
My Commission Expires
NOTE: A re- inspection fee of SIAM) will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No._ t
MIAMI SHORES VILLAGE
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
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___e_:______ 11
C
Registered Architect and/or Engin
(./1
I
Employing Plumber's Name __LI . S.../. e., No. Street_
Location and Legal Description Lot Block Subdivision______
Street and Number where work is to be performed—No _1 4 )7 C; _1_7 ---d---4 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No of Stories...... __ ..... ..
Size Septic ..... of Tank
Feet of Drain __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well.-__- ..... of Soakage Pit
-----
Amount of Permit $ 4_, D (-1)
(Signed)
Plumb Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires
( Signed
Date
Capacity Gals
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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 insr n, or faulty
materials and/or worlananship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM' G
POOL
CONTR.
LIST
CHECK
Permit No._ t
MIAMI SHORES VILLAGE
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
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___e_:______ 11
C
Registered Architect and/or Engin
(./1
I
Employing Plumber's Name __LI . S.../. e., No. Street_
Location and Legal Description Lot Block Subdivision______
Street and Number where work is to be performed—No _1 4 )7 C; _1_7 ---d---4 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No of Stories...... __ ..... ..
Size Septic ..... of Tank
Feet of Drain __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well.-__- ..... of Soakage Pit
-----
Amount of Permit $ 4_, D (-1)
(Signed)
Plumb Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires
( Signed
Date
Capacity Gals
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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 insr n, or faulty
materials and/or worlananship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Legal Lot
Description
Address of
Building
PERMIT
Architect
Contractor
or Builder /h AN.4 f /?
&Abe
74 vE 97s,
/CONTRACTOR OR BUIL
J
SHORES VILLAGE. FLORIDA
DA T I` 195
Work to be performed under this Permit
B1
Na 638
Contractor's
License No
/eo• k A
Subdi-
vision
Value of Amount of .a.
Project $ +I Permit $
f
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.
' t
INSPECTOR
In consideration of th- ce to me of this perni I \gree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in . ,, ormily with the plans, dra o4ngs, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this pe t I as a ns all work done by either, myself, my agent, servant or employee.
BY AUTHORITY ..115311.'
BUILMM
ELECTRI �
PLUMB'
Owner
Building
Archie
Contract or
or Builder
Legal Lot
Descripdce—
Address of
Building
This
application
with any
be rev... at
upon which
the ordiva
that he assume.
In
tiona pertaining thognilo '
Village. In asp'
se the contractor or ilder named above to construct the buildi
With all ordinances pertaining thereto and with the
of specifications that may have been submitted to and
is not done in compliance with such ordinances or if the
iedhe uaderetaading that the contractor or builder
to the work covered hereby whether shown on
b a e by his agents, servants or employees.
to me of this permit I agree to perform .tie wo covered hertunder in compliance with all ordi and tepla•
mkt soaformity with the plans, dr s or specifications submitted to the proper anthoritilsi of Shores
I seam* responsibility for all , R f :. myself, 1my servant or employee.
MIAMI SHORES VILLAGE, 1 FLIJRIDA
OAT
ERMIT N° 3203
dirk r be perfornted under this Permi
�)d
Date 7 / / "� J
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.. __ -2/
Owner's Name and Address
Registered Architect and /or En
Employing Plumber's Name
appeared
to me well known, and who, being by me
of the above described construction, that
therein by him stated are true.
MIAMI SHORES VILLAGE
f:)LUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
My Commi§sion Expires
No.____ /, e Street 9'l
No f Street._ /
Location and Legal Description Lot ____ 71 Block _ Subdivision__ __
—
Street and Number where work is to be performed —No /1.■ — ....... ____ Street . ___ L._ -_.- ___-- _— __________ -____
State work to be performed and purpose of building (By Floors)
New Building — _____.__.— ______ Remodeling Addition Repairs No. of Stories_-_____ _
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
first duly sworn, upon oath deposes and says that he is the .
he has carefully read the foregoing application, and that he did sign the same, and that all facts
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 fauky
materials and /or workmanship.
CLOSETS
BATH
Toss
SHOWERS
VA-
c ES
.w
dW
i F
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
/
/
�V
, I
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
P T
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply:
Amount of Permit
The undersigned
under the Florida
plied with the provisions
performed under this
required by the Act.
licensed by Miami
STATE OF FLORIDA,
COUNTY OF DADE.
_____._.______
—
building
wil
post
agrees
Type
Dist. Feet of
-_ -- ____
permit does
Act, being Section
require similar
or cause to be
to employ
of Tank .
Tank or Drain Field
Size
Capacity
from Well ______ .... _-
of Soakage Pit.
_ —__ : / '
he understands and accepts his
General Laws of Florida Permanent
contractors or sub - contractors
on the site of the work
on work to be performed
--- -- --________- ----
Gals..- .__-- »._______
__ ..... _- ..... _______
Plumbing
obligations as an
Supplement,
employed by him
such public notice
under this
___
_- _— _- _- _— ___-
City
S__ —_—
applicant
Workmen's
thereof,
permit;
The
Shores Village.
1
—
__-_- ___ -_
—Well
for this
Compensation
and
and will
under signed
ss.
—_
—
—_
of labor
com-
to be
as are
as are
— -_----
Inspecoor.
employer
and has
in the work
or notices
permit,
_
Plumber.
(Signed)
hereby certify that
5966, Compiled
compliance from all
posted for inspection
only such sub - contractors,
(Signed)
____ _ —° —
Master
Date 7 / / "� J
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.. __ -2/
Owner's Name and Address
Registered Architect and /or En
Employing Plumber's Name
appeared
to me well known, and who, being by me
of the above described construction, that
therein by him stated are true.
MIAMI SHORES VILLAGE
f:)LUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
My Commi§sion Expires
No.____ /, e Street 9'l
No f Street._ /
Location and Legal Description Lot ____ 71 Block _ Subdivision__ __
—
Street and Number where work is to be performed —No /1.■ — ....... ____ Street . ___ L._ -_.- ___-- _— __________ -____
State work to be performed and purpose of building (By Floors)
New Building — _____.__.— ______ Remodeling Addition Repairs No. of Stories_-_____ _
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
first duly sworn, upon oath deposes and says that he is the .
he has carefully read the foregoing application, and that he did sign the same, and that all facts
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 fauky
materials and /or workmanship.
7
-
•
i
4
DATE fl e' J' /
ISSUED TO
FIXTURES
FIXTURES
SEWER
MIAMI SHORES V I] AGE
PLUMBING PERMIT
to install the following described plumbing, in accordance with
the laws, statutes and regulations of Miami Shores Village,
Florida and the State of Florida, governing plumbing and drain-
age work done in Miami Shores Village, Florida.
- -
FOR A STORY „ _ BUILDING AT /,
SEPTIC TANK 41 a v /
TOTAL
VILLAGE PLUMBING INSPECTOR
F � �
BY
NO. 643
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 v; ry ` �� ~ / 1 -
No._------ _�_.�______ -- Street -- -- - - --
Registered Architect and /or Engineer_--_ — _____
Employing Plumber's Name - ��i!NS!_ , °� f _� _ -- --� ' No.___ - -_- /7 Street. v .v
Subdivision _ ------- �____ --
Location and Legal Description
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By s) _-- -__�_ x=_" LA __
New Building ___._ Remodeling___— —__ Addition
Size Septic Tank
Feet of Drain Tile
------------------------------
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
______ Block
(Signed) _
:7. Street A/ 4
:k') ;
Repairs No. of Stories.
Capacity Gals._
— Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____—_ ___________ ________ ____ _______ Size of Soakage Pit
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.
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the-_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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 worlonanship.
�r/
CLOUTS
BATH
TU•S
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
URINALS
CATCH
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
COH rlt.
LIST
CHECK
` --
Permit No.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity, with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address v; ry ` �� ~ / 1 -
No._------ _�_.�______ -- Street -- -- - - --
Registered Architect and /or Engineer_--_ — _____
Employing Plumber's Name - ��i!NS!_ , °� f _� _ -- --� ' No.___ - -_- /7 Street. v .v
Subdivision _ ------- �____ --
Location and Legal Description
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By s) _-- -__�_ x=_" LA __
New Building ___._ Remodeling___— —__ Addition
Size Septic Tank
Feet of Drain Tile
------------------------------
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
______ Block
(Signed) _
:7. Street A/ 4
:k') ;
Repairs No. of Stories.
Capacity Gals._
— Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____—_ ___________ ________ ____ _______ Size of Soakage Pit
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.
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the-_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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 worlonanship.
�r/
I
M)AMI
'PLUMBING
APPLIGATiON
Permit No _ .702'•
Application is hereby made for the approval
structure herein described. This applicationfis
and all provisions of' the Laws of the State of
of Miami Shores Village shall be complied
building during ::::; rk.
O wner's Name . _____ . _
Registered Architect an r n neer
•
Employing Plu s N
Location and Legal Description Lot
Street and Number where work is to be performed
State work to be performed and purpose of building
New Building ____________________ Remodeling
of the
made i
Florida
with, whety
_ ____ __
—No
___w
SHORES
INSPECTION
FOR
detailed statement
compliance and
all ordinances
herein specified
___ _ _________
#
VILLAGE
DEPARTMENT
PLUMBING
of the plans and
conformity with
of Miami Shores Village
or sot. A copy
No. _____ ___7
I! ^ C
C
specifications
the Building
and all
of approved
T___
.44 - - -
PERMIT
Datel
herewith
Ordinance
rules and
plans
� ,
-_
Subdivision__
building
Village,
Building
must be
2
or other
Florida,
Division
kept at
_v
sub itted
of Miam
regulations
and specifications
Street___
Stre
________ ___________________.____________
f th
Shores
of the
- �
No. of
- _Block ________
___ _
Street
* —
(By Floors) -------------- ____________________
-- Addition Repairs
Stories- _______.___.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
$NKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FGUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAT
FIEL
SOAKAGE
PIT
GR
- AP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Size Septic Tank_.._
Feet of Drain Tile__------_—__
Nature of Water Supply:
._ _. _..___
. . Dist.
Feet
Type of Tank . - ___-Capacity Gals.______
of Tank br Drain Field from Well
Size of Soakage Pit ____ T ______ _
-.____ .._ _
City —We
rte
Amount of Permit S---4-02-0
The undersigned applicant
under the Florida Workmen's
plied with the provisions thereof,
performed under this permit:
required by the Act. The
licensed by Miami Shores Village.
STATE OF FLORIDA, l
(7i TNTY nF DADE.
for this
Compensation
and
and will
under signed
w _ _- (Signed)
does hereby certify that
Section 5966, Compiled
similar compliance from all
to be posted for inspection
employ only such sub - contractors,
(S
_____ _ _____________ _
raying Inspector.
and accepts his obligations as an employer of labor
Laws of Florida Permanent Supplement, and has com-
or sub - contractors employed by him in the work to be
site of the work such public notice or notices as are
on work to be performed under this permit, as are
-- — .. – Lt..4„ -t,.•e at-- ..
Master Plumber.
.
building permit
Act, being
will require
post or cause
agrees to
understands
General
contractors
on the
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
NOTE: A re- inspection fee of $1.00 will be
materials and /or workmanship.
Notary Public. State of Florida
made when such re- inspection is made necessary by improper notice for inspection, or faulty
•
DATE
ISSUED TO
MIAMI SHORES VILLAGE
PLUMBING PERMIT
to install the following described plumbing, in accordance with
the laws, statutes and regulations of Miami Shores Village,
Florida and the State of Florida, governing plumbing and drain-
age work done in Miami Shores Village, Florida,
FOR A STORY BUILDING AT
FIXTURES
FIXTURES
SEWER
SEPTIC TANK f $
TOTAL
VILLAGE PLUMBING INSPECTOR
BY
NO. 643
•
•
DATE ' . g
ISSUED TO
SEPTIC TANK
�D
to install the following described plumbing, in accordance with
the laws, statutes and regulations of Miami Shores Village,
Florida and the State of Florida, governing plumbing and drai
age work done in Mi i hores Village, Florida,
FORA STORY 4 ' BUILDING AT 74'
2 7 , f
FIXTURES'
FIXTURES
SEWER
TOTAL
VILLAGE PLUMBING INSPE
MIAMI SHORES VILLAGE
PLUMBING PERMIT
BY
N0 . _) 2 .S
14 11
BUILDING
ELECTRICAL
PLUMBING..
t
Owner of
Building
•
In consideration of the inntoncs
tions pertaining thereto and in
Village. In sopping tide;
ES VILLAGE, FLORIDA
DA
1450
is Perm
I
T
Architect
Contractof
or Byi let
Legal
Description
Address of
Building
This permit is granted to the conitactot
application herefor in strict core
with any plans, drawings, scatemsnte
be revoked at any time if the work is
rWi
upon which this permit is 'panted ii
the ordinances and regulations
chat he assumes responsibility
a o ve Ito the building or to install the eq
A ~ and with the understanding that the
b een submitted to and approved by the proper
such ordinances or if the Plano/we changed wi .
rantractor or builder named ahf'ive assumes the raspo
w hether shown on tha'plan s o *swinge or in
! y or employees. r, - •
r
Permit No A 9 d"
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 Shares 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. r�
Owner's Name and Addresa �� p / " O n �D Nom' No 7 r ` T
Registered Architect and /or Engineer 1,l iV6 1 1R
tv 1� _
E�►pipY+ei Plumber': Name p -- .. -----
Location and Legal Description Lot. '29 $lot� SubdivWon.
Street and Number where work is to be performed —No. 74 i Street. __._....-- -•• - -_
)) t r, 1_fpm )v — /s • /" �c
State work to be performed and purpose of building (By Fbors)_t �2�.!l.$._ -- .._._...- •--- _• . - -._ . ... ........... . .- ...-- _• - - - -•• - -- -•_._. New Building. __._ _ - -- _ -- Remodeling " � — __ Addition.--- - -__._ ...... Repairs No. of Stories ...............
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit =
f - fv
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
N o_.._ - ....- _..11Infe... ........ /trMRrM.
Type of Tank_
T)ist. Feet of Tank or Drain Field from
Size of Soakage
big In . - tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations `an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent S4plement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Date ..._4._(-. 11
.Capacity
a
Muter Plumber.
STATE OF FLORIDA,
u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly swans, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when raelr re•laspeodon fo anade.neogrry by improper notice for impaction, or faulty
matriali and/or workmanship.
GLOECra
BATH
rues
""a" W[Ra
LAVA•
TORIES
a INK.
SLOP
FINK[
LAUNDRY
TUa[
URINALS
CATCH
BASIN
FLOOR
GRAIN
DRINKING
FOUNT'
® _l�
p C`
TOTAL
FIXTURES
CONTR.
LIST
I
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
BPRKLR.
SYSTEM
SWING
POOL
CONTR.
LIST
rte'
CHECK
Permit No A 9 d"
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 Shares 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. r�
Owner's Name and Addresa �� p / " O n �D Nom' No 7 r ` T
Registered Architect and /or Engineer 1,l iV6 1 1R
tv 1� _
E�►pipY+ei Plumber': Name p -- .. -----
Location and Legal Description Lot. '29 $lot� SubdivWon.
Street and Number where work is to be performed —No. 74 i Street. __._....-- -•• - -_
)) t r, 1_fpm )v — /s • /" �c
State work to be performed and purpose of building (By Fbors)_t �2�.!l.$._ -- .._._...- •--- _• . - -._ . ... ........... . .- ...-- _• - - - -•• - -- -•_._. New Building. __._ _ - -- _ -- Remodeling " � — __ Addition.--- - -__._ ...... Repairs No. of Stories ...............
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit =
f - fv
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
N o_.._ - ....- _..11Infe... ........ /trMRrM.
Type of Tank_
T)ist. Feet of Tank or Drain Field from
Size of Soakage
big In . - tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations `an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent S4plement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Date ..._4._(-. 11
.Capacity
a
Muter Plumber.
STATE OF FLORIDA,
u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly swans, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when raelr re•laspeodon fo anade.neogrry by improper notice for impaction, or faulty
matriali and/or workmanship.
UC'tif�)N
r
December 20, 1945
MR. McCALL:
Upon inspection this date, I found the following
work had been done on the George Allen house - 74 11. E.
97th Street:
Removed garage door - rough plumbing installed and
one three -foot partition consisting of a sheet of plywood
and four 2 x 4
C.L.GOODRICH
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of Q
Building
Architect
Contractor k 7
or Builder " �
„ `� f ` � �� 1.) t
Address of
Building
❑ DATE ' i4' C' 'a 19
°- PERMIT NC' 6433 Contractor's *-
License No
❑ _
❑ Work to be performed under this Permit �- Yl - I .
/4,
-;:tro
Legal Lot
Description II Bl.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
BY
Subdi-
vision
t.4 - mot `z. c 't 1 / t
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Value of
Project $
11 Amount of
11 Permit $
Signed. SPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all rdinances aad regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
AUTHORITY
••IOT
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder "
Legal Lot
Description
Address of
Building
This permit is grants to the cants
cation herefor in strict compli sce 1,U
plans, drawings statements or . ��.r,'
at any time if the work is loot
permit is granted is the
regulations pertaining to the
sibility for work done by bit ads,
In consideration of the
pertaining thereto and in staid
In accepting this permit I 11118.11,
MIAMI SHORES VILLAGE, FLORIDA
IATE
ERMIT ' 4O92
BL
•
d under this Permit
Subdi-
vision
Value of I) Amt. of
Project Permit - ---+
or builder named above to construct the building or to inst all the equip or device deeaibed in the appli-
pertaining thereto and w th the understanding that the work w 1 be performed in compliance with say
may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
d4snce with such ordinances or if the plans are changed without th
authorization. A further °audition upon which
the factor or builder named above assumes the respponsr ' ' for a thor lotowied>e of the ordinances an
whether shown on the plans or drawings or in the is or sp and Mist he t/enmee
eaeployees. f ; _
Signed- By
INSPECTOR'
o perform the work covered hereundei in compliance with all ordinances and
statements or specifications submitted to the proper authorities of Miami Sharer
done R y either myself, my agent, servant or employee.
1
C srtrpsctar'a
Litre No.— ,
•
leo
Owner's Name and Address
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Date ,
No._ Street___ ,
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done /U • E• 7?
State work to be done and purpose of building (by floors)_______ _ a3 -
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
-Se
Estimated Total cost of improvements $__ a • Amount of Permit $ a - 0 0
Zone cubage required _Plan Cubage
Distance to next nearest building _Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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 subconfya t s, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signe
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
Permit No / SI e l Date .,,c __ __ '1` 6.5 Read, Sworn to and Subscribed before me.
Disapproved Date _
/
(Signed) Notary Public, State of Florida
_ _
Building Inspector - ' My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
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 charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Permit No.___-
Employing Plumber's Name ___ _______. Q.nigaB
Location and Legal Description Lot___ —___ __ —_____ _ _ Block_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building- -__ - -- _ -_-- Remodeling_ ___.- - - - - -• __ -- Addition
Size Septic Tank._ _______ _
Feet of Drain Tile
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank
Street
.Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.__ _ _— _________________________ __—___-Size of Soakage Pit-_.
L:J:ST R: 11'Li1C : ;. 6ZT RANGE & REFRIGERATOR.
Amount of Permit $ 2.00
(Signed)_
Date. :iay13 1965
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ether
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.
. L a 1..
^ors . �. I ? A 74 .E. 97 St.
Owner's Name and Address ---- ::- - -__ -- - __._____ ___----- -_ - -_- No. _-------------- _--- ___ -__ Street -_ _ -- - -- -• - -' -- -_. -- •-
Registered Architect and /or Engineer --- - -- - -_ --------- -- -• -___ _ _ -.- -- _- --- __ -.-- _ -_ _ - -_-
No.____ 3795 i1.1:. Street__ _ _
Repairs -- -- - - - -' __ -- -- _ - -- No of Stories.... ..... . .. .
Capacity Gals. _ _ _ ___ _.._ _. _ _ ..
'h.mbing In:'pe
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent Supplement, and has c•n-
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 no' ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on woryto be performed under thJ per nit. as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
(Signed') �cd /Z
28876 —C 11113511010teeber
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all .`acts
therein by him stated are true.
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 worlcmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.'
TORIES
SINKS
SLOP
StNKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' No
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
LIST
CHECK
_
Permit No.___-
Employing Plumber's Name ___ _______. Q.nigaB
Location and Legal Description Lot___ —___ __ —_____ _ _ Block_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building- -__ - -- _ -_-- Remodeling_ ___.- - - - - -• __ -- Addition
Size Septic Tank._ _______ _
Feet of Drain Tile
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank
Street
.Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.__ _ _— _________________________ __—___-Size of Soakage Pit-_.
L:J:ST R: 11'Li1C : ;. 6ZT RANGE & REFRIGERATOR.
Amount of Permit $ 2.00
(Signed)_
Date. :iay13 1965
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ether
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.
. L a 1..
^ors . �. I ? A 74 .E. 97 St.
Owner's Name and Address ---- ::- - -__ -- - __._____ ___----- -_ - -_- No. _-------------- _--- ___ -__ Street -_ _ -- - -- -• - -' -- -_. -- •-
Registered Architect and /or Engineer --- - -- - -_ --------- -- -• -___ _ _ -.- -- _- --- __ -.-- _ -_ _ - -_-
No.____ 3795 i1.1:. Street__ _ _
Repairs -- -- - - - -' __ -- -- _ - -- No of Stories.... ..... . .. .
Capacity Gals. _ _ _ ___ _.._ _. _ _ ..
'h.mbing In:'pe
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent Supplement, and has c•n-
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 no' ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on woryto be performed under thJ per nit. as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
(Signed') �cd /Z
28876 —C 11113511010teeber
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all .`acts
therein by him stated are true.
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 worlcmanship.