PLUMBING\
ermit No. 7-6- Z
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 submit 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
Amount of Permit $_
• STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
The undersigned applicant for this building permit does hereby ce
under tie Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
(Signed)
No.__ r 4 Street___ ! a ""
Registered Architect and /or Engi fer
Employing Plumber's Name - _- ..e_ }__ s_ — - � ,� -__ No.--- __�-- --s Street -1 �" f x'�
Location and Legal Description Lot____________________________ __________Block 0 Subdivision____
Street and Number where work is to be performed —No "or- " _______ y. c..00� . '�
State work to be performed and purpose of building $1 01 . 1... Addition New Building_____— ________ Remodeling i' 1... Addition Repairs
Size Septic 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
Plumbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be perft. med under this permit, as are
r� A pw
(Signed)
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.
Notary Public. State of Florida
_03* 1 4 . 13/4° 7 149 4 01
No. of Stones____ __________
Master Pl mber.
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
gaterials 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
1
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
\
ermit No. 7-6- Z
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 submit 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
Amount of Permit $_
• STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
The undersigned applicant for this building permit does hereby ce
under tie Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
(Signed)
No.__ r 4 Street___ ! a ""
Registered Architect and /or Engi fer
Employing Plumber's Name - _- ..e_ }__ s_ — - � ,� -__ No.--- __�-- --s Street -1 �" f x'�
Location and Legal Description Lot____________________________ __________Block 0 Subdivision____
Street and Number where work is to be performed —No "or- " _______ y. c..00� . '�
State work to be performed and purpose of building $1 01 . 1... Addition New Building_____— ________ Remodeling i' 1... Addition Repairs
Size Septic 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
Plumbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be perft. med under this permit, as are
r� A pw
(Signed)
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.
Notary Public. State of Florida
_03* 1 4 . 13/4° 7 149 4 01
No. of Stones____ __________
Master Pl mber.
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
gaterials and /or workmanship.
•
DATE
ISSUED TO
to install the following described plumbing, in accordance
the laws, statutes and r.egalations of Miami Shores Village,
Florida and the State of Florida, governing plumbing and drain-
age work done in Miami Shores Village Florida.
FOR A / STORY BUILDING
AT /;;(;/;
FIXTURES
SEPTIC TANK
• SEWER
TOTAL $
MIAMI SHORES VILLAGE FLA.
Village Plumbing Inspector
PLUMBING PERMIT
1
FIXTURES
NO. 5&O
Payment Received
BTj`P <'
n,A
A
This permit issued subject to approval of County Plumbing Inspecto -:
i i,.
DATE -'
ISSUED TO
FOR A STORY
FIXTURES
SEWER
SEPTIC TANK
MIAMI SHORES VILLAGE FLA.
PLUMBING PERMIT
NO.
540
to install the following described plumbing, in accordance with
the laws, statutes and regulations of Miami Shores Village,
Florida and the State of Florida, governing plumbing and drain-
age work done in Miami Shores Village, Florida.
BUILDING
TOTAL 5 1
Village Plumbing Inspector
This permit issued subject to approval of County Plumbing Inspecto
Payment Received /-, 7-17
By v i
Owner's Name and Addr
Registered Architect and /or
Employing Plumber's Na , e
Location and 1.ega1 Description Lot
State work to be performed and purpose of building (By Floors)
Olt
Amount of Permit $__
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.____13
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.
(Signed)
(Signed
Date
No
No Street!__
Notary Public, State of Florida
\r 474
Stree/
Block Su iv' ion
Street and Number where work is to be performed —No. Street_ ____
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
Nature of Water Supply: City —Well. Size of S akage 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 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.
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 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 whet .such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSLTS
BATH
Toes
SHOWERS
LAVA
TORIES
SINKS
SLOP
SIN
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
AKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
CHECK
Owner's Name and Addr
Registered Architect and /or
Employing Plumber's Na , e
Location and 1.ega1 Description Lot
State work to be performed and purpose of building (By Floors)
Olt
Amount of Permit $__
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.____13
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.
(Signed)
(Signed
Date
No
No Street!__
Notary Public, State of Florida
\r 474
Stree/
Block Su iv' ion
Street and Number where work is to be performed —No. Street_ ____
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
Nature of Water Supply: City —Well. Size of S akage 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 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.
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 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 whet .such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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.
Owner's Name and Address 4
Registered Architect and /or Engineer
Employing Plumber's Name ____ !`�•E
No.
/d'
Date
No
Street
c O.___.
Location and Legal Description Lot 1 Subdivision 4 ,,c_ iv _) 2
Street and Number where work is to be performed-LNo !_ t7_:.: - 71 r Street___ .../__;_? ___`________ _ _—
State work to be performed and purpose of buildiz4 (By Floors) 1 "') ,' " ..4 l . . " "�r * "� "r"`
v
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
Nature of Water Supply: City —Well. .Size of Soakage Pit.
Amount of Permit $____
141-0
(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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, )
COUNTY OF DADE. j ss.
My Commission Expires
(Signed) 4
G
Notary Public. State of Florida
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
Tues
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 DEEP
HEATER/ WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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.
Owner's Name and Address 4
Registered Architect and /or Engineer
Employing Plumber's Name ____ !`�•E
No.
/d'
Date
No
Street
c O.___.
Location and Legal Description Lot 1 Subdivision 4 ,,c_ iv _) 2
Street and Number where work is to be performed-LNo !_ t7_:.: - 71 r Street___ .../__;_? ___`________ _ _—
State work to be performed and purpose of buildiz4 (By Floors) 1 "') ,' " ..4 l . . " "�r * "� "r"`
v
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
Nature of Water Supply: City —Well. .Size of Soakage Pit.
Amount of Permit $____
141-0
(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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, )
COUNTY OF DADE. j ss.
My Commission Expires
(Signed) 4
G
Notary Public. State of Florida
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
Amount of Permit $
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 4 ,4111 No. °F Street
Registered Architect and /or Engineer
Employing Plumber's Name _____ i"4e
Location and Legal Description Lot ' Block ,' Subdivision_ .
G" io
__ _________
r
Street and Number where work is to be performed —No s � Street____�/
State work to be performed and purpose of building (By Floors) / ¢' � ° ;
r
New Building 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
My Commission Expires
•
K r ' (Signed)
No. Street
Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 6bligations 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.
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 he has carefully read the foregoing application, and that he did sign- the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Date
Plumbing Inspector.
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
'SWIM'G
POOL
CONTR.
LIST
/
CHECK
Permit No
Amount of Permit $
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 4 ,4111 No. °F Street
Registered Architect and /or Engineer
Employing Plumber's Name _____ i"4e
Location and Legal Description Lot ' Block ,' Subdivision_ .
G" io
__ _________
r
Street and Number where work is to be performed —No s � Street____�/
State work to be performed and purpose of building (By Floors) / ¢' � ° ;
r
New Building 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
My Commission Expires
•
K r ' (Signed)
No. Street
Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 6bligations 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.
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 he has carefully read the foregoing application, and that he did sign- the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Date
Plumbing Inspector.
Street and Number where work is to be performed —No
------------------ -- - - - - -- -- — —
i"
Amount of Permit $__
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
a ei'= Z/J
Date
Permit Noi___).■ (
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 No // ` Street') i . r•
Registered Architect and /or yrnee r _____..—
Employing Plumber's Natile -'` f ` `° . L
a ``- t' � "'�"
-- — — r — - No Scree
Location and Legal Description Lot .___Block Su tvt ion_
1 7 9 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
Nature of Water Supply: City —Well. Size of Soakage Pit.
My Commission Expires
(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 under signed agrees to employ only such sub - contractors, on work to be, performed under this permit, as are
licensed by Miami Shores Village.
f
(Signed) ���
STATE OF FLORIDA, }
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
Master Plumber.
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
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
SWIM'G
POOL
CONTR.
LIST
CHECK
Street and Number where work is to be performed —No
------------------ -- - - - - -- -- — —
i"
Amount of Permit $__
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
a ei'= Z/J
Date
Permit Noi___).■ (
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 No // ` Street') i . r•
Registered Architect and /or yrnee r _____..—
Employing Plumber's Natile -'` f ` `° . L
a ``- t' � "'�"
-- — — r — - No Scree
Location and Legal Description Lot .___Block Su tvt ion_
1 7 9 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
Nature of Water Supply: City —Well. Size of Soakage Pit.
My Commission Expires
(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 under signed agrees to employ only such sub - contractors, on work to be, performed under this permit, as are
licensed by Miami Shores Village.
f
(Signed) ���
STATE OF FLORIDA, }
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
Master Plumber.
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contract q�'� ' .
or Build (r ( „L
Legal
Description
Architect
Lot
PERMIT N9 1284
MIAMI SHORES VILLAGE, FLORIDA
DAT
Cont actor's
License No
Work to be performed under this Permit
Bl.
Subdi-
vision
194
Address of t i- �/ 7 Value of Amt. of
CZ
Building ! / Project Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment A! 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 whetherp n on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees. ,* 1. �
Signed � .r I IV By
INSPEC R
In consideration of the issuance to me of this permit I agree to perform the work covered hereu er in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, st ments or specifications submitted to the proper authorities of Miami Shores
Vi117, In / accepti hisjpermit I ossume res,�ponsibility for all work done yself, my age t, servant or employee.
t V a p l
i tatt"r‘' 4
ACTOR ILDB BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of " • f
Building „ j
Architect
Contractor
or Builder ;,,._.re
Legal Lot
Description
Building /11-i ;y o Value of Amt. of 7 `�
Address of 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
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 the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 2522
Work to be performed under this Permit i
Bl.
Subdi-
vision
DATE
Contractor's
License No.
•
)""/ 194L
T, 7
Signed-
By r" <.. y.l �..
INSPECTOR 1 �
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 d eJby eithel myself, my agent, servant or employee.
1
" r► •
THORITY
•
Or
L PERMIT
PLUMBING 1." A N?
655
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTME
19
/ A
,i
ner of Building
NAME
ADDRESS LICENSE NO.
krchitect and/or Engineer__1
."
ontractor or Builder . ..—.....e." 1" 1
,,Z
p o s e d Locatio47 91. ::
..
This permit is issued to
the building above described, as pipplication, Plans and Specificati ofore filed in e, ' .
that all facts stated in the ap cation are true and that the constr on mplies strictl ith th plans and pecific ns
d compliance with the b ng laws ,, the State of Florida and with the buildi ordinances and zoning laws o Miami
gulations of the building department Mi i S es Village, his permit may be revoked any ii .c upon the violati
rs, ordinances or rules and regula pon y chad plans and specifications u ori by the building
...
,.... j' ,...
RECD. AYMENT ACCT. DEPT.
ei 4
ADDRESS
,
, ..‘,
1
.
,,
. ,
._ .....
LOT know ‘.808-0IVISKM Nc:--
. ..
•
--
INSPECTOR
In consideration of the issuance to me of • is permit I hereby agree to the proposed construction in conformity with the applicati and
ans and specifications thereof heretofore by me submitted, and ' compliance with all provisions of all building laws of the State of Florida, all the
g ordinances and zoning laws of Miami Shores Villae nd all rules and regulations of the building department ofjvliami Shores Village.
/ * (SEAL)
proval has been obtained from the Planning Board.
pe/
NSE NO.
STREET ""P
pon the express condition
mitted, and in accordance
Shores Village, and rules and
any provisions of said
NOTE: A chirp of $1.00 will be made for making corrections or changes to this ap ation after
A te fee ot 1111.00 will be made when such re is made necessary by improper notice for inspection or faulty materials and/or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor 1f
or Builder
Legal of
Description
t,-
PERMIT N° 5839
Work to be performed under this Permit
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Bl.
Subdi-
vision
DATE
•
Contractor's
License No.
BY AUTHORITY
{- / 194_
Address of / ` ( ' , ,. , Value of Amt. of ��►
Building /' G ' ' ! ` 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 with 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 or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
d"' r( /� f. er , ,. B 2
Si g nod INSPECTOR y
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.
1
J CLOSETS
CONTR
• T
BATH
TUBS
SHOWERS
LAVA•
TORIES
SINK*
SLOP
61NK•
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR DRINKING
DRAIN FOUNT'N•
TOTtiL
FIETI AU
/
/
9 `
/ LI
CHECK
7X5
o
(0,0
3
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
�—
DEEP
WELL
SPRRLR.
SYSTEM
SWIM'O
POOL
--
CONTR.
LIST
-_
-
�•
I - -
CHECK
n
W OO
Penni: Nu. ...`y_
Amount of Permit 3•�.
STATE OF FLORIDA. }
COUNTY OF DADE.
My Conunission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
.1,ppli toil is hereby made for the approval of the detailed statement of the plans and specifications herewith subl.t;:.A for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of MI: ± Shores Village, Florida,
and
all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic ' of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at
•wilding during progress of work. No. Q
honer • Name and Address % t o 13 , r) % _ O N Z. 140 3 __.._. f LL II /
��.__f'Y, Street.
.egist Architect and /or Engineer
:mploying Plumber's Name e Plumb/ v5 _,1i No.• -/2 • C .
Location and Legal Description Lot Bloch
Street and Number where work is to be performed —No /6 • Street R .l.._,_.__ -S'
State work to be performed and purpose of building (By Floors) ___... - _.... _...___._...... _
New Building Remodeling Addition
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
Capacity ^ Ads..
( Signed) _
Repairs
No of Stones
I. �y
Notary Public, State of Fkxida
Plumklin:; Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as on a ndlovei of lobo,
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Eupi lement, and in is .tix�•
I lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' ,. 'RI rsc o b•-
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub!: notice T. no icier 43 or
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed n ? a this a:r 1. li iu .
licensed by Miami Shores Village.
Mast .A Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perior..; ; , ppeanx.
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 sarne, and that all acts
therein by hin. stated are true.
NOTE: A re- inspection fee of 31.00 will be made when such re- Inspection b made•neoewry by improper notice fns inspection, {r toultq
materials and /or workmanship.
Permit No CQ Date--- - /_ 1_t2_I)_� �M _� Y ,� I g It 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 not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address____m __ CPU Street____ __ e
Registered Architect and /or Engineer
ur r t ' ,� ! la INC.
Employing Plumber's Name____a . F. _ ' No , �e __ , __�e / Street____ W • 7�
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No __ , -, t.:4Z • Q,4 __Z` �7 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Size Septic Tank Type of Tank Capacity Gals.
eet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water upply: City —Well A Size of Soakage Pit
Amount of Permit $
My Commission Expires
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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
( Signed)
No. of Stories
Notary Public, State of Florida
•
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA, ss.
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.
1l
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
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit No CQ Date--- - /_ 1_t2_I)_� �M _� Y ,� I g It 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 not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address____m __ CPU Street____ __ e
Registered Architect and /or Engineer
ur r t ' ,� ! la INC.
Employing Plumber's Name____a . F. _ ' No , �e __ , __�e / Street____ W • 7�
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No __ , -, t.:4Z • Q,4 __Z` �7 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Size Septic Tank Type of Tank Capacity Gals.
eet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water upply: City —Well A Size of Soakage Pit
Amount of Permit $
My Commission Expires
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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
( Signed)
No. of Stories
Notary Public, State of Florida
•
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA, ss.
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.
1l
BUILDING
ELECTRICAL
PLUMBING
Owner of ` J1
Building t t
Architect
Contractor
or Builder
Legal
Description
Lot
''4
MIAMI SHORES VILLAGE, FLORIDA
DATE X1._ 194,
PERMIT N? 5839
Work to be performed under this Permit
(19
Bl.
Subdi-
vision
to ,
Contractor's
License No.
Address of
Building /C G 7
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
regulations pertaining to the work covered hereby whether shown on the plans or dawings or in the statements or specifications a nd that he.zs'sumes respon-
Signed. <Jr
r r By „6.
sibility for work done by his agents, servants or employees. - ,,
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 regulati
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autlj ties of Miami Stine tills.
In accepting this permit I assume responsibility for all work done by ei er myself, my agent, servant or employee.
t k S
CONTRACTOR. OR BUILDER ! 1 BY
Value of
Project
Amt. of ` <fee
Permit
AUTHORITY
AIDING
FCTRICAL
LUMBING
OOFJNG
?wner of
Building
Legal
Description.
Address of
Building
Lot
In consideration of the issuance to ire
ertaining thereto and in • confori. • y wi
I n accepting this permit I a e r=
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 14115
nor
❑ Work to be performed under this Permit
Architect
Contractor
or Builder / /A IM 1 Ol4 S "or,
II B1.
CO ACTOR OR BUILDER
l ,r
/CO /VC ??Sf":
Subdi-
vision
Value of
Project $
DATE
JAR/ S
1953._
Contractor's
License No
R OI/ 2 ?4+ 'F'
0 , 70 " &rev( DA' ii/i/
Amt. of
Permit
This permit is granted t6 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 be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed• ce, . BY
INSPECTOR
f this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
work done by either, myself, my agent, servant or employee.
BY AUTHORITY
/ C7 CI
Permit No. /./ I
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for e 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 Divisior
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 Plumber's Name. MJ A ^q ) I PP�� CJV E __� d .0 .E-ZI L L' f! 4 c No.
Location and Legal Description Lot_.__.._._.__ _ __._._ Block ___..__.__
Street and Number where work is to be performed —No. __...1 6t
State work to be performed and purpose of building (By Floors)_... F.4
Nature of Water Supply: City —Well
Amount of Permit $_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
New Building. Remodeling Addition
_ (Signed) __
(Signed)._
No._._ /1 Street
- S 4/ A . s:, 6
Subdivision
Street /1/ E 7C,
Date . /I!_ s
9
Repairs_._. 4 .'""_.__ 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
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 min-
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 w• such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub -con • : c ois, • n work t�• erf • d under this permit, as are
licensed by Miami Shores Village.
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 tat.
therein by him stated are true.
aster Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to a inister oaths and take acknowledgments, personally .ippeare
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 tail
materials and /or workmanship.
CLOSETS
BATH
T UBS
SHOW
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuee
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT 'NS
TOTAL
FIXTURE'
CONTR.
LIST
CHECK
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
OUP
WILL
SPRKLR.
SYSTEM
SWIM'G
POOL
—
CONTR.
LIST
CHECK
Permit No. /./ I
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for e 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 Divisior
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 Plumber's Name. MJ A ^q ) I PP�� CJV E __� d .0 .E-ZI L L' f! 4 c No.
Location and Legal Description Lot_.__.._._.__ _ __._._ Block ___..__.__
Street and Number where work is to be performed —No. __...1 6t
State work to be performed and purpose of building (By Floors)_... F.4
Nature of Water Supply: City —Well
Amount of Permit $_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
New Building. Remodeling Addition
_ (Signed) __
(Signed)._
No._._ /1 Street
- S 4/ A . s:, 6
Subdivision
Street /1/ E 7C,
Date . /I!_ s
9
Repairs_._. 4 .'""_.__ 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
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 min-
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 w• such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub -con • : c ois, • n work t�• erf • d under this permit, as are
licensed by Miami Shores Village.
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 tat.
therein by him stated are true.
aster Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to a inister oaths and take acknowledgments, personally .ippeare
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 tail
materials and /or workmanship.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date Job Address /1; iV ' 9 Tax Folio / / 5 06 7 acZSV 6
Legal Description " 2 a `
Owner / Lessee / Tenant � b/ /� 1 (// A ) Master Permit 4�
Owner's Address vv'\'' Phone
Contracting Co. # /4.1"/C& -.
t/1 Vcc rget J J) Address 772o N', 6 j) '<
Qualifier a` 7 /kAl Phone g ?e- j9 ff
State # Municipal # Competency g : 6 i IrLo.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUIILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION /1er ieaei /ed
Square Ft. c9-6 Estimated Cost(value) bW.
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 construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.jG ,',7 ����� ��
(4 ' ' / -J
Signature of owner and /or Condo President Signature of Contactor or Owner- Builder
Date: Date: ;
401 /1421
Notary as to Owner and /or Condo President /.ta./ as to Contractor or Owner--Builder
My Commission Expires: y Commission E mirsa! C. STATE Of FLORIDA
MY C,BMMISSION EXPIRES APRIL 16. 1992
*1t * * it * * * * * * * * t D M U * EMBEERAOAMS & SWEE **
FEES: PERMIT 3 (IP RADON C.C.F. v 0 NOTARY ST® TOTAL DUE 3 5
APPROVED: Fire Other
Zoning Building Oil E j � ectrical
Mechanical Plumbing ti � Sng eying
RECEIVED
LOCATIO
FOR
$ C
Owner:
- a' - ,
•
Owner's Agent:
L ' Typo of Entabii;hmoni
1 • Co :mereial /Resiriential (circl) ono)
'
��. 4 .; I
1 l• ',
DADE COUNTY DEPARTMENT OF PUBLIC HEALTH
Septic Tank Receipt
,ov
N° 19418
.(PY
Tilis receipt not valid unless dated, filled in and signe by authorized employee of department.
Owner's Mailing Address: p-7,
Agent's Mailing Address: ) /_ '
Property Street Address: ____/‘0
Exact Directions to Property:
BY
Lot // Block r' St.Jbc9ivi jon:
Section: Township:
'cn Parcel Number:
Property size:
Square Feet/Acres
Is Sanitary Sewer Available: Yes
Is Public Water Available: Yes No
.r.e ■■■ ., vrm
Telephone: (Work) ��, (Home)
City: /1/ f- State:
Telephone: (W)
Cit y : �l1��,_
100 i d / /L
of #
LONG TAN1.C'PER \-
•
= ORMANCE..'�OR k
State:' 7 Zip; 1
Unit: Subdivided:
Zoning Designation:
Date:
IN ! •.I
•
4 3 1'•
Water Supply: P
l /: rivate: Public: Limited
No
If No approximate the distance to the
pp. oximate sevrer line closest to p
roperty;4
your ;�, ..;,
If No, approximate the distance to the Water line closest to your. property: ,�r;•" .,•.;
DUILDI;gG INFORMATION
Js Of Unite Ouiklin Area
R (Squaw, feel) if Of fer:•:on :; ar 01 Seats
Number of Ded,ogijr;
Hour:: of Oporalici
•
II • r t Garbage Grinders /Disposals:
r4 • I g Spas /Hot Tubs:
Ultra -low volume Flush oilets: Floor /Equipment Drains :�`
d! l I: Other: "
. . U::c BE ATTACHED SHOWING OFFICES, BEDROOMS, TOTAL BUILDING AREA, AND ANY PERTINENT DRAWN TO ,C UO
ALE,MUST BE ATTACHED
FEATURES R B Y
1 " •' 1,+F :A.t;. IN ADDITION, A DETAILED SITE PLAN AND/OR SURVEY, DRA � SHOWING P PROPERTY':
RTY T f..,.
a
b r f LOCATIONS, AND PER T!A:ETrT FEATURES REQUIRED TO BE SUBMITTED PER CHAPTER 10D-
�
's 6.046, F.A.C.
( . r - ilicant Signature: