Plumbing PermitPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address /o / J /D / Si • Tax Folio // ,'c O ff-' .4 1 456 g/
Legal Description / a im % nJ ,1041 /"'C P
Lessee / Tenant 5/}/Y) /CJuie.7 Master Permit # 2 , 5 fr
Owner's Address /aO t Ai �- /0/ Si • Phone 7..s 4 36 a
Contracting Co. ,,'/ Address
Qualifier d2,1 0 SS# - - Phone
State Vfr Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
IV
,4e . . i.e14aGl! 01
/
Square Ft. Estimated Cost(value)e4j4.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing infor
be done in compliance with all applicable laws regul
authorize the above -named contractor to do the wor
Signature of owner and /or Condo President
Date:
n is accurate and that all work will
uction and zoning. Furthermore, I
:My Commission Exp. April MI 1
41 Na CC197545
t r S � �IUb
: ; .Notary Public, State of Florida
Date 2
Date 7
:
tar " as to Co
Notary as to Owner and /or Condo President
My Commission Expires: My Commission Ex j,
i re8÷--- nt type or stamp name of Notary Public
.'rson.aliy kno'. ;'n []OR Produced LD.
Type and number of I.D. pr di ed•
** * * * * * * * * * * * * * * 7 / **
❑ DID take an oath, or
FEES: PERMIT!' � RADON C.C.F. ., �e) NOTAR Y ,4
APPROVED:
DD ■p, DID Nataa 57
Fire Other
Zoning Building Electrical
1 ngineering ( Plumbingl'I'w /' 7gineering
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
Registered Architect and /or Engin- -r_ ________
No.______________ Street_
_ Block _. - __ - Subdivision ------------------------ ___ - --
Street and Number where work is to be performed —No J 2 /b./ Street
State work to be performed and purpose of building (By Floors)_
New Building _ Remodeling___ Addition________._______________ Repairs No. of Stories
Employing Plumber's Name
Location and Legal Description
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $ �--
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.___ _
(Signed)_
(Signed)_
Date 3 2
Street
Type of Tank_ Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent s pplement, 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 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
_�
/
0 /
.
TOTAL
FIXTURES
CONTR.
LIST
/
CHECKa/t-
—
- --
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
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 Engin- -r_ ________
No.______________ Street_
_ Block _. - __ - Subdivision ------------------------ ___ - --
Street and Number where work is to be performed —No J 2 /b./ Street
State work to be performed and purpose of building (By Floors)_
New Building _ Remodeling___ Addition________._______________ Repairs No. of Stories
Employing Plumber's Name
Location and Legal Description
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well
Amount of Permit $ �--
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.___ _
(Signed)_
(Signed)_
Date 3 2
Street
Type of Tank_ Capacity Gals.
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent s pplement, 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
Date S° 191w?
❑ PERMIT NiD
0
Work
to be performed under this Permit
Architect
Contractor f
or Builder ` tC°.: ` . , — ► _ +s. �..,
Legal Lot ii 1 Subdi-
Description ii BI _ - vision
Sq. Ft. „
Address of } `` �, 4.-- Value of Amount of
Building # ' Project $ 11 Permit $
8562
Contractor's
License No.
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 applica-
tion 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 sho on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or em loyees. -
Ec-TOR) • BY
In consideration of the issuance to me of this permit I agree to rform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, sta niejtts or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by they, myself, my agent, ervant or employee.
Signed. a . �►"`+ , *,:.
CONTRACTOR or BUILDER
BY — AUTHORITY
Permit No 4 1.— Date September 2, 1955.
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 __. -�S,SS QZ HD __ --- __ No. --------- _--- •- -___ -- Street.
Registered Architect and /or Engineer _____
_____— _— __-�_.. -�-- -- - -- -- ___ --- -- --------•------- __ -- --
Employing Plumber's Name Giff en_Intius t �' 1 A , n c . No._BDX.__ Lan _ Street C Q.1!§41 G.b 1, e s s F2. a •
Location and Legal Description Lot- Block Subdivision. ------ ------ .-_.....
_- --- - -_..._
Street and Number where work is to be performed -No.__ 202 N . E� 102. S tit-- Street
State work to be performed and purpose of building (By Floors) ____ -_ ---------.__---
New Building ._- Remodeling__-_- —__.__ Addition____._._ - Repairs
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City -Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
STATE OF FLORIDA, }
COUNTY OF DADE.
_$e I11a� i 21 �T- 129�T - Sala' -Tank
- ----------- ---- -- - -- (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 5968, Compiled General Laws of Florida Permanent Supplement, and has corn-
. 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. GIFFEN INDUSTRIES, INC.
(Signed)._
141
J. W. Fleming, 'reas.
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
No. of Stories - -One
lces rer.
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 by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR DEEP
HEATER WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
cetera.
LILT
- 20- GG1 w
- --
CHECK
Tank
-
Permit No 4 1.— Date September 2, 1955.
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 __. -�S,SS QZ HD __ --- __ No. --------- _--- •- -___ -- Street.
Registered Architect and /or Engineer _____
_____— _— __-�_.. -�-- -- - -- -- ___ --- -- --------•------- __ -- --
Employing Plumber's Name Giff en_Intius t �' 1 A , n c . No._BDX.__ Lan _ Street C Q.1!§41 G.b 1, e s s F2. a •
Location and Legal Description Lot- Block Subdivision. ------ ------ .-_.....
_- --- - -_..._
Street and Number where work is to be performed -No.__ 202 N . E� 102. S tit-- Street
State work to be performed and purpose of building (By Floors) ____ -_ ---------.__---
New Building ._- Remodeling__-_- —__.__ Addition____._._ - Repairs
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City -Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
STATE OF FLORIDA, }
COUNTY OF DADE.
_$e I11a� i 21 �T- 129�T - Sala' -Tank
- ----------- ---- -- - -- (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 5968, Compiled General Laws of Florida Permanent Supplement, and has corn-
. 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. GIFFEN INDUSTRIES, INC.
(Signed)._
141
J. W. Fleming, 'reas.
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
No. of Stories - -One
lces rer.
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 by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE. FLORIDA
❑
❑ PERMIT N? 2473 Contractor's
❑ License No.
a
Architect
Contractor
or Builder - --
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
Work to be performed under this Permit
•
B1
V /
195
Subdi-
vision
Value of
Project $
Amount of
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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT ■9 2128
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of
Building r
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
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
Subdi-
vision
Value of
Project
DATE
194!
Contractor's
License No.
Amt. of
Permit
JOB:
ELECTRICAL
PLUMBING
Inspector's Report:
:
•
•
• •
•
•
•
•
•
•
•
• ▪ ")
•
• ,
WORK `�
DONE BY: ������� �' /�- ,
REQUESTED L : WILL BE READY
•
AD: _1 '
The following is ready for Inspection:.
,c'
JOB:
BUILDING
ELECTRICAL :
PLUMB ING
Inspector's Report:
{
The following is ready for Inspection:
AD: / / //ii
REQUESTED
W OR K
DONE BY:
. WILL BE READY
3-0
15/0 1#441-1A.P-
e -r, e
xe—
Permit No... ._
/7f
Street and Number where work is to be performed —No.
Amount of Permit $__ ___ r __
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.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Owner's Name and Address PcYL 1 No.
Registered Architect and /or Engineer
Employing Plumber's Name City Plumbing Company No
Location and Legal Description Lot Block
State work to be performed and purpose of building (By Floors)
New Building X Remodeling Addition
(Signed
Street
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
4646 N. W. Street 17th Ave
Subdivision Amended flat of
Tract 184 A, Sec. $
Repairs No. of Stories.___ 1
Size Septic Tank 3 X 6'9" X 5t1 Type of Tank _- Poured-__Cb� rate Capacity Gals. ____ s 00 ________.
Feet of Drain Tile 1 6 8 Dist. Feet of Tank or Drain Field from Well 50
Nature of Water Supply: City —Well. City Size of Soakage Pit.
P6mbing Inspector.
�� i
rtify th a understands and accepts his obligations as an employer of labor
Compil d General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the word. 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
STATE OF FLORIDA, k
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
April 18, 1941
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
terials 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
A
'2
2
2
4
1
1
141
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... ._
/7f
Street and Number where work is to be performed —No.
Amount of Permit $__ ___ r __
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.
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Owner's Name and Address PcYL 1 No.
Registered Architect and /or Engineer
Employing Plumber's Name City Plumbing Company No
Location and Legal Description Lot Block
State work to be performed and purpose of building (By Floors)
New Building X Remodeling Addition
(Signed
Street
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
4646 N. W. Street 17th Ave
Subdivision Amended flat of
Tract 184 A, Sec. $
Repairs No. of Stories.___ 1
Size Septic Tank 3 X 6'9" X 5t1 Type of Tank _- Poured-__Cb� rate Capacity Gals. ____ s 00 ________.
Feet of Drain Tile 1 6 8 Dist. Feet of Tank or Drain Field from Well 50
Nature of Water Supply: City —Well. City Size of Soakage Pit.
P6mbing Inspector.
�� i
rtify th a understands and accepts his obligations as an employer of labor
Compil d General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the word. 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
STATE OF FLORIDA, k
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
April 18, 1941
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
terials and /or workmanship.
Permit No P;!=-4471
Amount of Permit $_ 22_00
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 a
building during progress of work.
Owner's Name and Address
j& gne-S--- BAx'_tD11---------------- - - - - -- No. ---------- 1302 -------- - - - - -. street---- Ii4___ 5
Registered Architect and /or Engineer
Employing Plumber's Name _____ @.a5 cr!awf Qrd No .310 Street __ yIYJi__
-- Amended P1 bl of track 184 -.t Section 8
Location and Legal Description L ot_��,______�_ —_ —__ ock_ �___� Subdtvtsion____
j
Street and Number where work is to be performed —No s Street +'_ Q.1_s t_ –,S t_
State work to be performed and purpose of building (By Floors)
My Commission Expires
Ins tt_1LS L r_
New Building Remodeling Addition____ _– Repairs No. of Stories
Size Septic ___________ Type of Tank Capacity Gals._____– J5.0–_g1
Feet of Drain Tile__ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
_(Signed)
Plumbi
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an er
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him ii
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under thij
licensed by Miami Shores Village.
(Signed) v 4:0
George Crawford
Date_ __N_j1 10, 1941
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. /
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 thZ F
therein by him stated are true.
Notary Public. State of Florida
aa.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspec/u!ty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
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
x
Permit No P;!=-4471
Amount of Permit $_ 22_00
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 a
building during progress of work.
Owner's Name and Address
j& gne-S--- BAx'_tD11---------------- - - - - -- No. ---------- 1302 -------- - - - - -. street---- Ii4___ 5
Registered Architect and /or Engineer
Employing Plumber's Name _____ @.a5 cr!awf Qrd No .310 Street __ yIYJi__
-- Amended P1 bl of track 184 -.t Section 8
Location and Legal Description L ot_��,______�_ —_ —__ ock_ �___� Subdtvtsion____
j
Street and Number where work is to be performed —No s Street +'_ Q.1_s t_ –,S t_
State work to be performed and purpose of building (By Floors)
My Commission Expires
Ins tt_1LS L r_
New Building Remodeling Addition____ _– Repairs No. of Stories
Size Septic ___________ Type of Tank Capacity Gals._____– J5.0–_g1
Feet of Drain Tile__ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
_(Signed)
Plumbi
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an er
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him ii
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under thij
licensed by Miami Shores Village.
(Signed) v 4:0
George Crawford
Date_ __N_j1 10, 1941
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. /
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 thZ F
therein by him stated are true.
Notary Public. State of Florida
aa.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspec/u!ty
materials and /or workmanship.
Permit No.._____.
Amount of Permit $_____,/— O `
• .• --
j MIAMI SHORES VI LAG E
1 1 PLUMBI''SPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors
New Building .X. Remodeling Addition Repairs
s s.
My Commission Expires
(Signed)
Date _April 18 — _
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 ______ No
Registered Architect and /or Engineer
Employing Plumber's Name City/ P1uLllbixl� COTS( No. 4646 • � Street
Location and Legal Description Lot 8 Block Subdivision Amended plat as _
Street and Number where work is to be performed —No Street Tract 184 A c'e0•
• Street
A0'/
17th Ave
Size Septic Tank.. 31 K 619 X 6t Type of Tank _ _Poured__Conrrete Capacity Gals.___ GOO
Feet of Drain Tile 168 Dist. Feet of Tank or Drain Field from Well 50
Nature of Water Supply: City —Well. City Size of Soakage P' .
Notary Public. State of Florida
No. of Stories L
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that e 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.
1
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
4
2
2
4
1
1
14
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
V'
6
CHECK
Permit No.._____.
Amount of Permit $_____,/— O `
• .• --
j MIAMI SHORES VI LAG E
1 1 PLUMBI''SPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
State work to be performed and purpose of building (By Floors
New Building .X. Remodeling Addition Repairs
s s.
My Commission Expires
(Signed)
Date _April 18 — _
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 ______ No
Registered Architect and /or Engineer
Employing Plumber's Name City/ P1uLllbixl� COTS( No. 4646 • � Street
Location and Legal Description Lot 8 Block Subdivision Amended plat as _
Street and Number where work is to be performed —No Street Tract 184 A c'e0•
• Street
A0'/
17th Ave
Size Septic Tank.. 31 K 619 X 6t Type of Tank _ _Poured__Conrrete Capacity Gals.___ GOO
Feet of Drain Tile 168 Dist. Feet of Tank or Drain Field from Well 50
Nature of Water Supply: City —Well. City Size of Soakage P' .
Notary Public. State of Florida
No. of Stories L
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that e 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.
1
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.
7
DATF
JOB NAM
LOCATION OF JOB
MAIL BID TO'
TOTAL COST ROUGHING MATERIAL
TOTAL COST OF, LABOR
TOTAL COST OF FIXTURES
SEPTIC TANK
PERMITS
OTHER ADDITIONS
TOTAL COST OF JOB
SALE PRICE QUOTED
3
Permit No.
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 No.__�_2^ C C
--- Street- I � r
Registered Architect and /or Engineer y ��
Employing Plumber's Name ih`__k'_r_l Vie_ ' t —, )14 '= >a
Location and Legal Description Lot___________ _ Block
Street and Number where work is to be performed— No. _;__5_�_ •
State work to be performed and purpose of building (By Floors) _
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank__
Feet of Drain Tile__
7)
APPLICATION FOR PLUMBING PERMIT
Date ft )' ( I
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
I
Type of Tank Capacity
Dist. Feet of Tank or Drain Field from Well__
•
Nature of Water Supply: City —Well. L � Size of Soakage Pit
Ya`
Amount of Permit s__G: _mo
My Commission Expires
(Signed)
Street .1'"1 L_`��
Notary Public. State of Florida
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) L - -- - -
z ! J
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 fac
therein by him stated are true.
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 fi-a
materials and /or workmanship.
\4
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
Permit No.
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 No.__�_2^ C C
--- Street- I � r
Registered Architect and /or Engineer y ��
Employing Plumber's Name ih`__k'_r_l Vie_ ' t —, )14 '= >a
Location and Legal Description Lot___________ _ Block
Street and Number where work is to be performed— No. _;__5_�_ •
State work to be performed and purpose of building (By Floors) _
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank__
Feet of Drain Tile__
7)
APPLICATION FOR PLUMBING PERMIT
Date ft )' ( I
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
I
Type of Tank Capacity
Dist. Feet of Tank or Drain Field from Well__
•
Nature of Water Supply: City —Well. L � Size of Soakage Pit
Ya`
Amount of Permit s__G: _mo
My Commission Expires
(Signed)
Street .1'"1 L_`��
Notary Public. State of Florida
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) L - -- - -
z ! J
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 fac
therein by him stated are true.
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 fi-a
materials and /or workmanship.
\4