SprinklerPermit No. q
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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 1 " _ _ _ _ 1 _ Street / 0 /
Registered Architect and /o 'ngineer___.
Employing Plumber's N. ��' � - _ -- � - " -- � � _'_ -- .� __ 4 .____ Street_
— _L_�- - - - - --
Location and Legal Desc ;•lion Lot-------- - - - -__ _ .__ __ Block_ Subdivision.--__,___
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 ___._ --
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.__ _________ ----- _____ -- _.... __________.Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, !
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition________.__..___ ______ Repairs No. of Stories
(Signed) _
(Signed
Date._
- /
Capacity Gals.
My Commission Expires Notary Public, State of Florida
T
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 bas 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 si of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, (•� ork to be e • under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
CONK.
DRAIN SOAKAGE
FIELD / / PIT
1,../
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
C LIST
LIST
CHICK
Permit No. q
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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 1 " _ _ _ _ 1 _ Street / 0 /
Registered Architect and /o 'ngineer___.
Employing Plumber's N. ��' � - _ -- � - " -- � � _'_ -- .� __ 4 .____ Street_
— _L_�- - - - - --
Location and Legal Desc ;•lion Lot-------- - - - -__ _ .__ __ Block_ Subdivision.--__,___
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 ___._ --
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.__ _________ ----- _____ -- _.... __________.Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA, !
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition________.__..___ ______ Repairs No. of Stories
(Signed) _
(Signed
Date._
- /
Capacity Gals.
My Commission Expires Notary Public, State of Florida
T
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 bas 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 si of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, (•� ork to be e • under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
JOB:
BUILDING
ELECTRICAL
PLUMBING
• •
. •
• •
• •
• •
• •
• •
• •
• •
• •
• •
• •
• •
• •
• • •
• ..
The following is roo for Inspection:
Inspector's Report:
•
•
•
•
•
•• • WORK
• DONE BY:
AD: /5- a,-kleAVg,
REQUESTED
: WILL BE READY
•
•
•
•
PLUMBINICI t PECTION DEPARTMENT
,,,,APPLICATION FOR PLUMBING PERMIT
Permit No4f___ _� __,`"
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. tt
Owner's Name and Address __1_e' } �� } �_�.__t_!�_L_i, _ No.__ Street___ 1 0 I
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot _ tt � Bllock
Street and Number where work is to be performed— No._i _�_Q 0 r •:. ___
State work to be performed and purpose of building (By Floors)
New Building —____— Remodeling Addition
GP
Septic Tank
et of Drain Tile_
Nature of Water Supply: City —Well L -- Size of Soakage Pit.
Amount of Permit $_ 0
ss.
My Commission Expires
MIAMI SHORES VILLAGE
C No
. a_ 14-0
Dist. Feet of Tank or Drain Field from Well
Date- L 2
Street
Subdivision_
Repairs No. of Stories
Type of Tank . Capacity Gals . ........ 5'
(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
Notary Public. State of Florida
' f
Vaster Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac'.owledgments, 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
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
_CONTR.
1 1ST
/
�/
__K
7 y
PLUMBINICI t PECTION DEPARTMENT
,,,,APPLICATION FOR PLUMBING PERMIT
Permit No4f___ _� __,`"
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. tt
Owner's Name and Address __1_e' } �� } �_�.__t_!�_L_i, _ No.__ Street___ 1 0 I
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot _ tt � Bllock
Street and Number where work is to be performed— No._i _�_Q 0 r •:. ___
State work to be performed and purpose of building (By Floors)
New Building —____— Remodeling Addition
GP
Septic Tank
et of Drain Tile_
Nature of Water Supply: City —Well L -- Size of Soakage Pit.
Amount of Permit $_ 0
ss.
My Commission Expires
MIAMI SHORES VILLAGE
C No
. a_ 14-0
Dist. Feet of Tank or Drain Field from Well
Date- L 2
Street
Subdivision_
Repairs No. of Stories
Type of Tank . Capacity Gals . ........ 5'
(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
Notary Public. State of Florida
' f
Vaster Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac'.owledgments, 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.