PLUMBINGDate J r. Job Address & &S �� t 9 a 5 Tax Folio
Legal Description
Owner/Lessee / Tenant
Owner's Address
Master Permit # T' ° 2 9 6
Contracting Co.
Qualifier 1 l c °rt / b . B °`.
S t a t e # ( AM 3 5 4 5 - 8 ( Municipal # Competency #
Signature of owner and/or Condo
Notary as td9w_ner and/ c ,t� " !Date
My Commissionzpires �- - _� My Commission Expires:
FEES: PERMIT
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date
Building
Plumbing
Historically Designated: Yes No
Address
Address
Phone 9's, S
Address - ,,4cao 4 . CA) zr 4 ✓. 3 3/. -
SS#
Signature of Contractor or Own
Electrical
Ins. Co.
c c( -•zo -O
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL LUMBING ECHANICA PAVING FENCE SIGN
WORK DESCRIP'T'ION 4 �INL
..suC►�
•
Square Ft Estimated Cost (value)
c>/ /00.
WARNING TO OWNER: YOU ' ? UST 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 YOU 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.
C.C.F. � NOTARY BOND
TOTAL DUE
Engineering
Permit No 1 C (
•
iV S Septic Tank_ a 6 41-
do
eat of Drain Tile._ ..- � 6 . _--- - - - - --
ature of Water Supply: City.— Well.
Amount of Permit $_
STATE OF FLORIDA,
es.
COUNTY OF DADE.
MIAMO SH RES VMLUSE
PLUMBING INSPECTION DEPARTMENT
APPLOCZZION _: ,R PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. e /
Owners Name and Address__ ....... Street i K e • 2P -'$ ..P ...
Registered Architect and /or Engineer — ______..__ _
Employing Plumber's Namelt Z.i.v_ o `t_.Ldf_l _ St / f /c Y4 _ No.-1.Vit2__ iL Street- -_d ( Ag.. 17_ .. ../7
Location and Legal Description Lot Block Subdivision .......
___._
Street and Number where work is to be performed —No of e (' 4• r - 9, Street
State work to be performed and purpose of building (By Floors)_ _---- _---------------- ___ - -
New Building -_ -- _ -_ -- _ -- Remodeling----- - - - --_ _ _ Addition_--- - -_.._ Repairs No. of Stories.
_Type of Tani( ___
___Dist. Feet of Tank or Drain Field from Well
_ Size of Soakage Pit
( Signed) _ -- C
( Signed) _-_ -
Date
10'9 -(01
Capacity Gals 2
Plumbing Ins. - 'tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli: .ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penna . - Supplement, and has com-
plier with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em oyed 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 perfo ed 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETB
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
COMB.
LIOT
CHQCK
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
LIOT
CHOCK
le
Permit No 1 C (
•
iV S Septic Tank_ a 6 41-
do
eat of Drain Tile._ ..- � 6 . _--- - - - - --
ature of Water Supply: City.— Well.
Amount of Permit $_
STATE OF FLORIDA,
es.
COUNTY OF DADE.
MIAMO SH RES VMLUSE
PLUMBING INSPECTION DEPARTMENT
APPLOCZZION _: ,R PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. e /
Owners Name and Address__ ....... Street i K e • 2P -'$ ..P ...
Registered Architect and /or Engineer — ______..__ _
Employing Plumber's Namelt Z.i.v_ o `t_.Ldf_l _ St / f /c Y4 _ No.-1.Vit2__ iL Street- -_d ( Ag.. 17_ .. ../7
Location and Legal Description Lot Block Subdivision .......
___._
Street and Number where work is to be performed —No of e (' 4• r - 9, Street
State work to be performed and purpose of building (By Floors)_ _---- _---------------- ___ - -
New Building -_ -- _ -_ -- _ -- Remodeling----- - - - --_ _ _ Addition_--- - -_.._ Repairs No. of Stories.
_Type of Tani( ___
___Dist. Feet of Tank or Drain Field from Well
_ Size of Soakage Pit
( Signed) _ -- C
( Signed) _-_ -
Date
10'9 -(01
Capacity Gals 2
Plumbing Ins. - 'tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli: .ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penna . - Supplement, and has com-
plier with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em oyed 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 perfo ed 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
10;0 SHORES VILE ;
PLUMBING INSPECTION DEPARTMENT
APPLIC.ATOON FOR PLUMBING PERMIT
Permit No �s �Jr Date b.-
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. yy�� p
Owner's Name and Address - -- _ e - - -•_ -__ -- __ --_ -_ No.__ °� 805 Street _. .-- ___ --,r
Registered Architect and /or Engineer �
Employing Plumber's Name_dll._ 6f._s� �� • I. �i _Larw /1 - No.�]�Q_�__ Street.__r242 � — -
Location and Legal Description Lot__ ____ __Block_ ___ ____ _ Subdivision
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.
Siam Septic Tank
/
Feet of Drain Tile. .dJ
Nature of Water Supply: City—Well
Amount of Permit s — o O
Street
_Type of Tank
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Capacity Gals
(Signed)_ - - -_ __
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig;j'ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane. 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, I as.
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 i$1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSQTB
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
Comm
LIST
CHQCK
'
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LILT
CHIECR
_
10;0 SHORES VILE ;
PLUMBING INSPECTION DEPARTMENT
APPLIC.ATOON FOR PLUMBING PERMIT
Permit No �s �Jr Date b.-
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. yy�� p
Owner's Name and Address - -- _ e - - -•_ -__ -- __ --_ -_ No.__ °� 805 Street _. .-- ___ --,r
Registered Architect and /or Engineer �
Employing Plumber's Name_dll._ 6f._s� �� • I. �i _Larw /1 - No.�]�Q_�__ Street.__r242 � — -
Location and Legal Description Lot__ ____ __Block_ ___ ____ _ Subdivision
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.
Siam Septic Tank
/
Feet of Drain Tile. .dJ
Nature of Water Supply: City—Well
Amount of Permit s — o O
Street
_Type of Tank
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Capacity Gals
(Signed)_ - - -_ __
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig;j'ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane. 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, I as.
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 i$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
LUMBING
Owner of,"
Building
Architect
Contractor
or Builder
Lot
Legal
Description
CONTRACTOR OR BUIiLDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 6761
Work to be performed under this Permit
1
Bl.
Subdi-
vision
BY
d
Contr ctor's //
Lice s No
� a
Address of
' ? Value of Amt of i
Building l' � � - -� �� Pro ect Permit 9, ,
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device &scribed in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above 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 r in the sate ents or specifications and that he sspmes respon-
sibility for work done by his agents, servants or employees. , i .,
Signed • 4.. -, B / , i A
,. ✓ INSPECTOR
In consideration of the issuance to me of this permit I agree to perform t work covered hereunder in compliance with_au ordinances ndd ons
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami h*e�'Viilage.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
volamilw
19 4)
• 11 ,' ( o (i "t l A ,
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
` Contracto
or Build
MIAMI SHORES VILLAGE, FLORIDA
DATE
H E RMIT N? 6714
Work to be performed under this Permit y 4
. Legal
Description
Lot
CONTRACTOR OR BUILDER
Subdi-
vision
Contractor's
License No.
Address of f r j ,_ , / Value of Amt. of
Building � E r ( � Project Permit
This permit is granted to the contractor or builderiamed above t o construct the building or to install the equipment or device described in the appli-
n 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 Qr drawing or in the statements or specifications and tilat be -Assumes respon-
sibility for work done by his agents, servants or employees. t ,
,
Signed. By
r INSPECTOR
In consideration of the issuance to me of this permit I agree to perform-he 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.
fJ i i _i
r ')
BY AUTHORITY
1.0 3
MIAMI SHORES VILLAGE
PLUMBING INSPECiN DEPARTMENT
.
APPLICATION fOR PLUMBING PERMIT
Permit No Date
Application is her y made for the approval of the detailed statement of the plans and specifications herewith ubmitted f' r 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. 4/iA) Owner's Name and Address AIN 1 GJ
Registered Architect and /or Engineer / �f
Employing Plumber's Naune. (_IL_kL • ____________ No-5_0_ �1_ Street ("
Location and Legal Descripti ot_A_ Block____ 2- p Sub iviision
Street and Number where work is to be performed— No. e • Street__ 4 1
State work to be performed and purpose of building (By Floors) _ _
Nature of Water Supply: City —Well
New B)4dtfi Remodeling Addition Repairs
Amount of Permit $__ __ te n' (Signed)
CliarVvVL, v r Street 446 1
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
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,
ss.
COUNTY OF DADE.
My Commission Expires
(Signed)
a.Q 6 9. . (ri
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.
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 fault'
materials and /or workmanship.
No. of Stories
Plumbing Inspector.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK ING'J`Y
FOUNT'NS
" �
TOTAL
FIXTURES
CONTR.
L ST
3
o�
S
3
_1_
_L._
~\
--
CHECK
i
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
' /A D,
CONTR.
LIST
/
7
II
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECiN DEPARTMENT
.
APPLICATION fOR PLUMBING PERMIT
Permit No Date
Application is her y made for the approval of the detailed statement of the plans and specifications herewith ubmitted f' r 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. 4/iA) Owner's Name and Address AIN 1 GJ
Registered Architect and /or Engineer / �f
Employing Plumber's Naune. (_IL_kL • ____________ No-5_0_ �1_ Street ("
Location and Legal Descripti ot_A_ Block____ 2- p Sub iviision
Street and Number where work is to be performed— No. e • Street__ 4 1
State work to be performed and purpose of building (By Floors) _ _
Nature of Water Supply: City —Well
New B)4dtfi Remodeling Addition Repairs
Amount of Permit $__ __ te n' (Signed)
CliarVvVL, v r Street 446 1
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
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,
ss.
COUNTY OF DADE.
My Commission Expires
(Signed)
a.Q 6 9. . (ri
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.
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 fault'
materials and /or workmanship.
No. of Stories
Plumbing Inspector.
PLUMBING1IN MIAMI 30 YEARS ESTIMATES CHEERFULLY GIVEN
PLUMBING NORTON PLUMBING CO.
CONTRACTING - REPAIRING
MAINTENANCE
8011 N. W. 1er PLACE PHONE 7.3897
MIAMI 38. FLORIDA
4 A,A C&'
&E. 7iitaoi ff 4-, 4, t-
3 J' ' t
o=z.
3
•
1 -f ,a„A
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION I OPl PLUMBING PERMIT
Permit No % _� Date //
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submjfted 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.
'� /
( '' ,fir A � .,
Owner's Name and Address_G___ t No ! ti
Registered Architect and /cr Engineer
76 - r i ,l ) i I ;^ y , e
Employing Plumbers Name \ � ,.2 � ', � � s " L � ,' _ _ No :. ___��_ �� Street � �
s ''
f
Location and Legal Description Lot Blocky Subdivision—d1" '
Size Septic Tank___ Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Amount of Permit $____
r �.
Street b i,
Street and Number where work is to be performed —No ' < ^ _ __ __ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Nature of Water Supply: City —Well Size of Soakage Pit
(Signed)
The undersignedapplicant for this building permit does hereby certify that he understands and accepts-his obligations as an employer of labor
under the Floridarkrnen'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)
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
ss.
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 salve, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION I OPl PLUMBING PERMIT
Permit No % _� Date //
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submjfted 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.
'� /
( '' ,fir A � .,
Owner's Name and Address_G___ t No ! ti
Registered Architect and /cr Engineer
76 - r i ,l ) i I ;^ y , e
Employing Plumbers Name \ � ,.2 � ', � � s " L � ,' _ _ No :. ___��_ �� Street � �
s ''
f
Location and Legal Description Lot Blocky Subdivision—d1" '
Size Septic Tank___ Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Amount of Permit $____
r �.
Street b i,
Street and Number where work is to be performed —No ' < ^ _ __ __ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Nature of Water Supply: City —Well Size of Soakage Pit
(Signed)
The undersignedapplicant for this building permit does hereby certify that he understands and accepts-his obligations as an employer of labor
under the Floridarkrnen'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)
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
ss.
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 salve, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
PermitRID
GIRO L 0 SHARES V0111zGE
PLUMBING INSPECTION DEPARTMENT
APPLOC MION FOP PLUMBING PERMIT
Application hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Div sion
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.
T C lie 28 Tqo � ,
Owner's Name and Address_ `•- _:•-- oo
_ - -- __ - __ -- _ _ -- _ -- _ . No. . _ 9�•? Street. _ • -- - -. - - - .
Registered Architect and /or Engineer _ .
Employing Plumber's Name A. B o S o i LUIBIIG N 7 100 NNf o W. 2
Location and Legal Description Lot--- .__.__ _. _ .___._. _.___._._._ Block_ -_ _ _ ._. Subdivision..- ----- • - -._.. _
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) _
New Building _- Remodeling
Amount of Permits _ 4 o u0
STATE OF FLORIDA, 103.
COUNTY OF DADE.
My Commission Expires
Addition____ _ _ ._. ___ ._._ Repairs.
Size Septic Tank_._ _ - __ __ _.. - - -- -- . -- -- __ Type of Tank
Feat of Drain Tile___ -___ - ..... ._- - -_ _ _ -_ _____Dist. Feet of Tank or Drain Field from Well...._...._
Nature of Water Supply: City—Well. _ ____ __ __ _ _ - - _- - . Sire of Soakage Pit
(Signed). -
Date
Capacity Gals..
10/24/69
___ No. of Stories _ ..
( - ? Gt/2-1, 74-,
__u_syc _
Plumbing In:pecto.
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, oral 1 as r.om-
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 no ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. •. ed under this per nit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn eats, personall appeared
to me well Imown, 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 .acts
therein by him stated are true.
Notary Public, State o Florida
NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /Dar workmanship.
CLODOTB
B
T
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOURT'NS
TOTAL
F XTURES
CONTR.
LIST
CHOCK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
CHOCK
..I�_...,^,
--t-Q- S.
_
• gy p- 1 C
PermitRID
GIRO L 0 SHARES V0111zGE
PLUMBING INSPECTION DEPARTMENT
APPLOC MION FOP PLUMBING PERMIT
Application hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Div sion
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.
T C lie 28 Tqo � ,
Owner's Name and Address_ `•- _:•-- oo
_ - -- __ - __ -- _ _ -- _ -- _ . No. . _ 9�•? Street. _ • -- - -. - - - .
Registered Architect and /or Engineer _ .
Employing Plumber's Name A. B o S o i LUIBIIG N 7 100 NNf o W. 2
Location and Legal Description Lot--- .__.__ _. _ .___._. _.___._._._ Block_ -_ _ _ ._. Subdivision..- ----- • - -._.. _
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) _
New Building _- Remodeling
Amount of Permits _ 4 o u0
STATE OF FLORIDA, 103.
COUNTY OF DADE.
My Commission Expires
Addition____ _ _ ._. ___ ._._ Repairs.
Size Septic Tank_._ _ - __ __ _.. - - -- -- . -- -- __ Type of Tank
Feat of Drain Tile___ -___ - ..... ._- - -_ _ _ -_ _____Dist. Feet of Tank or Drain Field from Well...._...._
Nature of Water Supply: City—Well. _ ____ __ __ _ _ - - _- - . Sire of Soakage Pit
(Signed). -
Date
Capacity Gals..
10/24/69
___ No. of Stories _ ..
( - ? Gt/2-1, 74-,
__u_syc _
Plumbing In:pecto.
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, oral 1 as r.om-
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 no ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. •. ed under this per nit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn eats, personall appeared
to me well Imown, 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 .acts
therein by him stated are true.
Notary Public, State o Florida
NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /Dar workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE 194_
PERMIT N2 6761
Work to be performed under this Permit
Contractor's
License No.
Legal Lot Bl. Subdi-
Description vision
Address of Value of Amt. of
Building Project Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and 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 respon-
sibility for work done by his agents, servants or employees. .
Signed. By
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 regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUP..DER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
4•
PERMIT N9 6714
Work to be performed under this Permit
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE • 194
Contractor's
License No.
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision
Address of Value of Amt. oft`
Building Project Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or evice 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.
Signed: By
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 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 a work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
Permit No _________
�
Owner's Name and Address
STATE OF FLORIDA, }
COUNTY OF DADE.
IAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
aPPLICATOON FOR PLUMBONO PERM OT
Street and Number where work is to be performed-No 2 Street
State work to be performed and purpose of building (By Flcors)_._,Pa o_l___ p1_i
New Building- - -_- __- _ -_-- Remodeling _ _ -_ Addition Repairs
Amount of Permit $3 ° (Signed) _ -
( Signed ) _
Date ldC > _=
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.
� No. __2- -- -- Street . 9
Registered Architect and /or Engineer____e� , 7 - Z'" _5.5
Employing Plumber's Name e. T !I 5 .g9, -�-Ja _ No. ____� Stree4_. �'�� r
Location and Legal Description Lot -2 -'a- ° _ B lock Subdivision_4 1 __ JL '& 4
No. of Stories . . .....
Siva 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
The undersigned applicant for this building permit does hereby certify that he understands and accepts his;I'igations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus com-
plier 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.
Plumbing Inspector.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOOEITB
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
, TOTAL
FIXTURES
CONTR.
LIUT
CHSCM
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
CoNTR.
LID?
Catlett
Permit No _________
�
Owner's Name and Address
STATE OF FLORIDA, }
COUNTY OF DADE.
IAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
aPPLICATOON FOR PLUMBONO PERM OT
Street and Number where work is to be performed-No 2 Street
State work to be performed and purpose of building (By Flcors)_._,Pa o_l___ p1_i
New Building- - -_- __- _ -_-- Remodeling _ _ -_ Addition Repairs
Amount of Permit $3 ° (Signed) _ -
( Signed ) _
Date ldC > _=
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.
� No. __2- -- -- Street . 9
Registered Architect and /or Engineer____e� , 7 - Z'" _5.5
Employing Plumber's Name e. T !I 5 .g9, -�-Ja _ No. ____� Stree4_. �'�� r
Location and Legal Description Lot -2 -'a- ° _ B lock Subdivision_4 1 __ JL '& 4
No. of Stories . . .....
Siva 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
The undersigned applicant for this building permit does hereby certify that he understands and accepts his;I'igations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus com-
plier 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.
Plumbing Inspector.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.