PLUMBINGBUILDING ❑
ELECTRICAL ❑ DATE t
PLUMBING ® PERMIT N° 9474 Contractors C
License No
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building t
CONTRACTOR ORRUILDER
MIAMI SHORES VILLAGE. FLORIDA
Bl
(
Signed•
f
•
Subdi-
vision
Sq. Ft
Value of
Project $
•
Amt. of
Permit $
- 2 •.t �,�; ,t - By--
INSPECTOR
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.
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 t 's permit I assum responsibility for all work done by either_ myself, m y� ` nt, ssen/ant or employee.
f / i "•rte, � / -• • 400,
AUTHORITY
BY
17
„7-
Permit No 5q 1_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f r 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 _______ - - - --
Registered Architect and /or En ineer_ _
—
Employing Plumber's Name ..... _A_>
Location and Legal Description Lot_._
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors )1 _ v__¢_LL
New Building ___- ________._.________.. Remodeling _________________________ Addition_______._ Repairs No. of Stories. .
Size Septic Tank ,!
Feet of Drain Tile_
Nature of Water Supply: City — Well.__.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING Ni4MIT
No.
Block
Date //— 3
Street
Street
Street__
Subdivision
e of Tank
eet of Tank or Drain Field from Well
_ _Size of Soakage Pit _
Capacity Gals
(signed) - 1
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl L ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn ent Supplement, and bus com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors Knployed 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).
My Commission Expires Notary Public, State of Florida
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 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•neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SI
SLOP
SINKS
LAUNDRY
Tues
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
i
CONTR.
LIST
—____
-
CHECK
„7-
Permit No 5q 1_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f r 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 _______ - - - --
Registered Architect and /or En ineer_ _
—
Employing Plumber's Name ..... _A_>
Location and Legal Description Lot_._
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors )1 _ v__¢_LL
New Building ___- ________._.________.. Remodeling _________________________ Addition_______._ Repairs No. of Stories. .
Size Septic Tank ,!
Feet of Drain Tile_
Nature of Water Supply: City — Well.__.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING Ni4MIT
No.
Block
Date //— 3
Street
Street
Street__
Subdivision
e of Tank
eet of Tank or Drain Field from Well
_ _Size of Soakage Pit _
Capacity Gals
(signed) - 1
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl L ions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn ent Supplement, and bus com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors Knployed 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).
My Commission Expires Notary Public, State of Florida
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 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•neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
Owner of
Building I E. ,
Architect
Contractor
or Builder - a
Legal Lot
Description
Address of
Building t S 141
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL El
L x r'' 19
PLUMBING o PERMIT N? 9719 Contractor's
ROOFING El License No •" 7
El Work to be performed under this Permit
Bl.
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. v t
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered h under in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications su itted to the proper authorities of Miami Shores Village.
' In accepting this permit I assume responsibility for all work done by either, myself, my, agent, se ant or employee.
Signed •
Subdi-
vision
Sq. Ft
Value of
Project
BY
Amt. of
Permit
$ y
AUTHORITY
{
I7