973 NE 96 StAPPLICATION FOR PLUMBING PERMIT
w
Permit No. .____. / s Date_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and co formity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances iami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether he specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot_— _— _�________�_ —___�_ fi
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Fl ors)
New Building _V .._ Remodeling Addition Repairs ____ No. of Stories___________.
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 _____________
_________��
Amount of Permit $_
MIAMI SHORES VILLAGE
My Commission Expires
PLUMBING INSPECTION DEPARTMENT
_(Signed)
(Signed)
Street__
Capacity Gals
Street__
Notary Public. State of Florida
1 –
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify tit he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
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
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
HE R
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
CHECK
' rte
APPLICATION FOR PLUMBING PERMIT
w
Permit No. .____. / s Date_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and co formity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances iami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether he specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot_— _— _�________�_ —___�_ fi
Street and Number where work is to be performed —No.
State work to be performed and purpose of building (By Fl ors)
New Building _V .._ Remodeling Addition Repairs ____ No. of Stories___________.
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 _____________
_________��
Amount of Permit $_
MIAMI SHORES VILLAGE
My Commission Expires
PLUMBING INSPECTION DEPARTMENT
_(Signed)
(Signed)
Street__
Capacity Gals
Street__
Notary Public. State of Florida
1 –
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify tit he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
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
Amount of Permit 8_1
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 Addresk -V' i:7 Z
Registered Architect and /or Engineer - - - _
Employing Plumber's Name \ g ° /.77 Af
Location and Legal ption Lot. —11 71. / Bioelt 7 — 7 subctivision..X5' gee./
Street and Number where work is to be performed -No g.745 i Street.
State work to be performed and purpose of building (By Floors)__.__ _- . --- -- _ - --
New Building.._-.._.___ - _ Remodeling_...._..._ -___ Addition _ Repairs No. of Stories_ ..... .
No. Street Ste.
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
(Si _ },)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and bins 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)
Date ... /_
Capacity Gals
My Commission Esping Notary Public, State of Florida
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 be has carefully read the foregoing application, and that be 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 mob ariaspaod a Y Nods aacasaary by however nodes for inspection, ee fay*
materials and /or workmanship.
CLOTS
U
BATH
rues
MDW[Ra a
LAVA-
TOKI[[
SINKS
SLOP
SINKS
LAVNDR
Tune
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT' NS
�
- ---—
FIXTURES
LIST
/
CHICK
_
SEPTIC
TANK
SIWIR
CONN.
DRAIN
FIELD
SOAKAOI
PIT
0
TRAP
SO LA
H[ATIR
DEEP
WILL
SPRKLR
S
SW IN•O
POOL
CONTR,
LIST
I !
r--
-
CHICK
Permit No -5
Amount of Permit 8_1
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 Addresk -V' i:7 Z
Registered Architect and /or Engineer - - - _
Employing Plumber's Name \ g ° /.77 Af
Location and Legal ption Lot. —11 71. / Bioelt 7 — 7 subctivision..X5' gee./
Street and Number where work is to be performed -No g.745 i Street.
State work to be performed and purpose of building (By Floors)__.__ _- . --- -- _ - --
New Building.._-.._.___ - _ Remodeling_...._..._ -___ Addition _ Repairs No. of Stories_ ..... .
No. Street Ste.
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
(Si _ },)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and bins 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)
Date ... /_
Capacity Gals
My Commission Esping Notary Public, State of Florida
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 be has carefully read the foregoing application, and that be 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 mob ariaspaod a Y Nods aacasaary by however nodes for inspection, ee fay*
materials and /or workmanship.
- -+
CLOSETS
OATH
Tu SS
SHOWERS
LAVA.
TORIES
a1NK•
SLOP
SINKS
LAUNDRY
Tune
URINAL/
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
JAd ' "S
/31j ICA/7a4Z`
TOTAL
PI
I
I
_ _
Si
corm.
LI[T
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
OUP
WELL
SPRKLR.
SYSTEM
SWIN
POOL
CONTR.
LIST
CHECK
Permit No / r
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.
Owners Name and Address .F6 k 'BO -1 k' No q ? D L 4 StreeL J ._.._ ...
Registered Architect and /or Engineer j
Employing Plumbeee Name .d.��?n%�'I TZ A d , 6 C1x o .. L . �" No,,s , , twR/ I� , OF. ..........,,..., .._
Location and Legal Descrtptlon Lot. _L , / 4-2 Block SubdivWon.!€%4 /h?j✓I i ,-5/i0R.F: c5, ---T-3
Street and Number where work is t o be performed —No S /9 ' 4 �'.7 0 ) " Street.
State work to be performed and purpose of building • (By Floors) _____
New Building._.._.._._ -_ - _.. Remodeling___ ______ _ Addition----_... Repairs No. of Stories. .. .. ......... .....
Date..._" - -- /‘ /
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $ `(
Type of Tank
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Plt___ -- .__...._
(S�a)- 1 ' --� 1
Plum g Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl/gatians as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pen ent Supplement, and has corn -
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.
— , ;
Master Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized, to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that 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 mad Minpeodea b aadiraeoaary by improper notice for inspection. or fauky
materials and /or workmanship.
lC K •(
►' /( i�v
196) ->riv)a iv 'VI
Permit No...__..` JC 9
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.
Owners Name and Address
Registered Architect and /or Engineer
Employing Plumbor Name /
Location and Legal Description Lot.
Street and Number where work is to be performed —No
Size Septic Tank
Feet of Drain Tile
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
4(01•-h S N 47 /7 3 N• s treet _ST *.. _ ...
.
....7 -v . '/ee_.„,.. No, 7/e 9-
5 .2f 6 Y 2 6:r
Block.__
State work to be performed and purpose of building (By Floors)_ -- — —
_ ____.._ --- •--- ._._..- .• - - -...
New Building._.__..._ —_ - - Remodeling_— _._. —__ Addition.. __ — Repairs.
"77ff N , - , street. ft-r"
— -
Type of Tanlr
miat. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit...__ . —.. -..
10- (signed) -
(Signed)
2O —7 7
No. of Stories
Plum
••......... • • -••
Spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - 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.
a 2-i-i.fee_eee
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 dep oses and says that he is the ___.._..._.------- -__ - -- _... —._.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made whoa rook relnspaotios Y made-aearary by improper notice for bispecdon, or faulty
materials Sad /or work sansbip.
TOTAL
FIETuNIS
CLOSETS
BATH
Tuns
aHOW[Rn
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUNIS
URINALS
CATCH
SABIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
CONTII.
LIST
CHICK
•
SEPTIC
TANK
SEMIS
CONN.
DRAIN
FIELD
SOAKAGI
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
SYSTEM
SW114'0
POOL
Cam
l
LIST
CHICK
_
4 0
G CC:
Permit No...__..` JC 9
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.
Owners Name and Address
Registered Architect and /or Engineer
Employing Plumbor Name /
Location and Legal Description Lot.
Street and Number where work is to be performed —No
Size Septic Tank
Feet of Drain Tile
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
4(01•-h S N 47 /7 3 N• s treet _ST *.. _ ...
.
....7 -v . '/ee_.„,.. No, 7/e 9-
5 .2f 6 Y 2 6:r
Block.__
State work to be performed and purpose of building (By Floors)_ -- — —
_ ____.._ --- •--- ._._..- .• - - -...
New Building._.__..._ —_ - - Remodeling_— _._. —__ Addition.. __ — Repairs.
"77ff N , - , street. ft-r"
— -
Type of Tanlr
miat. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit...__ . —.. -..
10- (signed) -
(Signed)
2O —7 7
No. of Stories
Plum
••......... • • -••
Spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - 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.
a 2-i-i.fee_eee
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 dep oses and says that he is the ___.._..._.------- -__ - -- _... —._.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made whoa rook relnspaotios Y made-aearary by improper notice for bispecdon, or faulty
materials Sad /or work sansbip.
Owner's Name and Address
Registered Architect and /or e %_'.k ineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No 4 7 7 _ Date )_Pirei . _ / /9' -
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.
Employing Plumber's Nam
ying I Neetr_.... f 7 - -- No._
Location and Legal Description — Block_ p�
Street and Number where work is to be performed—No _ -_- Sir
State work to be performed and purpose of building (By Floor s)!_1_ �
CS-7 _ it/
Repairs.. le.'
New Building --
Size Septic Tank
Feet of Drain Tile —
Nature of Water Supply: City —Well
Amount of Permit $
Remodeling
My Commission Expires
(Signed )-
- -• - - -- No 7 _3 Street ' "/E- % S7
Street_=
Subdivision__
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanen
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo
performed under this permit; and will post or cause to be posted for inspection on the site of + work suc
required by the Act The undersigned agrees to employ only such sub- contractors, on wor be
licensed by Miami Shores Village.
( Signed )----- _ - _ - --
Notary Public, State of Florida
No. of Stories.
Type of Tank____ Capacity Gals
__D)ist. Feet of Tank or Drain Field from Well
_ __Size of Soakage Pit
umbing Inspector.
an employer of labor
lement, and has corn -
im in the work to be
or notices as are
this permit, as are
lumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. J
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
TUBS
URINALS
N ALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
-_
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
-
CHECK
Owner's Name and Address
Registered Architect and /or e %_'.k ineer
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No 4 7 7 _ Date )_Pirei . _ / /9' -
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.
Employing Plumber's Nam
ying I Neetr_.... f 7 - -- No._
Location and Legal Description — Block_ p�
Street and Number where work is to be performed—No _ -_- Sir
State work to be performed and purpose of building (By Floor s)!_1_ �
CS-7 _ it/
Repairs.. le.'
New Building --
Size Septic Tank
Feet of Drain Tile —
Nature of Water Supply: City —Well
Amount of Permit $
Remodeling
My Commission Expires
(Signed )-
- -• - - -- No 7 _3 Street ' "/E- % S7
Street_=
Subdivision__
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanen
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo
performed under this permit; and will post or cause to be posted for inspection on the site of + work suc
required by the Act The undersigned agrees to employ only such sub- contractors, on wor be
licensed by Miami Shores Village.
( Signed )----- _ - _ - --
Notary Public, State of Florida
No. of Stories.
Type of Tank____ Capacity Gals
__D)ist. Feet of Tank or Drain Field from Well
_ __Size of Soakage Pit
umbing Inspector.
an employer of labor
lement, and has corn -
im in the work to be
or notices as are
this permit, as are
lumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. J
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.
JOB: / f
BUILDING
ELECTRICAL
PLUMBING
ADD: (
:
• —
. WORK ....____
DONE BY: / 7
:
REQUESTED : WILL BE READY
The Following is ready for inspection:-
Inspectorts Report: -
e
JOB:
BUILDING
ELECTRICAL
PLUMBING
•
Inspector's Report : -
WORK
•
• DONE BY:
• •
• • •
•
• :ilLQUESTRD •
• WILL BE READY
AD:
The following is ready for Inspection: -
Permit No.. __!Y 3
Application is hereby made for the approval of the detailed statement of the plans and specifications her g 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 -
Registered Architect and /or E. sneer
Employing Plumber's Name i�r
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot _ � Block
Street and Number where work is to be performed —No._
3
Amount of Permit $______ _
Street
State work to be performed and purpose of building (By Floors)
New Building
Date__ l L .
ewith submiEted for the buildin
Street
-- _ - 4 -_I street. ___S Gr/
Remodeling Addition Repairs
- (Signed) — —
My Commission Expires Notary Public. State of Florida
Subdivisio _________ ______ _ __
No. of Stories________.___
Size Septic Tank_________ —__ _______________ _______ Type of Tank . —__ Capacity Feet of of Drain _________________ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit ____________ ___________
____A_
Plumbing nspector.
The undersigned applicant for this building permit does hereby certify that he understa ! and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
/
L
2
.1
/
/ O
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.. __!Y 3
Application is hereby made for the approval of the detailed statement of the plans and specifications her g 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 -
Registered Architect and /or E. sneer
Employing Plumber's Name i�r
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot _ � Block
Street and Number where work is to be performed —No._
3
Amount of Permit $______ _
Street
State work to be performed and purpose of building (By Floors)
New Building
Date__ l L .
ewith submiEted for the buildin
Street
-- _ - 4 -_I street. ___S Gr/
Remodeling Addition Repairs
- (Signed) — —
My Commission Expires Notary Public. State of Florida
Subdivisio _________ ______ _ __
No. of Stories________.___
Size Septic Tank_________ —__ _______________ _______ Type of Tank . —__ Capacity Feet of of Drain _________________ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit ____________ ___________
____A_
Plumbing nspector.
The undersigned applicant for this building permit does hereby certify that he understa ! and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
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.
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.
r •
j 1
Registered Architect and /or Engineer
Employing Plumber's Name _
Owner's Name and Address - 1 -i
State work to be performed and purpose of building (By Floors)
Amount of Permit $ - --
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.____ 75-/ Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfititted 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.
�. L No Street__
No Street
Location and Legal Description Lot______ —_ —_ — __________� _ Block ( ___ ___ v ___ Subdivision__
,.,
2 . / � -- �,,
____
Street and Number where work is to be performed —No _ _ ___ _ _
New Building_ Remodeling Addition Repairs ___ No. of Stories
Size Septic Tank____ _____ ___________ Type of Tank . Capacity Gals._____________ —__ --
i
Feet of Drain Tile_____ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
(Signed)
- (Signed) —
i lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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 workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
e�
i
CHECK
r •
j 1
Registered Architect and /or Engineer
Employing Plumber's Name _
Owner's Name and Address - 1 -i
State work to be performed and purpose of building (By Floors)
Amount of Permit $ - --
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.____ 75-/ Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfititted 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.
�. L No Street__
No Street
Location and Legal Description Lot______ —_ —_ — __________� _ Block ( ___ ___ v ___ Subdivision__
,.,
2 . / � -- �,,
____
Street and Number where work is to be performed —No _ _ ___ _ _
New Building_ Remodeling Addition Repairs ___ No. of Stories
Size Septic Tank____ _____ ___________ Type of Tank . Capacity Gals._____________ —__ --
i
Feet of Drain Tile_____ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
(Signed)
- (Signed) —
i lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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 workmanship.
Size Septic Tank___
Feet of Drain Tile_
Amount of Permit $_____Q!'_
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VI LLAG E
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No Date____ _
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances • iami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether he -' specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. r _
Owner's Name and Address r
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot__ lock______ Subst
Street and Number where work is to be performed— No Street____
State work to be performed and purpose of building (By Fl ors)
New Building_ Remodeling Addition Repairs No. of Stories_
(Signed)
Street
Street
- -- - Type of Tank - - -- -- Capacity Gals. - -- - _
Dist. Feet of Tank or Drain Field from Well_________�_�
Nature of Water Supply: City —Well Size of Soakage Pit.
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify t t he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(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
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EA
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
' L E
�"
i
/
w.
■��
Size Septic Tank___
Feet of Drain Tile_
Amount of Permit $_____Q!'_
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VI LLAG E
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No Date____ _
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances • iami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether he -' specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. r _
Owner's Name and Address r
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot__ lock______ Subst
Street and Number where work is to be performed— No Street____
State work to be performed and purpose of building (By Fl ors)
New Building_ Remodeling Addition Repairs No. of Stories_
(Signed)
Street
Street
- -- - Type of Tank - - -- -- Capacity Gals. - -- - _
Dist. Feet of Tank or Drain Field from Well_________�_�
Nature of Water Supply: City —Well Size of Soakage Pit.
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify t t he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(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.
Permit No
r
Registered. Architect and /or Engineer
Employing Plumber's Name
ss.
My Commission Expires
MIAMI S H O REEf VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Owner's Name and Address ____� _ �_ _ _� �w ' t'No Street
__ Capacity Gals._— _______—__ --
Notary Public. State of Florida
•
t.
r s1
– Date_= / r i–
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
-ter__: ,., Street --
Location and Legal Description Lot____—_____-________97 ' Block _____ Subdivisio ___-______________ ______ —_._
'7
Street and Number where work is to be performed —No_ t__' i, _-- _______. Street
State work to be performed and purpose of building (By Floors) -o..
New Building __________t`" f Remodeling Addition Repairs No. of Stories___— __ -___.
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
----- -- ' ---- __- - - - - -- (Signed) L_ - - 1 --j= -- - - - - - --
Amount of Permit $_
Plumbing nspector.
The undersi ned a licant for this buildin ermit does hereb certif that he understa{�dd and accepts his obligations as an employer of labor
g PP g P Y Y P g
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) `l ✓ .J — ___� ='�— �er4fri
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
?
/
/
/ a
CHECK
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM
POOL
CONTR.
LIST
CHECK
Permit No
r
Registered. Architect and /or Engineer
Employing Plumber's Name
ss.
My Commission Expires
MIAMI S H O REEf VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Owner's Name and Address ____� _ �_ _ _� �w ' t'No Street
__ Capacity Gals._— _______—__ --
Notary Public. State of Florida
•
t.
r s1
– Date_= / r i–
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
-ter__: ,., Street --
Location and Legal Description Lot____—_____-________97 ' Block _____ Subdivisio ___-______________ ______ —_._
'7
Street and Number where work is to be performed —No_ t__' i, _-- _______. Street
State work to be performed and purpose of building (By Floors) -o..
New Building __________t`" f Remodeling Addition Repairs No. of Stories___— __ -___.
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
----- -- ' ---- __- - - - - -- (Signed) L_ - - 1 --j= -- - - - - - --
Amount of Permit $_
Plumbing nspector.
The undersi ned a licant for this buildin ermit does hereb certif that he understa{�dd and accepts his obligations as an employer of labor
g PP g P Y Y P g
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) `l ✓ .J — ___� ='�— �er4fri
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.
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.
' - ' f
Date__ le �
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrriitted 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..___. s
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Amount of Permit $ -_
APPLICATION FOR PLUMBING PERMIT
MIAMI S H O ICES VILLAGE
My Commission Expires
PLUMBING INSPECTION DEPARTMENT
t
No. Street
_Block
No Street----------- --- - -- - -- – - -- -- _
_ (Signed)
Z
(Signed)
Street
M
State work to be performed and purpose of building (By Floors)
New Building —_____ Remodeling Addition Repairs —___ No. of Stories_____________
Size Septic Tank______ _e' _ __ __ __________ Type of Tank . Capacity Gals
Feet of Drain Tile_____�__;, —_ —___ Dist. Feet of Tank or Drain Field from Well __
Nature of Water Supply: City —Well. Size of Soakage Pit
— — Il lumbing Inspector
•
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, k
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A 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.
r "
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
' - ' f
Date__ le �
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrriitted 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..___. s
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Amount of Permit $ -_
APPLICATION FOR PLUMBING PERMIT
MIAMI S H O ICES VILLAGE
My Commission Expires
PLUMBING INSPECTION DEPARTMENT
t
No. Street
_Block
No Street----------- --- - -- - -- – - -- -- _
_ (Signed)
Z
(Signed)
Street
M
State work to be performed and purpose of building (By Floors)
New Building —_____ Remodeling Addition Repairs —___ No. of Stories_____________
Size Septic Tank______ _e' _ __ __ __________ Type of Tank . Capacity Gals
Feet of Drain Tile_____�__;, —_ —___ Dist. Feet of Tank or Drain Field from Well __
Nature of Water Supply: City —Well. Size of Soakage Pit
— — Il lumbing Inspector
•
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, k
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A 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.
r "
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder /
Legal Lot
Description
•
OR OR
MIAMI SHORES VILLAGE, FLORIDA? _.
DATE
Contractor's
License No
PERMIT N9 3036
Work to be performed under -this Permit
Bl.
Subdi-
vision
BY AUTHORITY
Address of Value of Amt. of ° /" ^
Building / y , d e:" Project Permit
This permit is granted to the contractor or udder 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 or spetifications and
that he assumes responsibility for work done by his agents, servants or employees. ' '
Signed• ke. U' .., ' '.+./ By"
-- , ,- ..
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaini ereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. Inac a tag t $ pjrmit I assume responsibility for all work done by either myself, my agent, servant or employee.
6
,BUILDING
ELECTRICAL'°
PLUMBING f
'ERMIT
MIAMI SHORES VILLAGE
Bl.
N° 3165,
Subdi-
vision
BY
FLORIDA;
INSPECTOR
•
Amt. of '
Permit
194 —.
Contractor's -
Liten a No."
L • A
' '
Work to be performed under this Permit ,;''s •''" A4 f 4
Architect
Contractor'' • ;! ` . ,. .,,, •
or Builder ''i
Legal v Lot t
Description j
Ade
Address of V T . i L s • of f 7 i
This permit is grantZd 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
Izo 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
on which this permit is.granted is the understanding that the contractor or builder named above assumes the responsibility fora thorough knowledge of
t ordinances and regulations pertaining to the work covered hereby whether shown son the plans or drawings 'or in the statements • ecifications and
that he assumes responsibility for work done by his agents, servants or employees.` • .y ;Z . • -1' fk
Signed• ,
M1
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances an egula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mia Shores
Village. In accept jpg this per ny�„�a,sum�@l�ponsibility for all work d icher myself, my agent, servant or emcee. .
•
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Legal
Description
Lot
9'7 3
x
Address of r'
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 2639
r Work t4 be performed under this Permit
Owner of ,'r ;✓fi
Building �-' �'
Architect
Contractor �
or Builder L `
Bl.
Subdi-
vision
Value of
Project
This permit is granted to the contractor or builder named above to construct the building or to install the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the
with any plans, drawings, statements or specifications that may have been submitted to and approved by the pro
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed
are changed wit
upork which this permit is granted is the understanding that the contractor or builder named above assumes the r
the ordinances and regulatio ns - pertain -ng-to -the- work-covered - hereby whether shorn olvehe ans or drawings or
that he assumes responsibility for work done by his agents, servants or employees.
Signed•
Contr . ctor's
License No.
Amt. of
Permit
By
194/_
equipment or device described in the
work will•be performed in compliance
unicipal authorities. This Permit may
ut authorization. A further condition
jlxility_for athorough- knowledge -of
statements or specifications and
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the 'Work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
l
CONTRACTOR OR BUILDER
BY
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Work to
/(w1
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 2951
be performed under this
Permit
Lot
CONTRACTOR OR BUILDER
•
Subdi-
vision
Value of
Project
BY
Vif
Contractor's
License No.
Amt. of
Permit
1941_
This perm is granted to the contractor or builder named abov€ 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, statem.t.t. nr 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 arc cha-• without authorization. A further condition
upon which this permit is granted is the un - de - rrrartding that-the contractor- or- builde . SI . above.assu th- resp lity for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on e plans or diawi •rw■ el, ` e s or-specifieations-and-
that he assumes responsibility for work done by his agents, servants or employees. i l l
Signed • � ..111111111 • By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the vovered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 2951
ork to be performed under this Permit
7t/ . r
Architect
Subdi-
vision
Legal Lot Bl.
Description
Address of � �C` �/ � �/ Value of Amt. of / [4i..././ ....
Building (� a l Project Permit
This ermit is ranted to the contractor or builder named abo to o construct the building or to install the equipment or device described in the
P g g
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 chaqg without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder n ed above assutpes th responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown one plans or drawi the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees. - ;y
Signed• z i , B
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
DATE 1944
Contractor's
License No.
1
CONTRACTOR OR BUILDER BY AUTHORITY
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Signature ( o
of owne and /or C President
Date:
Notary as er and /or Condo President
My Commis ion Expires:
Zoning Building
Mechanical Plumbi�i��j
.
Date / ff Job Address /.F/ 3 / `/ Tax Folio
Legal Description
'HA5TER-►
Owner / Lessee / Tenant /)&/ JfN / l CLC /d 7 Master Permit 3;3 �P J
Owners Address 91.1 169 \Pr Phone - WO
Contracting Co. �,LQ.4.< PL„de' / Address O (.Y (A 1 / (
Qualifier z)'v/L) L . / ET SS # # Phone 54 O 9J
State 1t G / :; ° 2- /C 4r1 Municipal .19V10 (] Competency 41 /
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL LUMBINGECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
0 CD
Square Ft. Estimated Cost(value
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating _•nstruction and zoning. Furthermore, I
authorize the above -named contractor to do the work s
Signature of Contractor or Owner- Builder
Date: c
Notary as to Contractor or Owner- Builder
My Commission Ex .'re.:
'1 , i CHRISTINA PORRAS
I _. , MY COMMISSION # CC 617849
iii
** * * * * * * * * * * * ,�- : o � : M�Y S0.2001 • **
°` 4f, Bonded ThN Notary Public UnderateB
.mss)
FEES: PERMIT f) �/�/ RADON C.C.F. NOTARY
Fire Other
TOTAL DUE
Electrical
Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
-
-
LIGTT OUTLETS
CENTRAL HEATING
DISHWASHER
M
RECEPTACLES
--
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
-
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/ETER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
�-
RANGE TCP
OVEN
UIDERGROUIID TANKS
ABOVE GROUND TANKS
LAVATORY
LAUNDRY TRAY
l �
WATER HEATER
MOTORS 0- 1 IP
--
-
U.F. PRESSURE VESSELS
STEAM BOILERS
CLOTHES WASHER
SHAER
PAS
MJTORS OVER 1- 3 IP
LOT WATER BOILERS
SINK, POT /3 COW.
N_
miens OVER 3- 5 If
MECIANICAL VENTILATION
SINK, RESIDENCE
�
MOTORS OVER 5- 8 IP •
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 IP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 NP
FIRE SPRINKLER SYSTEMS
URINAL
MJTORS OVER 25-100 IP
--
COOLING TOWERS
WATER CLOSET
IVA_
MJTORS OVER 100 IP
--
VIOLATION
INDIRECT WASTES
bill
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
- _
•
HEATER -NEW INST.
e_
GENERATORS TRANSFORMERS
- �
HEATER- REPLACE
LAWN SPRINKLER -WELL
IIIII
_
GENERATORS TRANSFORMERS
SPECIAL PURPOSE
-_
SYNIFfMHNG POOL
a
OUTLETS COMAERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
--
SIGN TRANSFORMERS
-
,
UTILITY -SEWER
--
SIGN TINE CLOCK
UTILITY -WATER
--
FIXTURES
==
SEPTIC TANK
RELAY
CftAltiFIELO, 4" TILE/TIES.
--
-_
ANTENNA
TELEVISION OUTLETS
VIOLATION
- �
•
MUM' & ABANDON SEPTIC TANK
RE INSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
_
-
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
0
ROOOF F INLET
SOLAR WATER HEATER
-
=
FIRE STANDPIPE
POOL PIPING
C
LAWN SPRINKLER SYSTEM
GAS RANGE
--
M
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BET
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL