PLUMBINGMIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approyal of the detailed statement ur me plans and specifications herewith submitted for the build •
inc 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 iuilding 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 pragreu of the work.
/� p p ... ,19
Owner s Name and Address Y`r f r l A G' " LE: "� e ._ No. ._.._.. Street�E _ ,[_j S !
Registered Architect and /or Engineer
Name and address of licensed contractor ga.
Location and legal description of lot to be built on:
Lot Block pp Subdivision �j _.. _......._.._._
Street and Number where work is to be done........ .As ppEI - -.L R_I_._ N �D L i'
t: ..._.._......_.._.__ ..+. 'J
State work to be done and purpose of building (by floors) if I V 4 4l D #E/C.'S . _ !¢T ? .
(E1?LE &j 6 PLU ti(8/vG_.._.. EbeTaiies ...
4i r /Pod P wf/ /7F
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation r� y( Roof Covering
Estimate Total cost of improvements $ Amount of Permit r
Zone cubage required Plan Cubage
Distance .to next nearest building Size of Building Lot `a 0 Id J
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 subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village. /)
Rem,uks (Signed —. _...._._ " /�
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 true..
�Z
Permit No.._.._ . Date '7• ° --+ Read, Sworn to and Subscribed before me.
Disapproved ., Date
Notary Public, State of Florida
My Commission Expires —
Building Inspector
BUILDING INSPECTION DEPARTMENT
to me well known,
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 )Fns been obtained from
the I'Innnir.;; hoard.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
New Building
Size Septic Tank
Feet of Drain Tile.
Amount of Permit $
Permit No 3 �' S
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 _--_ Vid/ ___ CI_LA A/ No._— — ?---9--0- ._ Street
Registered Architect and /or Engineer__
Employing Plumber's Name__M1_ltd_ 1 _alkl_CP.g.
Location and Legal Description Lot____— ___________________
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)________ c' -Ai___
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 o
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor
performed under this permit; and will post or cause to be posted' for inspection on the site of the w
required by the Act. The undersigned agrees to employ only such sub- contractors, k to
licensed by Miami Shores Village.
at 0
Remodeling
M Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
C Lt: No.__- - -__ -- _ - / $ Street-.- Al E
_____ Block
Addition________._______________ Repairs ' No. of Stories
_Type of Tank— Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Date ��'--� t -_f . / "74
h
Subdivision _ ______
V Stre A l Y� 1 (� 7
Notary Public, State of Florida
7 - 4 ks7
Plumbing inspector.
igations as an employer of labor
anent Supplement, and has corn-
ed by him in the work to be
blic notice or notices as are
under this permit, as are
Master Plumber.
STATE OF FLORIDA, l
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
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
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
New Building
Size Septic Tank
Feet of Drain Tile.
Amount of Permit $
Permit No 3 �' S
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 _--_ Vid/ ___ CI_LA A/ No._— — ?---9--0- ._ Street
Registered Architect and /or Engineer__
Employing Plumber's Name__M1_ltd_ 1 _alkl_CP.g.
Location and Legal Description Lot____— ___________________
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)________ c' -Ai___
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 o
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor
performed under this permit; and will post or cause to be posted' for inspection on the site of the w
required by the Act. The undersigned agrees to employ only such sub- contractors, k to
licensed by Miami Shores Village.
at 0
Remodeling
M Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
C Lt: No.__- - -__ -- _ - / $ Street-.- Al E
_____ Block
Addition________._______________ Repairs ' No. of Stories
_Type of Tank— Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Date ��'--� t -_f . / "74
h
Subdivision _ ______
V Stre A l Y� 1 (� 7
Notary Public, State of Florida
7 - 4 ks7
Plumbing inspector.
igations as an employer of labor
anent Supplement, and has corn-
ed by him in the work to be
blic notice or notices as are
under this permit, as are
Master Plumber.
STATE OF FLORIDA, l
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
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
0
Contractor
or Builder Y"'" c
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Architect
N9 5998
DATE
Contractor's
License No.
Work to be performed under this Permit
1
ti ' _'4 S 0 •
\
Subdi-
vision
Address of r r" Value of
Building I i t' 1 , Project $
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. !,
Amount of —
Permit $
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complfan with all ordinances — regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper ah sties of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Signed. .
BY AUTHORITY ABBOT
BUILDING
ELECTRICAL
PL
ROOFIN
Owner of
Building
Architect
Contractor
or Builder /
Legal
Description
n
In consideration of the issuance to me of this permit I agree
pertaining thereto and in strict conformity with the plans, drawings,
In accepting this permit I assume spgusibility , r all work done
NTRACTOR OR BUILD
MIAMI SHORES VILLAGE, FLORIDA
j i DATE ,,. 195
PAM T NO. 11794
Work to be performed user ` 'Permit
,r r
.44/
Subdi-
vision
Lot fBI.
/
Address of t` , ... y - v' "`` �" „ * ' Value of II
• Building / f ( ' " ' �s
This permit is granted to the contractor or builder named above to construct the building or to ihetall the equipment or
herefor in strict compliance with all ordinances pert 'ning thereto and with the understanding that the walk via be perfo
drawings, statements or specifications that may' have been submitted to and approved by the proper municipal-authorities.
time if the work is not done in compliance with such ordinances-or if the plans are changed without authoritation.. A further
granted is the understanding that the contractok or builder named above assumes the responsibility for a thorough knowletfg4
pertaining to the work covered hereby whether shown on the plans or drawiutv or i the state) ents or specifications and that
done by his ' agents, servants or employees.
Signed • 1 elyyi� �+'' BY
Contractor's
License No
Amt. of .
Permit $ •
71
device described in the application
in compliance with any plans,
Pets* may be revoked at any
a which this permit is
ances and regulations
onsibility for work
INSPPptt)R
to perform the work covered hereunder in compliance: lo kit
statements or specifications submitted to the proper authorMes of Miami Shores Village.
ither, m elf, my agent, servant or employee.
AUTHORITY
ces and regulations
Permit No
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubinitted 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 t' Y '; / 4 /T&&
Registered Architect and /or Engineer
0
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Size Septic Tank 6 0
Feet of Drain Tile 1 O
Nature of Water Supply: City—
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
43 6 , J 4/e. No At"
Bloc
Type of Tank /' S7
(Signed)
(Signed)
No ` Street_ ' �'� C'/ /
/� bdivisio
Stree !r • 4 ' . diem S7�
State work to be performed and purpose of building (By Floors) 1J 13��
New Building v Remodeling Addition Repairs No. of Stories
Capacity Gals._
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
--------------------
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the 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 wor o be ,pe,fo d ur this permit, as are
licensed by Miami Shores Village.
//
Street/
Notary Public, State of Florida
Master Plumber.
a-AZ-
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
materials and /or workmanship.
CLOSETS
T BATH
UBS
SHOWERS
/ _
LAV-
TORIES
SINKS
/
SLOP
SINKS
L TU SRY
/
URINALS
BASIN
DRAIN
FFOUNT' NS
ws N�
/
TOTAL
FIXTURES
��
CONTR.
LIST
V
/
CHECK
g So
I
'+J/�
l(1-
/_
�
/ U
7(r
--
I�
/ .e
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PITT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
/�
"—r—
. CHECK
! i
Permit No
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubinitted 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 t' Y '; / 4 /T&&
Registered Architect and /or Engineer
0
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Size Septic Tank 6 0
Feet of Drain Tile 1 O
Nature of Water Supply: City—
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
43 6 , J 4/e. No At"
Bloc
Type of Tank /' S7
(Signed)
(Signed)
No ` Street_ ' �'� C'/ /
/� bdivisio
Stree !r • 4 ' . diem S7�
State work to be performed and purpose of building (By Floors) 1J 13��
New Building v Remodeling Addition Repairs No. of Stories
Capacity Gals._
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
--------------------
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the 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 wor o be ,pe,fo d ur this permit, as are
licensed by Miami Shores Village.
//
Street/
Notary Public, State of Florida
Master Plumber.
a-AZ-
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
materials and /or workmanship.
Permit No._.
Application is hereby Anade 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.
Owners Name and Address ......... �. �._ 1 —
Registered Architect and /or Engineer
Employing Plumber's Name__ - - - - --
Location and Legal Description Lot ___.________ _____._ _ \_ Block Subdivision
Street and Number where work is to be performed —No 9 q q7 Street -
State work to be performed and purpose of building (By Floors)
New Building -- Remodeling- ________..- _•--- __ -___ Addition
Size Septic Tank_ ...
___ - --
Nature of Water Supply: City —Well
My Conunission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._-------- _----- _----- ____ -- Street_
Type of Tank__ Capacity Gals ....
Feet of Drain Tile.__ - - -- Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
e ,� -4 -� .712. J
Amount of Permit $_ L D - (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 com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) _!_I
Repairs No. of Stories
Date.. - - 1 (, --- -- - - -- -
STATE OF FLORIDA, as.
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 inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
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
P001.
CONTR.
LIST
CHECK
Permit No._.
Application is hereby Anade 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.
Owners Name and Address ......... �. �._ 1 —
Registered Architect and /or Engineer
Employing Plumber's Name__ - - - - --
Location and Legal Description Lot ___.________ _____._ _ \_ Block Subdivision
Street and Number where work is to be performed —No 9 q q7 Street -
State work to be performed and purpose of building (By Floors)
New Building -- Remodeling- ________..- _•--- __ -___ Addition
Size Septic Tank_ ...
___ - --
Nature of Water Supply: City —Well
My Conunission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._-------- _----- _----- ____ -- Street_
Type of Tank__ Capacity Gals ....
Feet of Drain Tile.__ - - -- Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
e ,� -4 -� .712. J
Amount of Permit $_ L D - (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 com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) _!_I
Repairs No. of Stories
Date.. - - 1 (, --- -- - - -- -
STATE OF FLORIDA, as.
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 inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
PERMIT
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
Architect
Contractor ;
or Builder -; • L. • � 00 Y -,1 ILL � -. . S-..
Legal Lot
Description 11 Bl
Address of j ' q 0 0 ` cj " SY
Building //
CONTRACTOR OR BUILDER
N° 7583
Work to be performed under this 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 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.
Signed- 1 INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compli ce with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper thorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
DATE 1- 44 -`` 19.1ia.
Contractor's
License No. f ta•
1)4,4 1d 7
T� N
5 R,
4 i
Subdi-
vision
Value of 11 Amount of
Project $ I Permit $
AUTHORITY
*soca 114S00'
Pup* No
Application is hereby ineee 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
bullding during progress of work.
Owner's Name and Address
Registered Architect and /or
Employing Plumber's Name_
Location and Legal Descri
ineer
Size Septic Tank_______
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $ _2
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/ 7JStr��eetret- .:
on _____ Block
Date j — _
Subdivision
No. -1 f 0- -• - --- Street ?)
Street and Number where work is to be performed —No Street.
State work to be performed and purpose of building (By Floors)__ .........
.._
New Building _--- -- ._-- •_ -• -- - __ -_ -- Remodeling___-_ _._ Addition
Repairs No. of Stories
Type of Tank_
._-Dist. Feet of Tank or Drain Field from Well
- _•--- _----------- ___ - -- _ of Soakage Pit
Capacity Gals
(Signed)- _ — `=b� -
Master Plumber.
My Commission Expires Notary Public, State of Florida
P nspector.
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 Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
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 $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSET$
BATH
'rues
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUe6
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT' NS
TOTAL
FIXTURES
�R.
CONTR.
LIST
C am_
_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
P001.
CONTR.
LIST
CN[CK
‘,..'...-
`�
Pup* No
Application is hereby ineee 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
bullding during progress of work.
Owner's Name and Address
Registered Architect and /or
Employing Plumber's Name_
Location and Legal Descri
ineer
Size Septic Tank_______
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $ _2
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/ 7JStr��eetret- .:
on _____ Block
Date j — _
Subdivision
No. -1 f 0- -• - --- Street ?)
Street and Number where work is to be performed —No Street.
State work to be performed and purpose of building (By Floors)__ .........
.._
New Building _--- -- ._-- •_ -• -- - __ -_ -- Remodeling___-_ _._ Addition
Repairs No. of Stories
Type of Tank_
._-Dist. Feet of Tank or Drain Field from Well
- _•--- _----------- ___ - -- _ of Soakage Pit
Capacity Gals
(Signed)- _ — `=b� -
Master Plumber.
My Commission Expires Notary Public, State of Florida
P nspector.
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 Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
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
materials and /or workmanship.
Permit No. 5
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.
Owners Name and Address L L /r��.� ( p -7 S T
- - - - - - -- - -------- - -.___ No. 4'40 Street- - ---- -------- -- - - -_ - �/f._ - -L
Registered Architect and /or En Sneer — ___— __— _______- -- - _-- -- -_ — �_�
Employing Plumber's Name A-si
L /} IS u- R.---- _— _----- - - - -._ No.---------- - - - - -- Street_ _ ____ ........... _____
Location and Legal Description Lot_____ .___ ....... ________ --_-- Block__ Subdivision
Street and Number where work is to be performed —No q CJ 0 / E C K S ( Street
State work to be performed and purpose of building (By s) __ k S T/- L L _ i S _tt1i /}ciK R - -- .64 k'-1- N /2 -e..._ - -
New Building
Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank Type of Tank
Feet of Drain Tile — _______.__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.___ _ _ _ —_ _— _ _ — Size of Soakage Pit
Z ° — °
Amount of Pennit $_ ---- -___ --
Date -Z "- - Z
Addition_______ ____ Repairs No. of Stories_
(Shed)-
Capacity Gals.
e -J
.k 17r_nr -_G
Plumbing nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o i,P ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed) /
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
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
O
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
I NAS
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. 5
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.
Owners Name and Address L L /r��.� ( p -7 S T
- - - - - - -- - -------- - -.___ No. 4'40 Street- - ---- -------- -- - - -_ - �/f._ - -L
Registered Architect and /or En Sneer — ___— __— _______- -- - _-- -- -_ — �_�
Employing Plumber's Name A-si
L /} IS u- R.---- _— _----- - - - -._ No.---------- - - - - -- Street_ _ ____ ........... _____
Location and Legal Description Lot_____ .___ ....... ________ --_-- Block__ Subdivision
Street and Number where work is to be performed —No q CJ 0 / E C K S ( Street
State work to be performed and purpose of building (By s) __ k S T/- L L _ i S _tt1i /}ciK R - -- .64 k'-1- N /2 -e..._ - -
New Building
Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank Type of Tank
Feet of Drain Tile — _______.__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.___ _ _ _ —_ _— _ _ — Size of Soakage Pit
Z ° — °
Amount of Pennit $_ ---- -___ --
Date -Z "- - Z
Addition_______ ____ Repairs No. of Stories_
(Shed)-
Capacity Gals.
e -J
.k 17r_nr -_G
Plumbing nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o i,P ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed) /
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
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.