PLUMBINGLocation and Legal Description Lot.
Amount of Permit i 1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No ' 3 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 mud be kept at
building during progress of work. �^
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Neme A /but_ ...? Av - e
Blo4
No
Addition...___ .. __ Repairs L./ No. of Stories. .........
(Signed
09 g
(Signed) _Lei =-
Street --
Subdivision..___
AJ
Street and Number where work is to be performed —No
1_ - ._. 3 Z. .,..__ L vC K
State work to be performed and purpose of building (By Floors)__.___._. /
New Building - _ Remodeling
.Capacit Gals..
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
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri
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 work such
required by the Act. The undersigned agrees to employ only such sub- contractors, on to be
licensed by Miami Shores Village.
mploy
tions as an employer of labor
ent Supplement, and has cam..
by him in the work to be
notice or notices as are
this permit, as are
Plumber.
STATE OF FLORIDA, I u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be 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.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of 81.00 will be made whoa mob re.fasptottd r meda•nso ma'y by Lu'Puper nodeen for inspecdon, er faulty
materials and /or workmanship.
CLO /Rt
BATH
TVtt
a HOW[Rt
LAVA•
TORI[t
BINKt
GLOP
$INKS
LAVNDRY
Tuts
URINAL/
CATCH
BASIN
PLOOR
DRAIN
DRINKING
FOVHT'N•
7
PI
C
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
BOAKAGI
PIT
GRCASE
TRAP
SOLAR
H EATER
DRIP
WELL
BPRKLR.
SY STEM
BWIM•G
POOL
LIST
�--
CHICK
Location and Legal Description Lot.
Amount of Permit i 1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No ' 3 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 mud be kept at
building during progress of work. �^
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Neme A /but_ ...? Av - e
Blo4
No
Addition...___ .. __ Repairs L./ No. of Stories. .........
(Signed
09 g
(Signed) _Lei =-
Street --
Subdivision..___
AJ
Street and Number where work is to be performed —No
1_ - ._. 3 Z. .,..__ L vC K
State work to be performed and purpose of building (By Floors)__.___._. /
New Building - _ Remodeling
.Capacit Gals..
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
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri
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 work such
required by the Act. The undersigned agrees to employ only such sub- contractors, on to be
licensed by Miami Shores Village.
mploy
tions as an employer of labor
ent Supplement, and has cam..
by him in the work to be
notice or notices as are
this permit, as are
Plumber.
STATE OF FLORIDA, I u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be 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.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of 81.00 will be made whoa mob re.fasptottd r meda•nso ma'y by Lu'Puper nodeen for inspecdon, er faulty
materials and /or workmanship.
;UILDING
-LECTRICAL
AUMBING
Owner. of
Building
Architect
Contractor
or Builder
t4
1
MIAMI SHORES VILLAGE, FLORIDA
DATE ,. Z S 194.E
Contractor's /3 7
License No.
PERMIT N? 5635
Work to be performed under this Permit
!L +'/ rLU"G-t/
Legal Lot Bl.
Description
/
Address of ti i Value of Arnt. of ( 0
Building ! /� Projec Permit , o
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil 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 o awings 9» i the statements or specifications that he as s respon-
sibility for work done by his agents, servants or employees. s
Signed C/ "' ♦ / By • � Its as
at
INSPE OR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
Subdi-
vision
BY
AUTHORITY
• BljILDING l�
ELE
PLUMBING
Owner of
Building
Architect _
Contractor
or Builder
;I
rr
sibility for work done by his agents, servants or employees.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE T 194
PERMIT N? 5635
Work to be performed under this Permit
6 .9.24"e400.3
/aA4.41(
4,ega1 Lot Bl.
Description
Address of . 7 bE‹
Building
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
raulations pertaining to the work covered hereby whether shown on the plan drawings ' the statements or specification a9d that he a es respon-
fa,.
CTOR
In consideration of the issuance to me of this permit I agree to perform the work covered httieunder in compliance ordinances d r gyl atiotis
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auii i aqq
es of Miami Aotes 1Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
Signe
Subdi-
vision
Value of
Project
Contractor's
License No.
Amt. of / `a
Permit �►
By
BY AUTHORITY
alb
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date •
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be compli with, h her herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. pN�Gd� ��!S .•
Owner's Name and Address No 6 /d \ r-- 'f 1 9 Street
Registered Architect and /or Engineer _______________,________,.
Employing Plumber's Name 'i ( 1 ` (- __ `_t ____ _.4 - No. Street
Location and Legal Description Lot 7 Block / 1 Subdivision
Permit No.
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
-
Size Septic Tank____ Type of Tank_______ r Capacity Gals
Feet of Drain Tile__ / C
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $
z9
ss.
(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)
STATE OF FLORIDA, 1
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
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date •
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be compli with, h her herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. pN�Gd� ��!S .•
Owner's Name and Address No 6 /d \ r-- 'f 1 9 Street
Registered Architect and /or Engineer _______________,________,.
Employing Plumber's Name 'i ( 1 ` (- __ `_t ____ _.4 - No. Street
Location and Legal Description Lot 7 Block / 1 Subdivision
Permit No.
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
-
Size Septic Tank____ Type of Tank_______ r Capacity Gals
Feet of Drain Tile__ / C
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $
z9
ss.
(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)
STATE OF FLORIDA, 1
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
Master Plumber.
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.
v 1 ,
C &pany
)7
REQL EST FOR INSPECTION
Address
Inspection
Time Ready
Date Ready
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DATE 1942
ERMIT N? 5719 Contractor's
ELECTRICAL
PLUMBING License No.
7 Ccve-e-1-2
Work to be performed under this Permit
Owner of
Building
Architect �
Contractor, -1)4:
or Builder
Legal Lot ( B1. / 7 9 Subdi Cf S d'
Description vision
d ��
A dress of /0 l�/ » Value of Amt. of t Zr
Building Project 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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above ass mes the responsibility for a thorough knowled ! • •f the • • ' I ances and
regulations pertaining to the work covered hereby whether shown on the plans • ;.•.� As o ,itaten nt specifications .g: t h �, . mes respon-
sibility for work done by his agents, servants or employees. /r 1
Signed • INSPECT By
• In consideratioa4 issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and.je� ulations
pertaining theretorand in stri. conformit . ith the lans, drawings, statements or specifications submitted to the proper aflfl ities of Miam to e7Village.
In { ,th permi s" � le res . I' ty for ./ work done by either myself, my agent, servant or employee.
i r 4
CONTRACTOR OR BUIWAR-
BY
AUTHORITY
1
Permit No _____
__J
Amount of Permit $
MIAMI SHOR §- VILLA'G
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
STATE OF FLORIDA, ss.
COUNTY OF DADE. 1
Date
Size Septic Tank Type of Tank Capacity Gals
•
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 mtist be kept at
building during progress of work. ✓ AV .
Owner's Name and Address HrA ___ L 'I F f No. 42_ '' Street! •__,.
Registered Architect and /or Engineer
(�
Employing Plumber's Name -- -.- - /_-.- ____ - (- No 3 / « ; Street X ' - / 1 ''
Subdivision,/ Z._':!
Location and Legal Description Lot 7 Block j .7 9 ,
Street and Number where work is to be performed —No >' r' y_I Street 1 -(?
State work to be performed and purpose of building (By Floors)
New Building___ Remodeling Addition_ -__ Repairs No. of Stories
1. v•
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —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 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.
4
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
2
�L
9
g
- -
CHECK
^_
-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
[/, w '4
Jr
3
� (1
c u c k S
CONTR.
LIST
s
-
CHECK
Permit No _____
__J
Amount of Permit $
MIAMI SHOR §- VILLA'G
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
STATE OF FLORIDA, ss.
COUNTY OF DADE. 1
Date
Size Septic Tank Type of Tank Capacity Gals
•
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 mtist be kept at
building during progress of work. ✓ AV .
Owner's Name and Address HrA ___ L 'I F f No. 42_ '' Street! •__,.
Registered Architect and /or Engineer
(�
Employing Plumber's Name -- -.- - /_-.- ____ - (- No 3 / « ; Street X ' - / 1 ''
Subdivision,/ Z._':!
Location and Legal Description Lot 7 Block j .7 9 ,
Street and Number where work is to be performed —No >' r' y_I Street 1 -(?
State work to be performed and purpose of building (By Floors)
New Building___ Remodeling Addition_ -__ Repairs No. of Stories
1. v•
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —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 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.
4