PLUMBING,pro - 8
u30- 6/7 -01- ao- 0
Permit No 2 - IA 1 -- 1 Date t act — 7
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 sot. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address _o 4 a.e k't No. / (J / k __
Registered Architect and /or Engineer
Employing Plumber's Nemo Pc94/id 4 ' u Na ...:1: ;: ( • /l I'LL) S •• • -
Location and Legal Deectiptioa Lot. 1lloolt SubdfvWom.______
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.
Size Septic Tanir Type of Tank___-_ -. -- - -- - __ -• --
Feet of Drain Tile... _ .-__ Dirt. Feet of Tank or Drain Field from Well
M Naure of Water Supply: ity -Weil.
r&/,D1 &,u-tCtt ' e6V)1 ec
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
of Soakage Pit..
Repairs _.._.......... - - - -. -... No. of Stories
_Gpadty Cats.
My Commission Empires Notary Public, State of Florida
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 5tr66, Compiled General Laws of Flonda Permanent Supplement, and hrs 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.
(Signed)
Master Plumber.
Before me, the undersigned authority, • notary public, duly authorised 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 ..__..- . .
cf the above described construction, that be bas carefully read the foregoing application, and that he did sign the some, and that al>' facts
therein by him stated are true.
NOTE: Amtnspection fee of $1.00 will be made whim mob w-ispaetima is made taeaaaaary by impropse notice kw impaction. or fealty
materials and /or workmanship.
CLOaaTa
O ATH
Toe[
aNOW[Ra
LAVA.
TORI[S
S INKS
slop
OINKS
LAUNDRY
TUMID
UR1NALa
CATCH
BASIN
ILOOR
DRAIN
DRINK' NO
IOUNT•NS
TOTAL
II
CONII.
LIST
CHICK
SCPTIC
TANK
unman
CONN.
DRAIN
IIILD
SOAKAGE
PIT
0RCASI
TRAP
SOLAR
HEATER
DEEP
WILL
OpRKLS.
• M
5WIM'•
POOL
CONTR.
LIST
CNSCK
,pro - 8
u30- 6/7 -01- ao- 0
Permit No 2 - IA 1 -- 1 Date t act — 7
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 sot. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address _o 4 a.e k't No. / (J / k __
Registered Architect and /or Engineer
Employing Plumber's Nemo Pc94/id 4 ' u Na ...:1: ;: ( • /l I'LL) S •• • -
Location and Legal Deectiptioa Lot. 1lloolt SubdfvWom.______
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.
Size Septic Tanir Type of Tank___-_ -. -- - -- - __ -• --
Feet of Drain Tile... _ .-__ Dirt. Feet of Tank or Drain Field from Well
M Naure of Water Supply: ity -Weil.
r&/,D1 &,u-tCtt ' e6V)1 ec
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
of Soakage Pit..
Repairs _.._.......... - - - -. -... No. of Stories
_Gpadty Cats.
My Commission Empires Notary Public, State of Florida
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 5tr66, Compiled General Laws of Flonda Permanent Supplement, and hrs 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.
(Signed)
Master Plumber.
Before me, the undersigned authority, • notary public, duly authorised 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 ..__..- . .
cf the above described construction, that be bas carefully read the foregoing application, and that he did sign the some, and that al>' facts
therein by him stated are true.
NOTE: Amtnspection fee of $1.00 will be made whim mob w-ispaetima is made taeaaaaary by impropse notice kw impaction. or fealty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
l�.1�1 q N 69 - 1661 91 � J
Permit No __ Date �� l ' - -- - - - - - -- ---
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.
Owneis Name and Address Perlso _��� _ - No. _ 1201 Street NE 99 Street
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) _ ______
New Building Remodeling__ ________ Addition Repairs No. of Stories. _ .... _ _.... _ .
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
Peoples Gas System
Type of Tank__
_ __Dist Feet of Tank or Drain Field from Well
------- _-- -_- --__ -- _ _ Size of Soakage Pit
No.__ 564 Street_ NE 125th Street
Blorti Subdivision .__________________
Street
(Signed)_
( Signed )—
Capacity Gals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob '!tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pert I ' ent 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this per:nit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for insr -, 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
Pt, u
Heate
1
TOTAL
FIXTURE/
1
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
l�.1�1 q N 69 - 1661 91 � J
Permit No __ Date �� l ' - -- - - - - - -- ---
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.
Owneis Name and Address Perlso _��� _ - No. _ 1201 Street NE 99 Street
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) _ ______
New Building Remodeling__ ________ Addition Repairs No. of Stories. _ .... _ _.... _ .
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
Peoples Gas System
Type of Tank__
_ __Dist Feet of Tank or Drain Field from Well
------- _-- -_- --__ -- _ _ Size of Soakage Pit
No.__ 564 Street_ NE 125th Street
Blorti Subdivision .__________________
Street
(Signed)_
( Signed )—
Capacity Gals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob '!tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pert I ' ent 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this per:nit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for insr -, or faulty
materials and /or workmanship.
1
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eopra 'NAAR .E
CONTRAc f
7;•
■9 4185
Village of Miami Shores
JOB Pflu d , N w�
_ y
ADDRESS /Z G / ET, !
.S?
INSPECTION c/IZ "?(.. .p ■
TIME READY
REMARKS
( I,.
INSPECTOR DATE Y —
Permit No.
3Z
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEK
APPLICATION FOR PLUMBING .. ;A)`
Date 9/a6 f6
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other
structure herein described. This application is made in compliance and confor'r,i'v with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Snores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specifie!! .-, nr?. A copy of approved plans and specifications must be kept at
building during progress of work / / '/` ��/
Owner's Name and Address_ - aL�_1 !1..• . ____- -__ - -- -- .._ No. _.- , /� _ Q,l - - .--- - - -.._ Str /�! ? _ 7
Registered Architect and /or Engineer _ )C�T_i i ___�.!/ _..3 _____ °ai 1_-_ E cL7r { ___�
Employing Plumber's Name 1 e < T .__ StI1 .1Q-
Location and Legal Description Lot_ ___..3 _ _
Street and Number where work is to be performed —No /d U / Street_ _ge 91 s T
State work to be performed and purpose of building (By Floors)_ __- __ A✓l0_.h _ l A/ _ 1-. -_ t
New Building 4• .....- Remodeling— _ ..... _____ Addition____-_- -__- Repairs No. of Stories......_....__..._
Block--1
No. Street_.T�
.__ ___...— . -• - - -- — .max c``
Subdivision__ Nittt'1� C(_gg.S4
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 $ L • )
(Signed)
Capacity Gals
( signed )_-_._.- -- 1'!)- _ — _.�
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 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
t .1
Master Plumber.
STATE OF FLORIDA, 1 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 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 worlonanship.
I
CLOSETS
BATH
TUD5
SHOWERS
LAVA.
TORIES
SINKS
I
SLOP
SINKS
LAUNDRY
Tuns
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
�
J
/
(
3
K//
/
r
CHECK
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
P001.
'.t
w
04 A
_ T
,
____
_
cowrie.
LIST
CHECK
i
.7 '
Permit No.
3Z
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEK
APPLICATION FOR PLUMBING .. ;A)`
Date 9/a6 f6
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other
structure herein described. This application is made in compliance and confor'r,i'v with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Snores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specifie!! .-, nr?. A copy of approved plans and specifications must be kept at
building during progress of work / / '/` ��/
Owner's Name and Address_ - aL�_1 !1..• . ____- -__ - -- -- .._ No. _.- , /� _ Q,l - - .--- - - -.._ Str /�! ? _ 7
Registered Architect and /or Engineer _ )C�T_i i ___�.!/ _..3 _____ °ai 1_-_ E cL7r { ___�
Employing Plumber's Name 1 e < T .__ StI1 .1Q-
Location and Legal Description Lot_ ___..3 _ _
Street and Number where work is to be performed —No /d U / Street_ _ge 91 s T
State work to be performed and purpose of building (By Floors)_ __- __ A✓l0_.h _ l A/ _ 1-. -_ t
New Building 4• .....- Remodeling— _ ..... _____ Addition____-_- -__- Repairs No. of Stories......_....__..._
Block--1
No. Street_.T�
.__ ___...— . -• - - -- — .max c``
Subdivision__ Nittt'1� C(_gg.S4
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 $ L • )
(Signed)
Capacity Gals
( signed )_-_._.- -- 1'!)- _ — _.�
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 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
t .1
Master Plumber.
STATE OF FLORIDA, 1 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 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 worlonanship.
I
3,,
ocL
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 7 ¢
Owner's Name and Address �_-.__-- .!"L '-' _- _.- .___.__— No._ /
Registered Architect and /or En ineer ..... ___________
Employing Plumber's Nam _ r , •, -- -_ __ Street--
Location and Legal Description Lot---__.— ____--_ ________ _ _ Block __ Subdivision
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
Size Septic Tank Q f�
Feet of Drain Tile 7
Nature of Water Supply: City — Well
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN`'
APPLICATION FOR PLUMBING " .MIT
Type of Tank Capacity Gals
__ .Dist. Feet of Tank or Drain Field from Well
----- .-- _---- --- ___ --- - Size of Soakage Pit
_&a ' n
- --__ -- _ ( Signed)_
Notary Public, State of Florida
Date "
Repairs No. of Stories
nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oo 'rations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this pen t, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t es.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths arid 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
SINK6
SLOP
SINKS
LAUNDRY
Tuff
UR
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FI %TURES
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
ocL
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 7 ¢
Owner's Name and Address �_-.__-- .!"L '-' _- _.- .___.__— No._ /
Registered Architect and /or En ineer ..... ___________
Employing Plumber's Nam _ r , •, -- -_ __ Street--
Location and Legal Description Lot---__.— ____--_ ________ _ _ Block __ Subdivision
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
Size Septic Tank Q f�
Feet of Drain Tile 7
Nature of Water Supply: City — Well
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN`'
APPLICATION FOR PLUMBING " .MIT
Type of Tank Capacity Gals
__ .Dist. Feet of Tank or Drain Field from Well
----- .-- _---- --- ___ --- - Size of Soakage Pit
_&a ' n
- --__ -- _ ( Signed)_
Notary Public, State of Florida
Date "
Repairs No. of Stories
nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oo 'rations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this pen t, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t es.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths arid take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No (5
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address i 11
STATE OF FLORIDA, }
COUNTY OF DADE.
r c3
New Building Remodeling- _______________________ Addition
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEn?:''
APPLICATION FOR PLUMBING "' EMIT
?- M _t._N-r4gT� , No 11 ' a .1__.._ Street.
Registered Architect and /or Engineer
Employing Plumber's Name J` :e '- a, LL-I a - Street . • ' 2
Location and Legal Description Lot____...___.__________.______ ___ - Block
Street and Number where work is to be performed- No._._ 1? `? ! _ F_ ��� ' / r/ __ Street
State work to be performed and purpose of building (By Floors) _ - 3 . _D t s 4_ r'! 6__ 6 '-J
Repairs
Date / -3 -
C. 99 -'zST
Subdivision
C.,t_
No. of Stories
Size Septic Tank 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
(A-1 -4 LL (' - 4 L +Z --- - 12f -
- ! 1.
____ E _ ' /V Zen ,,l' Q K
Amount of Permit $ 4 D -a __. ( Signed ) _ ._._
The undersigned applicant for this building permit does hereby certify that he understands and acceptsAs 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 , b performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Master Plumber.
z
P umbing . •..ctor.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or worlcmanship.
CLOSETS
BATH
TUBE
SHOWERS
LAVA-
TORIES
INK
SINKS
SLOP
SINKS
LAUNDRY
Tuff
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NE
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I
POOL
CONTR.
LIST
CHECK
Permit No (5
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address i 11
STATE OF FLORIDA, }
COUNTY OF DADE.
r c3
New Building Remodeling- _______________________ Addition
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEn?:''
APPLICATION FOR PLUMBING "' EMIT
?- M _t._N-r4gT� , No 11 ' a .1__.._ Street.
Registered Architect and /or Engineer
Employing Plumber's Name J` :e '- a, LL-I a - Street . • ' 2
Location and Legal Description Lot____...___.__________.______ ___ - Block
Street and Number where work is to be performed- No._._ 1? `? ! _ F_ ��� ' / r/ __ Street
State work to be performed and purpose of building (By Floors) _ - 3 . _D t s 4_ r'! 6__ 6 '-J
Repairs
Date / -3 -
C. 99 -'zST
Subdivision
C.,t_
No. of Stories
Size Septic Tank 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
(A-1 -4 LL (' - 4 L +Z --- - 12f -
- ! 1.
____ E _ ' /V Zen ,,l' Q K
Amount of Permit $ 4 D -a __. ( Signed ) _ ._._
The undersigned applicant for this building permit does hereby certify that he understands and acceptsAs 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 , b performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Master Plumber.
z
P umbing . •..ctor.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or worlcmanship.
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
HOREB VII.
Owner csf
Building w .._thauet
MIAMI
r -CJ Work to bir
Architect
Contractor
or Builder
Legal Lot
Description.
Address of
Building
!tot
This permit is d to the
herefor in strict compliance with 0U
drawings, statements or specifiions
time if.the work is not done in
granted is the understanding that
pertaining to the worts covered limb
done by his agents, servants or
NOW
In. consideration of the tronsit .2 awe Strborm
aining thereto and in strict conformity with IteMet iste or
a ccepting this permit I assume responsibility lor aM work done by either, m
CONTRACTOR OR BUILOBR
else* .. : the ea ti,
.Wcatt
B
ELECTRICAL
ROOFING
Ar&itec
Contracior
Or Builder
Legal
Description
Address of
Building
This
herefor in s p
drawings, statornents or
time if the work is t
granted is the eta
CONTRACTOR OR BUILDER
P.IA r •
V i?ige of Miami Shores
JOB �AJC �i nJnJC
ADDRESS ' Z a I A).
N? 4756
INSPECTION TiSI°T l & 72 i z.
TIME READY
REMARKS O 1'
0
INSPECTOR DATE 7- .S ,
C74