PLUMBINGMIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. ..ZL,f.sP Date.. - � -... _ - -• o_. `—
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 specification must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
1 � � �o ' }f 7 e - ret M Pkg. , Nt 5
Location and Legal )r srrd ption Lot Block Subdivision.. �s6.....2
Street and Number where work is to be performed —No /OZ Er ta
State work to be performed and purpose of building (By Floors) ! /t ___ b ,eP L 2 ri-00 2 _ d 1 4 Ti f '< 9° jS
New Building- -_ - -._ — _.._.._...._ - -_.. Remodeling___..._____ Addition.- ..._ ..__ Repairs )<- No. of Stories.../..... .
No Al 9! Street... _Zg D _. ..
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
.Capacity
-
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 haT com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wortr 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 arr
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, 1 ' r d /
COUNTY OF DADE. t U. ,
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregaiog application, and that be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
aster Plumber,
NOTE: A re- inspection fee of $1.00 will be made whom scroll s.isp•edua Y snadelmosssery by Improper notes far lesp•cdoe, or haky
materials and /cr worlanansbip.
GLOarrs
BATH
Tuns
•MOW ER[
LAVA•
TORIES
59446 KS
BLOT
SINKS
LAUNDR
TUS•
URINAL[
CATCN
•ARIN
FLOOR
DRAIN
ORINKINO
FOUNT'NS
�/�
—gm.--
�
of De
�_ L___
7OYAL
Al11TVR[/
-
CONTR.
LuT
j
A
L �( . /
c.c.
/�/
1�
/J
7-
S
SEPTIC
TANK
SEWER
CONN.
DRAIN
PHILD
SOAKAOS
PIT
0
TRAP
SOLAR
MEATIER
Dar,
WILL
•
SYSTEM
•WI1.1•0
POOL
CONTR.
LIST
CHICK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. ..ZL,f.sP Date.. - � -... _ - -• o_. `—
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 specification must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
1 � � �o ' }f 7 e - ret M Pkg. , Nt 5
Location and Legal )r srrd ption Lot Block Subdivision.. �s6.....2
Street and Number where work is to be performed —No /OZ Er ta
State work to be performed and purpose of building (By Floors) ! /t ___ b ,eP L 2 ri-00 2 _ d 1 4 Ti f '< 9° jS
New Building- -_ - -._ — _.._.._...._ - -_.. Remodeling___..._____ Addition.- ..._ ..__ Repairs )<- No. of Stories.../..... .
No Al 9! Street... _Zg D _. ..
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
.Capacity
-
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 haT com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wortr 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 arr
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, 1 ' r d /
COUNTY OF DADE. t U. ,
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregaiog application, and that be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
aster Plumber,
NOTE: A re- inspection fee of $1.00 will be made whom scroll s.isp•edua Y snadelmosssery by Improper notes far lesp•cdoe, or haky
materials and /cr worlanansbip.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
din of W 4 • ,3 _ 44144 g
Building N�
Address of
Building #, Z 1 1 . L
Q
PERMIT 9 7941
0
Signed:
In consideration of the issuance to me of this permit i agree to perform the work covered hereunder in co
pertaining th eto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper
deptin • �'s o emit I assume . responsibility for nil work done by either, myself, my agent, servant or et$ploy.e•
CONTR
• f •
OR BUILDER
BY
Work to be performed under ibis Per
Architect
Contractor
or Builder
Legal Lot Subdi
Descriptionh vision
Value of
Project
I Ar t
Per
' ±
This permit is granted to the contractor or builder tl ab0 to c enstruct the building or to. niestall e.e gni rem or &via
tion herefor in strict compliance with all ordinances pertai rr and wi the uaderstandin that the work Wi be-perfn
plans, drawings, statements or specifications that may bate -e en _submitted to and approved by ?gaper rairsicigal putberities.
at any time if the work is not done in compliance with such ordinances or if the plans are changed without a rirateen. A further
permit is granted is the understanding that the contractor or builder framed above assumes the r onsibility for a thorough knotted .
regulations pertaining to the work covered hereby whether shown on the plans or drawinge t in stamale specificat :: s 'nd
sibility for work done by his agents, servants or employees.
AUTHORITY
„"fr
-? Is
Permit No.
et="'
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
(Signed)
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be 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 AddressnR k QS 6 -SZ 0 oim No./ 2 9 r Street 41-7 9 -57
Registered Architect and/or Engineer _____
Employing Plumber's Name. Pi Iii / P4' 4 7 No. / 4 c Street_} / 4 /-a CT
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 oors)
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
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hj.bligations as an employer of labor
under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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 ork to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
Tu B s
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tu.&
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT• NS
TOTAL
FIXTURES
corm.
LIST
2.•
CHECK
/:',4 firer
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I M G
POOL.
CONTit.
LIST
---
CHECK
„"fr
-? Is
Permit No.
et="'
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
(Signed)
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be 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 AddressnR k QS 6 -SZ 0 oim No./ 2 9 r Street 41-7 9 -57
Registered Architect and/or Engineer _____
Employing Plumber's Name. Pi Iii / P4' 4 7 No. / 4 c Street_} / 4 /-a CT
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 oors)
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
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hj.bligations as an employer of labor
under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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 ork to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
t- sC'J PF "235. g
7 7
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 rtrt. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address_ _ _ Q_12 G1.1_4_____ L___.:_k_al____ _ Street
Registered Architect and /or Engineer _____ - ._..---- ......
------- - - - - -_ _-----------___ --
Employing Plumber's Name No .. Street_
_ -
Location and Legal Description Lot--- ___._________.______._____.__._ Block__ Subdivision - . ._______.___________._____.__
Street and Number where work is to be performed —No 4 S A Q Street �/ ^^
State work to be performed and purpose of building (By Floors) ___i! N S T� L S P S 7 ()'V 1 ( ! S TG_ P 1 —
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
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $
MIAMI SHORES VILlAG Z
PLUMBING INSPECTION DEPARTMU '
APPLICATION FOR PLUMBING ' " ' MIT
>
Date __1� 2l
Capacity Gals.
(Signed)_ -! 6 ).--/ i lAjC
6 3 e f / / , ‘ , t & , , 9 1 r}R iapaetes,-
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.
STATE OF FLORIDA, ! as.
COUNTY OF DADE.
(Signed)
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
TUBS
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
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
7 7
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 rtrt. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address_ _ _ Q_12 G1.1_4_____ L___.:_k_al____ _ Street
Registered Architect and /or Engineer _____ - ._..---- ......
------- - - - - -_ _-----------___ --
Employing Plumber's Name No .. Street_
_ -
Location and Legal Description Lot--- ___._________.______._____.__._ Block__ Subdivision - . ._______.___________._____.__
Street and Number where work is to be performed —No 4 S A Q Street �/ ^^
State work to be performed and purpose of building (By Floors) ___i! N S T� L S P S 7 ()'V 1 ( ! S TG_ P 1 —
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
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $
MIAMI SHORES VILlAG Z
PLUMBING INSPECTION DEPARTMU '
APPLICATION FOR PLUMBING ' " ' MIT
>
Date __1� 2l
Capacity Gals.
(Signed)_ -! 6 ).--/ i lAjC
6 3 e f / / , ‘ , t & , , 9 1 r}R iapaetes,-
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.
STATE OF FLORIDA, ! as.
COUNTY OF DADE.
(Signed)
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No 3} ' v
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name P. L lam, l • c--
Location and Legal Description Lot
Feet of Drain Tile._
Amount of Permit $
STATE OF FLORIDA
COUNTY OF DADE. J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEi
APPLICATION FOR PLUMBING " IT
(Signed )
Date 2 - / 2 -
Application is hereby made for the approval of the detailed statement of tho plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and confor.Tlay 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 t,r not. A copy of approved plans and specifications must be kept at
building during progress of work.
0 L, cJL L o o . ±ca.. No / Lc(
Street
N C - No. i2.3. 5r d Street.-
- .. --------- - - - - -- -- Block _ —___ ______.__._--- _ —_ -.. Subdivision - ----------- - -_ - ,, —
e
Street and Number where work is to be performed— No._ %? 5Y � __...._ - - -_. Street A �- - g S
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
_ __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well ___ _Size of Soakage Pit
4J !� n2 •
Plumbing Inspector. -
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
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 inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
S
LAVA-
TORIES
S INKS
SLOP
SINK{
LAUNDRY
TU •8
URINALS
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
1.----
CONTR.
LIST
CHECK
Permit No 3} ' v
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name P. L lam, l • c--
Location and Legal Description Lot
Feet of Drain Tile._
Amount of Permit $
STATE OF FLORIDA
COUNTY OF DADE. J
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEi
APPLICATION FOR PLUMBING " IT
(Signed )
Date 2 - / 2 -
Application is hereby made for the approval of the detailed statement of tho plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and confor.Tlay 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 t,r not. A copy of approved plans and specifications must be kept at
building during progress of work.
0 L, cJL L o o . ±ca.. No / Lc(
Street
N C - No. i2.3. 5r d Street.-
- .. --------- - - - - -- -- Block _ —___ ______.__._--- _ —_ -.. Subdivision - ----------- - -_ - ,, —
e
Street and Number where work is to be performed— No._ %? 5Y � __...._ - - -_. Street A �- - g S
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
_ __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well ___ _Size of Soakage Pit
4J !� n2 •
Plumbing Inspector. -
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)
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 inspection, or faulty
materials and /or workmanship.
f .ek SWIM POOLS
POLK POOLS, INC.
6388 S. DIXIE HIGHWAY MIAMI, FLORIDA
orJ3 atildin Dept.
1CO50 D. 2nd Ave.
L0:!33
PHONE MO 1-1659
duly 11, 1(.
Dtielooe please fnd our for a plumbinc inspectior
.
for a sprinner oci at 12.90 17. 2.6th CL., ouner
is - 2.oert
- :(2r: truly :,
fiCX1 YSc ♦ ) } Y i:c' C - -.
Ct13 `CF < i�.'r X j b�(X� C] -7*X U o C`X
Oi r Y C 7; l
L i .
s, u
CY X XC61 C ) y 1ti XY �7 Y c:
)( - ( )0.1/ lC � 5.• r.. u ) "'.r. ..
0.() ,).i4 ;.Yd < X
\':( a .Y) XC A CC ) Z.,X .C);l� X �,... �.•o ti `
... ° t1Ja `g 4aab _
1 l
P '''1`
1
X _'
HOU rA
lt,y Y 8�
1CJ;C
kele
•
Y . ' : , X:.1! :ii
kcc
KY r: 11 Y'. 4 ."
,. bf•: C:7a
ct 1 cap
�Sa [cry. tykko
kik) Y)
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
PERMIT N° 7471
Work to be performed under this Permit
Architect
Contractor � ek '
or Builder
Legal Lot Bl.
Descrition
Address"of
Building '`
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
Signed:
Subdi-
vision
BY
Co i actor's
Licctnse No
By
This permit is granted to the contracto .uilder named above to construct the building or to install the equipp or.eviee desorthed in the appli-
herefor in strict compliance with all ordinances ertainin t hereto a nd w ith the understanding t work wili be performed revoke
Tip* which this
ances and
sines respon-
or
cation p B g g o p d offs ce with anyy
plans, drawings, statements or specifications that may have been submitted to and approved by the proper ' al authorities. This :. d
at any time if the work is not done in compliance with such ordinances'or if the plans are changed without autho ation. A funhatco
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kr1
regulations pertaining to the work covered hereby whether Rhown on the plans or drawings or in the statements or specifications
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 work covered hereunder in compliance with il
pertainin _ thereto and in strict conformity with the plans, drawings, statem;a,. or specifications submitted to the proper authotintlt of Miami
ep. this •e i> .,e responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
1947_
BUILDING
ELECTRICAL
PLUMBI'+4G
Work to be performed under this Permi
Architect
Contractor
or Builder
Legal .Lot
Description
Address of
Building
This permit r granted to the contractor or builder named above to construct the building or to install the equipment or devige dAsonbed 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 P� t 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 com 'on upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowle to Ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications an it k assumes respon-
sibility for work done by his agents, servants or employees.
MIAMI SHORES VILLAGE, FLORIDA
DATBa " ,"% 'A V 194
PERMIT N° 7639
E
In consideration of the issuance to me of this permit I'agree to perform • work covered hereunder in compliance a pertaining thereto and in strict conformity with the plans, drawings, statemen or specifications submitted to the proper a es
In accep : this permit I assum• responsibili for all work done by either myself, rny:a_ent, servant or employee.
Contractor's
License No
AUTHORITY