636 NE 101 St (3)Permit No ' ? v
Location and Legal Description Lot
Street and Number where work is to be performed— No
Size Septic Tank_
Feet of Drain Tile.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ffe
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 ./0-___A-.1.-----S —C
---k--
Registered Architect and /or Engineer ___
Employing Plumber's Name__l_$_i_G __ p__
�l.s_.
Ktegrb. C 2-
Blorti
(Si
Date
6 3 _ C _— Street_ Y / e/ S
State work to be performed and purpose of building (By Floors)_-- - - - -_ � y _ - -_� New Building g - --------- - - - - -- Addition-------- _- - - - -__ Repairs__ Remodelin ____ p ' ___. _ No. of Stories. . . ... .......... ..
Street
1IA 717 /
Street 7 7 _ C 2
Type of Tank Capacity Gals
— .Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____________________ — ___.__________Size of Soakage Pit
(Signed) — - -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e , ..ye?1 by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on • of the work - • ch publ' notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractor on ork to b perform ` • this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _____....
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
Plumber.......
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
S INKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
R INALS
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
SW IM'G
POOL
CONTR.
LIST
-
CHECK
Permit No ' ? v
Location and Legal Description Lot
Street and Number where work is to be performed— No
Size Septic Tank_
Feet of Drain Tile.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ffe
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 ./0-___A-.1.-----S —C
---k--
Registered Architect and /or Engineer ___
Employing Plumber's Name__l_$_i_G __ p__
�l.s_.
Ktegrb. C 2-
Blorti
(Si
Date
6 3 _ C _— Street_ Y / e/ S
State work to be performed and purpose of building (By Floors)_-- - - - -_ � y _ - -_� New Building g - --------- - - - - -- Addition-------- _- - - - -__ Repairs__ Remodelin ____ p ' ___. _ No. of Stories. . . ... .......... ..
Street
1IA 717 /
Street 7 7 _ C 2
Type of Tank Capacity Gals
— .Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____________________ — ___.__________Size of Soakage Pit
(Signed) — - -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e , ..ye?1 by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on • of the work - • ch publ' notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractor on ork to b perform ` • this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _____....
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
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.
Date... cj / (z/ --•-
App!ica +io::. is he:.•Ay made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stracture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
r;_rzd 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 here - .,::'mot d or not. A copy of approved plans and specifications must be kept at
building during progress of work I
Gur,: ar's Name and Address . 4't 1 0 !
^--- _ s,�._ �-- __Y�� No._— — _-- _ - -•- -- Street_
1ftegrstered Architect and /or Engineer.____ _-------- _-- __- - ------- - - - -__ ___._ - --
Employiei; Plumber's Name_M 1 /\� I!_ f' eL ` eori C _L!f :4 No._--- - -_ --- / "
7 Street_ "
- -- _ _ - - .:- =-•_ -•_ --
Location and Legal Description Lot Block
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Subdivision.
Street and Number where work is to be performed —No. __ ____. Str
State work to be performed and purpose .. C
New Building ___ Remodeling Addition_______ Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile.
Nature of Water Supply: City—Well.
Amount of Permit $
Type of Tank_
Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
Plumbing Inspector.
(Signed)_
( Signed
Capacity Gals..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Penn t 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 ch .ublic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors,' i 'ork to per .+ ed under this permit, as are
licensed by Miami Shores Village.
ter Plumber.
STATE; OF FLORIDA, 1 �.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administ 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 worl®anship.
CLOfGY6
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING DRINK
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK A �
....... ■■.
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'GI
POOL
CONTR.
LIST
CHECK
-
Date... cj / (z/ --•-
App!ica +io::. is he:.•Ay made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stracture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
r;_rzd 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 here - .,::'mot d or not. A copy of approved plans and specifications must be kept at
building during progress of work I
Gur,: ar's Name and Address . 4't 1 0 !
^--- _ s,�._ �-- __Y�� No._— — _-- _ - -•- -- Street_
1ftegrstered Architect and /or Engineer.____ _-------- _-- __- - ------- - - - -__ ___._ - --
Employiei; Plumber's Name_M 1 /\� I!_ f' eL ` eori C _L!f :4 No._--- - -_ --- / "
7 Street_ "
- -- _ _ - - .:- =-•_ -•_ --
Location and Legal Description Lot Block
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Subdivision.
Street and Number where work is to be performed —No. __ ____. Str
State work to be performed and purpose .. C
New Building ___ Remodeling Addition_______ Repairs No. of Stories
Size Septic Tank
Feet of Drain Tile.
Nature of Water Supply: City—Well.
Amount of Permit $
Type of Tank_
Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
Plumbing Inspector.
(Signed)_
( Signed
Capacity Gals..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Penn t 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 ch .ublic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors,' i 'ork to per .+ ed under this permit, as are
licensed by Miami Shores Village.
ter Plumber.
STATE; OF FLORIDA, 1 �.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administ 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 worl®anship.
BU1 DING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 7727
Work to be performed under this Permit
7
Owner of
Building r
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
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 appli-
cation 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. • B J 1
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance withjjl ordinanc s a rgtiuktiar
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authtf hies of Dl' ni Shbr
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
Bl.
Subdi-
vision
Value of
Project
CONTRACTOR OR BUILDER BY
Contractor's
License No.
Amt. of
Permit
AUTHORITY
194
Company
Job
Address
■•
Inspection
REQUEST FOR INSPECTION
,
PHONE
i /J
T _r
Time Ready A.M. P.M.
Date Ready
Permit No. _ 1' 7 -) 7 Date ` "//' `/ 1
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 he 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
,
Registered Architect and /or Engineer_
_„
Employing Plumber's Name__ < % ' - -G. 7. No._ v i / ` '� '', "� •�, ' �
P Ymg ' y ' e ' �- �-- -� - - - � �l Street -� - -- (4"(+;„
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No if i Y ___ Street__ /Z_1 `��
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ,L. No. of Stories
Nature of Water Supply: City —Well.
Amount of Permit $_l 0 C
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
L '1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank / .. Type of Tank Capacity Gals.
Feet of Drain Tile 1 f Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
„t*
( Signed) r
1 /} Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig&ttons 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. _
No C 7 � __9 e Street
:T
•
Mast 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
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK NG
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'G
POOL
CONTR.
LIST
CHECK
Permit No. _ 1' 7 -) 7 Date ` "//' `/ 1
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 he 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
,
Registered Architect and /or Engineer_
_„
Employing Plumber's Name__ < % ' - -G. 7. No._ v i / ` '� '', "� •�, ' �
P Ymg ' y ' e ' �- �-- -� - - - � �l Street -� - -- (4"(+;„
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No if i Y ___ Street__ /Z_1 `��
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ,L. No. of Stories
Nature of Water Supply: City —Well.
Amount of Permit $_l 0 C
STATE OF FLORIDA, 1
COUNTY OF DADE.
ss.
L '1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank / .. Type of Tank Capacity Gals.
Feet of Drain Tile 1 f Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
„t*
( Signed) r
1 /} Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig&ttons 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. _
No C 7 � __9 e Street
:T
•
Mast 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.