515 NE 101 St (3)MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.. Z V , ~ Date.. .\7 G._ / 1. F.Z .__.
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 L 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 st
building during progress of work. Q C
Owners Name and Address JU.A. Mt) S N 61 S St E ( L ST -
Registered Architect and /or Engineer
Employing F1umbbr's Nome Lave .STAB ✓1)RINfo _ -)We.. Na.. 0.. .._........ ttrt .. �4c„...,...
Location and Legal Description Lot. Mork Subdlvlsion..._______.____
Street and Number where work is to be performed -No 57S Street......62 O1 57,...._.
State work to be performed and pose of building (By Floors) CQlO.P eCe L l SET' TPV.K.2' ZNs'ria. N . &9Te see lrlce
New Building - -__ -_ - - - -- - -- Remodeling —_.. ..._...__ Addition.- .____..__ Repairs No. of Stories...2.,: .............
Size Septic Tank_.._
Feet of Drain Tile
Nature of Water Supply: City -Wells
Amount of Permit $J e)O
STATE OF FLORIDA, l u.
COUNTY OF DADE.
Type of Tank
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit- _._
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and h•s 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
required by the Act. The undersigned agrees to employ only such sub - contractors, on work be pee undpr this per.ni 9 as
by Miami Shores Village.
Plumbing Inspector.
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 be is the ....._.--- ..- _.--- _ -_ - -•
of the above stated are true.
construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
f
My Commluion E :pins Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be shads whoa wait miupsodoa is madelasowsery by improper notice far lmpectioa, or faulty
materials and /or workmanship.
CLOSETS
BATH
Tu••
gMOWLR•
LAVA.
y
SINK•
SLOP
SINKS
LAUNDRY
Tuns
IJRINA..
CATCH
BASIN
FLOOR
DRAIN
DRINK! NO
FOUNT' N•
TOTAL
Fs
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAOI
PIT
GREASE'
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM G
POOL
S r �
6killW
/ /�j�
Gown!.
LIST
CHICK
/
q�
J a
�VV
'
�i� l/
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.. Z V , ~ Date.. .\7 G._ / 1. F.Z .__.
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 L 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 st
building during progress of work. Q C
Owners Name and Address JU.A. Mt) S N 61 S St E ( L ST -
Registered Architect and /or Engineer
Employing F1umbbr's Nome Lave .STAB ✓1)RINfo _ -)We.. Na.. 0.. .._........ ttrt .. �4c„...,...
Location and Legal Description Lot. Mork Subdlvlsion..._______.____
Street and Number where work is to be performed -No 57S Street......62 O1 57,...._.
State work to be performed and pose of building (By Floors) CQlO.P eCe L l SET' TPV.K.2' ZNs'ria. N . &9Te see lrlce
New Building - -__ -_ - - - -- - -- Remodeling —_.. ..._...__ Addition.- .____..__ Repairs No. of Stories...2.,: .............
Size Septic Tank_.._
Feet of Drain Tile
Nature of Water Supply: City -Wells
Amount of Permit $J e)O
STATE OF FLORIDA, l u.
COUNTY OF DADE.
Type of Tank
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit- _._
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and h•s 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
required by the Act. The undersigned agrees to employ only such sub - contractors, on work be pee undpr this per.ni 9 as
by Miami Shores Village.
Plumbing Inspector.
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 be is the ....._.--- ..- _.--- _ -_ - -•
of the above stated are true.
construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
f
My Commluion E :pins Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be shads whoa wait miupsodoa is madelasowsery by improper notice far lmpectioa, or faulty
materials and /or workmanship.
Permit No... _
X:NO
Registered Architect and /or Engineer___.
Employing Plumber's Name i - f -i 0,•-'
Location and Legal Description Lot.
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 sh - -• •lied 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 �� ` i v nl v `s No.- /S / /0/ r Street _
Block
Street and Number where work is to be performed -No Street. ._..._.._...__.._._
State work to be performed and purpose of building (By Floors)_ 9' .__L,1LS kv ! c1 A°" 1"— I L .. -
a c T / .✓f y�
New Building - - -_. _..---- ..... - -._ -- Remodeling____... _- -.- -__ Addition -- __ _.._ .._.. Repairs No. of Sfories ! .. .
Size Septic Tank._ '' ''nn __ 0 7 ) t - Type of
Feet of Drain Tile _c11�TJ -t —Dist• Feet of Tank or Drain Field from Well ..._._
Nature of Water Supply: City-WeIL -f- ' Size of Soakage Pit
Amount of Permit 8 4 . 4
(Signed)S 4 r%WO ; �y
(Signed)
Date
Subdivision 6 ` 9 - 7
My Commission Expires Notary Public, State of Florida
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 bd.( com-
plied with the provisions thereof, and will require similar compliance from all contractors or su . . • tr ctors emplo y hi in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site r the ork N public ..- _ a . ± Rs are
required by the Act. The undersigned agrees to employ only such sub - contractors,
licensed by Miami Shores Village.
Plumbing Inspector.
STATE OF FLORIDA, I s
COUNTY OF DADE.
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take ac personally appeared
to me well known, and who, being by me first duly swan, 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.
NOTE: A re- inspection fee of 81.00 will be made when wait te•Inspeotias r made•neamsary by bumper notice for Inspection, or faulty
material end/at workmanship.
CLOUTS
BATH
Tue{
SHOWER{
LAVA.
TORIEU
RINKS
SLOP
{INKS
LAUNDRY
Tuns
UR INALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIMTURES
CONTR.
LIST
CHECK
+
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
NEATER
DEEP
WELL
BPRKLR.
B
SW IN•O
POOL
CONTR.
LIST
CHECK
Permit No... _
X:NO
Registered Architect and /or Engineer___.
Employing Plumber's Name i - f -i 0,•-'
Location and Legal Description Lot.
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 sh - -• •lied 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 �� ` i v nl v `s No.- /S / /0/ r Street _
Block
Street and Number where work is to be performed -No Street. ._..._.._...__.._._
State work to be performed and purpose of building (By Floors)_ 9' .__L,1LS kv ! c1 A°" 1"— I L .. -
a c T / .✓f y�
New Building - - -_. _..---- ..... - -._ -- Remodeling____... _- -.- -__ Addition -- __ _.._ .._.. Repairs No. of Sfories ! .. .
Size Septic Tank._ '' ''nn __ 0 7 ) t - Type of
Feet of Drain Tile _c11�TJ -t —Dist• Feet of Tank or Drain Field from Well ..._._
Nature of Water Supply: City-WeIL -f- ' Size of Soakage Pit
Amount of Permit 8 4 . 4
(Signed)S 4 r%WO ; �y
(Signed)
Date
Subdivision 6 ` 9 - 7
My Commission Expires Notary Public, State of Florida
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 bd.( com-
plied with the provisions thereof, and will require similar compliance from all contractors or su . . • tr ctors emplo y hi in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site r the ork N public ..- _ a . ± Rs are
required by the Act. The undersigned agrees to employ only such sub - contractors,
licensed by Miami Shores Village.
Plumbing Inspector.
STATE OF FLORIDA, I s
COUNTY OF DADE.
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take ac personally appeared
to me well known, and who, being by me first duly swan, 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.
NOTE: A re- inspection fee of 81.00 will be made when wait te•Inspeotias r made•neamsary by bumper notice for Inspection, or faulty
material end/at workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of /
wilding /
Legal
Description
Address of
wilding
11
0
■
s
eft:•vK.,
Architect r.
,,ontractor ...f
or Builder 2/ "- . . 0-w -
Lot
B1
4 /0/
!.
This permit is granted to the contractor or builder named above to construc 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
lime 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 know dge df the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statement or specifications grrd rd[ assumes responsibility for work
=one by his agents, servants or employees.
INSPECTOR
In consideration of I the issuance to me of this permit I agree to perform the work covered hereun ` in compliance with all ordina s and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted o the proper authorities of Miami Shor Village. In ac-
cepting this rmit assume respons alit for 11 work done by either, mys my agent, se or ployee.
0
CONTRACTOR OI /BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 4914
Signed-
DA
Contract gf s
License No
Work to be performed under this Permit
2
Subdi-
vision
Value of
Project $
Amount of
Permit $
/ L. /
195_
BY f) AUTHORITY e
EMI
i
` SHORES VILLAGE, FLA.
J OB
ADDRESS � / 47.6 ,�`'�
-n��
INSPECTION
TIME READY /
REMARKS:
2
N9 5603
/1
INSPECTOR DATE
Permit No q
s/ /
Size Septic Tank_ _____ ---------........ -...C��TYPeof
Feet of Drain Tile---- -a� - -- ' t. ee o
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING P w.MIT
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. f
Owner's Name and Address
Registered No.____ Street
Registered Architect and /or Engineer__
Employing Plumber's Name .- -- "6' - -- % �_ L �'` .
- -._ o:_» ----'---- :� — Street.
Location and Legal Description Lot_ __.. / _ Bl Subdivision
Street and Number where work is to be performed No._- L 2f . / 1 treet
State work to be performed and purpose of building By Floors) ________
New Building - -- Remodeling_ -- _ Add pn ,,..-- :fairs No of Stories. - ------- -------- • - -....
Amount of Permit $__ - - -/ = --------- - - - - -- — (Sigz►ed)_ -- �'`� /
Capacity Gals
ain Field from Well
_Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Date
/7
1
STATE OF FLORIDA, I
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 bin, stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.10 will be made when such re- inspection is made•neoesssry by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
U RINALS
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
SW IM'O
POOL
CONTR.
LIST
CHECK
Permit No q
s/ /
Size Septic Tank_ _____ ---------........ -...C��TYPeof
Feet of Drain Tile---- -a� - -- ' t. ee o
Nature of Water Supply: City —Well
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING P w.MIT
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. f
Owner's Name and Address
Registered No.____ Street
Registered Architect and /or Engineer__
Employing Plumber's Name .- -- "6' - -- % �_ L �'` .
- -._ o:_» ----'---- :� — Street.
Location and Legal Description Lot_ __.. / _ Bl Subdivision
Street and Number where work is to be performed No._- L 2f . / 1 treet
State work to be performed and purpose of building By Floors) ________
New Building - -- Remodeling_ -- _ Add pn ,,..-- :fairs No of Stories. - ------- -------- • - -....
Amount of Permit $__ - - -/ = --------- - - - - -- — (Sigz►ed)_ -- �'`� /
Capacity Gals
ain Field from Well
_Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Date
/7
1
STATE OF FLORIDA, I
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 bin, stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.10 will be made when such re- inspection is made•neoesssry by improper notice for inspection, or faulty
materials and /or workmanship.