PLUMBINGC .,c/1
Permit No
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 Address Vo-cam tilt - - - - — No.—. Street .__._ — _........_.__..
Registered Architect and /or Engineer BONES PLU _
Employing Plumber's Name W ` 7th. Ave , ua
Location and Legal Description Lot_ MVO, FlogicMnioc.1,
Street and Number where work is to be performed —No , 3 4t 7 a 4 9 v Street
State work to be performed and purpose of building (By Floors) ___.____.....
New Building Remodeling—_ — __._._ Addition
Amount of Permit $
- '-1�,. - - - -- -- (Signed)_
My Commission Expires
(Signed)
4
Date ..._._
Subdiv s on- ___•___._.___________
Repairs No. of Stories
Capacity Gals. _._._.__..._.__
Size Septic Tank_ ------- -• -- -- — - - -- _.Type of Tads —_
Feet of Drain Tile._ ___ ____ _- -Dist. Feet of Tank or Drain Field from Well- _.-•----_•_-_--
Nature of Water Supply: City—Well. _________________Size of Soakage Pit
Plumbing In- : •tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his l figations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Per anent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by die Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t se.
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 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
NOTE: A re- inspection fee of $1.00 will be made when mob re-inspection is mede'neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
- -,
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TORIES
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SLOP
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U RINAL[
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BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N•
TOTAL
FIXTURE•
CONTR.
LIST
/
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at
•
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GRICAS[
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H
DEEP
WELL
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CHICK
C .,c/1
Permit No
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 Address Vo-cam tilt - - - - — No.—. Street .__._ — _........_.__..
Registered Architect and /or Engineer BONES PLU _
Employing Plumber's Name W ` 7th. Ave , ua
Location and Legal Description Lot_ MVO, FlogicMnioc.1,
Street and Number where work is to be performed —No , 3 4t 7 a 4 9 v Street
State work to be performed and purpose of building (By Floors) ___.____.....
New Building Remodeling—_ — __._._ Addition
Amount of Permit $
- '-1�,. - - - -- -- (Signed)_
My Commission Expires
(Signed)
4
Date ..._._
Subdiv s on- ___•___._.___________
Repairs No. of Stories
Capacity Gals. _._._.__..._.__
Size Septic Tank_ ------- -• -- -- — - - -- _.Type of Tads —_
Feet of Drain Tile._ ___ ____ _- -Dist. Feet of Tank or Drain Field from Well- _.-•----_•_-_--
Nature of Water Supply: City—Well. _________________Size of Soakage Pit
Plumbing In- : •tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his l figations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Per anent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by die Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t se.
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 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
NOTE: A re- inspection fee of $1.00 will be made when mob re-inspection is mede'neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
Plumbing
,/ Miami Shorep,.Village, :Fla . � �' t.:1()
Permission is he by gran4ed
�. ); f.
• to install the following described plumbing, in accordance with the
laws, statutes and regulations of Miami Shores Village, Florida anc
the State of Florida, governing plumbing and drainage work done in
Miami Shores Village, Florida.
For a &.4: ''r At No. }
F a .
Lot / r r ' ; Block A ) Subdivj.sxon . �" .' .� /I %-4a
Fixtures / ''• ;' .. c i r .j,
As Shown on attached 4proved plans.
FIXTURES ROUGHED IN
FIXTURES SET
SEWER
SEPTIC TANK Payment Received
$/
TOTAL;
By
Village Plumbing Inspector -
This permit issued subject to approval of County Plumbing Inspector
1 " 3 Cf
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot II 31.
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT N° 14555
Contractor's
License No
❑ Work to be performed under this Permit
Subdi-
vision
Value of
Project $
DATE
Amt. of a '
Permit $ -
BY AUTHORITY
195
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
hetefor 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 • ' 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.
zugeraicAL PERMIT A N° 496
PLUMBING
Owner of Building
Architect and /or Engineer
Contractor or Builder
Proposed Location _________________w______
Dated_
NA
NAME
NAME
LOT. - BLOCK
SUB- DIVISION
•
ADDRESS
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
19 4.
NO.
LICENSE NO.
r
LICENSE NO.
STREET
This permit is issued to– -- – - - -'--- -- -- - -- — — _ - - - -- – _ — To -f`
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector.
AMOUNT RECD. PAYMENT ACCT. DEPT.
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
------- - - - - -- (SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
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
MI MI SHORES VILLAGE, FLQRIDA
PERMIT N? 10505
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builders-
Legal Lot II 81.
Description.
Address of ,�:
Building ! f 7 j' t . :....i•
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project $
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 regul
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.
�r 4
Signed. "` r `' '. -.6 + --F Ere , ,
,.~s ,. ,,
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, r•
.--! / , :
BT
195 _.:LL
Contractoes
License No
u
Amt. of
Permit
AUTHORTFT