PLUMBING.UILDINO
LECTRICAL
LUMBING
)wner of
uilding
CONTRACTOR OR BU 'ER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 8613
Work to be performed under this Permit 1 ' ;
_ /
1
rchitect
/ f
: ontractor 't,
r Builder -- Lam
egal Lot Bl.
'escription
ddress of ( `� II Value of
uilding_ / Project
Subdi-
vision
This permit is granted to ie contractor or builder named above to construct the building or to install the equipment or device described in the appli-
ition herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
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
rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
,gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and at he assumes respon-
Jility for work done by his agents, servants or employees.
, Signed. i ". / .- / ' i t J /,' By t
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the w6rk covered hereunder in compliance with all ordin /nces and regulations
rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
accepting thjs permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BY
DATE
Contractor's
License No.
Amt. of ..
Permit •4'
AUTHORITY
194_
Permit No 7-3 6 Y
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �
Owner's Name and Address 34". t7"" j
No Street
Registered Architect and /or Engineer
Employing Plumber's Name No Street
Location and Legal Description Lot____ Block_ _ Sybdivisio__ A •
Street and Number where work is to be performed—No._ 1,/ a Street ‘.."'"r
State work to be performed and ose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $ - -.fi
STATE OF FLORIDA, I
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
Date ___ 4 �__`L l - "
Capacity Gals
Size Septic Tank
Feet of Drain Tile trb Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well — Size of Soakage Pit
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that h derstands and accepts his obliga as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, 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, o work o b performed under this permit, as are
licensed by Miami Shores Village. % / d c
( S i g n e d Master. 4'lum
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 fo regoing 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
CHECK
)
4/
Permit No 7-3 6 Y
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. �
Owner's Name and Address 34". t7"" j
No Street
Registered Architect and /or Engineer
Employing Plumber's Name No Street
Location and Legal Description Lot____ Block_ _ Sybdivisio__ A •
Street and Number where work is to be performed—No._ 1,/ a Street ‘.."'"r
State work to be performed and ose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $ - -.fi
STATE OF FLORIDA, I
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
Date ___ 4 �__`L l - "
Capacity Gals
Size Septic Tank
Feet of Drain Tile trb Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well — Size of Soakage Pit
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that h derstands and accepts his obliga as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, 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, o work o b performed under this permit, as are
licensed by Miami Shores Village. % / d c
( S i g n e d Master. 4'lum
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 fo regoing 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.
$m
1 s v
ass
Permit N 5 Date_ +1/{ 2 8- • C
Applicati s Ifereby made for the approval of the detailed statement of the plans and specifications herewith submi ted for the building or other
structure re" "� described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisiol�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 illage 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 ec .. ..
Owner's Name and Address __C11A1
Registered Architect and /or Engineer___ yt�
Employing Plumb er's Name � - __ _ _!!�5..,. No Street _
• Location and Legal Description Lot ___ _____ Block Subdivision
Street and Number where work is to be performed —No. 1_ t S trect
)
State work to be performed and purpose of building (By Floors)
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
New Building. Remodeling Addition__
Street
Repairs ` No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile. Dist. Feet of Tank or Drain Field from ell
/ m
Nature of Water Suppl City Well . ( 4... Size of Soaka
Amount of Permit $
ss.
The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his obligations as an employer of la ..r
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has co
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 ufder this permit, as are
licenled by Miami Shores Village.
materials and /or workmanship.
(Signed)
STATE OF FLORIDA, 1
COUNTY OF DADE. I
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.
ing nspector
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
4-23 cc� A 3 (i S o
c� �
qu a
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
—_ ——
TOTAL
FIXTURES
CONTR.
LI ST
S
��
,
SOAKAGE
PIT
C
.J
—
CHECK
A S�
`A
V
fir.
, i
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
/
CHECK
/ •_
$m
1 s v
ass
Permit N 5 Date_ +1/{ 2 8- • C
Applicati s Ifereby made for the approval of the detailed statement of the plans and specifications herewith submi ted for the building or other
structure re" "� described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisiol�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 illage 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 ec .. ..
Owner's Name and Address __C11A1
Registered Architect and /or Engineer___ yt�
Employing Plumb er's Name � - __ _ _!!�5..,. No Street _
• Location and Legal Description Lot ___ _____ Block Subdivision
Street and Number where work is to be performed —No. 1_ t S trect
)
State work to be performed and purpose of building (By Floors)
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
New Building. Remodeling Addition__
Street
Repairs ` No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile. Dist. Feet of Tank or Drain Field from ell
/ m
Nature of Water Suppl City Well . ( 4... Size of Soaka
Amount of Permit $
ss.
The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his obligations as an employer of la ..r
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has co
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 ufder this permit, as are
licenled by Miami Shores Village.
materials and /or workmanship.
(Signed)
STATE OF FLORIDA, 1
COUNTY OF DADE. I
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.
ing nspector
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
4-23 cc� A 3 (i S o
c� �
qu a
v
3
'
f-t\
kei-L-1 "
At
eV
'
4 r z
r
Permit No. __ 7;1i
Nature of Water Supply: City —Well
Amount of Permit $L
55.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date E /
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.
y _ / / r /.
Owner's Narne and Address I . ` _ • ' NO. /I 1 Street___1 l r
7-77
Registered Architect and /or Engineer
Employing Plumber's Name No. Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No.___. ,_____!;r_., _ f __ � 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 Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
( Signed) ' ft. k ,
/ 1 Plumbing Inspector.
t
The undersigned applicant for this building permit does hereby certify that he iiderstands and accepts his obliges 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
My Commission Expires Notary Public, State of Florida
Master umber.
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 one well known, and who, being b)/ 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
H EATER
'
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
_
✓
CHECK
r
Permit No. __ 7;1i
Nature of Water Supply: City —Well
Amount of Permit $L
55.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date E /
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.
y _ / / r /.
Owner's Narne and Address I . ` _ • ' NO. /I 1 Street___1 l r
7-77
Registered Architect and /or Engineer
Employing Plumber's Name No. Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No.___. ,_____!;r_., _ f __ � 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 Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
( Signed) ' ft. k ,
/ 1 Plumbing Inspector.
t
The undersigned applicant for this building permit does hereby certify that he iiderstands and accepts his obliges 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
My Commission Expires Notary Public, State of Florida
Master umber.
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 one well known, and who, being b)/ 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.