271 NE 101 StPermit No: 0 ,Z,7
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
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 ��_k ��pp ® / 3-7 Owner's Name and Address+J�.-!__ ®.0 / No� .2 � J_ v r street__ - - -/ 2 /
Registered Architect and /or Engineer.___w_...._ _.._ _____ _ ' __ ‘
Employing Plumber's NameS7CC'WL^1--__ Pl.� ___ N . -e2-- LL) eet-S ' . [ !.I..L !27
- - - -- -- - - - - -- - - -
Location and Legal Description Lot-l
ot i J2T _ Block 44/2' subdivision. -- _.,__.._.
Street and Number where work is to be performed -Nos / / 7;._.JP../ , Street
State work to be performed and purpose of building (By Floors ) __-f,E.��1 f
New Building Remodeling__._ ____ -_ Addition.___ Repairs No. ofS orl"es R au gA
AC r cN.6 FLXT - D aJ
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
Capacity Gals
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 em by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site the work suc pu c notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, o • wor to perf. and • this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, 1
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•neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
1
CI.OARTB
BATH
Tua6
SHOWERS
LAVA.
TORIES
SINKS
SLOP
LAUNDRY
TUBS
URINALS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
co. NTR
LIDY
0-
c
1
c
�
CHECK
— _
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE'
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'O
POOL
CONTR.
LIST
CHICK
Permit No: 0 ,Z,7
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
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 ��_k ��pp ® / 3-7 Owner's Name and Address+J�.-!__ ®.0 / No� .2 � J_ v r street__ - - -/ 2 /
Registered Architect and /or Engineer.___w_...._ _.._ _____ _ ' __ ‘
Employing Plumber's NameS7CC'WL^1--__ Pl.� ___ N . -e2-- LL) eet-S ' . [ !.I..L !27
- - - -- -- - - - - -- - - -
Location and Legal Description Lot-l
ot i J2T _ Block 44/2' subdivision. -- _.,__.._.
Street and Number where work is to be performed -Nos / / 7;._.JP../ , Street
State work to be performed and purpose of building (By Floors ) __-f,E.��1 f
New Building Remodeling__._ ____ -_ Addition.___ Repairs No. ofS orl"es R au gA
AC r cN.6 FLXT - D aJ
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
Capacity Gals
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 em by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site the work suc pu c notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, o • wor to perf. and • this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, 1
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•neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
1
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE 6 i .o -(#y 19
PERMIT 5377 coniractoes
❑ License No. " (, 7 / a,
Work to be performed under this Permit?''
Architect ,
or Builder Contractor ` 1z 7 1,
or Bude _;, : ...,� , �, . � . c,
Legal Lot II Subdi-
Description BL vision
Address of l Value of 1 Amount of , j Building 71 .r ; / "
r ' '' Project $ � Permit $ 'T .
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.
Signed. = t '.!t ; - INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ot` {naitc'e sad'regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
z
CONTRACTOR OR BUILDER BY AUTHORITY ABBOT "
Permit No._ /. /___ _6
State work to be performed and purpose of building (By Floors)
Amount of Permit $__
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not: A copy of approved plans and specifications must be kept at
building during progress of work. 0 _ r
Owner's Name and Address - /ya Alt
d ,'�✓ s � No
Y 14.. Street
"
Registered Architect and /or Engineer ti "" t!r �' _____ _� Cl� (Ce'� l_1'!
4
Employing Plumber's Name C • �' _ _ 0'1 e f '4 No 3 � C Street 6 1(
Location and Legal Description Lot__
Block _X_A
Street and Number where work is to be performed—No. __ ____ ' Street
Date lt.. / to
Subdivision
New Building 'i Remodeling Addition Repairs No. of Stories
V r7
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile 3__Dist /Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well Size of Soakage Pit
— 0 — — — — -- (Signed)
( Signed)
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this bR'g oes hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensate. Act, bein Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn -
plied with the provisions thereof, and wi require similar compliance front all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will p t 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 undersigns 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 ere, 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 fo regoing 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
441: .I •
+ '
Aide �y��
1 .
I.6 01'.
� ('T� ��Irp
1 e
TOTAL
FI
CONTR.
W�p'�
V
/
CHECK
7,.8
^�
/ J
9 j am >
/ Q v
2,
-w
7
/ ! a, �,
-_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIG
M'
POOL
t
U4 p
'
re? :
ii
„ 11 A��l°
. ` i<
CONTR.
LIST
((((
/
/ [,
/
�J
c.
1
CHECK
Permit No._ /. /___ _6
State work to be performed and purpose of building (By Floors)
Amount of Permit $__
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not: A copy of approved plans and specifications must be kept at
building during progress of work. 0 _ r
Owner's Name and Address - /ya Alt
d ,'�✓ s � No
Y 14.. Street
"
Registered Architect and /or Engineer ti "" t!r �' _____ _� Cl� (Ce'� l_1'!
4
Employing Plumber's Name C • �' _ _ 0'1 e f '4 No 3 � C Street 6 1(
Location and Legal Description Lot__
Block _X_A
Street and Number where work is to be performed—No. __ ____ ' Street
Date lt.. / to
Subdivision
New Building 'i Remodeling Addition Repairs No. of Stories
V r7
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile 3__Dist /Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well Size of Soakage Pit
— 0 — — — — -- (Signed)
( Signed)
My Commission Expires Notary Public, State of Florida
Plumbing Inspector.
The undersigned applicant for this bR'g oes hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensate. Act, bein Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn -
plied with the provisions thereof, and wi require similar compliance front all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will p t 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 undersigns 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 ere, 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 fo regoing 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.
1,4(1'