PLUMBING PERMITPLUMBING FOR ADDITION
s %C
J ''`
,AN 26 200?
Passed
Ins
r Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 01/22/2007
Inspector: Levrack, James
Owner: WAYNE, JOHN
Job Address: 1247 101 Street NE
Project: <NONE>
Friday, January 19, 2007
Miami Shores Village, FL 33138-
Contractor: EDDIE ROJAS PLUMBING INC
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL'
Phone: (305)795 -2204 Fax: (305)756 -8972
Ins •
Permit Type: Plumbing - Residential
Inspection Type: Underground Rough
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132050250050
Lot:
Phone: 305 - 944 -6788
Page 1 of 1
_ -^
TOTAL
Fl *TUNIS
CLOSETS
BATH
Tulle
SNOW[R/
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TueS
uR
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
Corm.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASI
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
SYSTEM
SWIM'O
P001.
CL
I[T
L T
CHLCK
�-
179 •57 -000
Permit No.._.X4.. Q 4 0
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 Dopy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address A. W. k'H ILP OTZ No 1247 J . E . Street.__ __1D 1
Registered Architect and /or Engineer
Employing Plumber Name PF.0PT.J' (=Ac RVRTFM .. --. r., Na.,.,.,55; r F..._........ Itrest-12.4...Z.L. .�.a
Location and Legal Description Lot. Block Subdiv1son.
Street and Number where work is to be performed —No Street- . .._..___
State work to be performed and purpose of building (By Flows)
New Building - - - -- _ -- Remodeling Addition
Size Septic Tank_.._ Type of Tank
Feet of Drain Tile Dust Feet of Tank or Drain Field from Well_ _...._.
Nature of Water Supply: City—Well. Size of Soakage Pit..
1— GAS METER SET
Amount of Permit $ --$ S.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Repairs No. of Stories
(Si ) :-t 1P LL'!I..
Plumb I Spector.
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 hdlg com-
plier 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.
( Slit) -4()c & 1 L d.
Muter Plumber.
STATE OF FLORIDA, I u
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all fads
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re fee of $L00 will be made whoa ads rrispsstioe le made.naoaasary by improper notice for bispection, or husky
materials and /or workmanship.
Permit No // -+L— 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 1 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. , �j !( ,, /
Owners Name and Address /9/ � — [ / ` O 1/ No. /` ` 7 S / r E /0( 'S, L
Registered Architect and /or Engineer -- — —
Employing Plumber's Name 1E 5 __ T 4 "9 ? NO„ `3S° n...... Si eet...a /Y e-4-)
... �. '.
Subdivision.._ _ —__.. —_ 2.3 /6 r
Location and Legal Description Lot_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
N Building Remodeling —__ — .._.__ Addition
Size Septic Tank .-------- - - - - -- — - - - -- T ype 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 $�
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan 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.
Master Plumber.
STATE OF FLORIDA, I
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block_..
Repairs No. of Stories
Capacity Gals
(Signed)" `351} Wy
(Signed)
Street.
g8-
Plumbing Inspector.
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 sa that he is the
of the
�tTC 11.►1e lS 6, f _i, carefully read the foregoing apptitisons, on, and that he the sons, and that all fads
RY�9e .•
therein I iVt t 4 RiON TQQt�V�� MOIRES SEPT • 20 NB! \ f ��
sONDtD THRU GENERAL INS. MDELMRII� /I . —
My Commission Expires N Pubiic, State of Florida
NOTE: A re- inspection fee of $1.00 will be made wheel such e- Inspeedon 1{ mde'neosWary by improper notice for inspect, or fault'
materials and /or worlomanship.
CLOSET S
BATH
TUBR
SHOWER{
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tullis
U RINAL{
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
—
SEPTIC
ANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
MCP
WELL
SPRKLR.
S
SWIM'0
POOL
Co. NTR
I rt, `
sir'",c
LIST
CHECK
Permit No // -+L— 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 1 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. , �j !( ,, /
Owners Name and Address /9/ � — [ / ` O 1/ No. /` ` 7 S / r E /0( 'S, L
Registered Architect and /or Engineer -- — —
Employing Plumber's Name 1E 5 __ T 4 "9 ? NO„ `3S° n...... Si eet...a /Y e-4-)
... �. '.
Subdivision.._ _ —__.. —_ 2.3 /6 r
Location and Legal Description Lot_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
N Building Remodeling —__ — .._.__ Addition
Size Septic Tank .-------- - - - - -- — - - - -- T ype 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 $�
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan 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.
Master Plumber.
STATE OF FLORIDA, I
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block_..
Repairs No. of Stories
Capacity Gals
(Signed)" `351} Wy
(Signed)
Street.
g8-
Plumbing Inspector.
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 sa that he is the
of the
�tTC 11.►1e lS 6, f _i, carefully read the foregoing apptitisons, on, and that he the sons, and that all fads
RY�9e .•
therein I iVt t 4 RiON TQQt�V�� MOIRES SEPT • 20 NB! \ f ��
sONDtD THRU GENERAL INS. MDELMRII� /I . —
My Commission Expires N Pubiic, State of Florida
NOTE: A re- inspection fee of $1.00 will be made wheel such e- Inspeedon 1{ mde'neosWary by improper notice for inspect, or fault'
materials and /or worlomanship.
Permit No 9 1_ 1 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address_
Registered Architect and /or E �ip4r
Employing Plumber's Nam
Size Septic Tank
Feet of Drain
Location and Legal Description ....... Block_
Street and Number where work is to be performed —No 2. - Street
State work to be performed and purpose of building (By Floors)___
New Building Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING ";e.>MIT
d No.___1 i/7 Street)/ ! e a
�� pp�� aayy �+
. 1..�ee det1 Lam ., No._ 7� — Street.l _ 0-9 49Pf
Type of Tank__ Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____— _______..... __._.____......... ___~____Size of Soakage Pit
Amount of Permit $
My Commission Expires
(Signed)_
Date
--'29_ co
Subdivision
Addition.- .____._ Repairs No. of Stories. _
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.
Notary Public, State of Florida
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
eh:+sein by l'ir, 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
T
- rues
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
6 YtvyafP
/7 11
—/--
TOTAL
FIXTURES
/
CL
ST
LIST
—_
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
COMM.
LIST
-
CHECK
Permit No 9 1_ 1 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address_
Registered Architect and /or E �ip4r
Employing Plumber's Nam
Size Septic Tank
Feet of Drain
Location and Legal Description ....... Block_
Street and Number where work is to be performed —No 2. - Street
State work to be performed and purpose of building (By Floors)___
New Building Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING ";e.>MIT
d No.___1 i/7 Street)/ ! e a
�� pp�� aayy �+
. 1..�ee det1 Lam ., No._ 7� — Street.l _ 0-9 49Pf
Type of Tank__ Capacity Gals
_Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____— _______..... __._.____......... ___~____Size of Soakage Pit
Amount of Permit $
My Commission Expires
(Signed)_
Date
--'29_ co
Subdivision
Addition.- .____._ Repairs No. of Stories. _
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.
Notary Public, State of Florida
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
eh:+sein by l'ir, 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. FLORIDA
ELECTRICAL ❑ DATE 1%5_41_2,-
PLUMBING ® PERMIT N? 9917 Contractor's f
License No 4 f 3
BUILDING ❑
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Bl.
t `+ % e is 1
CONTRACTOR OR BUILDER
t
Subdi-
vision
Sq. Ft
Value of
Project $
•
Amt. of
Permit
$
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, .Servant or employee.
BY AUTHORITY
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Date April 24th ,19.53__
Owner's Name and Address E.H. Browder,_ Jr. No 1211.7 Street N....__101 gt__St•
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1247___NeL__ __BtrEet
State work to be done and purpose of building (by floors) installation of__.1SWn__sprj.nkler system..
320 feet oo_pig,
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit $ 1
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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 complied 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 subcontractors, on work to be performed uy(der this
permit, as are licensed by Miami Shores Village.
Remarks _ (Signed) 2/ •.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
Permit No 1_L} Date 14s P 7--.,„...r Read, Sworn to and Subscribed before me.
Disapproved Dat
i Public, Notary Public State of Florida
(Signed)
uiing piictor My Commission Expires
Brooks Sprinkler Company, ,54th__ ,Street
PLANNING BOARD DATE
Chairman Member
Member Member
Member _____ Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE 195
ELECTRICAL ❑ PERMIT N? 14572 Contractor's
PLUMBING License No
ROOFING ❑ Work to be performed under this Permit
Owner of
Building ..,. y
Architect
Contractor j
or Builder_ ,v- -e t-' -- .....-
Legal Lot II M.
Description
Subdi-
vision
Address o f Value of �� Amt. of r 1
Building + . 1 r r� , , 1 �
, Project $ S.T4 Permit $/
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
CONTRACTOR OR BUILDER
Signed•
C rt
BY
BY
•j�
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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
UILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builds"
Legal
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 1469
ork to be perf ed under this
Value of
Project
BY
19 4,.
Contractor's
License No.
Amt. of
Permit
A/
- This permil'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 plaits are changed without authorization. A further con tion
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thoroggh knowle a of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in she . statements of sp c fi ti ` and
that he assumes responsibility for work done by his agents, servants or employees. , ? ` :L•e-'0; . P *^ t . rT
Signed- .. - .. -.z= - - ",� �k,...,�...- By ,,•s
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. 1 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
1
AUTHORITY
_ —
(7 1;
JOB: / z-r 7 / I/ c o, /0/ ,i7
BUILDING
ELECTRICAL
PLUMBING
_ c e(
Inspector's RePort: -
•
• WORK
•
•
•
• DONE BY ,, „1
REQUESTED
•
•
•
•
•
•
•
•
•
•
•
• •
• •
• •
• •
• •
• •
• •
• •
•
•
•
•
WILL BE READY
The following is ready for Inspection: • !
6
Amount of Permit $_
Permit No /-
STATE OF FLORIDA, )
j ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
PPLICATION FOR PLUMBING PERMIT
Date / _2 ® 4 16
Application is hereby made for e approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. Th 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 , _14-..
No.1 2 i t _ I t Street__l `4 / ��
1
Registered Architect and /or Engineer
Employing Plumber's Name S ®1 C __4� � � A `� e /97411.v
Location and Legal Description Lot Block •
Street and Number where work is to be performed —No 1 2-4 7
State work to be performed and purpose of building (By Floors) N c
My Commission Expires
Nfia11
(Signed)
L4treet
Subdivision
Street
New Building Remodeling Addition Repairs No. of Stories.
Size Septic Tank Type of Tank. Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit.
(Signed) "
Notary Public. State of Florida
'yam A- L
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
•
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
�� /�.�"-
S LAO R
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Amount of Permit $_
Permit No /-
STATE OF FLORIDA, )
j ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
PPLICATION FOR PLUMBING PERMIT
Date / _2 ® 4 16
Application is hereby made for e approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. Th 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 , _14-..
No.1 2 i t _ I t Street__l `4 / ��
1
Registered Architect and /or Engineer
Employing Plumber's Name S ®1 C __4� � � A `� e /97411.v
Location and Legal Description Lot Block •
Street and Number where work is to be performed —No 1 2-4 7
State work to be performed and purpose of building (By Floors) N c
My Commission Expires
Nfia11
(Signed)
L4treet
Subdivision
Street
New Building Remodeling Addition Repairs No. of Stories.
Size Septic Tank Type of Tank. Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit.
(Signed) "
Notary Public. State of Florida
'yam A- L
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
•
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
Application is hereby made foi 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
Street and Number where work is to be performed —No 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Amount of Permit $__ R
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
:APPLICATION FOR PLUMBING PERMIT
s s.
i
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
My Commission Expires
i1- 22.. 'L ° No. Street_ 2/
Y: No.
Addition Repairs
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit.
(Signed)
Plumbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub = contractors employed by him in the work to be
inspection on the • site $€ the work such public notice or notices as are
sub - contractors, on to be performed under this permit, as are
(Signed) Y' .__
Date__
Notary Public. State, of Florida
s1 /R 'L
--------- --- ------------- - - - - -- - --
Street -' F ‘ )//:b � ► f . �) '
Subdivision /
No. of Stories.
s✓_'f fiJ` !1t
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 by 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
LIST
/1
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
Y'
CHECK
Permit No
Application is hereby made foi 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
Street and Number where work is to be performed —No 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Amount of Permit $__ R
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
:APPLICATION FOR PLUMBING PERMIT
s s.
i
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
My Commission Expires
i1- 22.. 'L ° No. Street_ 2/
Y: No.
Addition Repairs
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit.
(Signed)
Plumbing Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub = contractors employed by him in the work to be
inspection on the • site $€ the work such public notice or notices as are
sub - contractors, on to be performed under this permit, as are
(Signed) Y' .__
Date__
Notary Public. State, of Florida
s1 /R 'L
--------- --- ------------- - - - - -- - --
Street -' F ‘ )//:b � ► f . �) '
Subdivision /
No. of Stories.
s✓_'f fiJ` !1t
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 by 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 PERMIT
Permit No __ ____ Date__ -
Application is hereby made fot 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 ,2- 7!Fl_'AX'.a _C.Q' No.
Registered Architect and /or Engineer
n �
Employing Plumber's Name - ‘• No t �� �,t 3 Street__ ar
Subdivision_ -_/ S Xlea...4 •
Street 27 __ I L
Location and Legal Description Lot
Feet of Drain Tile_
Amount of Permit $-
Block 1 .1`-_
Street and Number where work is to be performed —No. 1__O4_81___ a 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Size Septic Tank Type of Tank Capacity Gals._
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Co mpensatign 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.
STATE OF FLORIDA,
COUNTY OF DADE.
appeared
ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
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
materials and /or workmanship.
(Signed)
i
/J c � � �
Street__! ' •
Repairs No. of Stoles
r s! , .
(Signed) ': 1.*c't . /. 4( / 1:01 deejimid¢ v
Mauer Plumber.
CLOSETS
BATH
TUDS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
LIST
CLIsT
(/ /
2
v
/
1/
CHECK
s /
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
CHECK
•
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No __ ____ Date__ -
Application is hereby made fot 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 ,2- 7!Fl_'AX'.a _C.Q' No.
Registered Architect and /or Engineer
n �
Employing Plumber's Name - ‘• No t �� �,t 3 Street__ ar
Subdivision_ -_/ S Xlea...4 •
Street 27 __ I L
Location and Legal Description Lot
Feet of Drain Tile_
Amount of Permit $-
Block 1 .1`-_
Street and Number where work is to be performed —No. 1__O4_81___ a 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Size Septic Tank Type of Tank Capacity Gals._
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Co mpensatign 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.
STATE OF FLORIDA,
COUNTY OF DADE.
appeared
ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
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
materials and /or workmanship.
(Signed)
i
/J c � � �
Street__! ' •
Repairs No. of Stoles
r s! , .
(Signed) ': 1.*c't . /. 4( / 1:01 deejimid¢ v
Mauer Plumber.
Y
t
Cd