PLUMBING (2)Penni k No.
is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.w. _1 for the building or other
stnicturc herein described. This application is made in compliance and conformity with the Building Ordinance of Mk t Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division
oi Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved and spet.:fications must be kept at
7,tidding during progress of work. -
')wner's Name and Address CO U / gedicAt_Ceid Street../.0.7..Zi
,cgist !red Architect and/or Engineer
mploying Name G.o - No.. 7 OE
Location and Legal Description Lot.
Street and Number where work is to be performed—
State work to be performed and purpose of building
New Building Remodeling
Size Septic Tank_.
Feet of Drain Tile
STATE OF FLORIDA, }
u.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block Subdi
Street /0 •
By Floors) __FIB POMO_ 1)
Addition
Repairs No- of Stones
_ .Type of Tank— Capacity
__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well______________________Size of Soakage Pit
Amount of Permit $. . CI 'CC\ (Signed) c
Oa
Date
/NV
Clo
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as en endloyer of tabot
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent r up i lement, and has
.lid with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in e ‘A•Irk bs•
perfonned under this permit; and will post or cause to be posted' for inspection on the site of the work such pub,: notice T. no iccr c
reqtered by the Act. The undersigned agrees to employ only such nib on work to be performed '.n this
licensed by Miami Shores Village.
(Signed)_ # Z 2 7 'c,2O 7J , V Mesta Plumber.
CbP
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. perio npearec.
-• •
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 sip the same, and that all actt
therein by him stated are true.
Notary Public, State of Florida
7
•• ..... •
NOTE: A re-inspection fee of $1.00 will be made when such re-inspectke m made•necentuy by improper notice for inspetieon, buil)
materials and/or workmanship.
CLoarrs
BATH
TUBS
SHOWERS
LAVA •
T
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
eAsipi
FLOOR DRINKING
DRAIN FOUNT'NS
TOTNL
FIXTt RES
CONTR.
LI T
-
—
......—
CHECK
1
1
...■
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
H
DEEP
WELL
SPRKLR.
SYSTEM
SWIAEO
POOL
.—.
...
CONTR.
LIST
CHECK
!
......■■,......
Penni k No.
is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.w. _1 for the building or other
stnicturc herein described. This application is made in compliance and conformity with the Building Ordinance of Mk t Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division
oi Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved and spet.:fications must be kept at
7,tidding during progress of work. -
')wner's Name and Address CO U / gedicAt_Ceid Street../.0.7..Zi
,cgist !red Architect and/or Engineer
mploying Name G.o - No.. 7 OE
Location and Legal Description Lot.
Street and Number where work is to be performed—
State work to be performed and purpose of building
New Building Remodeling
Size Septic Tank_.
Feet of Drain Tile
STATE OF FLORIDA, }
u.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block Subdi
Street /0 •
By Floors) __FIB POMO_ 1)
Addition
Repairs No- of Stones
_ .Type of Tank— Capacity
__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well______________________Size of Soakage Pit
Amount of Permit $. . CI 'CC\ (Signed) c
Oa
Date
/NV
Clo
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as en endloyer of tabot
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent r up i lement, and has
.lid with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in e ‘A•Irk bs•
perfonned under this permit; and will post or cause to be posted' for inspection on the site of the work such pub,: notice T. no iccr c
reqtered by the Act. The undersigned agrees to employ only such nib on work to be performed '.n this
licensed by Miami Shores Village.
(Signed)_ # Z 2 7 'c,2O 7J , V Mesta Plumber.
CbP
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. perio npearec.
-• •
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 sip the same, and that all actt
therein by him stated are true.
Notary Public, State of Florida
7
•• ..... •
NOTE: A re-inspection fee of $1.00 will be made when such re-inspectke m made•necentuy by improper notice for inspetieon, buil)
materials and/or workmanship.
(0 4
Permit No.__._2 _ •�
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. c-./ . f,G�2y °.r s.�-- _--- -- - - -- _ _..__._.___ No. `L__7 ---- - - - - - -- Streetl l!-_E _.. / g,
Registered Architect and /or Engineer____ —
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Size Septic Tank i._.0f?_ -Q - - -_
Feet of Drain Tile__ 4
Nature of Water Supply: City—W
Amount of Permit $_'[ : . .
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
11y
Blodr
No._
State work to be performed and purpose of building (By
New Building ___ Remodeling _Addition Repairs No. of Stories . . ..... .. ....
_Type of Tank
..Dist. Feet of Tank or Drain Field from Well
_._ Size of Soakage Pit
( Signed) _ -_-_'
Date j412 •- -- 7 ° -
Street_
Subdivision_
Street_ Ai t_ - -1 0 l
Capacity Gals
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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
Plumbing Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspEr;.on, or faulty
materials and /or workmanship.
CLOSETS
BATH
Tues
OWERS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
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
'1
!!
CONTR.
LIST
CHECK
Permit No.__._2 _ •�
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. c-./ . f,G�2y °.r s.�-- _--- -- - - -- _ _..__._.___ No. `L__7 ---- - - - - - -- Streetl l!-_E _.. / g,
Registered Architect and /or Engineer____ —
Employing Plumber's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Size Septic Tank i._.0f?_ -Q - - -_
Feet of Drain Tile__ 4
Nature of Water Supply: City—W
Amount of Permit $_'[ : . .
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
11y
Blodr
No._
State work to be performed and purpose of building (By
New Building ___ Remodeling _Addition Repairs No. of Stories . . ..... .. ....
_Type of Tank
..Dist. Feet of Tank or Drain Field from Well
_._ Size of Soakage Pit
( Signed) _ -_-_'
Date j412 •- -- 7 ° -
Street_
Subdivision_
Street_ Ai t_ - -1 0 l
Capacity Gals
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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
Plumbing Inspector.
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspEr;.on, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building `!
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
nn P ERMIT IsT? 12979
lam'"
Work to be performed under this Permit
B1.
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, n3yself, my agent, servant or employee.
ubdi-
vision
CONTRACTOR OR BUILDS: E t) BY
Value of
Project $
DATE
i
_k
1
Contractor's
License No
Amt. of
Permit $
AUTHORITY
/ �u