278 NE 101 St (5);UILDING
LECTRICAL
'LUMBING
tiOOFING
MIAMI SHORES VILLAGE, FLORIDA
0
DATE ,'' 195
❑ PERMIT N° 4306 Contractor's _ P}
License No.
)wner of
;uildinq
architect
ontractor
, r Builders ��. ,,' - .,� i ,_'�.7 ',1 ;1
egal Lot °YyA
)escription 1 Bl
address of
uilding ; > t -. / .i..
Signed.
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
Amount of
Permit $
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
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me 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. - s
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and 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-
pting this permit I assume responsibility for all work c] one by either, myself, my agent, servant or employee.
t ee 7
'
�
CONTRACTOR OR BUILDER BY
BY
AUTHORITY elm
Permit No
Owner's Name and Address_-_
Registered Architect. and /or Engin r
Employing Plumber's Name '
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTME:;'
APPLICATION FOR PLUMBING 7 W.;.ibi;l '
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi ted for the building or other
structure herein described. This application is made in compliance and confonnity 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.
No _4707 Street.
Street- _ / --
Location and Legal Description L _ 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
Size Septic Tank
Feet of Drain Tile
Amount of Permit $ 79° -__- - -- - - -- — - -- — — - -- ( Signed)_ - —
Subdivision
Street
Type of Tank_ Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well . 5 " ° --° _ - -- -Size of Soakage Pit
bing Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatioiTs 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.
( Signed).-
Master Plumber.
STATE OF FLORIDA, I es.
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
6/
No. of Stories.
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
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' N6
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
Comm
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
-
CHECK
Permit No
Owner's Name and Address_-_
Registered Architect. and /or Engin r
Employing Plumber's Name '
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTME:;'
APPLICATION FOR PLUMBING 7 W.;.ibi;l '
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi ted for the building or other
structure herein described. This application is made in compliance and confonnity 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.
No _4707 Street.
Street- _ / --
Location and Legal Description L _ 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
Size Septic Tank
Feet of Drain Tile
Amount of Permit $ 79° -__- - -- - - -- — - -- — — - -- ( Signed)_ - —
Subdivision
Street
Type of Tank_ Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well . 5 " ° --° _ - -- -Size of Soakage Pit
bing Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatioiTs 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.
( Signed).-
Master Plumber.
STATE OF FLORIDA, I es.
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
6/
No. of Stories.
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.
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
t ,3°
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Registered Architect and /or Engineer - -.
Name and address of licensed contractor -► 6 S I , t /63
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done s -
/
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit $
Zone cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. J
Remarks (Signed)..
STATE OF FLORIDA, j
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
----- - -• - -- to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Permit No / 6 '
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 herewi submitted for fhe building or otlue)
structure herein described. This application is made in compliance and conformity with the Building Ordina a 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address ._ _ No Street atZ.O. _ r �
Registered Architect and /or Engi er
Employing Plumbers Name._ __ _ . c . _- _ No.____.. _.___ ___._ Street /VE 5
Location and Legal Description Lot- ____._._.__ _ _____ Block_ _ __._ _ .__ __ Subdivision
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
Amount of Permit $_
Street-
Size Septic Tank_ Type of Tank_ _
q Feet of Drain Tile "' Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Capacity Gals.
( Signed)
Date__
/ P:cel
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labcr
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 penult, as are
licensed by Miami Shores Village. 7
Master Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 lac
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 Lad
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
INK
SS
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
WILL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
1.187
CHECK
Permit No / 6 '
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 herewi submitted for fhe building or otlue)
structure herein described. This application is made in compliance and conformity with the Building Ordina a 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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address ._ _ No Street atZ.O. _ r �
Registered Architect and /or Engi er
Employing Plumbers Name._ __ _ . c . _- _ No.____.. _.___ ___._ Street /VE 5
Location and Legal Description Lot- ____._._.__ _ _____ Block_ _ __._ _ .__ __ Subdivision
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
Amount of Permit $_
Street-
Size Septic Tank_ Type of Tank_ _
q Feet of Drain Tile "' Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Capacity Gals.
( Signed)
Date__
/ P:cel
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labcr
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 penult, as are
licensed by Miami Shores Village. 7
Master Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 lac
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 Lad
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Bl / Subdi- i
.° ,. l vision L.4
Address of i t ! Value of Amt. of ' ( (,- Building "W ` iii. f Project Permit ,o
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 drawin s or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees. '"
i ( ''., r 4,1
Lot
y
PERMIT N9 1315
Work to be performed under this Permit
' j
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Signed•
•
DAT
f
Contractor's -
Lice n a No
By
194 ?
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..: .t
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 1307
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot 81.
Description :.,
Address of
Building
Subdi-
vision
Value of
Project
DATE 194_
Contractor's
License No.
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed • a 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 acceptin s peinnit I assume responsibility for all work done by either myself, my agent, servant or employee..
CONTRACTORgO
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 1411
Work to be performed under this Permit
Subdi-
vision
Value of
Project
DATE 194_
Contractor's
License No.
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and 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 AU'T'HORITY
MIAMI SHORES VILLAGE, FLORIDA
ING ❑ DATE 195
CTRICAL ❑ PERMIT N? 15 6 0 0 Contractor s
PLUMBING ❑ License No
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot 11 a Subdi-
Description. vision
Address of
Building
Value of
Project $
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed• BY •
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
JOB:
BUILDING : : WORK
DONE BY
ELECTRICAL:
•
•
PLUMBING :
The folloyving is ready Inspection:
Inspoctor's Repo
: REQUESTED
•
•
•
•
•
•
LL pg READY
Permit No
Owner's Name and Address __
MIAMI SHORES VILLAGE
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 mplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot___ sot
Street and Number where work is to be performed —No
PLUMBING INSPECTION DEPARTMENT
No.
-- -- -- --- -- -- -- - -- ---
Amount of Permit $__ (Signed)
No
Block Subdivision
,
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
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
The undersigned applicant for this building permit does hereby certify that he understands and
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
plied with the provisions thereof, and will require similar compliance from all contractors or
performed under this permit; and will post or cause to be posted for inspection on the si
required by the Act. The under signed agrees to employ only such sub - contractors,
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
ss.
My Commission Expires
(Signed)
authorized to administer
Date_
Street - -/
Street
Street
RepaS'rs No. of Stories
oaths and take
Plumbing Inspector.
accepts his obligations as an employer of labor
f Florida Permanent Supplement, and has com-
b- contractors employed by im in the work to be
therk such publi ' oti or noticed s are
d
rnio �� - 7 i
;u ,�ermit,�a,�'�re
_______________
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 fault
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIE
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
Permit No
Owner's Name and Address __
MIAMI SHORES VILLAGE
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 mplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot___ sot
Street and Number where work is to be performed —No
PLUMBING INSPECTION DEPARTMENT
No.
-- -- -- --- -- -- -- - -- ---
Amount of Permit $__ (Signed)
No
Block Subdivision
,
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
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
The undersigned applicant for this building permit does hereby certify that he understands and
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
plied with the provisions thereof, and will require similar compliance from all contractors or
performed under this permit; and will post or cause to be posted for inspection on the si
required by the Act. The under signed agrees to employ only such sub - contractors,
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
ss.
My Commission Expires
(Signed)
authorized to administer
Date_
Street - -/
Street
Street
RepaS'rs No. of Stories
oaths and take
Plumbing Inspector.
accepts his obligations as an employer of labor
f Florida Permanent Supplement, and has com-
b- contractors employed by im in the work to be
therk such publi ' oti or noticed s are
d
rnio �� - 7 i
;u ,�ermit,�a,�'�re
_______________
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 fault
materials and /or workmanship.
•■ PLUMBING INSPECTION DEPARTMENT
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 St of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be co [pied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
MIAMI SHORES VILLAGE
(Signed)
No.
My Commission Expires Notary Public. State of Florida
Date
Street
Owner's Name and Address
Registered Architect and /or Engin
Employing Plumber's Name ___ � �_✓!�______G�i '
Location and Legal Descript Lot_ - 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
7
Subdivision ya..___ 4
Street
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 $_ r E� <�� (Signed ) - i f / � r •
Plu .ing Inspector.
The undersigned applicant for this building permit does hereby certify'that he understands and accepts his obligations n 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.
7
Pt Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. t ss.
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
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
�� TuBs
/
..
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LIST
CHECK
•■ PLUMBING INSPECTION DEPARTMENT
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 St of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be co [pied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
MIAMI SHORES VILLAGE
(Signed)
No.
My Commission Expires Notary Public. State of Florida
Date
Street
Owner's Name and Address
Registered Architect and /or Engin
Employing Plumber's Name ___ � �_✓!�______G�i '
Location and Legal Descript Lot_ - 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
7
Subdivision ya..___ 4
Street
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 $_ r E� <�� (Signed ) - i f / � r •
Plu .ing Inspector.
The undersigned applicant for this building permit does hereby certify'that he understands and accepts his obligations n 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.
7
Pt Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. t ss.
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.___
Amount of Permit $_
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
My Commission Expires
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 mplied 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 No Street
Location and Legal Description Lot__ _43 a _____ __ ______Block 3 Subdivision
Street and Number where work is to be performed —No c __zi,i f I 1(7 Street
State work to be performed and purpose of building (By Floors) , ,.. ,{,a.t,.,t.__ .296mr_____ _ __E_Y
New Building Remodeling Addition Repa rs
No. 1
Ihabitzx
(Signed)
(Signed
Date_
" C / Ve , •
Street_ ®�
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.
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 •f Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors orb- contractors employed by . im in the work t• be
performed under this permit: and will post or cause to be posted for inspection on the si of the ;f• rk such publi oti or noticy are
required by the Act. The under signed agrees to employ only such sub- contractors, • , � '' • eziaraed. ,� t.: .errr},i
licensed by Miami Shores Village.
Notary Public, State of Florida
No. of Stories
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
t
CONTR.
IST
LIST
CHECK
Permit No.___
Amount of Permit $_
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
My Commission Expires
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 mplied 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 No Street
Location and Legal Description Lot__ _43 a _____ __ ______Block 3 Subdivision
Street and Number where work is to be performed —No c __zi,i f I 1(7 Street
State work to be performed and purpose of building (By Floors) , ,.. ,{,a.t,.,t.__ .296mr_____ _ __E_Y
New Building Remodeling Addition Repa rs
No. 1
Ihabitzx
(Signed)
(Signed
Date_
" C / Ve , •
Street_ ®�
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.
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 •f Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors orb- contractors employed by . im in the work t• be
performed under this permit: and will post or cause to be posted for inspection on the si of the ;f• rk such publi oti or noticy are
required by the Act. The under signed agrees to employ only such sub- contractors, • , � '' • eziaraed. ,� t.: .errr},i
licensed by Miami Shores Village.
Notary Public, State of Florida
No. of Stories
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 Z.''
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 Statt of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be cohp 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 - _ -a • LI /J "
No. C 'o Street / t •'�
My Commission Expires
Registered Architect and /or Engin
Employing Plumber's Name
� j
Location and Legal Descriptigft .
,.N
Street and Number where work is to be performed— No._ rr�
No 47241 Street
Date
Block ' Subdivision_____�,�".,.
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals._____
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $ - "'' (Signed)
(Signed)
Plu .ing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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
s
aster Plumber.
•
STATE OF FLORIDA,
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.
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
FIXTUR S
CONTR.
LIST
j
CHECK
SEPTIC
TANK
SEWER
CONN. J
,.. DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
` ,,r�
v
CHECK
Permit No Z.''
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 Statt of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be cohp 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 - _ -a • LI /J "
No. C 'o Street / t •'�
My Commission Expires
Registered Architect and /or Engin
Employing Plumber's Name
� j
Location and Legal Descriptigft .
,.N
Street and Number where work is to be performed— No._ rr�
No 47241 Street
Date
Block ' Subdivision_____�,�".,.
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals._____
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Amount of Permit $ - "'' (Signed)
(Signed)
Plu .ing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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
s
aster Plumber.
•
STATE OF FLORIDA,
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.
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.
t