133 NE 100 St (4)t tilmtT APPLICATION ron M U N I V I P A L I I I E S OF UADE COUNTY
(OWNER TO, ItiTiMMtt COPY )
Date - I �'� 2 Job Addreee 3 3 p e l CJ'O Tax Vol lot/ ,3 -g0' /3; O
legal Description
/ Lessee / Tenant
Lehi I 11 . 13 ((e f s : 5" „t P.rmjt. 3aZ/./
133 N-Et oc�
Contracting C . # 9 Z 5 Addreee ,5 c '/Z/eZ 5 /
Vail! #42 •. / Be L,3 . 3�� none
Stitt. d Competency fF L'/ 2 c9'4 ®7
•
Architect /Engineer
Bonding Company
Owner's Adlroai
Mortgagor
gnature of owner,
ate
Ho tall as' to Qwn-c) an
Ny = I WS 16 nItx0tie
* * *'_. *
PEMIT 10+ : " i
P v r9
ferrnii Type (oiiroi• one) i BALDING tn.BCYrnIcm. 1? LIMB ltid
1 /10RK DE$CRYPTIQN � ��f 7 2 �- 2) _ iTU
Yvet rt . _Estimated Cost a rp , a-, .
WARNING TO OWNER! YOU MUST RECORD A rHOTICID OF COMMENCEMENT MW YOUR FAILURE TO
U0 SO MAY RESULT tit YOUR PAYING TWICE B'OR XMPROVEIiEUUTS TO YOUR PROPERTY (IF LOU
'INTEND TO OBTAIN FINANCING, CONSULT WITS YOUR LENDER Olt AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT): '
A ppiication is hereby made to obtain a permit to do Work and instailation as indicated above, and
on the attached addendum (if applicable). ; 1 bertt.t that aii work will be performed to meet .the
lta�adirdtii H of all 1a4,a Wit eonatrhablon . izi t1 is utia ROOFING,
i ni I and CAL Kork
understand ar,ate
ferrate are required for ELECTRICAL; PLU IB t,1 131401
• �
OWNER'S AifIDAVIT1 I certify that all the foregoing accurate and that ail work
information is anour ewe regulating construction and coninr.
wilt. be done in compliance with all eppiiob�bii'
Furthermore; 1 authorise+ the above -named oonteaator to do the work stated.
ondo President
Noary Public
State of Florida at large
My Commission Expires:
February 1,1993
President
or Condo
Building
. ,
Hechanioal Plumbing t ''
rkse 5't 19cil
Address
Address
•
Address
' B i)der
ntrrAR�iigi�DeG. •de14 . -
i ran r' IS7,o19 * S 1 � '
* *' 4y � BONDED MU NOTARY PUBLIC UNDERWRITERS
antiq!t
R otary its
y Commialt
Phone
Ine,Cot r
HSO I CSAL
t .. .''ji y'!r-,.. rut+ 01.' T7: Ib, ��7 nn, t.;.' Irr' i., t�1i ':f,1Rrt1fT7� / ".I��i�n;. + : T.'::'.7:+± ..+1.:r'I'nu�t� +•.•VUJ'..�c t...,.. +.;,.�,.�,..,
PAVING TWICE' SIGH
•
rector or OWner- Builder
Fi re
Other
lectric
nearing
PgS *7:17 Rev 11/79
SECTION
SCALE U s
DWG ..BY
NE Q
A
Pr- CO E d LP .5R -T e -t
e oples G AS SYSTE , 1
DATE
1 - 1 0 -C i 1
SHEET
of
J.O.
A.F.E.
P • 2:17 Rev 11/ 79
SECTION
SCALE ^ , C
DWG. j
.E
NE 100
N r' r oSEd■ LP sty u,-€ e
e opl e S GAS SYSTEM , 1><.c
{v 13/01/41F
- XIIo
Met-7.
6l xis.: 1
I some
5pot itnke
Our 4 ANIG
b.Vlta o
6
arYxk?r74-xh
' L� � f jb,Rxi
DATE
-10 -C1
SHEET
oI ( .
A.F.E.
Size Septic Tank
Nature of Water Supply: City — Well.___
_ -- -- - - - - -- - -- c - `��-
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No ��. Date 12 -9 -66
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._D _F. AlloWax _ -- �_ _ _ __ No. 1� Street N.E . 100 St.
Registered Architect and /or Engineer
Employing Plumber's Name Dade Gas__CompanL __.._. Street
1180 N.W. 73 St. Miami
N o.__
Location and Legal Description Lot_ Block_ Subdivision
Street and Number where work is to be performed—No. 1 .32_ __.— _________ Street N.E. 100 St.
State work to be performed and purpose of building (By Floors)_ RANGE SET (CONNECTED ONLY TO PRESENT GAS LINES)
New Building __ Remodeling Addition_
Repairs No. of Stories.... ......... ......
Type of Tank Capacity Gals.
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed)_
(Srgned )- - - -- - - -- - -1 - -- --
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent upplement, and bus com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
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
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship
CLOSETS
BATH
TU BS
SHOWERS
LAVA
TORIES
SIN"
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
_-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
.
CONTR.
LIST
CHECK
Size Septic Tank
Nature of Water Supply: City — Well.___
_ -- -- - - - - -- - -- c - `��-
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No ��. Date 12 -9 -66
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._D _F. AlloWax _ -- �_ _ _ __ No. 1� Street N.E . 100 St.
Registered Architect and /or Engineer
Employing Plumber's Name Dade Gas__CompanL __.._. Street
1180 N.W. 73 St. Miami
N o.__
Location and Legal Description Lot_ Block_ Subdivision
Street and Number where work is to be performed—No. 1 .32_ __.— _________ Street N.E. 100 St.
State work to be performed and purpose of building (By Floors)_ RANGE SET (CONNECTED ONLY TO PRESENT GAS LINES)
New Building __ Remodeling Addition_
Repairs No. of Stories.... ......... ......
Type of Tank Capacity Gals.
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
(Signed)_
(Srgned )- - - -- - - -- - -1 - -- --
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent upplement, and bus com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
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
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
Date 11
PLUMBING ❑ PERMIT N° 8233 Contractor' f
ROOFING ❑ License No.
/1 %t ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR or BUILDER
Work to be performed under this Permit
1
t om:
Subdi-
vision
Sq. Ft.
Value of 11 Amount of •-
Project $ 11 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 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 shown 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 employees. f
;)
Signed:.: - •• _ •(INSPECTOR) 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 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
•
19 :''
et-
/-
o
Permit No ____________
___ - -. -- - --
Location and Legal Description Lot:
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING N : ;kMIT
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.
_ _ q'
Owners Name and Address -.7 -- .-_ --- ` ' � No._ /3 N • � E • - - -__ Street_ ) ® a
Registered Architect and /or
Employing Plumber's Name e. �?
Street.. ,
— _ —_.— Block
Street and Number where work is to be performed— No - '"`
State work to be performed and purpose of building (By Floors)
New Building ____ ___ Remodeling_____ ________ Addition______._._ Repairs No. of Stories
of Tank__ Capacity Gals
Size Septic Tank
Feet of Drain Tile °' a Dist. Fe of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Size of Soakage Pit
- (Signed)_ 6‘)
(Signed).
Date / 9 7
Notary Public, State of Florida
Subdivision
Street
Master Plumber.
Plumbing ) nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has (Im-
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.
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 worl®anship.
CLOSETS
BATH
TUBE
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
Corm.
LIST
-i
CHECK
et-
/-
o
Permit No ____________
___ - -. -- - --
Location and Legal Description Lot:
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING N : ;kMIT
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.
_ _ q'
Owners Name and Address -.7 -- .-_ --- ` ' � No._ /3 N • � E • - - -__ Street_ ) ® a
Registered Architect and /or
Employing Plumber's Name e. �?
Street.. ,
— _ —_.— Block
Street and Number where work is to be performed— No - '"`
State work to be performed and purpose of building (By Floors)
New Building ____ ___ Remodeling_____ ________ Addition______._._ Repairs No. of Stories
of Tank__ Capacity Gals
Size Septic Tank
Feet of Drain Tile °' a Dist. Fe of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Size of Soakage Pit
- (Signed)_ 6‘)
(Signed).
Date / 9 7
Notary Public, State of Florida
Subdivision
Street
Master Plumber.
Plumbing ) nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has (Im-
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.
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 worl®anship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
Dr Builder / ✓� r'
Legal Lot
Description
Address of
wilding f i
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 4860
ILL. / 1 ir1 p I
Work to be performed under this Permit
B1
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,
- Irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
one by his agents, servants or employees.
Signed. J. z.,3
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work coverer iereunder in compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY
Subdi-
vision
Value of
Project $
DATE r ' / 195_1_
Contractor's
License No. / s
Amount of
Permit $
AUTHORITY 6
BUILDING
ELECTRICAL :
PLUMBING
The following is ready for Inspection: -
Inspector's Report: ..
•
•
: REQUESTED
•
: WORK
DONE BY:
AD:
i � 7
READY
•
•
•
•
•
•
•
•
•
•
•
Q
s%r
JOB:
BUILDING
ELECTRICAL :
PLUMBING
•
•
: WORK
DONE BY:
REQUESTED
The following is ready for Inspection: -
Inspector's Report: -
( / -: // , --- 2 7
AD: (h Cry
READY
i (E'
JOB:
BUILDING .
ELECTRICAL :
PLUMBING
Inspector's Report:
: WORK
: DONE BY:
: REQUESTED
•
•
•
•
•
•
AD: ) 3 3 > e e— A
•
•
The following is ready for Inspection: ,
67
READY
‘° 20-40
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No... _I J
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 Engineer
Employing Plumber's Name f I '
Location and Legal Description Lot
appeared
s s.
C
It
Street and Number where work is to be performed —No / ? :,} f%
State work to be performe and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $
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 empAtvnly such
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a ng ry public, duly
My Commission Expires
Block
(Signed)
No
No. / Y} Street .6
w
•
(Signed) — — — — --
2.! -'iQ
Date — --- - - - - --
Street
Subdivision 1
Street U
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.
Notary Public, State of Florida
/ 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 of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
) Master Plumber.
49d 7 eve-
1
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
_
TOTAL
FIXTURES
CONTR.
LIST
•
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
IST
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No... _I J
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 Engineer
Employing Plumber's Name f I '
Location and Legal Description Lot
appeared
s s.
C
It
Street and Number where work is to be performed —No / ? :,} f%
State work to be performe and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $
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 empAtvnly such
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a ng ry public, duly
My Commission Expires
Block
(Signed)
No
No. / Y} Street .6
w
•
(Signed) — — — — --
2.! -'iQ
Date — --- - - - - --
Street
Subdivision 1
Street U
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.
Notary Public, State of Florida
/ 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 of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
) Master Plumber.
49d 7 eve-
1
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.
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.
y Q�
m 4,
Permit No..___/
Amount of Permit $___
8S.
My Commission Expires
MIAMI SHORES VI LLAG E
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 at
building during progress of work. (t} }} /�
Owner's Name and Address __Q_a_O_�\A __Lar„._5!__ _ No
Registered Architect and /or Engineer
Employing Plumber's Name No ,C Street_h __de
Location and Legal Description Lot__ _L_l f f 1 Block / 5 Subdivision LL'^ "1 4C le t'yS
Street and Number where work is to be performed— No .____l 7
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
Nature of Water Supply: City —Well. Size of Soakage Pit.
_ (Signed)
Street__
(Signed) /d
� .
Date Ue)
Street "V <
GI)
ing Inspect
The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as 6'h 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. Th).-finder signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shorg Village.
Notary Public, State of Florida
aster 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
>
j
{
/
!
f
ry
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
Llsr
CHECK
Permit No..___/
Amount of Permit $___
8S.
My Commission Expires
MIAMI SHORES VI LLAG E
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 at
building during progress of work. (t} }} /�
Owner's Name and Address __Q_a_O_�\A __Lar„._5!__ _ No
Registered Architect and /or Engineer
Employing Plumber's Name No ,C Street_h __de
Location and Legal Description Lot__ _L_l f f 1 Block / 5 Subdivision LL'^ "1 4C le t'yS
Street and Number where work is to be performed— No .____l 7
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
Nature of Water Supply: City —Well. Size of Soakage Pit.
_ (Signed)
Street__
(Signed) /d
� .
Date Ue)
Street "V <
GI)
ing Inspect
The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as 6'h 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. Th).-finder signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shorg Village.
Notary Public, State of Florida
aster 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.
6 -2 6
- • .1611
r
,f L w1L
^�!°vtt�vwL
Lem
/.a 2 3, t
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e
//
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
f
� 9
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 R.L. O'Dell No Street
746 NE 9412 St.
Registered Architect and /or Engineer
Employing Plumber's Name __ No Street_____
Location and Legal Description Lot__ $_& East i of 9 Block__ 65 Subdivision_ MiamiIShores
Street and Number where work is to be performed —No 74.6____ Street___ i'___94t1L
State work to be performed and purpose of building (By Floors)
New Building_ Yea 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
Amount of Permit $___
(Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
(Signed) _ / /
1 y
�J � Master Plumber.
licensed by Miami Shores Village.
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.
My Commission Expires Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
*
82 Fallon - 12
Regular
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
f
� 9
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 R.L. O'Dell No Street
746 NE 9412 St.
Registered Architect and /or Engineer
Employing Plumber's Name __ No Street_____
Location and Legal Description Lot__ $_& East i of 9 Block__ 65 Subdivision_ MiamiIShores
Street and Number where work is to be performed —No 74.6____ Street___ i'___94t1L
State work to be performed and purpose of building (By Floors)
New Building_ Yea 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
Amount of Permit $___
(Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
(Signed) _ / /
1 y
�J � Master Plumber.
licensed by Miami Shores Village.
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.
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.
Owner's Name and Address
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No..____. 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.
f
No
Registered Architect and /or Engineer
Employing Plumber's Name ,:. el--- ,!' '"d lk No Street
Location and Legal Description Lot____ —____ "- 7___Block Subdivision_ ___________________ —___________
Street and Number where work is to be performed —No € ' ' #_,_�_- _::_ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Street
No. of Stores______________
Size Septic Tank____ :_________________________ Type of Tank . Capacity Gals._______________
Feet of Drain Tile
Nature of Water Supply: City —Well. Size of Soakage Pit __________________ __ _____ ________
________________— _�____ —_____
Amount of Permit $__ ,
My Commission Expires
Dist. Feet of Tank or Drain Field from Well
(Signed)
(Signed) '
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public. State of Florida
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
10.0
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No..____. 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.
f
No
Registered Architect and /or Engineer
Employing Plumber's Name ,:. el--- ,!' '"d lk No Street
Location and Legal Description Lot____ —____ "- 7___Block Subdivision_ ___________________ —___________
Street and Number where work is to be performed —No € ' ' #_,_�_- _::_ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Street
No. of Stores______________
Size Septic Tank____ :_________________________ Type of Tank . Capacity Gals._______________
Feet of Drain Tile
Nature of Water Supply: City —Well. Size of Soakage Pit __________________ __ _____ ________
________________— _�____ —_____
Amount of Permit $__ ,
My Commission Expires
Dist. Feet of Tank or Drain Field from Well
(Signed)
(Signed) '
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public. State of Florida
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.
Permit No.
Owner's Name and Address �f•- '
Registered Architect and /or,.
Employing Plumber's Name ___ tri 1.
New Building
Size Septic Tank
Feet of Drain Tile
- ----- --- -- - -- - -
Amount of Permit $_ ___: ____
required by the Act. The under
licensed by Miami Shores Village.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
\,bj APPLICATION FOR PLUMBING PERMIT
__ i7 '
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 F ida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be compile cJ iph, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
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)
Remodeling Addition
signed agrees
Type of Tank . Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
(Signed) /',_,�
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify t 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
this permit, as are
to employ
only such sub - contractors, on
No Street___
No Street--__ .... -------------- ---- -- - - --_
Subdivision r
-.;� — -�'_ , Street – – – — –
Repairs No. of Stories
work to
be
performed under
(Signed) /Zit .� a � :1__!_ �.d__c_ = d' et
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. as.
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
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
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
$WIM'G
POOL
..
CONTR.
LIST
-----
,-„,
CHECK
'."
..
Permit No.
Owner's Name and Address �f•- '
Registered Architect and /or,.
Employing Plumber's Name ___ tri 1.
New Building
Size Septic Tank
Feet of Drain Tile
- ----- --- -- - -- - -
Amount of Permit $_ ___: ____
required by the Act. The under
licensed by Miami Shores Village.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
\,bj APPLICATION FOR PLUMBING PERMIT
__ i7 '
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 F ida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be compile cJ iph, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
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)
Remodeling Addition
signed agrees
Type of Tank . Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
(Signed) /',_,�
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify t 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
this permit, as are
to employ
only such sub - contractors, on
No Street___
No Street--__ .... -------------- ---- -- - - --_
Subdivision r
-.;� — -�'_ , Street – – – — –
Repairs No. of Stories
work to
be
performed under
(Signed) /Zit .� a � :1__!_ �.d__c_ = d' et
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. as.
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
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 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 at
building during progress of work.
n (I 1
Owner's Name and Address __l e - No / Street
Registered Architect and/or 6 — — —,0 —� — — —
Employing Plumber's Name Engineer
� No
___�j� __ _ ._!_ . 9/ Street_r�d__I" _
Location and Legal Description Lot_ le + / Block / 6 Su J?t4_[ I 1 f LRe_S
Street and Number where work is to be performed—No: Z.5 3 Street__) • t.- d e
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
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
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $_ —__
Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts 1J obligations as 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.
My Commission Expires
(Signed)
Date 6 -/0- 4 / 0
STATE OF FLORIDA,
j ss.
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
4 >.
aster Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
S
'r
1
7
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
/
CHECK
Permit No._
•
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 at
building during progress of work.
n (I 1
Owner's Name and Address __l e - No / Street
Registered Architect and/or 6 — — —,0 —� — — —
Employing Plumber's Name Engineer
� No
___�j� __ _ ._!_ . 9/ Street_r�d__I" _
Location and Legal Description Lot_ le + / Block / 6 Su J?t4_[ I 1 f LRe_S
Street and Number where work is to be performed—No: Z.5 3 Street__) • t.- d e
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
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
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $_ —__
Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts 1J obligations as 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.
My Commission Expires
(Signed)
Date 6 -/0- 4 / 0
STATE OF FLORIDA,
j ss.
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
4 >.
aster Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
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 Engineer
Employing Plumber's Name _cht-eidAmm4 ___fl'c
Location and Legal Description Lot
'. Street and Number where work is to be performed —No
APPLICATION FOR PLUMBING PERMIT
a'
New Building V Remodeling Addition Repairs No. of Stories
State work to be performed and purpose of building (By Floors)
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
Amount of Permit $
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The 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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
ss.
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Block
133
(Signed)
No. __ __3 Vl Street / @ C7 '
No ( �1
Subdivision______ !�- __C12.1e ,
Street A !J
(Signed) -cLW- e
Date ® -VD
Notary Public, State of Florida
Street ___
aster Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
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
ELL
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 Engineer
Employing Plumber's Name _cht-eidAmm4 ___fl'c
Location and Legal Description Lot
'. Street and Number where work is to be performed —No
APPLICATION FOR PLUMBING PERMIT
a'
New Building V Remodeling Addition Repairs No. of Stories
State work to be performed and purpose of building (By Floors)
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
Amount of Permit $
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The 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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
ss.
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Block
133
(Signed)
No. __ __3 Vl Street / @ C7 '
No ( �1
Subdivision______ !�- __C12.1e ,
Street A !J
(Signed) -cLW- e
Date ® -VD
Notary Public, State of Florida
Street ___
aster Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL PERMIT A N? 957
PLUMBING
Owner of Building
NAME
Architect and/or Engineer
Contractor or Builderii
NAME
NAME
,
Proposed Location
RECD. PAYMENT ACCT. DEPT.
ADCTESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
ADDRESS LICENSE NO.
IICENSE NO.
19
/c-
LOT f BLocty SUB-DIVISION iJ ,..
NO. STREET
A
/ -- „-
.1' . ' - '--• -' y . 4 6. ... .. , -4 d
This permit is issued to / .- To L
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores ,Village. This permit may be revoked at any time upon the violation of any provisions of said
-{
laws, ordinances or rules and regulations, or up y /change in the plans and specifications unauthori 50 by the buildi0 . inspeetor.
P.- 6 V
$ __
AMOUNT
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
Dated__ _____ __ 4, - 17- ' , 19
(SEAL)
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 made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
Bi MIL-BAG.
EtEeTiRliepAL PERMIT A N9 913
PLUMBING
Owner of Building__„.
Architect and/or Enginqr
iiiiAmE t
Contractor etwiiiiiteler ,
ye
NAME
4
Proposed Location
Dated
NAME
RECD. PAYME
• 19 _
ADDRESS
ADDRESS
.t22
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMEN
1
LICENSE NO.
19
-,..-
LOT EjLock. SUB-DIVISION . NO.
.. ,
This permit is issued to / ' . .‘ t 4 . , I : ' ' . _ . _ -. - . e . - - E ' :7 4 t , 4 - ' 6 ° / '
..-,-
-;,- To
the building above described, as per application, Plans and Specifications heretofore filed,/ this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies stri with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and. rules and
regulations of the building department of Mi4ni Shotes Vil)age. Ts permit may be revoked at any time upon the violation of any ibvis'ens of said
laws, ordinances, or rules and regulations, or '` change in s and specifications u 'authori d , by the building inspector.
t' n do , ir
___ v ,
AMOUNT
INSPECT,OB
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity witli the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores: Village.
11/ r .e.,"
„e
(SEAL)
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 made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.