1234 NE 101 St (6)Permit No... ` 1�
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shames 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
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's NAM � cc's 7/ 9 3 tl 6_-
... Nor. .._..._L.�,... ItrMt_.�._.,,..........
Location and Legal Description Lot. Bloc3t_ SubdivWon.___
Street and Number where work is to be performed —No Street.
State work to be performed and purpose of building (By Floors)__._._ __.w New Building.._...._._._ - _ . Remodeling—__......._._...__ Addition.. _.__.._..._... Repair..._.. .......... No. of Stories............... .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date.. ..!.__v . 9 - / g
Size Septic Tank__
Feet of Drain Tile.
Nature of Water Supply: City —Well.
Type of T■nk _
___--__Dist. Feet of Tank ar Drain Field from Well
Amount of Permit $_' v
Size of Soakage Pit..
(Signed) _lam
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 Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the sac public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, . j work � ' under this permit, as are
licensed by Miami Shores Village,
to me well known, and who, being by me first duly sworn, upon oath deposes and says
of the above described construction, that he has carefully read the foregoing app
therein hoi *Me @g9►inteOf FLOR I DA AT LAM
MY COMMISSION EXPIRES SEP1. 20 1982
y .,..
.Capadty Gals._
STATE OF FLORIDA. I µ
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
wand the
that he did_ ; i > Site same, anal that 01 flfcte
Pubho, State of Florida
Master Plumber. -
NOTE: A re- inspection fee of $1.00 will be made what, sa da mirspeollos is ssade•nsoaauty by Improper notice for inspection, or fealty
materials and /or worl®anship.
CLOSETS
BATH
TUBS
S [RS
LAVA.
TORIES
SINK
SLOP
SINK[
LAUNDRY
TUls
URINAL.
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURE[
GONTR.
LIST
CN[cK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
OUP
WELL
SPRKLR.
SYSTEM
SWING
POOL
CONTR.
LAST
CHECK
Permit No... ` 1�
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shames 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
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's NAM � cc's 7/ 9 3 tl 6_-
... Nor. .._..._L.�,... ItrMt_.�._.,,..........
Location and Legal Description Lot. Bloc3t_ SubdivWon.___
Street and Number where work is to be performed —No Street.
State work to be performed and purpose of building (By Floors)__._._ __.w New Building.._...._._._ - _ . Remodeling—__......._._...__ Addition.. _.__.._..._... Repair..._.. .......... No. of Stories............... .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date.. ..!.__v . 9 - / g
Size Septic Tank__
Feet of Drain Tile.
Nature of Water Supply: City —Well.
Type of T■nk _
___--__Dist. Feet of Tank ar Drain Field from Well
Amount of Permit $_' v
Size of Soakage Pit..
(Signed) _lam
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 Pennanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the sac public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, . j work � ' under this permit, as are
licensed by Miami Shores Village,
to me well known, and who, being by me first duly sworn, upon oath deposes and says
of the above described construction, that he has carefully read the foregoing app
therein hoi *Me @g9►inteOf FLOR I DA AT LAM
MY COMMISSION EXPIRES SEP1. 20 1982
y .,..
.Capadty Gals._
STATE OF FLORIDA. I µ
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
wand the
that he did_ ; i > Site same, anal that 01 flfcte
Pubho, State of Florida
Master Plumber. -
NOTE: A re- inspection fee of $1.00 will be made what, sa da mirspeollos is ssade•nsoaauty by Improper notice for inspection, or fealty
materials and /or worl®anship.
Owner's Name and Address---- ___- - -__ -_ _ No.
Nature of Water Supply: City —Well
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No �' Date _
.7_0- S,S
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.
Registered Architect and /or Engineer --.....
___________�____
Employing Plumbei s Name ' °l' �L --vs .rte �+.o No.------ -__- -- - - - - - -- Street_ r - - - --
Location and Legal Description Lot__ \ _ Block_ Subdivision.
Street and Number where work is to be performed— No.____i __ • Street
State work to be performed and purpose of building (By Floors)
New Building -___._ _._ Remodeling_______ _______ Addition._______.______________ Repairs No. of Stories
Size Septic Tank _____________ Type of Tank__ Capacity Gals
Feet of Drain Tile__ _Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Amount of Permit $ 1 Bt - (Signed) -s% in�g 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. t
( Signed )_).(...,&.o16‘ ,,,3,-------, -
, -.-
....p.,,,I.--.-
Street
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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
V y _ 0 etc,
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 d /ar workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SIN"
SLOP
SINKS
LAUNDRY
TUBE
URINALS
RINALS
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
Owner's Name and Address---- ___- - -__ -_ _ No.
Nature of Water Supply: City —Well
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No �' Date _
.7_0- S,S
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.
Registered Architect and /or Engineer --.....
___________�____
Employing Plumbei s Name ' °l' �L --vs .rte �+.o No.------ -__- -- - - - - - -- Street_ r - - - --
Location and Legal Description Lot__ \ _ Block_ Subdivision.
Street and Number where work is to be performed— No.____i __ • Street
State work to be performed and purpose of building (By Floors)
New Building -___._ _._ Remodeling_______ _______ Addition._______.______________ Repairs No. of Stories
Size Septic Tank _____________ Type of Tank__ Capacity Gals
Feet of Drain Tile__ _Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Amount of Permit $ 1 Bt - (Signed) -s% in�g 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. t
( Signed )_).(...,&.o16‘ ,,,3,-------, -
, -.-
....p.,,,I.--.-
Street
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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
V y _ 0 etc,
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 d /ar workmanship.
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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 N � '�_'S e No._ _ Street
Registered Architect and /or Engineer ______________
Employing Plumber's Name c' C s P - G No._ i _._____________ Street_
Location and Legal Description Lot ------ -_--__ _ . --_ -- _ ___ — Block Subdivision-____-__.._ .................
_
Street and Number where work is to be performed —No A, 6_.__L DJ Street
State work to be performed and purpose of building (By Floor s)_d_ ..... _-- ... _- ....
_____.__
New Building Remodeling___ ____ Addition _ Repairs No. of Stories.
Size Septic Tank _ _• -_.
Feet of Drain Tile._
Nature of Water Supply
Amount of Permit $
W
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank__
_Dist. Feet of Tank or Drain Field from Well
- -- (Signed)_
(Signed).
Date
Capacity Gals
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(4, Master Plumber.
STATE OF FLORIDA, t lJ
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires - Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
maters and/or workmanship.
w
i'
CLOSETS
BATH
TUBS
SHOWER•
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
S `'
K
9
/
T
TOTAL
FIXTURES
{
CONTR.
L IST
/
/
^
3
CHECK
a SD
7
`�
/�
- 1r
9s
„a
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE'
TRAP
961:01
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
wt23 -' t.
CONTR.
UST
J
®
- --
-
CHECK
)
/ 0
1
/ �
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 N � '�_'S e No._ _ Street
Registered Architect and /or Engineer ______________
Employing Plumber's Name c' C s P - G No._ i _._____________ Street_
Location and Legal Description Lot ------ -_--__ _ . --_ -- _ ___ — Block Subdivision-____-__.._ .................
_
Street and Number where work is to be performed —No A, 6_.__L DJ Street
State work to be performed and purpose of building (By Floor s)_d_ ..... _-- ... _- ....
_____.__
New Building Remodeling___ ____ Addition _ Repairs No. of Stories.
Size Septic Tank _ _• -_.
Feet of Drain Tile._
Nature of Water Supply
Amount of Permit $
W
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank__
_Dist. Feet of Tank or Drain Field from Well
- -- (Signed)_
(Signed).
Date
Capacity Gals
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(4, Master Plumber.
STATE OF FLORIDA, t lJ
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires - Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
maters and/or workmanship.
w
i'
re
1\ .. 1
•