PLUMBINGBUILDING ❑
ELECTRICAL ❑ PERMIT o
PLUMBING 8107
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
rJ :
CONTACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Bl.
Work to be performed under this Permit
Subdi-
vision
BY
DATE
Contractor's
License No
Sq. Ft
Value of
Project $
195E
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. . ' � 1 "`? / i BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
I ,
P
AUTHORITY
i.
Permit No.
Owner's Name and Address
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN`s'
APPLICATION FOR PLUMBING
Date sl _%_ffl - - -•- - = / S SZo
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.
s9
- -- — No. ° Street_-
Registered Architect and /or Engineer
------------------------
Employing Plumber's Name __ ____�"� No.___/l.a.94._._� `J Street_._
Location and Legal Description Lo ____--_- _- ____-_-___-_-_--. _____._ Block_
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. -___
Size Septic Tank
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: Cit — Well.- -.__. S i z e � � Soakage Pit
- - -- x`_!.11 - ` = ' "� = ' A
--- -Atc .e. sa As.. . —.c.2 , e-- ( - — - 5 - -' 'fir ---- -` .--
Amount of Permit $ ¢, 470 . (Signed) c,.) . &....-........., ...�9,
STATE OF FLORIDA,
as.
COUNTY OF DADE.
Type of Tank Capacity Gals
(Signed).
Repairs No. of Stories
Subdivision
Street
3 , o--c
.. . ....... -
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 5968, 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.
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
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HE4TER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
-
CHECK
Permit No.
Owner's Name and Address
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEN`s'
APPLICATION FOR PLUMBING
Date sl _%_ffl - - -•- - = / S SZo
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.
s9
- -- — No. ° Street_-
Registered Architect and /or Engineer
------------------------
Employing Plumber's Name __ ____�"� No.___/l.a.94._._� `J Street_._
Location and Legal Description Lo ____--_- _- ____-_-___-_-_--. _____._ Block_
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. -___
Size Septic Tank
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: Cit — Well.- -.__. S i z e � � Soakage Pit
- - -- x`_!.11 - ` = ' "� = ' A
--- -Atc .e. sa As.. . —.c.2 , e-- ( - — - 5 - -' 'fir ---- -` .--
Amount of Permit $ ¢, 470 . (Signed) c,.) . &....-........., ...�9,
STATE OF FLORIDA,
as.
COUNTY OF DADE.
Type of Tank Capacity Gals
(Signed).
Repairs No. of Stories
Subdivision
Street
3 , o--c
.. . ....... -
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 5968, 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.
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
Date
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 rCY__r___` �Et I mo} A No.__ ____ _Street
Registered Architect and /or
Employing Plumber's Name
Location and Legal Description
Street and Number where work is to be performed—No. _.1 O A' 1 a 0 _. Street
State work to be perf9rmed and purpose of building (By Floors)________
New Building ___. Remodeling__ _____ Addition_
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
/
0 '
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ Street__ -._
Block__ ----------- ____ -- Subdivision ------------------------ -_ -.._
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. Well. _____ ___. ____.Size of Soakage Pit
Capacity Gals
-�- - -- - - -_-- (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 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 tie 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. /
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- on fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty
materials and /or p.
CLOSRB
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
c
2
-
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD,
SOAKAGE
PIT
GREASE
TRAP
SOWS.
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
La10044.,
s / L
LG
CONTR.
LIST
/
__
/
,J
3
7,'N
-- -
CHECK
I 6tipO
Permit
Date
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 rCY__r___` �Et I mo} A No.__ ____ _Street
Registered Architect and /or
Employing Plumber's Name
Location and Legal Description
Street and Number where work is to be performed—No. _.1 O A' 1 a 0 _. Street
State work to be perf9rmed and purpose of building (By Floors)________
New Building ___. Remodeling__ _____ Addition_
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
/
0 '
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ Street__ -._
Block__ ----------- ____ -- Subdivision ------------------------ -_ -.._
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. Well. _____ ___. ____.Size of Soakage Pit
Capacity Gals
-�- - -- - - -_-- (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 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 tie 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. /
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- on fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty
materials and /or p.
R
I
Permit No 7/ 0 7
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING °' i,JMrr
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. ! J 'I' L-
Owner's Name and Address€'' 1,4 _ No. __ _le .__ Street_-_ G 2 ✓
Registered Architect and /or Engineer ... -- __--- ----- ------ --- - - -___
Employing Plumber's Name. .. ...._._. / - -- 1r4- -/-4_._< r._ti,; No. __ 7/2 __ Street.Z.e.4....../Leiljc
Location and Legal Description Lot------ •_--- .------------ ...- - -__ -- Block_- __ Subdivision .------- •-- _.----------- __ ____
Street and Number where work is to be performed —No At? .I C_—___ Street_ AU '
State work to be performed and purpose of building (By Floors)___.____,.
New Building Remodeling_ -___I _-__ Addition.-.___._ Repairs No. of Stories
Type of Tank__ Capacity Gals
Size Septic Tank
Feet of Drain Tile__ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Amount of Permit $
L-
670"
Date
__Size of Soakage Pit
— (Signed) r . ..sa• 1i' - ' — -. `'"irk?
' g nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts is 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.
(Signed)
Master Plumber.
Zii1;15
My Commission Expires Notary Public, State of Florida
STATE OF FLORIDA,
COUNTY OF DADE. 1
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
BATH
TUBE
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CeRN•
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
'
'] --
CONTR.
LIST
CHECK
4/
____—
-
Permit No 7/ 0 7
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING °' i,JMrr
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. ! J 'I' L-
Owner's Name and Address€'' 1,4 _ No. __ _le .__ Street_-_ G 2 ✓
Registered Architect and /or Engineer ... -- __--- ----- ------ --- - - -___
Employing Plumber's Name. .. ...._._. / - -- 1r4- -/-4_._< r._ti,; No. __ 7/2 __ Street.Z.e.4....../Leiljc
Location and Legal Description Lot------ •_--- .------------ ...- - -__ -- Block_- __ Subdivision .------- •-- _.----------- __ ____
Street and Number where work is to be performed —No At? .I C_—___ Street_ AU '
State work to be performed and purpose of building (By Floors)___.____,.
New Building Remodeling_ -___I _-__ Addition.-.___._ Repairs No. of Stories
Type of Tank__ Capacity Gals
Size Septic Tank
Feet of Drain Tile__ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well.
Amount of Permit $
L-
670"
Date
__Size of Soakage Pit
— (Signed) r . ..sa• 1i' - ' — -. `'"irk?
' g nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts is 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.
(Signed)
Master Plumber.
Zii1;15
My Commission Expires Notary Public, State of Florida
STATE OF FLORIDA,
COUNTY OF DADE. 1
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.