435 NE 101 St (10)Permit No...
Owners Name and Address
New Building Remodeling
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
0
ss.
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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
/
° O ..__.._. No., .�3 .� Street. "-n/ - `! ._ 4 s7
Registered Architect and /or Engineer
2rnploying Plumber's Name A A i'Yt 1
Location and Legal Description Lot
Street and Number where work is to be performed —No Str
State work to be performed and purpose of building (By Floors) __ ° t— L D
6°11 e AOVIc 11 i
WWI? SWES5 .
Block
Addition.- _______ Repairs
Size Septic Tank—----- •--------- - - - - -- - -- -Type of Tsak __----•---._-•---.-- ._._.__..._ .......... .... . . .. ....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 5988, Compiled General Laws of Florida Permanent :upt.lement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed l y him in the wcrk to lr
performed under this permit; and will post or cause to be posted'for inspection on the site of the w• s ch puhlt notice or no'ice! as arc
required by the Act. The undersigned agrees to employ only such sub - contractors, work be formed this porinit, as era
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal:; 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 each re- inspection is mede.neeessary by improper notice for inspection, or faulty
materials and /or workmanship.
citC311_464Z V3
AtA/ tci
No. of Stories
Notary Public, State of Florida
7
Mesta Plumber.
CLOSt7t
BATH
TUBS
SHOWERS
LAVA •
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUNS
URINALS
CATCH
BASIN
FLOOR
GRAIN
DRINKING
FOUNT'NS
TOT,
FI[TUR[S
CONTR.
LIOT
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
PIcLD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
M
MCP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
CHECK
Permit No...
Owners Name and Address
New Building Remodeling
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
0
ss.
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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
/
° O ..__.._. No., .�3 .� Street. "-n/ - `! ._ 4 s7
Registered Architect and /or Engineer
2rnploying Plumber's Name A A i'Yt 1
Location and Legal Description Lot
Street and Number where work is to be performed —No Str
State work to be performed and purpose of building (By Floors) __ ° t— L D
6°11 e AOVIc 11 i
WWI? SWES5 .
Block
Addition.- _______ Repairs
Size Septic Tank—----- •--------- - - - - -- - -- -Type of Tsak __----•---._-•---.-- ._._.__..._ .......... .... . . .. ....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 5988, Compiled General Laws of Florida Permanent :upt.lement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed l y him in the wcrk to lr
performed under this permit; and will post or cause to be posted'for inspection on the site of the w• s ch puhlt notice or no'ice! as arc
required by the Act. The undersigned agrees to employ only such sub - contractors, work be formed this porinit, as era
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal:; 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 each re- inspection is mede.neeessary by improper notice for inspection, or faulty
materials and /or workmanship.
citC311_464Z V3
AtA/ tci
No. of Stories
Notary Public, State of Florida
7
Mesta Plumber.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
I'Griott No G _ ___ Date
No.
Location and Legal Description Lot__.__.__ _______ __ _—! _______ Bl / - Q��g1�� Subdivision.
Street and Number where work is to be performed —No 1 7 1 -1. 5- 11 S� ' I (' ` Street
State work to be performed and purpose of building (By Floors)_______________
New Building ___.__.- .---- ...____ -- Remodeling_-___ —__ - -- Addition
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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 Miarni 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 e 5s__ °" ®�'
Registered Architect and /or En ' r_
Employing Plumber's Name. - - -1 ‘P'__
Street
Street_
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 $
STATE OF FLORIDA,
COUNTY OF DADE.
(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 5988, 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) -. __.
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
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made. necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
I NALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
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
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
I'Griott No G _ ___ Date
No.
Location and Legal Description Lot__.__.__ _______ __ _—! _______ Bl / - Q��g1�� Subdivision.
Street and Number where work is to be performed —No 1 7 1 -1. 5- 11 S� ' I (' ` Street
State work to be performed and purpose of building (By Floors)_______________
New Building ___.__.- .---- ...____ -- Remodeling_-___ —__ - -- Addition
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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 Miarni 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 e 5s__ °" ®�'
Registered Architect and /or En ' r_
Employing Plumber's Name. - - -1 ‘P'__
Street
Street_
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 $
STATE OF FLORIDA,
COUNTY OF DADE.
(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 5988, 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) -. __.
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
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made. necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
1
tee'
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT 'N? 12851
in Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
Signed: -- "" BY
INSPECTOR
BY
DATE -- 195
Contractor's
License No
Amt. of
Permit $ g ...s
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 drawing § or.,in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
, .J
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, statem`e'nts 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.
AUTHOR=
Street
State wor
d Number where work is to be performed —No
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
sS.
MIAMI._SHORES VILLAGE
, PLUMBING INSPECTION DEPARTMENT /- / 7
APPLICATION FOR PLUMBING PERMIT
Permit No. _--/ -- _ 7 ' __- Date )
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su bmitted for the building g r
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 he kept at
building during progress of work.
Owner's Name and Address No Street
Registered Architect and /or Engineer
Employing Plumber's Name C- ��
L tion and Legal Description Lot 1 7 f' ./e`_^' Block 9 I
_ � r
to be performed and purpose of building (By Floors) !' t /"
7
New Build ng Remodeling Addition Repairs No. of Stories
Type of Tank Capacity Gals.___
Size Septic Tank _2.00
Feet of Drain
Nature of Water Supply: City —Well Size of Soakage Pit
,Dist. Feet of Tank or Drain Field from Well
(Signed)
Street
1/
Subdivisio
My Commission Expires Notary Public, State of Florida
h — O( 0
or o e
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 Pennanent 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.
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.
CLCSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
.
I
___t__
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Street
State wor
d Number where work is to be performed —No
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
sS.
MIAMI._SHORES VILLAGE
, PLUMBING INSPECTION DEPARTMENT /- / 7
APPLICATION FOR PLUMBING PERMIT
Permit No. _--/ -- _ 7 ' __- Date )
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su bmitted for the building g r
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 he kept at
building during progress of work.
Owner's Name and Address No Street
Registered Architect and /or Engineer
Employing Plumber's Name C- ��
L tion and Legal Description Lot 1 7 f' ./e`_^' Block 9 I
_ � r
to be performed and purpose of building (By Floors) !' t /"
7
New Build ng Remodeling Addition Repairs No. of Stories
Type of Tank Capacity Gals.___
Size Septic Tank _2.00
Feet of Drain
Nature of Water Supply: City —Well Size of Soakage Pit
,Dist. Feet of Tank or Drain Field from Well
(Signed)
Street
1/
Subdivisio
My Commission Expires Notary Public, State of Florida
h — O( 0
or o e
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 Pennanent 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.
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.
BUILDING
ELECTRI
M JUMBIN
Work to be performed under this Permit
Owner of ' „ ,„
Building — ' = d.sf' .�r 7 /
f r�
Architect
Contractor
or Builder >
Legal
Description
Address of
Building
Lot
,PERMIT N° 10752
46:":4
� L.
Bl.
f
Subdi-
vision
MIAMI SHORES VILLAGE, FLORIDA
DATE 1 "
Value of
Project $
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 'n the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Contractor's
License No
Amt. of
Permit
1951_
Signed: BY
INSPECT
In consideration of the issuance to me of this permit I agree t p erform the work covered hereunder in compliance with all ordinances a and regulations
pertaining thereto and in strict conformity with the plans, drawings, atements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work dong,by either, myself, my agent, servant or employee.
'.4..-- i d.IL. z � . ,ice ,es... j : .: r e � � 1�Y _....)
CON ACTO BUILDER BY
V
AUTHORITY
Date Map. No 1 Zone
OWNER S .0 7 . ' X515'0 J'
DEPTH
6IZE
CAPACITY
USE OF WELL
DATE INSPECTED
CONDEB[NED: Date
Peason:
D L -t AND- :�IP�St -L'EP T
APPLICATION FOR WELL PERJ.IIT
/D g./
Re -Insp. j Bld:;.Pnt.
i
SUBDIVISION
OWNER' S ADDRESS 'V4'1' / • PHONE
ADDRESS OF JOB c- .�v���
WELL INSTALLED BY LEVERETT PUMP SALES
LOT BLOCK
FOR: New Old Story Addition Remodeled
Bldg. has Stcree Offices Apts. Hotel Ras. Bedrooms
Use of Buildings Conform to Zoning G. K. by
Clerk
PLOT PLAN OF LOT
Inspector
Fee