PLUMBING PERMITP Z
Permit No. - -- _I_ -- _ -- _ —• --
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 th- 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.
- ff dl _ No. _ — - -- Str gle,
Registered Architect and /or E ineer _.
Employing Plumber's Name _ _ __. dzZel _ 0 No..___ Street..._ _ "_ice 6.
Location and Legal Description Lot____ ____. .... _________ ___ _._. Biopic .- Subdivision.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)__- __ __- __ __ _- _
New Building------ --__ -- Remodeling_ -- - -_ - -- ____- _._. Addition_
Owner's Name and Address
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City —Well
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_ (Signed) _
Street
Date
so _
Repairs. - __. _. - _ _ .__ No. of Stories .
Type of Tank _____ - --- ------- ----- --- - - - - -- • -- Capacity Gals.
_ __Dist. Feet of Tank or Drain Field from Well
_ _ _ Size of Soakage Pit
--
umbing Inspecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiof an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and I:as 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 novices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be •:riled under this p _ nit, as are
licensed by Miami Shores Village.
( Signed ).
Master Pbimber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall • 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 •acts
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 worlcmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
UR
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK! NO
FOUNT' NS
TOTAL
FI XTURES
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
D
/ +9
(/
--
P Z
Permit No. - -- _I_ -- _ -- _ —• --
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 th- 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.
- ff dl _ No. _ — - -- Str gle,
Registered Architect and /or E ineer _.
Employing Plumber's Name _ _ __. dzZel _ 0 No..___ Street..._ _ "_ice 6.
Location and Legal Description Lot____ ____. .... _________ ___ _._. Biopic .- Subdivision.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)__- __ __- __ __ _- _
New Building------ --__ -- Remodeling_ -- - -_ - -- ____- _._. Addition_
Owner's Name and Address
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City —Well
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_ (Signed) _
Street
Date
so _
Repairs. - __. _. - _ _ .__ No. of Stories .
Type of Tank _____ - --- ------- ----- --- - - - - -- • -- Capacity Gals.
_ __Dist. Feet of Tank or Drain Field from Well
_ _ _ Size of Soakage Pit
--
umbing Inspecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiof an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and I:as 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 novices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be •:riled under this p _ nit, as are
licensed by Miami Shores Village.
( Signed ).
Master Pbimber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall • 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 •acts
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 worlcmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
- Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE 11
PERMIT N° 2096
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project
1 941
Contractor's
License No
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed- B
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Dam)? - - -� te_ �` —Li" —�
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, wl ther herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of woorrkk.
Owner's Name and Address !✓ ! _.–•_
Registered Architect and /or Engine _____
Employing Plumber's Name - – ____ , 4 No Street_____
Location and Legal Description Lot__________ Block _____ Subdivision_________________________
Street and Number where work is to be performed —No Street_ _________— _�__�____�_______
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
ell. --- - - - - -
–
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
Size of Soa ge Pit._
C
__ (Signed)
(Signed
g/ ; EStreet_L__ `'' `
oaths
Notary Public. State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify tha4e understands and acceptb#his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compile General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, ; n wor , 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
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.
and take acknowledgments, personally
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Dam)? - - -� te_ �` —Li" —�
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, wl ther herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of woorrkk.
Owner's Name and Address !✓ ! _.–•_
Registered Architect and /or Engine _____
Employing Plumber's Name - – ____ , 4 No Street_____
Location and Legal Description Lot__________ Block _____ Subdivision_________________________
Street and Number where work is to be performed —No Street_ _________— _�__�____�_______
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
ell. --- - - - - -
–
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
Size of Soa ge Pit._
C
__ (Signed)
(Signed
g/ ; EStreet_L__ `'' `
oaths
Notary Public. State of Florida
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify tha4e understands and acceptb#his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compile General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, ; n wor , 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
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.
and take acknowledgments, personally
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.