30 NE 100 St (10)BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA / f
DATE °°` "� , t °
194
Contractor's / 171
License No iI
PERMIT N° 5228
Work to be performed under this Permi
'*N 4
Owner of
Building
It
Contractor. ;
or Builder.—
/� Il
Legal Lot 16, Bl.
Description - if
Address of
Building ' d
This permit is granted to the contractor or builder naruda above to construct the building or to install the equipment or devi described in the appli=
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performer 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 a;e,changed without authorization. A further condition upon which this
permit is. granted is the understanding that the contractor or builder named above a es tase„,r ponsibilityr a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the p1. _ .r . die -stateihen, s or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. • x
Signed J f ' By
,........_E R
In consideration of the issuance to me of this permit I agree to perform the wor covetgd here cider in compliance with all ordinances an regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authsynes of Miami S re Vi age)
In accenting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. • ur
�
�
4 0-41-$ • 4.4C, c, %' II -I
CONTRACTOR OR BUIL.ER � r �
Value of
Project
BY
Amt. of -
Permit—
AUTHORITY
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
v t
_ d ` APPLICATION FOR PLUMBING PERMIT
fJl
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.
-- L
Owner's Name and Address_!Z_s e4 � A 4 No
Registered Architect and /or F,ngineer < ,�
Employing Plumber's Name
Location and Legal Description Lot _____— _________ _ Block Subdivision_
Street and Number where work is to be performed —No ___' __ Street_
State work to be performed and purpose of building (By Floors)
New Building __ Remodeling Addition Repairs 3%
'/ • i S treet /4 a
SMUT__ f '
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 $
STATE OF FLORIDA, }
ss.
COUNTY OF DADE.
My Commission Expires
(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 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.
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
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
& etli/C
77 �,. , ...A•
/
TOTAL
FIXTURES
/
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
v t
_ d ` APPLICATION FOR PLUMBING PERMIT
fJl
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.
-- L
Owner's Name and Address_!Z_s e4 � A 4 No
Registered Architect and /or F,ngineer < ,�
Employing Plumber's Name
Location and Legal Description Lot _____— _________ _ Block Subdivision_
Street and Number where work is to be performed —No ___' __ Street_
State work to be performed and purpose of building (By Floors)
New Building __ Remodeling Addition Repairs 3%
'/ • i S treet /4 a
SMUT__ f '
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 $
STATE OF FLORIDA, }
ss.
COUNTY OF DADE.
My Commission Expires
(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 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.
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No..
APPLICATION FOR PLUMBING PERMIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Application is hereby ilnade for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Aiddress l _R A _ L* Ot Dell
Registered Architect ac id /or Engineer
Employing Plumber's' Name _George Crawford
Location and Legal Description Lot_9&WiOf 8
No._ZQ___ NE Street 10Q__St.
No -510 _11L _ Street___2 __$L ________ _________.
Block_ 9 Subdivision g> .__ o.r_ea
30 NE ge
Street and Number where work is to be performed —No Street 1 0.4_
r
State work to be performed and purpose of building (By Floors)
New Building
Size Septic Tank__
Feet of Drain Tile_
Instal_ s also
Remodeling Addition Repairs No. of Stories
Type of Tank . Capacity Gals.__ e__
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $_ _____2�9_Q
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.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
8S.
My Commission Expires
__ (Signed)
r
DateLpr_il
Plumbing Inspect
rtify that hderstands and accepts his obligations as an emplo 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
(Signed) – – – – —
George Crawford
Master Plumber.
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
r
/
SEPTIC
TAtlK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
x
Permit No..
APPLICATION FOR PLUMBING PERMIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Application is hereby ilnade for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Aiddress l _R A _ L* Ot Dell
Registered Architect ac id /or Engineer
Employing Plumber's' Name _George Crawford
Location and Legal Description Lot_9&WiOf 8
No._ZQ___ NE Street 10Q__St.
No -510 _11L _ Street___2 __$L ________ _________.
Block_ 9 Subdivision g> .__ o.r_ea
30 NE ge
Street and Number where work is to be performed —No Street 1 0.4_
r
State work to be performed and purpose of building (By Floors)
New Building
Size Septic Tank__
Feet of Drain Tile_
Instal_ s also
Remodeling Addition Repairs No. of Stories
Type of Tank . Capacity Gals.__ e__
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $_ _____2�9_Q
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.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
8S.
My Commission Expires
__ (Signed)
r
DateLpr_il
Plumbing Inspect
rtify that hderstands and accepts his obligations as an emplo 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
(Signed) – – – – —
George Crawford
Master Plumber.
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.
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
PERMIT ■9 2155
Work to be performed under this Permit
Owner of
Building M
Architect
Contractor
or Builder
Legal Lot BI.
Description
Address of
Building
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 regula..
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
Subdi-
vision
Value of
Project
Contractor's
License No.
Amt. of
Permit
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
f
PERMIT N9 2174
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
MIAMI SHORES VILLAGE, FLORIDA
Bl.
Subdi-
vision
DATE 194 /
Contractor's
License No.
V of Am. of
Address of ' ,, Project �,,.,.,......••∎•.a, ,.,,,. Permit
Building i , ,
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• . . B . ,• r
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. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
ex. SC
MIAMI SHORES - VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
l
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 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. �') ••- ."`l
--- – - s' , �''
Owner's Name and Address __ ___t ___ ' No. __ -! Streets _' =c
Registered Architect and /or Engineer ,) tt -__
1 _ No._i . / ,t' / Str " .. ' ...... lam •
_ - "2
Employing Plumber's Name _LL__
Location and Legal Description Lot__ y�i �,,;f_`__ f 4____Block_____ Subdivision 1' : `� 1
Street and Number where work is to be performed —No -y ' ,r_' _s .___— _______ Street /______._
State work to be performed and purpose of building (By Floors) F �<'!_ _!
New Building_ ..... ______________...... Remodeling Addition R airs No. of Stories_
Size Septic Tank_
Feet of Drain Tile_____—_—
Nature of Water Supply: City —Well
Amount of Permit $__ ___ _ z ' ('`~
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
Type of Tank
Dist. Feet of Tank or Drain Field from Well__
.Size of Soakage pit ..... - _____
– — — -- - - -- - - -- --
_(Signed)
(Signed)
__Capacity Gals.__— ______ - --
Plumb g Inspector.
WON.. SOIN.1.11
Notary Public. State of Florida
-" �--- --
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
LIST
_4____
%
CHECK
_
SEPTIC
TANK
SEWER
CONN.
RAIN
FIELD
SOAKAGE
PIT
GREA
7 A SE P
S
I T
EP
11 E ELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
ex. SC
MIAMI SHORES - VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
l
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 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. �') ••- ."`l
--- – - s' , �''
Owner's Name and Address __ ___t ___ ' No. __ -! Streets _' =c
Registered Architect and /or Engineer ,) tt -__
1 _ No._i . / ,t' / Str " .. ' ...... lam •
_ - "2
Employing Plumber's Name _LL__
Location and Legal Description Lot__ y�i �,,;f_`__ f 4____Block_____ Subdivision 1' : `� 1
Street and Number where work is to be performed —No -y ' ,r_' _s .___— _______ Street /______._
State work to be performed and purpose of building (By Floors) F �<'!_ _!
New Building_ ..... ______________...... Remodeling Addition R airs No. of Stories_
Size Septic Tank_
Feet of Drain Tile_____—_—
Nature of Water Supply: City —Well
Amount of Permit $__ ___ _ z ' ('`~
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
Type of Tank
Dist. Feet of Tank or Drain Field from Well__
.Size of Soakage pit ..... - _____
– — — -- - - -- - - -- --
_(Signed)
(Signed)
__Capacity Gals.__— ______ - --
Plumb g Inspector.
WON.. SOIN.1.11
Notary Public. State of Florida
-" �--- --
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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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.
Owner's Name and Address ! 1T -- --------____ - -- No. – – = - - - - -- – — - ------ Streets)- ------ ---- -- - - - - -- — –
Registered Architect and /or Engineer
Employing Plumber's Name /u _ L.
—_- ------------ ----- _ -- -_— No.__L_-W: Street _____________ —_._--- ______.__.
Location and Legal Description Lott Block_______________
Subdivision --____
Street and Number where work is to be performed —No — Stree t_____-____ ______—___— __— ___________ —___
State work to be performed and purpose of building (By Floors)
New Building________ L___ — ______ Remodeling ___________ Addition Repairs
No. of Stories___`__
Size Septic Tank________ Type of Tank
Feet of Drain Tile_____ .____ —_ —__ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. —_— Size of Soakage Pit.
Amount of Permit _ (Signed) .
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed) -- – r
Capacity Gals.____________— ___—__
Plum bjEtg 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.
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.
Master Plumber.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
111
CHECK
SEPTIC
TANK
CONN.
IELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
C L.IST
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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.
Owner's Name and Address ! 1T -- --------____ - -- No. – – = - - - - -- – — - ------ Streets)- ------ ---- -- - - - - -- — –
Registered Architect and /or Engineer
Employing Plumber's Name /u _ L.
—_- ------------ ----- _ -- -_— No.__L_-W: Street _____________ —_._--- ______.__.
Location and Legal Description Lott Block_______________
Subdivision --____
Street and Number where work is to be performed —No — Stree t_____-____ ______—___— __— ___________ —___
State work to be performed and purpose of building (By Floors)
New Building________ L___ — ______ Remodeling ___________ Addition Repairs
No. of Stories___`__
Size Septic Tank________ Type of Tank
Feet of Drain Tile_____ .____ —_ —__ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. —_— Size of Soakage Pit.
Amount of Permit _ (Signed) .
STATE OF FLORIDA,
COUNTY OF DADE.
(Signed) -- – r
Capacity Gals.____________— ___—__
Plum bjEtg 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.
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.
Master Plumber.
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
PLICATION FOR PLUMBING PERMIT
D 28, 1941
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, 0 !Dell No 30 NE Street 100 St.
Registered Architect and /or Engineer
Employing Plumber's Name __________ No._,_____ _ Street_ 25
Location and Legal Description
9 &V � of 8 93 S' i or e s
Lot_____- 2�_____ ____________________Block_ �____�_ —__ Subdivision_
Street 100 _ St . _
Street and Number where work is to be performed —No 30 NE
State work to be performed and purpose of building (By Floors) ________ InstallSolar
New Building Remodeling Addition Repairs No. of Stories
Size Septic _______________________ Type of Tank . _ Capacity Gals 8 _gallons
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 $__ a.. QQ
ss.
My Commission Expires
_ (Signed)
e
(Signed)
George Crawf or
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that • '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.
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
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.
LIST
CHECK
X
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
PLICATION FOR PLUMBING PERMIT
D 28, 1941
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, 0 !Dell No 30 NE Street 100 St.
Registered Architect and /or Engineer
Employing Plumber's Name __________ No._,_____ _ Street_ 25
Location and Legal Description
9 &V � of 8 93 S' i or e s
Lot_____- 2�_____ ____________________Block_ �____�_ —__ Subdivision_
Street 100 _ St . _
Street and Number where work is to be performed —No 30 NE
State work to be performed and purpose of building (By Floors) ________ InstallSolar
New Building Remodeling Addition Repairs No. of Stories
Size Septic _______________________ Type of Tank . _ Capacity Gals 8 _gallons
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 $__ a.. QQ
ss.
My Commission Expires
_ (Signed)
e
(Signed)
George Crawf or
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that • '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.
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
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
PLUMBING
PERMIT N° 5228
Work to be performed under this Permit i t ; �G✓+" �' . am
Owner of
r..
Building .
Architect
Lot
Contractor
or Builder r
Legal
Description
Address of
Building J
MIAMI SHORES VILLAGE, FLORIDA
Signed:
Value of
Project
DATE
Contractor's
License No
C .;
Permit ?'�
Amt. of ./
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or devic . escribed in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performe 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 autl prization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above as s the x .onsibility fa- a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plan
sibility for work done by his agents, servants or employees.
BY
the taten guts or specifications and that he assumes respon-
By
I 4S G
In consideration of the issuance to me of this permit I agree to perform the work covered her eurtder in compliance with all ordinances an egulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami SI res Village.
In acceg this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
. "•f"" j� '�
CONTRACTOR OR BUILDER
AUTHORITY