PLUMBING PERMITMIAMI SHORES VILLAGE, FLA.
JOB c'C�� J
ADDRESS 1
INSPECTION � r ^>
TIME READY e-�.•
REMARKS: 1 0
INSPECTOR
1
N9 5044
° 6 "E/ TA -,J
DATE
;UILDING ❑
LECTRICAL ❑
'LUMBING ❑
:OOFING .. ❑
p
Ischitect
contractor
II Builder
-ega1 Lot
)ascription
ddress of
; uilding
MIAMI SHORES VILLAGE. FLORIDA
DATE
PERMIT Id° 4419
?wner of
; uilding
Bl
Signed.
Work to be performed under this Permit
Subdi-
vision
Value of Amount of
Project $ +� Permit $
This permit is granted to the contractor or builder named above to construe the building or to install the equipment or device described in the application
terefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
?rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A urther condition upon which this permit is
iranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough`: owledge of the ordinances and regulations
, ertaining to the work covered hereby whether shown on the plans or drawings or in the yiements or specific at sand that he assumes responsibility for work
one by his agents, servants or employees.
INSPECTOR
Contractor's
License No. i r � 1
BY
1 A
195
In consideration of the issuance to me of this permit I agree to perform the work covered her/under in compliance with all ordinances and regulations
:ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
:epting this permit I assume responsibility for all work done by either, myself, my, agent, servant or employee.
f
� t
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building I
Architect
Contractor i
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
❑
p PERMIT
❑
1
';7":"!".- .#011
No 4673
DATE I
Contractor's
License No
195 r
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of Amount of ?
Project $ ++ Permit $
This permit is granted to the contractor or builder named above to construc 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. a
Signed•
BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my ,agent, servant or employee.
t /l
CONTRACTOR OR BUILDER '°` ' BY AUTHORITY e
Permit No ( f c l
Registered Architect and /or Engineer___________
Street and Number where work is to be performed— No.___ 1151
State work to be performed and purpose of building (By Floors)_
Size Septic Tank 6OO Type of Tank_
Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA, ( as. COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VJ iGE
PLUMBING INSPECTION DEPARTMEi n"
APPLICATION FOR PLUMBING "''m,;;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, nrt. A copy of approved plans and specifications must be kept at
building during progress of work. ' '
Owner's Name and Address_.- .___C 1QU088n No____________ __ Street_
Employing Plumber's Name T. n _Zomp&ny No. Street - - __.
Location and Legal Description Lot_ -__-._.-- _ -__.__ _____________ _— Block_ _----- _.__________ Subdivision
Street_ 1Q1.8 __.Sti
New Building Remodeling_____ _______ Addition Repairs No. of Stories
Feet of Drain Tile 1QQ_ _____ ____ _____ _ _____. __Dist. Feet of Tank or Drain Field from Well
Before me, the undersigned authority, a notary public, duly authorized
Capacity Gals.
__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 ite of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractor' •n wo to be performed under this permit, as are
licensed by Miami Shores Village.
Date Oct. 1
Notary Public, State of Florida
Master Plumber.
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 hitn 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
rues
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No ( f c l
Registered Architect and /or Engineer___________
Street and Number where work is to be performed— No.___ 1151
State work to be performed and purpose of building (By Floors)_
Size Septic Tank 6OO Type of Tank_
Nature of Water Supply: City —Well
Amount of Permit $
STATE OF FLORIDA, ( as. COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VJ iGE
PLUMBING INSPECTION DEPARTMEi n"
APPLICATION FOR PLUMBING "''m,;;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, nrt. A copy of approved plans and specifications must be kept at
building during progress of work. ' '
Owner's Name and Address_.- .___C 1QU088n No____________ __ Street_
Employing Plumber's Name T. n _Zomp&ny No. Street - - __.
Location and Legal Description Lot_ -__-._.-- _ -__.__ _____________ _— Block_ _----- _.__________ Subdivision
Street_ 1Q1.8 __.Sti
New Building Remodeling_____ _______ Addition Repairs No. of Stories
Feet of Drain Tile 1QQ_ _____ ____ _____ _ _____. __Dist. Feet of Tank or Drain Field from Well
Before me, the undersigned authority, a notary public, duly authorized
Capacity Gals.
__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 ite of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractor' •n wo to be performed under this permit, as are
licensed by Miami Shores Village.
Date Oct. 1
Notary Public, State of Florida
Master Plumber.
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 hitn 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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
1 APPLICATION FOR PLUMBING PERMIT
Permit No C l Date.---- No-v._ -- fI I91b2
Application is hereby mnde 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
Location and Legal Description Lot Block Subdivision. _ _________
Street and Number where work is to be performed— No.__II _.__ _ —_ _ ________ __ Street N.E. I01 ST.
State work to be performed and purpose of building (By Floors)_______
New Building _---- ..--- .------ ..._.___ Remodeling_ ___.____________._____ Addi tion________________________ Repairs No. of Stories.
Size Septic Tank_ .... ---------- ____.- ___- _--- -_ -_ -- -Type of Tank
Feet of Drain Tile 2 5 FT.blo D --Dis Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._______ __ ___.Size of Soakage Pit
Amount of Permit $
d. -Neal' ....... - -- --
Street.ZQI_- Street
(Signed) _
No. Street__
(Signed).
Capacity Gals.
Plumb g Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .. ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P ent Supplement, and has cmn-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contracto . nployed 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. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath' deposes and says that he is the____
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOS I 't
BATH
T
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BABIN
FLOOR
DRAIN
DRINKING DRINK
FOUNT' NS
TOTAL
FIXTURES
come.
LIST
.Y_
_ _.
CHICK
t
...
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
_
CHICK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
1 APPLICATION FOR PLUMBING PERMIT
Permit No C l Date.---- No-v._ -- fI I91b2
Application is hereby mnde 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
Location and Legal Description Lot Block Subdivision. _ _________
Street and Number where work is to be performed— No.__II _.__ _ —_ _ ________ __ Street N.E. I01 ST.
State work to be performed and purpose of building (By Floors)_______
New Building _---- ..--- .------ ..._.___ Remodeling_ ___.____________._____ Addi tion________________________ Repairs No. of Stories.
Size Septic Tank_ .... ---------- ____.- ___- _--- -_ -_ -- -Type of Tank
Feet of Drain Tile 2 5 FT.blo D --Dis Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._______ __ ___.Size of Soakage Pit
Amount of Permit $
d. -Neal' ....... - -- --
Street.ZQI_- Street
(Signed) _
No. Street__
(Signed).
Capacity Gals.
Plumb g Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .. ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P ent Supplement, and has cmn-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contracto . nployed 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. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath' deposes and says that he is the____
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING ' woMIT
Permit No _ _ ___ Date___.__. - / Z..r i
Application is hereby made for the approval of the detailed statement of the plans and specifications herewi f ubmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordina e 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 No Street
Size Septic Tank - --
Feet of Drain Tile - __
Nature of Water Supply. City —Well
I
Registered Architect and /or Engin
Employing Plumber's Name
Location and Legal Descripti ____ - -- -- - -�-
Street and Number where work is to be performed— No._ __L / Yi
Amount o ermit $ 1
STATE OF FLORIDA,
COUNTY OF DADE.
State work to be performed and purpose of building (By Floors)_
New Building _ --- Remodeling _ ----- ------ ._- --- ____ -- Addition
Type of Tank
__Dist. Feet of Tank or Drain Field from Well
Size of soakage Pi
(Signed),
Street /O I —
No.__ W . StreetX ' 7
/ 7 C, - - - Subdi
Repairs No. of Stories
Capacity Gals
(Signed) - -- -� - -
Plumbing nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, o work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
er 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 worlananship.
CLOSETS
BATH
TUBS
SHOWER!
LAVA-
TORIES
INKS
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I PA' G
POOL
CONTR.
LIST
- --
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING ' woMIT
Permit No _ _ ___ Date___.__. - / Z..r i
Application is hereby made for the approval of the detailed statement of the plans and specifications herewi f ubmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordina e 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 No Street
Size Septic Tank - --
Feet of Drain Tile - __
Nature of Water Supply. City —Well
I
Registered Architect and /or Engin
Employing Plumber's Name
Location and Legal Descripti ____ - -- -- - -�-
Street and Number where work is to be performed— No._ __L / Yi
Amount o ermit $ 1
STATE OF FLORIDA,
COUNTY OF DADE.
State work to be performed and purpose of building (By Floors)_
New Building _ --- Remodeling _ ----- ------ ._- --- ____ -- Addition
Type of Tank
__Dist. Feet of Tank or Drain Field from Well
Size of soakage Pi
(Signed),
Street /O I —
No.__ W . StreetX ' 7
/ 7 C, - - - Subdi
Repairs No. of Stories
Capacity Gals
(Signed) - -- -� - -
Plumbing nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, o work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
er 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 worlananship.
;UILDING
:LECTRICAL
'LUMBING
tOOFING
}caner of
; uilding
: ontractor
, r Builder K
egal / Lot
)escriptiin ,l
address of
• uilding 1 - +
MIAMI SHORES VILLAGE. FLORIDA
❑ _.
❑ DATE ' `'' �` 195 ,
p PERMIT No 4956 Contractor's r
License No. i
D
❑ Work to be performed under this Permit
architect
,rB1.
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining 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
one by his agents, servants or employees.
Signed-
INSPECTOR
In consideration of the issuance to me of this permit 1 agree to perform the work covered h reunder in compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
opting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
7
T
CONTRACTOR OR BUILDER BY �^"
et .
Subdi-
vision/
Value of Amount of
Project $ +' Permit $
AUTHORITY 6
;UILDING
:LECTRICAL
'LUMBING
:OOFING
)wner of /
; uilding 4 _ , *.! t r * -� . ' ,•
- rchitect
: ontractor
r Builder t > -
_ egal Lot
)escription
ddress of
uilding t E
❑
PERMIT 11T° 4502
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
B1
•
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
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
mare 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work
- ,ne by his agents, servants or employees. t 1
Signed. - r By
INSPECTOR .4- R
( ;
f
.
Subdi-
vision
Value of
Project $
DATE
Contractor's
License No.
Amount of
Permit $
In consideration of the issuance to me of this permit I agree to perform the work covered hereundet?rin compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to;t'he proper authorities of Micuni Shores Village. In ac-
:pting this permit I assume responsibility for all work done by either, myself, my agent, servapt or employee.
CONTRACTOR OR BUILDER BY AUTHORITY 6
195
MIAMI SHORES VILLAGE, FLA.
JOB
st
ADDRESS 1 I c i f 5 T•
INSPECTION T! aA Pe,. 13. U'
TIME READY PrI^. - / 2. — -- `o
REMARKS:
GG<4is5S4 —
INSPECTOR eAria-
M
N9 5387
DATE 12 '!1 d 37‘
1 •ti.
MIAMI SHORES VILLAGE, FLA.
JOB L a,: S��,c1
N9 5002
ADDRESS �1.�! o+✓ - c / ° sf `'f
INSPECTION Pa J 4 t-f /C J .v� 13 /
TIME READY N o w —
REMARKS.
INSPECTOR
DATE 5' S ' 3 e.
APPLICATION FOR PLUMBING ' �����1�
Permit No 47 3 _ -. Date ®t rn.
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 ___6..1__ '
Registered Architect and /or Engineer
Employing Plumber's Name
MIAMI SHORES VIL'bAG
PLUMBING INSPECTION DEPARTMEi >'
•
Noe)
No._
r
Ng Street. rte✓
Id Street__ _--- = •--- -
Subdivision
Location and Legal Description Lot__.__.._._ ____— .._________ ________—._Block_
1S Street and Number where work is to be performed— No._t . _ ..4 !I _
State work to be performed and purpose of building (By Floors)_
New Building Remodeling_____ — __._____ Addition____.___._______ ______ Repairs No. of Stories
Street ®' I . /API �3"/h 0 #01
Size Septic Tank — Type of Tank____
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Amount of Permit $ Z -
Size of Soakage Pit -
bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed)
Capacity Gals.
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.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
UR
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
APPLICATION FOR PLUMBING ' �����1�
Permit No 47 3 _ -. Date ®t rn.
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 ___6..1__ '
Registered Architect and /or Engineer
Employing Plumber's Name
MIAMI SHORES VIL'bAG
PLUMBING INSPECTION DEPARTMEi >'
•
Noe)
No._
r
Ng Street. rte✓
Id Street__ _--- = •--- -
Subdivision
Location and Legal Description Lot__.__.._._ ____— .._________ ________—._Block_
1S Street and Number where work is to be performed— No._t . _ ..4 !I _
State work to be performed and purpose of building (By Floors)_
New Building Remodeling_____ — __._____ Addition____.___._______ ______ Repairs No. of Stories
Street ®' I . /API �3"/h 0 #01
Size Septic Tank — Type of Tank____
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Amount of Permit $ Z -
Size of Soakage Pit -
bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed)
Capacity Gals.
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.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty
materials and /or workmanship.
0
Permit No ...... j.y_.. L l'
Application is hereby made for the ap 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 6 2 - 41 1 Cl u3 s E No. - Street
Registered Architect and /or Eng i ee - .�
er r ________.,_._
Employing Plumbei s Name v ° ' r L- / No. _ 7_ _. G -- - /V iA- *i
Location and Legal Description Lot ____ — __.______________ Block
Street and Number where work is to be performed- No.._1 ` Ai C / 0 � ' Street
State work to be performed and purpose of building (By Floors)._
New Building Remodeling :_______ _____ Addition.
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City
Amount of Permit $
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed).
STATE OF FLORIDA, l
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEid` '
APPLICATION FOR PLUMBING ; ,,•:dVilg
Type of Tank Capacity Gals.__
Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
Before me, the undersigned authority, a notary ublic, duly authorized to'administer oaths 'arid 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.
(Signed)
Date / — /l — J(°
Subdivision
Repairs No. of Stories
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
INK
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N6
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
0
Permit No ...... j.y_.. L l'
Application is hereby made for the ap 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 6 2 - 41 1 Cl u3 s E No. - Street
Registered Architect and /or Eng i ee - .�
er r ________.,_._
Employing Plumbei s Name v ° ' r L- / No. _ 7_ _. G -- - /V iA- *i
Location and Legal Description Lot ____ — __.______________ Block
Street and Number where work is to be performed- No.._1 ` Ai C / 0 � ' Street
State work to be performed and purpose of building (By Floors)._
New Building Remodeling :_______ _____ Addition.
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City
Amount of Permit $
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed).
STATE OF FLORIDA, l
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEid` '
APPLICATION FOR PLUMBING ; ,,•:dVilg
Type of Tank Capacity Gals.__
Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
Before me, the undersigned authority, a notary ublic, duly authorized to'administer oaths 'arid 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.
(Signed)
Date / — /l — J(°
Subdivision
Repairs No. of Stories
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.