358 NE 101 St (8)Permit No.
Size Septic Tank
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.
Amount of Permit 5__ -4-0,6e57
4 _�_�,.
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
r.
No , __ 5 _ 1 401 IV/ __
Owner's Name and Address ___
Registered Architect and /or Engineer l ,p / __/
Employing Plumber's Name ___C �!4 ,cY.(„_ �� _ ,, _ ,�rr t ' _ _ . No._ __ /_'_t" __V 14. __,tiir_ -____ street____ /
Location and Legal Description Lot_sC ��&it _:_ _ __Block ___ Subdivision_ L dA_,
Street and Number where work is to be performed —No, 3__1 ILL __e __ Street l___ (Li ___ it- 14° ' r
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition X Repairs No. of Stories_ ____I
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
3 ij
mbing Inspector.
The undersigned applicant for this building permit does hereby certify th}7<1,e 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.
(Signed) • ,,/Id's, .�..(, /" s� - ' � .. , � a " yam
r 1 ,,,�,, M sler Plumber.
Notary Public. State of Florida
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
,
1
CHECK
SEPTIC
TANK
SEWER
CONN.
„DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
$WIM'G
POOL
CONTR.
LIST
CHECK
Permit No.
Size Septic Tank
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.
Amount of Permit 5__ -4-0,6e57
4 _�_�,.
STATE OF FLORIDA,
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
r.
No , __ 5 _ 1 401 IV/ __
Owner's Name and Address ___
Registered Architect and /or Engineer l ,p / __/
Employing Plumber's Name ___C �!4 ,cY.(„_ �� _ ,, _ ,�rr t ' _ _ . No._ __ /_'_t" __V 14. __,tiir_ -____ street____ /
Location and Legal Description Lot_sC ��&it _:_ _ __Block ___ Subdivision_ L dA_,
Street and Number where work is to be performed —No, 3__1 ILL __e __ Street l___ (Li ___ it- 14° ' r
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition X Repairs No. of Stories_ ____I
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
3 ij
mbing Inspector.
The undersigned applicant for this building permit does hereby certify th}7<1,e 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.
(Signed) • ,,/Id's, .�..(, /" s� - ' � .. , � a " yam
r 1 ,,,�,, M sler Plumber.
Notary Public. State of Florida
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.
tir
... 3?—
3 5 ( 4 i et
•
4.1
if 7.7 r
JOB:
BUILDING
: WORK
ELECTRICAL :
: DONE BY:
PLUMBING •
•
: REQUESTED : READY
The following is rowdy for Inspoction:
9
Inspoctor's Roport:
•
•
•
•
•
AD:
•
•
j .
•
•
•
•
•
•
• • ' \ f \27
•
Permit No. ‘.
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ‘K No._ 14 ____ Street 1___0__1___
Registered Architect and /or Engineer
1
Employing Plumber's Name ___ — l_i1 '' _4!4!!0Sr No. l / 6- Street 6. 2
Location and Legal Description Lo 17� 2___ BBiock 3 7 Subdivision_, n e1.__ ;�!G4ltiY`" •
Street and Number where work is to be performed —No 3 A ' _ S treet ./ 0 _ !2.!'
New Building Remodeling Addition V Repairs ). No. of Stories
work to be pe and purpose of building (By Floors)
at
sv
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
(Signed)
Capacity Gals.
Date _t__)__jI___ T V
Size Septic Tank Type of Tank
Feet of Drain Tile__________ Dist. Feet of Tank or Drain Field from Well
Nature of Watcr 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 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.
(Signed) F - -- --- __ _ -fl"v` {-- -z= "ACC-
Mas Plu er.
STATE OF FLORIDA,
ss. d
COUNTY OF DARE.
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
"rues
SHOWERS
LAVA -
TORIE
SINKS
SLOP
SINKS
LAUNDRY
TUDS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No. ‘.
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ‘K No._ 14 ____ Street 1___0__1___
Registered Architect and /or Engineer
1
Employing Plumber's Name ___ — l_i1 '' _4!4!!0Sr No. l / 6- Street 6. 2
Location and Legal Description Lo 17� 2___ BBiock 3 7 Subdivision_, n e1.__ ;�!G4ltiY`" •
Street and Number where work is to be performed —No 3 A ' _ S treet ./ 0 _ !2.!'
New Building Remodeling Addition V Repairs ). No. of Stories
work to be pe and purpose of building (By Floors)
at
sv
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
(Signed)
Capacity Gals.
Date _t__)__jI___ T V
Size Septic Tank Type of Tank
Feet of Drain Tile__________ Dist. Feet of Tank or Drain Field from Well
Nature of Watcr 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 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.
(Signed) F - -- --- __ _ -fl"v` {-- -z= "ACC-
Mas Plu er.
STATE OF FLORIDA,
ss. d
COUNTY OF DARE.
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 Noll_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date — 4 — q
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, whet er herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. t '_ ... Owner's Name and Address L r i _ t'Y . 4L l' No `' i Street_______ _____ _ Ai ."
Registered Architect and /or Engineer
4.
Employing Plumber's Name ___;_,,1 2� _a No 1
Location and Legal Description Lot`:' .....1- Block w l i
Fi (,,,,,t I
�"
Street and Number where work is to be performed —No ..r 4_ __ _tea f � _ __ A . Street ./ ./ 1__
State work to be performd and purpose of building (By Floors)
Amount of Permit $_ _____"
4 !
New Building Remodeling Addition Repairs —___ No. of Stories
Size Septic Tank Type of Tank _ Capacity Gals
Feet of Drain Tile_____ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. ___________ Size of Soakage Pit
(Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. '
(Signed) h .4_ " 'i - '
} 1J
w !
Mastwie Plumber.
49 w if , STATE OF FLORIDA, i ss. if A ''.4 4ArAlie
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Street
Subdivision__44,4 444 __``__, •
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
C3-
Permit Noll_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date — 4 — q
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, whet er herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. t '_ ... Owner's Name and Address L r i _ t'Y . 4L l' No `' i Street_______ _____ _ Ai ."
Registered Architect and /or Engineer
4.
Employing Plumber's Name ___;_,,1 2� _a No 1
Location and Legal Description Lot`:' .....1- Block w l i
Fi (,,,,,t I
�"
Street and Number where work is to be performed —No ..r 4_ __ _tea f � _ __ A . Street ./ ./ 1__
State work to be performd and purpose of building (By Floors)
Amount of Permit $_ _____"
4 !
New Building Remodeling Addition Repairs —___ No. of Stories
Size Septic Tank Type of Tank _ Capacity Gals
Feet of Drain Tile_____ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. ___________ Size of Soakage Pit
(Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. '
(Signed) h .4_ " 'i - '
} 1J
w !
Mastwie Plumber.
49 w if , STATE OF FLORIDA, i ss. if A ''.4 4ArAlie
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Street
Subdivision__44,4 444 __``__, •
Permit No
S D
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__ No Street
Registered Architect and /or Engineer
Employing Plumber's Name ___
Location and Legal Description Lot_ , 1V _ AS' _______ Block 3__ Subdivisions__ _______'
Street and Number where work is to be performed —No. 3 , _t£ .1 i_ J. Street_ __/__d_�
State work to be performe nd purpose of building (By Floors)
New Buildin g Remodeling Addition Repairs No. of Stories /
Amount of Permit $-
Size Septic Tank Type of Tank
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 1I Z
My Commission Expires
No
1 7L F Street Ct 2 .36
Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
(Signed)
Plumbing Inspector.
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.
(Signed)
Plumber.
dy Av-
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.
Llf'r
IST
CHECK
Permit No
S D
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__ No Street
Registered Architect and /or Engineer
Employing Plumber's Name ___
Location and Legal Description Lot_ , 1V _ AS' _______ Block 3__ Subdivisions__ _______'
Street and Number where work is to be performed —No. 3 , _t£ .1 i_ J. Street_ __/__d_�
State work to be performe nd purpose of building (By Floors)
New Buildin g Remodeling Addition Repairs No. of Stories /
Amount of Permit $-
Size Septic Tank Type of Tank
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 1I Z
My Commission Expires
No
1 7L F Street Ct 2 .36
Capacity Gals.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
(Signed)
Plumbing Inspector.
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.
(Signed)
Plumber.
dy Av-
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
Inspector's Report: -
WORK
• DONE BY
• ▪ REQUESTED
The following is ready for Inspection:
AD: 9
0
•
WILL BE READY
MIAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
Permit No. / Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Employing Plumber's Name —
Owner's Name and Address
Registered Architect and /or Engineer
PLUMBING INSPECTION DEPARTMENT
1 r
Location and Legal Description Lot i ,� i v I _Block .__ _ Subdivision _.
Street and Number where work is to be erformed —No c : '
p ...�--- � - -� - - -- Street 1---=--1----
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
1 ✓ �' No -'—
No 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 $_ . ,______ __(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
requited 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.
(Signed)
Repairs No. of Stories l
. Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. 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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLO OR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
__
/
/
* . /�
CHECK
/
SEPTIC
TANK
SEWER
CONN.
IN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
Permit No. / Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Employing Plumber's Name —
Owner's Name and Address
Registered Architect and /or Engineer
PLUMBING INSPECTION DEPARTMENT
1 r
Location and Legal Description Lot i ,� i v I _Block .__ _ Subdivision _.
Street and Number where work is to be erformed —No c : '
p ...�--- � - -� - - -- Street 1---=--1----
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
1 ✓ �' No -'—
No 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 $_ . ,______ __(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
requited 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.
(Signed)
Repairs No. of Stories l
. Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. 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.
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.
BUift'&I'N S
MEM MAL PERMIT A N° 560 BUILDING INSPECTION DEPARTMENT
PLUMBING ,r , 1 9.1__
Owner of Building Jt '
Architect and /or Engineer
Contractor or Builder_
Proposed Location " f i ,f
1.07
NAME
NAME
NAME
BLOCK SUBDIVISION
l�atea .. y , 19 "'
ADDRESS
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
NO.
LICENSE NO.
LICENSE NO.
1 1.
STREET
This permit is issued to____________JX:____LI _ ‘'
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Sh• es Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or and regulations, o ti a c a i the plans and specifications unauthorized by the building inspector.
s...1 ..f a is rR
AMOUNT RECD. PAY T ACCT. DEPT. INSPECTOR
,
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
pp lane and specifications thereof heretofore by me submitted, and in compliance with all pr ��ii
ovisions of all building laws of the State of Florida, all the
b ond i ng o rdi nanc es and zo ning laws of M iami Shores Village sad all rules and regulations of the building department of M iami Shores Village
(SEAL)
A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re - inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
C
alaroliaffiCAL PERMIT A N?
PLUMBING
Owner of Building
NAME
RECD. PAYMENT ACCT. DEPT.
648
ADDRESS
ApSRESS
c -f ! ' i
NO. STREET
MIAMI SHORES VILLAGE
BUILtQIN, INSPECTION DEPARTMENT
• /
lc t i7S 1
LICENSE NO.
c.
Architect and /or Engineer � ____ ± ______________ ______;_- -_- -
/ :" .. . NItE 1
NAME 9 J ADDRESS
r l c i
Proposed Location 111' . ''
LQT - BLOCK ; •8Ue btvISION
ti
This permit is issued to - - -- = ,, Z"-__ - – – – `. 'itt -- 'ice- -- — — To_.,,,.° –4
■
the building above described, as per applicatioli, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
chat all facts stated in the application are title and that the construction complies strictly with the plans and specifications submitted, and in accordance
'and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws. of Miami Shores Village, and rules and
regulations of the building department of Mia i ore.? Village. This permit may be revoked at any time upon the violation of any provisions of said
Iaws.,ordinagte6 of rules and regulations, or am Chan in the plans and specificationunauted by the buil inspector.
4.1 ,A
LICENSE NO.
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
fans and • - ' tions there f heretofore by me submitted, and j4 compliance with all provisions of all building laws of the State of Florida, all the
tlgilding o,•' an• a to ng laws of Miami Shores Villa , And all rules and regulations of the building department of Miami Shores Village.
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 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.
zuumer--,
EliernnE. PERMIT A N?
PLUMBING
Owner of Building " N
Architect and/or Engineer
Contractor or Builder_
NAME
NAME
NAME
763
ADDRESS
ADDRESS
Propoeed Location
Lk: 40 4,
Lirq I '
1
AMOUNT
# •
RECD. PAYMENT ACCT. DEPT.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
ADDRESS LICENSE NO.
1
f.se
LICENSE NO.
, 1 9
LOT BLOCK SUB-DIVISION NO. STREET
1 ..5 N. /..\.
I
This permit is issued to__ - 40.,1.-4,0— ' ' " ‘"
he building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
t all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with tbe building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
initiations of the building department of Miami Shorn; Village. This permit may be revoked at any time upon the violation of any provisions of said
l aws, ordinances or rules and regulations, or upon jjybange in the plans and specifications unauthorized by the building inspector.
INSPECTOR
fatis specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
ilding ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
19
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been/Obtained from the Planning Board.
A re.inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection or4aulty materials and/or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
otikuilder
Legal Lot../
Description
Address of
Building
‘-* 444 .,
CONTRACTOR OR BUILDEL
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 1763
f - ,` Work to be perform under this Permit
f'
Owner of .
Building
•
Bl.
Subdi-
vision
Value of
Project
DATE
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 l` " �
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-
daps 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.
19 4_
Contractor's
License No.
Amt. of
Permit
: , f
BY AUTHORITY
Permit- 1Vo
r'`
y
Amount of Permit $
Owner's Name and Address
APPLICATION FOR PLUMBING PERMIT
Applica`tion 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.
SS.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
My Commission Expires
(Signed)
Date
No. Street
Registered Architect and /or Engineer
s
Employing Plumber's Name ___� {_____ ' ` ` " °�" No 4 Street
Location and Legal Description Lot ` - r- Block : __ Subdivision
Street Number where is be - - -- -� ' Street �c
State work to be perform e and purpose of building (By Floors) r "`t s
New Building Remodeling Addition Repairs No. of Stories
(Signed)
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 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 suc1S sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public. State of Florida
Plumbing Inspector.
fir
Master Plumber.
STATE OF FLORIDA, k
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
i
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit- 1Vo
r'`
y
Amount of Permit $
Owner's Name and Address
APPLICATION FOR PLUMBING PERMIT
Applica`tion 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.
SS.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
My Commission Expires
(Signed)
Date
No. Street
Registered Architect and /or Engineer
s
Employing Plumber's Name ___� {_____ ' ` ` " °�" No 4 Street
Location and Legal Description Lot ` - r- Block : __ Subdivision
Street Number where is be - - -- -� ' Street �c
State work to be perform e and purpose of building (By Floors) r "`t s
New Building Remodeling Addition Repairs No. of Stories
(Signed)
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 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 suc1S sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public. State of Florida
Plumbing Inspector.
fir
Master Plumber.
STATE OF FLORIDA, k
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.
0
t .5 ,/ ■
1 - CitPlGe
2
. •
v T
, r /
/ 0 C)
,' '
,/
c