PLUMBINGOwner of
Building
Address of
Building
CONTRACTOR 8R BUILDER
BUILDING ❑
PING D PERAILIT N? 8715 l i
Lk
ROOFING 0
Architect
Contractor
or Builder
Legal Lot
Description
Jag
MIAMI SHORES VILLA S, FLORIDA
IDA
This permit is granted to the contractor or builder named above to construct ths
herefor in strict compliance with all ordination pertait deems and with the
drawings, statements or specifications that may have been ennead ed to and approval
time if the work is not done in compliance with such : re if the plans we
f granted is the understanding that the contractor or n7 above awe the
pertaining: to the work covered hereby whetter shown o the or drawings or is
done by his agents, servants or employees,
t or
cd:
In consideration of the issuance to me of this pelt 1 agree te. perform do
pertaining thereto and in strict conformity wit the plane, drawing", statemente Of sp
in accepting this permit .I assume. responsibility for all w does by either, myself, ee
boa maw fhb Pone*
BY A
Permit No. / Q-
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 Divisior
of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address _ __
Registered Architect and /or Engineer
Employing Plumber's Name o _
-
Location and Legal Description Lot .... __ ____ Block_
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
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 S. ___
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Capacity Gals.
( Signed) -.---_ -_
( Slgned )
Date. /1 ---* � -
No. Street___.
No..__ .._.. _._._..__._ Street
Subdivision
No. of Stories
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he underststds and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent 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, u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 lac
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 foul
materials /or workmanship.
CLOSETS
BATH
TUBS
SHOWER/
LAVA-
TORIES
SS
INK
SLO►
SINKS
LAUNDRY
Tuns
U RINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT WS
TOTAL
FIXTUREI
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
NEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'O
POOL
CONTR.
LIST
CHECK
O
, b /
124*e_k
Permit No. / Q-
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 Divisior
of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address _ __
Registered Architect and /or Engineer
Employing Plumber's Name o _
-
Location and Legal Description Lot .... __ ____ Block_
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
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 S. ___
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Capacity Gals.
( Signed) -.---_ -_
( Slgned )
Date. /1 ---* � -
No. Street___.
No..__ .._.. _._._..__._ Street
Subdivision
No. of Stories
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he underststds and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent 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, u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 lac
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 foul
materials /or workmanship.
Permit No S 7 , 5
Nature of Water Supply: City -Well.
Amount of Permit $
STATE OF FLORIDA, ss.
COUNTY OF DADE.
------
- -- My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING ;$.MIT
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 / 2
Owner's Name and Address_. _ A • ___ -_P / S5, 17' No._ 12 street._ 7? - 97$57"
Registered Architect and /or Engineer_ plk " 1 i N
i -S R i N k e 7' , [� e 2- I,
Employing Plumber's Name _-- _-- _----- ___--- _- -- -- No._______--- __ -- -- _ Street-.
Location and Legal Description Lot-_ ______ _________ _ Blor1�
Street and Number where work is to be performed -No 331 -
State work to be performed and purpose of building (By Floors)-
New Building -- Remodeling_____ ___.._ Addition--______._ Repairs No. of Stories.
Street
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
(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 Pennanent 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)
Date
Subdivision- --------------- ---- -- _- _ -_ -._
716 - f9T4S7
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 $1.00 will be made when such re- inspection is made' necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
TOTAL
FIXTURE$
CONTR.
LIST
CHECK
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
— �
SPRKLR.
SYSTEM
SWIM•0
POOL
CONTR.
LIST
CHECK
- -.
Permit No S 7 , 5
Nature of Water Supply: City -Well.
Amount of Permit $
STATE OF FLORIDA, ss.
COUNTY OF DADE.
------
- -- My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING ;$.MIT
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 / 2
Owner's Name and Address_. _ A • ___ -_P / S5, 17' No._ 12 street._ 7? - 97$57"
Registered Architect and /or Engineer_ plk " 1 i N
i -S R i N k e 7' , [� e 2- I,
Employing Plumber's Name _-- _-- _----- ___--- _- -- -- No._______--- __ -- -- _ Street-.
Location and Legal Description Lot-_ ______ _________ _ Blor1�
Street and Number where work is to be performed -No 331 -
State work to be performed and purpose of building (By Floors)-
New Building -- Remodeling_____ ___.._ Addition--______._ Repairs No. of Stories.
Street
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
(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 Pennanent 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)
Date
Subdivision- --------------- ---- -- _- _ -_ -._
716 - f9T4S7
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.
A il
1
Permit No. 45:3 5
Application is hereby made fq{ 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work. �� /f �" /1/1- 7 �
Owner's Name and Address - _ ,�'�., C �� � No. .32 V Street d p f' �"/
Registered Architect and /or Eng' eer.__._ � 4
Employing Plumbers Name.._"` 0 - g 0 No.. _ --7-- Z--Z_. _.__. g � �
.- __ -_ -- step_. _� --
Location and Legal Description Lot -.. Block_ ._.Y. / __._________ __ . Subdivision M.e
Street and Number where work is to be performed —No ��_ L._ Street 9
State work to be performed and purpose of building (By Floors)_
New Building _ Remodeling Addition_____ Repairs
Size Septic Tank
Feet of Drain Tile -
Nature of Water Supply: City —Well
Amount of Permit $-
as.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Type of Tank___ Capacity Gals.
Dist. Feet of Tank or Drain Field from We1L
. Size of Soakage Pit
Date.
,.3
My Commission Expires Notary Public, State of Florida
No. of Stories ...... .. .
9
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understan. -$ 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,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 lac
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 f.
materials and /or workmanship.
CLOSErs
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TOSS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' N5
WA/
TOTAL
Fl XTUREI
CONTR.
LIST
CHECK
/�(�
�S
/ /
//�� ((
'1.
-
/� ,
._
SEPTIC
TANK
SEWER
CONN.
DRAIN
P IELD
S OAKAGE
PIT
GREASE
TRAP
SOLAR
H
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
1-113i
2._
CONTR.
LIST
/
CHECK
. ,'
6:
Permit No. 45:3 5
Application is hereby made fq{ 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work. �� /f �" /1/1- 7 �
Owner's Name and Address - _ ,�'�., C �� � No. .32 V Street d p f' �"/
Registered Architect and /or Eng' eer.__._ � 4
Employing Plumbers Name.._"` 0 - g 0 No.. _ --7-- Z--Z_. _.__. g � �
.- __ -_ -- step_. _� --
Location and Legal Description Lot -.. Block_ ._.Y. / __._________ __ . Subdivision M.e
Street and Number where work is to be performed —No ��_ L._ Street 9
State work to be performed and purpose of building (By Floors)_
New Building _ Remodeling Addition_____ Repairs
Size Septic Tank
Feet of Drain Tile -
Nature of Water Supply: City —Well
Amount of Permit $-
as.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Type of Tank___ Capacity Gals.
Dist. Feet of Tank or Drain Field from We1L
. Size of Soakage Pit
Date.
,.3
My Commission Expires Notary Public, State of Florida
No. of Stories ...... .. .
9
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understan. -$ 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,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 lac
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 f.
materials and /or workmanship.
lAhvt
( sI:
4 \\
p� -
Feet of #
#4&
2
Pest No
Application . is ham , made
and all Po, of
of ISM ,
b
Owner's Name
: d
co
Then
under die
plied
performed
r a
lensed b
NOTE; A.
materials and.for
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