PLUMBINGMIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot Block
Street and Number where work is to bo performed —No
444
Date
/1 3.y /7 L I C / /
12/28/82 G 7
Permit No.......L.. Q 7 3
Application Is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buitOiother
structure herein described. This application is made in compliance sad 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 Dopy of approved plans and specifications must be kept st
building during progress of work.
Owner's Name and Address I�ANIFT FTtax,ELSTEIN No 11'1 N: - 101 Street
Registered Architect and /or Engineer
Employing Plumber's Name TROPIGAS INC OF FLORIDA I „1L..W... -8a venue... -
Subdivision
N.E. 101 Street
State work to be performed and purpose of building (By Floors) Gas for Spa Heater
New Building.._... _ _ _.._ _.. Remodeling Addition...__.__ ..___.... Repairs No. of Stories .... .........
. Size Septic Tank_ Type of Tank ____._._
Feet of Drain Tile._.— __ -..' ....•----- -moist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: City—Well.—_ _._ - •__ —.__- -- _.Size Of Soakage Pit
Amount of Permit $ 4.00
Pool Heater
(S) - .. .«-
( Signed)
2
Plumbing Inspector.
11
The undersigned applicant fox this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
undcr the Florida Workmen's Compensation Act, being Section 5986, Compiled Genera! Laws of Florida Permanent Supplement, and ha. 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 awe to be posted' for inspection on the site of the work such public notice at notices as are
required by the Act. The undersigned agrees to employ only such sub- aootracton, on wok to be performed under this permit. as are
licensed by Miami Shores vow..
Master Plumber.
STATE OF FLORIDA, 1 i
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly auth.orizod to administer oaths and take acknowledgments. personally appeared
to me well known, and who, being by me first duly worn, upon oath deposes and says that he is the ..__....... _ _ .. _ .
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Psbiio, State of Fulda
NOTE: A re-inspection fee of $1.00 will be n ada whoa seek n iupeatinn is made • nooasary by improper notice for inspection, or faulty
materials and/or workmanship.
CLOsr s
BATH
T„,
aHOWtRt
LAVA•
TORIt.
SINR,
SLOP
SINK.
LAUNDRY
Tulle
tlalNALt
CATCH
Sass.
FLOOR
Oa*IN
DRINKING
/OUNT
TOTAL
•IXTURIt
Comm
LIST
CHICK
__
SEPTIC
Ts 1...
SIWIR
CONK.
DRAIN
I,EIO
SOAKAOI
PIT
0
TRAP
SOLAR
MEATIER
Mir
WILL
a
ST.TIM
ew1M'G
POOL
Cowry.
LIST
CHICK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot Block
Street and Number where work is to bo performed —No
444
Date
/1 3.y /7 L I C / /
12/28/82 G 7
Permit No.......L.. Q 7 3
Application Is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buitOiother
structure herein described. This application is made in compliance sad 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 Dopy of approved plans and specifications must be kept st
building during progress of work.
Owner's Name and Address I�ANIFT FTtax,ELSTEIN No 11'1 N: - 101 Street
Registered Architect and /or Engineer
Employing Plumber's Name TROPIGAS INC OF FLORIDA I „1L..W... -8a venue... -
Subdivision
N.E. 101 Street
State work to be performed and purpose of building (By Floors) Gas for Spa Heater
New Building.._... _ _ _.._ _.. Remodeling Addition...__.__ ..___.... Repairs No. of Stories .... .........
. Size Septic Tank_ Type of Tank ____._._
Feet of Drain Tile._.— __ -..' ....•----- -moist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: City—Well.—_ _._ - •__ —.__- -- _.Size Of Soakage Pit
Amount of Permit $ 4.00
Pool Heater
(S) - .. .«-
( Signed)
2
Plumbing Inspector.
11
The undersigned applicant fox this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
undcr the Florida Workmen's Compensation Act, being Section 5986, Compiled Genera! Laws of Florida Permanent Supplement, and ha. 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 awe to be posted' for inspection on the site of the work such public notice at notices as are
required by the Act. The undersigned agrees to employ only such sub- aootracton, on wok to be performed under this permit. as are
licensed by Miami Shores vow..
Master Plumber.
STATE OF FLORIDA, 1 i
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly auth.orizod to administer oaths and take acknowledgments. personally appeared
to me well known, and who, being by me first duly worn, upon oath deposes and says that he is the ..__....... _ _ .. _ .
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Psbiio, State of Fulda
NOTE: A re-inspection fee of $1.00 will be n ada whoa seek n iupeatinn is made • nooasary by improper notice for inspection, or faulty
materials and/or workmanship.
Permit No 19
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 rpedficatiome 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.
Owners Name and Address .;0
Registered Architect and /or En ' e er
Emtployin Plumber's 's Name / -
Location and Legal Description Lot. U B1oi
Street and Number where work is to be performed —No 3 41 9 A/
State work to be performed and purpose of building (By Floors)_ /-a
New Building.____ _ _-- _--- ........_._ Remodeling—__ _.._— __ Addition.
/.7)
No W ;L Street& l 0 / 4 ...
<Aila v 1.1
Subdivision.
No. of Stories
- / f/ 77
Size Septic Tank_.
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
Type of Tani _
t)lat. Feet of Tank or Drain Field from Well
Size of Soakage Pit...
My Commission Expires
(Signed)_
Capacity
Plumbing r . tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an dyer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Suppl t, 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 u -
licensed by Miami Shores Village.
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, • 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 OM will be made whim mace e..k ieodos is soade•neoeasary by Improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
8/4"11" 8/4"11"
LAVA•
TORIES
SINKS
SLOP
SINK[
LAUNDRY
Tun•
URINALS
CATCH
Imam
FLOOR
DRAIN
DRINK IN
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM,
SWIM'O
POOL
CONTR.
LIST
CHECK
Permit No 19
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 rpedficatiome 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.
Owners Name and Address .;0
Registered Architect and /or En ' e er
Emtployin Plumber's 's Name / -
Location and Legal Description Lot. U B1oi
Street and Number where work is to be performed —No 3 41 9 A/
State work to be performed and purpose of building (By Floors)_ /-a
New Building.____ _ _-- _--- ........_._ Remodeling—__ _.._— __ Addition.
/.7)
No W ;L Street& l 0 / 4 ...
<Aila v 1.1
Subdivision.
No. of Stories
- / f/ 77
Size Septic Tank_.
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit $
Type of Tani _
t)lat. Feet of Tank or Drain Field from Well
Size of Soakage Pit...
My Commission Expires
(Signed)_
Capacity
Plumbing r . tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an dyer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Suppl t, 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 u -
licensed by Miami Shores Village.
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, • 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 OM will be made whim mace e..k ieodos is soade•neoeasary by Improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE, FLA.
JOB I S7(
ADDRESS L /°( Y�
INSPECTION t-
TIME READY
REMARKS•
/ /44 4-( L
N_ 120
INSPECTOR DATE
Permit No 1 ce 35 ' 2--
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
Owner's Name and Address t __..C"11Y1 _�1 �' Y� w - -- _ -- -- - --_. NO. .6 .-- --- -_ - - -- Street / S�
Registered Architect and /or En ' eer____—__—____..___ __. 9,,
Employing Plumber's Name .&11 , e 0 N a '" 'i L 4 No.___ / 3J !7 ' 4 ) Street-4 6
Location and Legal Description Lot LLB 2. B1ock___9 Subdivision_ )5 th�1 �1�
,tom
Street and Number where work is to be performed —No )/ H y if t 4 Street 1 B / 6% r
State work to be performed and purpose of building (��B//y'' Floors) -------_--------------------____--
New Building_______ —__ _ -- Remodeling __LI Addition________ _.____. Repairs___ No. of Stories
Size Septic Tank_____— ________-- ____ -- _------- -_Type of Tank
Feet of Drain Tile ________________________ __. ___ __-__-__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._______ __________________ ____._Size of Soakage Pit
Amount of Permit $
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblfons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perna' nt 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 wok to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
(Signed)-
(Signed)
Capacity Gals.
- �
Date. - - - -- - - - - -- -- • -• - - -- ' -� - -- --
My Commission Expires Notary Public, State of Florida
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.
CLOSETS
Timis
TUBS
S
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
Comm
LIST
/
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'O
POOL
CONTR.
LIST
CHECK
Permit No 1 ce 35 ' 2--
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
Owner's Name and Address t __..C"11Y1 _�1 �' Y� w - -- _ -- -- - --_. NO. .6 .-- --- -_ - - -- Street / S�
Registered Architect and /or En ' eer____—__—____..___ __. 9,,
Employing Plumber's Name .&11 , e 0 N a '" 'i L 4 No.___ / 3J !7 ' 4 ) Street-4 6
Location and Legal Description Lot LLB 2. B1ock___9 Subdivision_ )5 th�1 �1�
,tom
Street and Number where work is to be performed —No )/ H y if t 4 Street 1 B / 6% r
State work to be performed and purpose of building (��B//y'' Floors) -------_--------------------____--
New Building_______ —__ _ -- Remodeling __LI Addition________ _.____. Repairs___ No. of Stories
Size Septic Tank_____— ________-- ____ -- _------- -_Type of Tank
Feet of Drain Tile ________________________ __. ___ __-__-__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._______ __________________ ____._Size of Soakage Pit
Amount of Permit $
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblfons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perna' nt 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 wok to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
(Signed)-
(Signed)
Capacity Gals.
- �
Date. - - - -- - - - - -- -- • -• - - -- ' -� - -- --
My Commission Expires Notary Public, State of Florida
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.
Permit No / S
7
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 y�1 �/
Registered Architect and /or En ' eer —
Employing Plumber's Name r'� —_ y'`"' '!!`'�_!� No. LZ'
Location and Legal Description Lot.
Street and Number where work is to be performed —No yyy
State work to be performed and purpose of building (By Floors) e � -f
New. Building —__._ _ -- Remodeling — _- -- ____ -_ Addition. -v
Size Septic Tank_ — ---- __ —_ - -_ ___Type of Tank --
Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well.
Amount of Permit $ 4:2
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
(Signed
Date / O ._ _
Street .. lr%vi',x-7/--
Str eet _22
Repairs No. of Stories
Capacity Gals.
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 Pennanent Supplement, and bus 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 die 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.
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.
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
'rues
T
S
SHOWERS
LAVA-
TORIES
SINKS
INK
SLOP
SINKS
LAUNDRY
TUBE
URINALS
R INALS
BASIN
B
FLOOR
DRAIN
DRINKING
FOUNT' NO
� �
; 12 � �
/
�A
TOTAL
PI K,TU Rte[[
•s
.•
CONTR.
LIST
..
/
/
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
CHECK
- - —
Permit No / S
7
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 y�1 �/
Registered Architect and /or En ' eer —
Employing Plumber's Name r'� —_ y'`"' '!!`'�_!� No. LZ'
Location and Legal Description Lot.
Street and Number where work is to be performed —No yyy
State work to be performed and purpose of building (By Floors) e � -f
New. Building —__._ _ -- Remodeling — _- -- ____ -_ Addition. -v
Size Septic Tank_ — ---- __ —_ - -_ ___Type of Tank --
Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well.
Amount of Permit $ 4:2
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
(Signed
Date / O ._ _
Street .. lr%vi',x-7/--
Str eet _22
Repairs No. of Stories
Capacity Gals.
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 Pennanent Supplement, and bus 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 die 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.
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.
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.
Permit No. / 2 7
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. U �� �/ �j
Owner's Name and Address _ I - - - -- f /— L__.— __._ - -- Street_. /l__-_
Registered Architect and /or Engineer _..._______ — —_..____—___---_--___---
Employing Plumber's Name /it fi cf 1 1�___ -- — — -- -- __ -- -- No. L7 /a O - -- Street2i a t .
Location and Legal Description Lot Block
Street and Number where work is to be performed —No %;'yy Street
_ems
Size Septic Tank__
Feet of Drain Tile ______.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit $ "' C
STATE OF FLORIDA, 1
COUNTY OF DADE.
My Commission Expires
State work to be performed and purpose of building (By Floors) _
New Building —._ _._ Remodeling______ Addition_ Repairs No. of Stories. _ .....
_Type of Tank
Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well._ __ —______ ..... of Soakage Pit
(Signed)_
DatelZ.i !_____ - a
Subdi vision_. ._ - - -. _.._•_---- .---- --_ ---.
37 /O /J 7'
Notary Public, State of Florida
Master Plumber.
•
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 corn -
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insp or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Toss
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
/
7
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
P001.
CONTR.
/b
-
CHECK
Permit No. / 2 7
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. U �� �/ �j
Owner's Name and Address _ I - - - -- f /— L__.— __._ - -- Street_. /l__-_
Registered Architect and /or Engineer _..._______ — —_..____—___---_--___---
Employing Plumber's Name /it fi cf 1 1�___ -- — — -- -- __ -- -- No. L7 /a O - -- Street2i a t .
Location and Legal Description Lot Block
Street and Number where work is to be performed —No %;'yy Street
_ems
Size Septic Tank__
Feet of Drain Tile ______.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit $ "' C
STATE OF FLORIDA, 1
COUNTY OF DADE.
My Commission Expires
State work to be performed and purpose of building (By Floors) _
New Building —._ _._ Remodeling______ Addition_ Repairs No. of Stories. _ .....
_Type of Tank
Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well._ __ —______ ..... of Soakage Pit
(Signed)_
DatelZ.i !_____ - a
Subdi vision_. ._ - - -. _.._•_---- .---- --_ ---.
37 /O /J 7'
Notary Public, State of Florida
Master Plumber.
•
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 corn -
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insp or faulty
materials and /or workmanship.
Perndt No 93026_
0 6_
Amount of Permit $_
INSTALLED SYST & DRYER.
2:_QQ
My Commission Expires
= s.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
Date 10 -29 - 67
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 D. M. Finkelstein No._ 444 _ EI a Street 1.02 St..
Registered Architect and /or Engineer-----------------_----------------_----____--
Employing Plumber's Name T rop ga s N __- 2 540 Nk_ W • Street__._ 2_9 ___ Q e
Location and Legal Description Lot_____________ Block
Street and Number where work is to be performed— No.____ —__ _ — __— ______ __ — _ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition__
Subdivision
Repairs No. of Stories. _
Size Septic Tank — Type of Tank
Feet of Drain ----------------- _____ Feet of Tank or Drain Field from Well .
Nature of Water Supply: City — Well.. Size of Soakage Pit
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors 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 .ublic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be p orme under this permit, as are
licensed by Miami Shores Village.
( Signed) — _— �L - -- BZ,„. G`^'
41154 -0
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
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
SHOWER!
LAVA-
TOR IES
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
Perndt No 93026_
0 6_
Amount of Permit $_
INSTALLED SYST & DRYER.
2:_QQ
My Commission Expires
= s.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
Date 10 -29 - 67
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 D. M. Finkelstein No._ 444 _ EI a Street 1.02 St..
Registered Architect and /or Engineer-----------------_----------------_----____--
Employing Plumber's Name T rop ga s N __- 2 540 Nk_ W • Street__._ 2_9 ___ Q e
Location and Legal Description Lot_____________ Block
Street and Number where work is to be performed— No.____ —__ _ — __— ______ __ — _ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition__
Subdivision
Repairs No. of Stories. _
Size Septic Tank — Type of Tank
Feet of Drain ----------------- _____ Feet of Tank or Drain Field from Well .
Nature of Water Supply: City — Well.. Size of Soakage Pit
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors 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 .ublic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be p orme under this permit, as are
licensed by Miami Shores Village.
( Signed) — _— �L - -- BZ,„. G`^'
41154 -0
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
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.
MIAMI SHORES VILLAGE, FLORIDA
/
Date
BUILDING ❑
ELECTRICAL ❑
PLUMBING PERMIT N° 9326
ROOFING ❑
Owner of
Building
f
Architect
Contractors -w'
or Builder
Legal La /t°,� 1
Description � Bl
Address of
Building
t
CONTRACTOR or BUILDER
Work to be performed under this Permit
•
Contractor's
License No.
Subdi-
vision
Sq. Ft.
Value of 11 Amount of
Project $ 11 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 applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed • �✓ ` .✓` t e f $ ' �' 1 ' 4 (INSPECTOR) BY
In consideration of the issuance to me of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, d awings, 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 agent, servant or employee.
BY AUTHORITY
Permit No.
Amount of Permit $
a-�
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otlwi
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 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
Registered Architect and /or L Engin er _ -_ -- / \ O' • -
Employing Plumber's Name � Y�6S.' ��
//71, V. fop ®Ko d � Street.. ��'' Subdivision
Bl ock -_._— _
Street and Number where work is to be performed —No —__ 7� ._.___.__.___ Street_ -
A..sC
Location and Legal Description Lot_
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition__
Size Septic Tank Type of Tank_
Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL
Size of Soakage Pit
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
de)
(Signed) _
(Signed)_
Date
Street
Repairs No. of Stories
— Capacity Gals
/
/0 / .��".
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and a - . s 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 arc
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
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 fat.
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 faul
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINAL!
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' N5
TOTAL
FIXTURE!
--
CONTR.
LIST
CHECK
_ _
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER 1
/ DEEP
WEL
SPRKLR.
SYSTEM •
SWIM•G
POOL
CONTR.
I
LIST
CHECK
Permit No.
Amount of Permit $
a-�
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otlwi
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 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
Registered Architect and /or L Engin er _ -_ -- / \ O' • -
Employing Plumber's Name � Y�6S.' ��
//71, V. fop ®Ko d � Street.. ��'' Subdivision
Bl ock -_._— _
Street and Number where work is to be performed —No —__ 7� ._.___.__.___ Street_ -
A..sC
Location and Legal Description Lot_
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition__
Size Septic Tank Type of Tank_
Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL
Size of Soakage Pit
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
de)
(Signed) _
(Signed)_
Date
Street
Repairs No. of Stories
— Capacity Gals
/
/0 / .��".
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and a - . s 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 arc
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
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 fat.
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 faul
materials and /or workmanship.
cg`
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
' ontractor
or Builder •
Legal Lot
Description.
Address of
Building
PERMIT N° 10408
Work to be performed under this Permit
/ �'sONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
Bl.
Subdi-
vision
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 in the statements or, specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: . - (.., :',t,+bt, gy
INSPECTOR
In consideration of the issuance to me of this permit I agree to prform 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 pejmit I assume responsibility for all work done by either, myself, my agent, servant or employee.
`r
BY
Contractor's
License No
Amt. of
Permit $ _
•
AUTHORITY
195)
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Bl.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N °
Work to be performed under this Permit
f)
Architect
Contractor' e'
or Builder
Legal Lot
Description
Address of
Building /
This permit is granted to the contraor or builder named above to construct the building or to install the equipment or device described in the appli-
catioherefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. ,•- r
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 ofdinances 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 a work done by either myself, my agent, seryant or employee.
Subdi-
vision
Value of
Project
BY
DATE / c
Contractor's
L icense No.
Aunt. of$
Permit "'
�tT
1944_
0
AUTHORITY
Permit No
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__ 1014 40 Ca CO 3 No 4 1 .e. Street / Q
Registered Architect and /or Engineer J�
Employing Plumber's Name __! ! A C ! f? _�_4 No.�a ` L �!__iL!+' Street_
low
CAL
Location and Legal Description Lot___ - ( _ - Block___?__il Subdivision
• Street and Number where work is to be performed —No C Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories 1
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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
��. 7
Amount of Permit $ L � .1 ' (Signed) . w ��`� k_ `iL•
'� Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he underst nds and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General aws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contract s 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.
Date
ip sc, z
( Signed) .�•i ' .is I t c C ,. ,_
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.
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
INKS
SINKS
SLOP
SINKS
LAUNDRY
TUBS
.0 INALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
S') '.1
j (.
?C,
L ,i
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
Permit No
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__ 1014 40 Ca CO 3 No 4 1 .e. Street / Q
Registered Architect and /or Engineer J�
Employing Plumber's Name __! ! A C ! f? _�_4 No.�a ` L �!__iL!+' Street_
low
CAL
Location and Legal Description Lot___ - ( _ - Block___?__il Subdivision
• Street and Number where work is to be performed —No C Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories 1
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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
��. 7
Amount of Permit $ L � .1 ' (Signed) . w ��`� k_ `iL•
'� Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he underst nds and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General aws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contract s 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.
Date
ip sc, z
( Signed) .�•i ' .is I t c C ,. ,_
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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
PLUMBING IN MIAMI 3O YEARS
c o 3 ..
4;yo=t.4-3
I l z--
t A4r a, 4.wvt f_
NORTON PLUMBING CO.
CONTRACTING - REPAIRING
MAINTENANCE
8011 N. W. 15T PLACE PHONE 7 -9897
MIAMI 98, FLORIDA
i At4 4 /111.t. Ccic-acA
'PP/ i h,e , lol St-
S ifoW Ca
Y 7)
✓ 3 '•
3 ' • cLOSCT
ESTIMATES CHEERFULLY GIVEN
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
_ Date "� . � 9 . 191 -
Owner's Name and Address .. - ` e..e l 1_✓ K i. sL f' A/ .._. No.._ Y ,7 / S ' _ _./ 4 ® S r
Registered Architect and /or Engineer e k 1 .Ji...._' . L..:f ler '1L i . _ ....._. ._. -.._ . _
Name and address of licensed contractor...e..4.4. _ 4 91p .h.. 'e...$ / ® /.. .
Location and legal description of lot to be built on:
Lot G - 0' '7 _ Block. ? 4. Subdivision. .11-12.4.4. /Au_ S l i 4 r.' Ei re? r- a .1 ..... -
Street and Number where work is to be done V V. q _44,6°:.1.i 2 _.. 5....-
State work to be done and purpose of building (by floors)..._i.. L.44.. i1.. /..d ..,.....4.L?
_and for no other purpose.
New Building Remodeling Addition Po 0 4 Repairs No. of Stories
To be constructed of__d.1Z. Kind of foundation.. Roof Covering
.0 -�1- ._._
Estimated Total cost of improvements $.. S .2 F CI Amount of Permit $
Zone cubage required plan Cubage
Distance to next nearest building __..._._..__Size of Building Lot _.._. / 0 r K --/ / .g r
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 efi .1i;_.C_ Jg'. ..... -.9.
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 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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subco actors, on work to be rform d undep this
permit, as are licensed by Miami Shores Village.
Remarks.. (Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
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. ✓ 2- 7 Date.. / Z 9 , -__ Read, Sworn to and Subscribed before me.
Disapproved _��.
(Signed) __
Building Inspector j My Commission Expires
Date
Notary Public, State of Florida
PLAN/ G 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Permit No
- - S' 7
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date - - - ..1..f.L v
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address___Q.!_' A_Z1eY_ _k.E_L in F✓._ -____. Street-.__
Registered Architect and /or Engineer __ .... � / 0- 2-_ -._ _� � ��- --- _-- -___-- - --� --
Employing Plumber's Name_e_.__k_.___Fif _f6 � ,$Z° ��-- - - - - -_ No._1
Location and Legal Description Lot 6 '�' _ ! BhoA 9'
Street and Number where work is to be performed -No g '/
State work to be performed and purpose of building (Bye - 1oors)_ 400_0
New Building _ -- _ -- Remodeling
Amount of Permit $
n 5 - ..__ Street /V4' /1 Sr
Subdivisi �p�__J S.R_
street N e- /0 e 5 ?"
Addition Repairs
(Signed)-
(Signed)-- - ---- --- - - - -' -
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
Plumb'
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplo er of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement/ d has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him i � e 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 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.
My Commission Expires Notary Public, State of Florida
STATE OF FLORIDA, }
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 inspe.' nn, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
INK
SS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING DRINK
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
$W IM'G
POOL
CONTR.
LIST
CHECK
Permit No
- - S' 7
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date - - - ..1..f.L v
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address___Q.!_' A_Z1eY_ _k.E_L in F✓._ -____. Street-.__
Registered Architect and /or Engineer __ .... � / 0- 2-_ -._ _� � ��- --- _-- -___-- - --� --
Employing Plumber's Name_e_.__k_.___Fif _f6 � ,$Z° ��-- - - - - -_ No._1
Location and Legal Description Lot 6 '�' _ ! BhoA 9'
Street and Number where work is to be performed -No g '/
State work to be performed and purpose of building (Bye - 1oors)_ 400_0
New Building _ -- _ -- Remodeling
Amount of Permit $
n 5 - ..__ Street /V4' /1 Sr
Subdivisi �p�__J S.R_
street N e- /0 e 5 ?"
Addition Repairs
(Signed)-
(Signed)-- - ---- --- - - - -' -
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
Plumb'
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplo er of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement/ d has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him i � e 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 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.
My Commission Expires Notary Public, State of Florida
STATE OF FLORIDA, }
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 inspe.' nn, or faulty
materials and /or workmanship.
Permit No
Nature of Water Supply: City—Well
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date - - a -� S -r2.7
Application is hereby made for the approval of the detailed statement of the plans and specifications hermit 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_---._!/ v ; __ 1_!v !/ / _ e <17/ No. Street. -/ O 1_.. S -
Registered Architect and /or Engineer____- l2l.__,S._t
Employing Plumber's Name eh 4 .s /e � D O . — Street_ & c i s /
Location and Legal Description Lot. C ? Block 1 0 Subdivision -- ' g._1 ___1 o r P g
Street and Number where work is to be performed —No 9 / St/ < O / S /
Bp-
State work to be performed and purpose of building ( ears -) �� p . 1 __.Z7 _ a- 7`P i-
New Building Remodeling__ ___- . - - - - -_ _ __ -- Addition- ..___ -_ -- Repairs
( Signed) _
C9,l )
Size of Soakage Pit
No. of Stories ________----- __ _ ___
Size Septic Tank_- _----- - - - - -- _ Type of Tank Capacity Gals.
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well _
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 5986, 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.
My Commission Expires 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 inspc:'t,r,n, or faulty
materials and/or workmanship.
CLOSRS
BATH
TUBS
S
LAVA
TORIES
S INKS
SLOP
SINKS
LAUNDRY
TUBE
U
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
CONTR.
LIST
!-
-
CHECK
Permit No
Nature of Water Supply: City—Well
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date - - a -� S -r2.7
Application is hereby made for the approval of the detailed statement of the plans and specifications hermit 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_---._!/ v ; __ 1_!v !/ / _ e <17/ No. Street. -/ O 1_.. S -
Registered Architect and /or Engineer____- l2l.__,S._t
Employing Plumber's Name eh 4 .s /e � D O . — Street_ & c i s /
Location and Legal Description Lot. C ? Block 1 0 Subdivision -- ' g._1 ___1 o r P g
Street and Number where work is to be performed —No 9 / St/ < O / S /
Bp-
State work to be performed and purpose of building ( ears -) �� p . 1 __.Z7 _ a- 7`P i-
New Building Remodeling__ ___- . - - - - -_ _ __ -- Addition- ..___ -_ -- Repairs
( Signed) _
C9,l )
Size of Soakage Pit
No. of Stories ________----- __ _ ___
Size Septic Tank_- _----- - - - - -- _ Type of Tank Capacity Gals.
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well _
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 5986, 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.
My Commission Expires 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 inspc:'t,r,n, or faulty
materials and/or workmanship.
Application is hereby made for the approval of the detailed statement us 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.
Date .._..._......_.... 1 .. f ._ .. ».... ,19.. !/
Owner's Name and Address3P.O L / . . 7 /N _.
Registered Architect and /or Engineer 9 k) ,,,••..,.• ...............
1
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision »..�
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
STATE OF FLORIDA, 1 .
COUNTY OF DADE.
Permit No
Disapproved
(Signed)
jj BUILDING INSPECTION DEPARTMENT
.APPLICATION FOR BUILDING PERMIT
‘ 110 stated true.,
0 Date...'. I .I
MIAMI SHORES VILLAGE
r Date
Building Inspector
Chairman
Member
Member
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-in.pec•tion fce of 51.00 will be charged
materials anti /or workmanship.
Council Approved Date
New Building Remodeling Addition
and for no other purpose.
Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S v1.6-0 E Amount of Permit $... :OD
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 per:nit 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 performe under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or noticcs as are required by the Act. The undersigned agrees to employ only such subcontracto , on work to , �e rformed under this
permit, as are licensed by Miami Shores Village. n � j / /L�—
Remuks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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
ta
therein by him d ar
Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Notary Public, State of Florida
MyCommission Expires _............_ .N..._ _.
to me well known,
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection oe faulty
- -'
CLOSETS
BATH
TUG•
BNOW[Ka
LAVA.
TORIES
a1NKa
SLOP
SINKS
LAUNDRY
Tulsa
U IIINALa
CATCH
eAsIN
FLOOR
DRAIN
DRINKING
FOUNT 'NE
i
TOTAL
FIXTURES
--
CONTR.
LIST
CHECK
-
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
F IELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR
a
SWING
POOL
Corms.
LIST
r
CHECK
Permit No J
Application is 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.
Owners Name and Address l// ( $ra /� No YY d!' / Street ..__./2
Registered Architect and /or Engineer
Employing Plumbor's Nam° c) 4---C' --
Blob Subdivision._._______
,c4t3de
State work to be performed and purpose of building (By Floors)__._.
New Building.___.._ — _.._--- ..... - -.__. Remodeling____ _ - -_.— __ Addition
Location and Legal Description Lot
Street and Number where work is to be performed —No
Size Septic Tank__
Feet of Drain Tile.
Nature of Water Supply: City—Well.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
45
(Sim)
Street
_Type of Tank__
_Dist. Feet of Tank or Drain Field from Well --- _._ _-__—
Size of Soakage Pit
/_✓� '9..4.. pl
Repairs No. of Stories.
Amount of Permit $ 1 D a ou (Si _ v • 1 t _N ^ic1 lY ? -
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 IIay 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 Err
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be
nder this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, I u.
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 be is the. -• - - -- .. -. - -_ -. -- - - ... - --
of the above described construction, that be has carefully read the foregoing application, and that be 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 wino amok sa•Impaotdoa Y snada by Improper noden for Inspection, or faulty
materials and /or workmanship.