PLUMBINGPermit No. -, 44_t_t
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.
Owners Name and Address 21izabeth R i rlai
Registered Architect and /or Engineer
0 G. Lloyd Septic Tank Ser.
Employing Plumber's Name
•
Meek
N F. 99
Location and Legal Description Lot.
Street and Number where work is to be performed —No 9 S 7
State work to be performed and purpose of building (By Floors
New Building_.__._ — _.._.._......_.. Remodeling—_-- ...- _ --.-.-
N 800 NW 1� 1 ,,..,. . . Miami •■■••••■••• VWT •
Addition.. _..__.._ _..... Repairs No. of Stories .. . .........
Size Septic Tank--_ Type of Tank —_.•
Feet of Drain Tile 300 S Q f t . Dist Feet of Tank or Drain Field from Weil Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit 8_1t ` 60
My Commission Expires
(Signed) -= -= v `r._t.,r 9
(Signed)
s* -1
> /
/7
Subdivision
street ..— ..Miami_.Sha 7r; es...... _.
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 lla' com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the ivorlr 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
required by the Act. The undersigned agrees to employ only such sub- contractors, on work
licensed by Miami Shores Village.
be performed under this permit, as
Notary Public, State of Florda
err
are
STATE OF FLORIDA, I µ
COUNTY OF DADE.
Before me, the undersigned authority, • 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 be 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 he made when soak Mttspeodaa !r mede•naoaasary by improper notice for inspection, or fealty
materials and /ar workmanship.
CLOaaTa
BATH
Tuns
"
LAVA•
TORIES
SINK
SLOP
SINKS
LAUNDRY
•u
•r•r,„
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NIII
TOTAL
PISTUR[S
Comm.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
MEP
WELL
a
SYSTEM
SwiM•G
POOL
CONTR.
LIST
I
CHICK
Permit No. -, 44_t_t
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.
Owners Name and Address 21izabeth R i rlai
Registered Architect and /or Engineer
0 G. Lloyd Septic Tank Ser.
Employing Plumber's Name
•
Meek
N F. 99
Location and Legal Description Lot.
Street and Number where work is to be performed —No 9 S 7
State work to be performed and purpose of building (By Floors
New Building_.__._ — _.._.._......_.. Remodeling—_-- ...- _ --.-.-
N 800 NW 1� 1 ,,..,. . . Miami •■■••••■••• VWT •
Addition.. _..__.._ _..... Repairs No. of Stories .. . .........
Size Septic Tank--_ Type of Tank —_.•
Feet of Drain Tile 300 S Q f t . Dist Feet of Tank or Drain Field from Weil Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit 8_1t ` 60
My Commission Expires
(Signed) -= -= v `r._t.,r 9
(Signed)
s* -1
> /
/7
Subdivision
street ..— ..Miami_.Sha 7r; es...... _.
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 lla' com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the ivorlr 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
required by the Act. The undersigned agrees to employ only such sub- contractors, on work
licensed by Miami Shores Village.
be performed under this permit, as
Notary Public, State of Florda
err
are
STATE OF FLORIDA, I µ
COUNTY OF DADE.
Before me, the undersigned authority, • 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 be 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 he made when soak Mttspeodaa !r mede•naoaasary by improper notice for inspection, or fealty
materials and /ar workmanship.
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Amount of Permit $. .
na
Size Septic Tank.
Feet of Drain T 1e ....
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
V
Block_
Type of Tank- - _ ' 1'4 ` -
No.__.
Registered Architect and /or Engineer..__._
Employing Plumber's Name ) 04;1 ai 9rla / r '\ N 92
Location and Legal Description Lot
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
Dist. Feet of Tank or Drain Field from Well_
_ Size of Soakage Pit._
-- ( Signed) _
Date - -/ �,.
Street
Street.
Capacity Gals
Street _ L
Subdivision
No. of Stories
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as n1, employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, 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 an
licensed by Miami Shores Village.
i
(Signed) - � .._ � .
Master Plumber.
STATE OF FLORIDA, 1 �.
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .ippeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tat.
therein by him stated are true.
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 haul
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA,
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT NS
TOTAL
FIXTUREI
-- —
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
SYSTEM
SWIM C
POOL
GDNTR.
LIST
CHECK
d .
.i7
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Amount of Permit $. .
na
Size Septic Tank.
Feet of Drain T 1e ....
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
V
Block_
Type of Tank- - _ ' 1'4 ` -
No.__.
Registered Architect and /or Engineer..__._
Employing Plumber's Name ) 04;1 ai 9rla / r '\ N 92
Location and Legal Description Lot
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
Dist. Feet of Tank or Drain Field from Well_
_ Size of Soakage Pit._
-- ( Signed) _
Date - -/ �,.
Street
Street.
Capacity Gals
Street _ L
Subdivision
No. of Stories
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as n1, employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, 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 an
licensed by Miami Shores Village.
i
(Signed) - � .._ � .
Master Plumber.
STATE OF FLORIDA, 1 �.
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .ippeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tat.
therein by him stated are true.
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 haul
materials and /or workmanship.
BUILDING ❑
ELECTRICAL ❑ PERMIT N? 14898
PLUMBING
ROOFING
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor �"
or Builder , 0.v
Legal Lot II BI.
Description
Address of - 47>
Building - /' <<
MIAMI SHORES VILLAGE, FLORIDA
cvct
Subdi-
vision
Value of
Project
i- INSPECTOR
DATE 444 195
Cfontrat'for s
License No
vv e
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed:, ' (e Yr I r, BY111 + i r t.
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.
.'dot Lrri . AZ.4 ..40 L .:.
CONTRACT OR BUILDER BY
AUTHORITY
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date__ rc,4-
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.
Permit No.
Owner's Name and Address --J
4
Registered Architect and /or Engineer
/ -_L __ - :.2_ : •�t -4 t l No x_...
Employing Plumber's Name _5..�_S __
Location and Legal Description
S
Street and Number where work is to be performed —No _a2
Street. Li_
Subdivision__—_ _—
------
State work to be performed and purpose of building (By Floors) 4 �. 1 _ rr •a '
New Building_.__ _ — __— __________ Remodeling Addition
Type of Tank .
Size Septic Tank__
Feet of Drain Tile_
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $ ---- - - - -_
ss.
Dist. Feet of Tank or Drain Field from Well__
_Capacity Gals._____________— ______
My Commission Expires Notary Public. State of Florida
No ______
_____l
Repairs No. of Stories
_(Signed) –
-- – – _ - - - -- - - -- -- –
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) y / ± -- r -- "4-
i
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.
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.
`4'41
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
SWIM•G
POOL
CONTR.
LIST
CHECK
(/
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date__ rc,4-
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.
Permit No.
Owner's Name and Address --J
4
Registered Architect and /or Engineer
/ -_L __ - :.2_ : •�t -4 t l No x_...
Employing Plumber's Name _5..�_S __
Location and Legal Description
S
Street and Number where work is to be performed —No _a2
Street. Li_
Subdivision__—_ _—
------
State work to be performed and purpose of building (By Floors) 4 �. 1 _ rr •a '
New Building_.__ _ — __— __________ Remodeling Addition
Type of Tank .
Size Septic Tank__
Feet of Drain Tile_
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $ ---- - - - -_
ss.
Dist. Feet of Tank or Drain Field from Well__
_Capacity Gals._____________— ______
My Commission Expires Notary Public. State of Florida
No ______
_____l
Repairs No. of Stories
_(Signed) –
-- – – _ - - - -- - - -- -- –
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) y / ± -- r -- "4-
i
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.
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.
`4'41
Permit No..� _J "
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 a coatipl'ed with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of w /k.
/�
Owner's Name and Address ` t
___ 7-,. ,�s:_�__ r' No. r .:.)
i 4- Street/ __
1
Employing Plumber's N. and/or : inee' !� 1 _ -- � No – Street _t /
Registered / gineer +" – –
7
Location and Legal Description ot_
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
Size Septic Tank--_--__ __- -____ __________ _____________ Type of Tank . Capacity Gals.
Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from
Nature of Water Supply: City —Well — Size of Soakage Pit --
Amount of Permit $ / _ _
(Signed) -- – -- — – – – – - - -- – --
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in. the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors,, on work to be performed under this permit, as are
/ I
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR PLUMBING PERMIT
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Block
(Signed ) ) -
Date —__ /
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.
CLOSETS
BATH
Tues
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKA
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
•
Permit No..� _J "
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 a coatipl'ed with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of w /k.
/�
Owner's Name and Address ` t
___ 7-,. ,�s:_�__ r' No. r .:.)
i 4- Street/ __
1
Employing Plumber's N. and/or : inee' !� 1 _ -- � No – Street _t /
Registered / gineer +" – –
7
Location and Legal Description ot_
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
Size Septic Tank--_--__ __- -____ __________ _____________ Type of Tank . Capacity Gals.
Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from
Nature of Water Supply: City —Well — Size of Soakage Pit --
Amount of Permit $ / _ _
(Signed) -- – -- — – – – – - - -- – --
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in. the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors,, on work to be performed under this permit, as are
/ I
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR PLUMBING PERMIT
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Block
(Signed ) ) -
Date —__ /
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.
l�s>� Permit No. .�___!_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT �+
Date__ – – -- j_ —- t -f
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 a t :co ed with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of w
/-1
Owner's Name and Add
Registered Architect and /or gineer
Employing Plumber's N • :(a' /
No
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 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 14,
Ui
Amount of Permit $_ ___________ __ ____________ _______ __- _______ _____(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss•
My Commission Expires
(Signed
c7Q
Street
Notary Public. State of Florida
l / p • fa" Street ______ • 7L__�.
---- -------- -------------- - - -- -- - - --------------- - -- --
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub-contractors on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that 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
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
SOAKA
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
l�s>� Permit No. .�___!_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT �+
Date__ – – -- j_ —- t -f
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 a t :co ed with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of w
/-1
Owner's Name and Add
Registered Architect and /or gineer
Employing Plumber's N • :(a' /
No
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 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 14,
Ui
Amount of Permit $_ ___________ __ ____________ _______ __- _______ _____(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss•
My Commission Expires
(Signed
c7Q
Street
Notary Public. State of Florida
l / p • fa" Street ______ • 7L__�.
---- -------- -------------- - - -- -- - - --------------- - -- --
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub-contractors on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that 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.
v' OWNER
LOT
BLOCK
SUBDIVISION
//
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbipg and
drainage work done in M mi ; hores Village, Florida.
7 - 7
For a / story
Fixtures
dd(iami cShores91llage
T L 0 & 1 D A
PLUMBING PERMIT
building at
Village Plumbing Inspector.
Received Payment by
Fixtures $
Sewer $
•tic Tank $ /0 C
Total $ / 4)
N? 1212
I herewith submit the following application for a permit covering
the installation of a Septic Tank
Soakage Pit: : Relaying: New: v
Feet of drain tile:7c5
nstalled by: , Address: J 7/4
5, � .� 2244-: 7i
(NEW: ✓ Old: Story:/ Addition: Remodeled:
For a (Store: Garage: Apt: Hotel: Office Bldg.
(Res: ✓ Garage wash floor: Taste water from a:
Building has: Stores; Offices; Apts; Hotel Rms;
Bedrums
Owner or Agent: 4 2t/e , Address:
Lot No.
2
.2., Block No. /7 U SUBDIVISION 2 �54eTL,
/ ,,/ _
Address of work: / S' 7 /V• t , qv 7 T� ,
i
No. of Plumbing Fixtures:.. Laundry Tubs: Floor Drains:
Nature of water supply: City: ✓ Well: Feet Distant from all
wells:-_6 Type of tank instailed:!eG Tank capacity in
gallons: ...!52g-
Additional information:
PERMIT NO.
MIAMI SHORES VILLAGE, FLA.
APPLICATION FOR SEPTIC TANK PERMIT
. DIVISION OF PLUMBI1INSPECTION
Date:
Size of Soakage Pit: Purpose of same:
Ready for Inspection: D_t__ ►� �; Time: /f1 l t
6
APPROVED BY: Cl ), / 1 . j, ,° Y ; CONDEMNED BY:
Remarks: flit- , r -t-., ' t° 7' I r � ! , y
I
ICe i r � � 7L +, is
3i /s y
• •
I IQ"
Permit No g 7 11 9
Owner's Name and Address
Registered Architect and/or
g ritirabeeE
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 mutt be kept at
building during progress of work.
Employin
Location and Legal Description k
Street and Number where work is to be performed—No 99e .
sty
State work to be performed and purpose of building (By Floors)__ _
New Building ft/ Remodeling__ __ Addition..
Size Septic Tank____ _Type of Tank__
Feet of Drain Tile - 7 S .-- —Dist. Feet of Tank or Drain Field from
Nature of Water Supply: City—Well. Size of Soakage Pit
Amount of Permit $ 2 S CC'
My Commission Expires
No 99.0
Repairs No. of Stories
(signed)_ 4 / 1 -4Km-tc
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 w r o b
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or • ces as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work joy be performed . . .
this Ina, mu are
licensed by Miami Shores Village.
(Signed)
streein.F
Notary Public, State of Florida
••• ......... • ••••-■-• •
•• •- •
Master Plumber.
STATE OF FLORIDA, ) U.
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 $1.00 will be uncle when nth ee•laapeotioa ie arade by Improper Ito** for luspecdon, or faulty
materials and/or workmanahip.
CLOSETS
BATH
Toss
SHOWERS
LAVA-
TORIES
49445
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT
TOTAL
PuiTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
- PIT
0
TRAP
SOLAR
HEATER
Dm
WELL
SPRKLR.
SYSTEM
SwI14' 0
POOL
CONTI .1
LIST
GO
67.5
CHECK
I IQ"
Permit No g 7 11 9
Owner's Name and Address
Registered Architect and/or
g ritirabeeE
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 mutt be kept at
building during progress of work.
Employin
Location and Legal Description k
Street and Number where work is to be performed—No 99e .
sty
State work to be performed and purpose of building (By Floors)__ _
New Building ft/ Remodeling__ __ Addition..
Size Septic Tank____ _Type of Tank__
Feet of Drain Tile - 7 S .-- —Dist. Feet of Tank or Drain Field from
Nature of Water Supply: City—Well. Size of Soakage Pit
Amount of Permit $ 2 S CC'
My Commission Expires
No 99.0
Repairs No. of Stories
(signed)_ 4 / 1 -4Km-tc
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 w r o b
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or • ces as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work joy be performed . . .
this Ina, mu are
licensed by Miami Shores Village.
(Signed)
streein.F
Notary Public, State of Florida
••• ......... • ••••-■-• •
•• •- •
Master Plumber.
STATE OF FLORIDA, ) U.
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 $1.00 will be uncle when nth ee•laapeotioa ie arade by Improper Ito** for luspecdon, or faulty
materials and/or workmanahip.
Applicant
,/t
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
I/'q (7/ 4. rJ
PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL
Septic tank or/ '7_) Grease
aerobic unit gallons interceptor gallons
Septic tank or
aerobic unit gallons Dosing tank gallons
Graywater
tank
Laundry
waste tank gallo
2 Other Requirements: 2 (, )
(a) Installation must be in accord with requirements of chapter 10D -6, FAC.
(b) A system construction permit is valid for a period of one calendar year from date of issue.
(c) Final installation insp ionpnd approval js required before the system is covered. .
(d) Invert of stun -out fore "f p i ` C. to be / `; ) benchmark.
Invert of stub -out for to be benchmark.
Invert of stub -out for to be benchmark.
Invert of stub -out for to be benchmark.
gallons
(e) Fill quality and quantity
Treatment Tank
System design and specifications by:,
(f) Other:
Construction authorized by:
County Public Health Unit
HRS -H Form 4016, Feb 85 (Obsoletes previous editions which may not be used)
(Stock Number•5744-001- 4016 -0)
Authority: Chapter 381, FS
Chapter 10D - 6, FAC
5 kO - �_ M�
THE APP7
INVE?T
Permit Number "J /
Minimum Draintrench OR Minimum Absorption
Size Bed Size
Square Feet —' /"` Square Feet
Square Feet Square Feet
Square Feet Square Feet
Square Feet Square Feet
Title
Note: Completed copies of this form will be provided to the applicant, installer and the building department.
AUDIT CONTROL NO. L 1 7
Date
Page 1 of 2
Permit No
Amount of Permit $
qJ
Size Septic Tank_ ___----------------- - - - - -- Type of Tank_ —__.
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 - LA`�1__. —.__ __ No. 7' 7 ifEtreet_.____e__-q .rs
Registered Architect and /or Engineer p� _
Employing Plumber's Name IV lOen kL - �1� Y' r r • No, aes .,...... set. .,. eettiri G° -.
Location and Legal Description Lot- Block
Street and Number where work is to be performed —No q S 7 A/ 99 ?‘" Street.
State work to be performed and purpose of building (By Floors) •----- ....--- ..__...______._._
N Building _ Remodeling _- Addition- _ -_____ Repairs No. of Stories
Feet of Drain Tile. __— — -- -Dist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: City— 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 5988, Compiled General Laws of Florida Permanent Supplement, and liar 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
r equired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perform un this pert as are
licensed by Miami Shores Village. `^�° 4 � .
Si
Date
Capacity Gals
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such ratuspectlm is made•neoessary by improper notice for inspection, or faulty
materials and /ar workmanship.
SE
CLOTS
BATH
TUBS
SHOWERS
LsvA•
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tu.B
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NB
a/ar'ea
M{414.4e
TOTAL
FIIITunas
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWING
POOL
CoNTR.
LIST
r�
CHECK
Permit No
Amount of Permit $
qJ
Size Septic Tank_ ___----------------- - - - - -- Type of Tank_ —__.
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 - LA`�1__. —.__ __ No. 7' 7 ifEtreet_.____e__-q .rs
Registered Architect and /or Engineer p� _
Employing Plumber's Name IV lOen kL - �1� Y' r r • No, aes .,...... set. .,. eettiri G° -.
Location and Legal Description Lot- Block
Street and Number where work is to be performed —No q S 7 A/ 99 ?‘" Street.
State work to be performed and purpose of building (By Floors) •----- ....--- ..__...______._._
N Building _ Remodeling _- Addition- _ -_____ Repairs No. of Stories
Feet of Drain Tile. __— — -- -Dist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: City— 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 5988, Compiled General Laws of Florida Permanent Supplement, and liar 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
r equired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perform un this pert as are
licensed by Miami Shores Village. `^�° 4 � .
Si
Date
Capacity Gals
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such ratuspectlm is made•neoessary by improper notice for inspection, or faulty
materials and /ar workmanship.
BUILDING
ELECTRICAL
PLUMBING
PERMIT N? 3461
V •
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot x`f - "Bl.
Description
Address of
Building
CONTRACT 0& OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No.
be in
�iatioe �
WARNING. This Construction m agi . 11
Board General lonaat►oos J.a` f
r�a� Production B consult yoF;r Vial Piodurnos
au are cautiol��d to coos
Board office betas starting the work authorized in
Subdi- this permit.
vision
Value of
Project
Amt. of
Permit ./
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be re\voked 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 specific 'pns and
that he assumes responsibility for work done by his agents, servants or employees.
Signed By
7 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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Legal Lot Bl.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE ,/ 194
Contractor's
No.
PERMIT N? 3458
Work to be performed under this Permit
"° ► ., 17 t1 s t nnstruct+ori msv be in vwata of
Owner of
Building
Architect
Contractor
or Builder ,
Subdi-
vision
Value of
Project
Boatn Gilmer
aunonfd to consult your War Pioduc .on
Be ird office before starting tile won tiuut�ttu....�
this en rmd.
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DATE I _ -t:' -• ; /G
ELECTRICAL ERMIT N? 3459 Contractor's
PLUMBING License No.
Work to be performed under this Permit .
Owner of i `—•' //
Building
Architect
Contractor
or Builder
Legal
Description
Lot
B1.
Address of
! ,
Building / .,� .,
. •, , 1 1.1
Subdi-
vision
Value of
Project
,a. Production Board General Limitations 0•C -.
.ou
Board :offic � . -fore spiting the ftk authorld V
thin permit.
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• j 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 regula-
tions pertaing thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. accepting this permit I assn responsibility fo all wor ne by, di er m self, my, agent, servant or employee.
COATRACTOR OR BUILDER F � =
AP
e
fi
194
_oiNG
cLECTRICAL
PLUMBING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 3458
„r r
DATE 194;
Contractor's
License No.
Work to be performed under this Permit
w This Construction may he In vith r,.:,1 f
.' iii il;i;3a `- ;„••
ztt are' totii4lirai to consult your War oti clioi:
sd ace hatore starting the del k anttioriz.Z L
Ye ti permit
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision Y q
Address of Project u ' P c
Value of 4 I 1� Amt. of
Building ' Permit
permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• r- By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with 4,1 ordinances and teJaO
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aufl4brities 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 BUILDER
BY AUTHORITY
Permit No..
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Amount of Permit $-
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
__(Signed)
Date_
No �+
StreetILt +
Registered Architect and /or Engineer ____ QQ -�.- �--yy�� -,
Employing Plumber's Name ____ __ _ Sys`"' `'_`_'�'�!� �!__ -- No._____ Street__1CLi __11 .. __
Location and Legal Description Lo _Block_
Street and Number where work is to be performed —No 7 " 7
State work to be performed and purpose of building (By Floors)
New Building ________________— ______ Remodeling Addition Repairs No. of Stories_-______......
(Signed) ______
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 his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
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
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
ii--
CHECK
-- --
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No..
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Amount of Permit $-
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
__(Signed)
Date_
No �+
StreetILt +
Registered Architect and /or Engineer ____ QQ -�.- �--yy�� -,
Employing Plumber's Name ____ __ _ Sys`"' `'_`_'�'�!� �!__ -- No._____ Street__1CLi __11 .. __
Location and Legal Description Lo _Block_
Street and Number where work is to be performed —No 7 " 7
State work to be performed and purpose of building (By Floors)
New Building ________________— ______ Remodeling Addition Repairs No. of Stories_-______......
(Signed) ______
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 his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
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.
New Building_
Feet of Drain Tile__
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)
Remodeling
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit S_
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
My Commission Expires
PLUMBING INSPECTION DEPARTMENT
7
(Signed) ________('"
Permit No. 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.
, Street 2�a F ______ - --
'r AJ No
Owner's Name and Address ___. J 1 r - �'_�
Registered Architect and /or Engineer ___ .
Employing Plumber's Name _— _._______.__ =.
Location and Legal Description Lot_ _Block__ —__ Subdivision_ _____
Street and Number where work is to be performed —No
No Street -
Subdivision__
Street y /=
Addition Repairs No. of Stories
Size Septic Tank___________ --- Type of Tank _ Capacity Gals._____________ - -__
Dist. Feet of Tank or Drain Field from Well ______ ______________________ ________ _ _______
_(Signed) -- - — - - - -- - - - -- Plumbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
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
of the above described construction, that he has carefully read the
therein by him stated are true.
deposes and says that he is the
foregoing application, and that he did sign the same, and that all facts
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
_Z_-
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
CHECK
New Building_
Feet of Drain Tile__
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors)
Remodeling
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit S_
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
My Commission Expires
PLUMBING INSPECTION DEPARTMENT
7
(Signed) ________('"
Permit No. 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.
, Street 2�a F ______ - --
'r AJ No
Owner's Name and Address ___. J 1 r - �'_�
Registered Architect and /or Engineer ___ .
Employing Plumber's Name _— _._______.__ =.
Location and Legal Description Lot_ _Block__ —__ Subdivision_ _____
Street and Number where work is to be performed —No
No Street -
Subdivision__
Street y /=
Addition Repairs No. of Stories
Size Septic Tank___________ --- Type of Tank _ Capacity Gals._____________ - -__
Dist. Feet of Tank or Drain Field from Well ______ ______________________ ________ _ _______
_(Signed) -- - — - - - -- - - - -- Plumbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
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
of the above described construction, that he has carefully read the
therein by him stated are true.
deposes and says that he is the
foregoing application, and that he did sign the same, and that all facts
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
PLUMBING INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
77
Date______`!`!" _1_•_ _ .
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 _
Registered Architect and /or Engineer ___ __________ _________________— ______�_�____ '
Employing Plumber's Name �1T_C __ --'1 2- No - 5 � a r
Location and Legal Description Lot_ _Block - -__ Subdivision— ________— __ -_________
Street and Number where work is to be performed—No
_ __ Street___�a- _______.
State work to be performed and purpose of building (By Floors) X1.4 ^-141.Z
New Building ___— ______________________ Remodeling Addition G 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
..(Signed) – - - - -- – _– —_ – – – - -- --- - --- --
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $_
My Commission Expires
(Signed) _sill_
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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
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.
CLOSETS
BATH
Tues
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
--/---
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
✓
Permit No
PLUMBING INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
77
Date______`!`!" _1_•_ _ .
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 _
Registered Architect and /or Engineer ___ __________ _________________— ______�_�____ '
Employing Plumber's Name �1T_C __ --'1 2- No - 5 � a r
Location and Legal Description Lot_ _Block - -__ Subdivision— ________— __ -_________
Street and Number where work is to be performed—No
_ __ Street___�a- _______.
State work to be performed and purpose of building (By Floors) X1.4 ^-141.Z
New Building ___— ______________________ Remodeling Addition G 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
..(Signed) – - - - -- – _– —_ – – – - -- --- - --- --
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $_
My Commission Expires
(Signed) _sill_
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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
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.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ,� ,3v, f DATE c__.(� = 1(. 1944
ELECTRICAL o 1 b1 ‘.17 PERMIT No 3459 9� L°ens No.
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of f
Building f f") (-
Work to be performed under this Permit
µ �.
Bl.
Subdi-
vision
Value of
-t eject
4 R f1NG: This Construction may be in v'ola l ^r
a Production Boar° Gener :l Ur ;Atolls o
, au are cautioned to consult your War P,o
Board; office fort starting the work authorized ut
• this 'p rmi
Amt. of
Permit
This permit. is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefoiin strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, dra statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any tim•- if -work it 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
INSPEOTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with 4,Q,rdinances and.,, �rreggsy l
tions pertai g thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper airflaBlitties of Miami. hbi
Village. accepting this permit I assu responsibility for all work ne by.ef ter myself, my agent, servant or employee.
COKTRACTOR OR BUILDER d r .. f AUTHORITY
.5.
PO
MS
MIAMI SHORES VILLAGE, FLORIDA
BUILDING � � Z DATE 194
ELECTRICAL PERMIT N° 3461 /6,'�`��' Contractor's nse No
PLUMBING
Work to be performed under this Permit + _ e �• t;;
Owner of
Building >° WhR " - "NG: This �pstrurtinn may he in violaiiart of
Production Board Gener�i Limitations 0 k
Architect are cau;;cr,fd a eonsnit ynt:r War P n.'.: •"Q. y
CoB �,. ,� Board office before starting are work authoi ;sl
or Builder ilder ,•' this permit.
Legal Lot Bl.
Description
Address of t ! a ".' 1 Permit �..0
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifica ' ns and
that he assumes responsibility for work done by his agents, servants or employees.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work cov hereunder in compliance with a14prdinances and ep 1
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper ai. fh6rities of MiamilShW.41
Village. In accepting this` permit I assume responsibility for all work done by either myself, my agent, servant or employee.
r
CONTRACTOR OR BUILDER
Signed•
Subdi-
vision
Value of
Project
By �-
BY AUTHORITY
?IS
Issued to
iami cShores9llage
F L O A D A
p _UMBING PERMIT
.'..t a24 , „fit #
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbin and
drainage work done in Miami Shores Village, Florida.
se. building at e " 7 Ifff
For a_/story
Fixtures
Fixtures
Sewer
•tic Tank $
Total $ LQ ot ..44
Village Plumbing Inspector
Received Payment by
J � �
N? 1147
OWNER
LO'e
BLOCK
SUBDIVISION
1
1
j ddd ,,
10.42
1 7'
A"/ ; ,
Issued to
iami cShores9llage
F L O A D A
p _UMBING PERMIT
.'..t a24 , „fit #
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbin and
drainage work done in Miami Shores Village, Florida.
se. building at e " 7 Ifff
For a_/story
Fixtures
Fixtures
Sewer
•tic Tank $
Total $ LQ ot ..44
Village Plumbing Inspector
Received Payment by
J � �
N? 1147
OWNER LOT
BLOCK
SUBDIVISION
�
j / l f, A
> 1 - /1. /J i i JAL re/ t i...Ae•�
�/'
/
2// '
dd�iami Shores9llage
F L 0 S I D A
P UMBING PERMIT N° 1147
Date
r r
Issued to � x r f
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbin and
drainage work done in Miami Shores Village, Florida.
For a_Lstory story building at ff � •
Fixtures
Fixtures
Sewer
$ Y ..
Septic Tank $
Total $
Village Plumbing Inspector
Received Payment by
t
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
®
6'
Sketch position of building and lot lines in square (which represents an entire city block), showing on which
street the building and lot faces; also show exact locations of "Y" in street and position of lateral or septic
tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate
layout of all underground pipes for future references.
WEST
NORTH
A
SOUTH
EAST
Remarks:
NORTH
SOUTH
A•244 5M 5 -39
I herewith submit the following plan of plumbing for approval:
Employing Plumber
New ❑ Old ❑ Story ❑ Addition ❑ Remodeled ❑
For a Dwelling ❑ Store ❑ Garage 0 Apartment ❑ Hotel ❑ Office Bldg. ❑
7 ® f F �_`"
Owner or Agent es+� Address ��
Builder or Contractor is Address
Lot No.,,2„ b -/ lock No. / 76
- Subdivision `�t'�� a' ►
Address ` r> , 19 o
Sewer Connections At center of St. ❑ / At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer
A charge of x^1.00 will be made for correcting any inaccuracies in the foregoing information.
DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY.
ROUGH -IN INSPECTION
Ground Rough -In Rain Leader
A M PM
Approved by
Condemned by
Date
REMARKS
'', /-;;',
DIVISION OF PUBLIC INSPECTION
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
ye Work executed by
Date
SEWER INSPECTION
Approved by I Approved by
Plan No 1" 1 7 Sewer Permit No
•
o'
To septic tank )4 Existing bldg. drain ❑
,19
To dry well
0
Date
FINAL INSPECTION
AM PM I AM PM
Condemned by I Condemned by
REMARKS I REMARKS
THIS SPACE FOR ELEVATION SKETCH
In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack
to correspond with the opening shown in floor plan or ground plan on opposite page.
A PERSPECTIVE SKETCH WILL BE SUFFICIENT
PROVIDED THE WORK CAN BE CLEARLY SHOWN
•
THIS SPACE FOR PLAN SKETCH
Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the
stack connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw
floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal
soil and waste pipes, in reference to same.