PLUMBINGPermft
Application is hereby made for the approval of the detailed statement of the plans and specifications erewit 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 Narne and Address &../1.d'Ali‘ No.
Registered Architect and/or EripTer j
Employing Plumber's Namhir..4.:.... No/ treed. 414 e-
Location and Legal Description Lot__
Street and Number where work is to be performed—No (e& /Th.
State work to be performea and purpose of building (By Floors)._
New
c,
Amount of Permit $
MY COMMISSION ExPivF5 MAY 1, 1975
BONDED. by-AhAf.---
My Coramission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition
(Signed)-
(Signed)
Size Septic Tank__ ._Type of Tank__
Feet of Drain Tile_ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—WelL Size of Soakage Pit
to me well known, and w , 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 applicaden, and that
therein by him stated lirTZH' PUBLIC:STATE Of FLA. AT LARGE f•
Subdivision
Street_
Repairs. No. of Stories
Capacity Gals
lumbing ctor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennane Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or su tract employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on h p c notice or notices as are
required by the Act The undersigned agrees to employ only such sub-contr
licensed by Miami Shores VMage.
erfo
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned uthority, -notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Notary
under this permit, as are
Master Plumber.
aid sign the same, and that all facts
iFJ
Public, Spite of Fl da
:
NOTE: A re-inspection fee of $1.00 will be made when such re-inspectim is made•necessary by improper notice for inspection, or faulty
materials and/ce wodonanship.
CLOSETS
BATH
TUBS
SH " Call
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
IWO
j addthel_URES
1
CONTR.
LIST
/
CHECK
■
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HICATE111
DEEP
WILL
SPRKLR.
SYSTEM
SWILVO
POOL
CONTR.
LIST
CHECK
Permft
Application is hereby made for the approval of the detailed statement of the plans and specifications erewit 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 Narne and Address &../1.d'Ali‘ No.
Registered Architect and/or EripTer j
Employing Plumber's Namhir..4.:.... No/ treed. 414 e-
Location and Legal Description Lot__
Street and Number where work is to be performed—No (e& /Th.
State work to be performea and purpose of building (By Floors)._
New
c,
Amount of Permit $
MY COMMISSION ExPivF5 MAY 1, 1975
BONDED. by-AhAf.---
My Coramission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition
(Signed)-
(Signed)
Size Septic Tank__ ._Type of Tank__
Feet of Drain Tile_ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—WelL Size of Soakage Pit
to me well known, and w , 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 applicaden, and that
therein by him stated lirTZH' PUBLIC:STATE Of FLA. AT LARGE f•
Subdivision
Street_
Repairs. No. of Stories
Capacity Gals
lumbing ctor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennane Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or su tract employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on h p c notice or notices as are
required by the Act The undersigned agrees to employ only such sub-contr
licensed by Miami Shores VMage.
erfo
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned uthority, -notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Notary
under this permit, as are
Master Plumber.
aid sign the same, and that all facts
iFJ
Public, Spite of Fl da
:
NOTE: A re-inspection fee of $1.00 will be made when such re-inspectim is made•necessary by improper notice for inspection, or faulty
materials and/ce wodonanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
DATE et'
PERMIT N° 5390
0
❑ Work to be performed under this Permit ` ----^�
Owner of - .{��
Building ° . �' ' 1 :. C tf;
Architect
Contractor . -, r
or Builder 1 `= , • . 1 �! ) 1 , , z,. :
Legal Lot
Description I B1
CONTRACTOR OR BUILDER
Contractor's
License No
.�" •... «l �L J �",� �.!/ 1 T `J is •
jimMNP
Subdi-
vision
Address of Value of 1 Amount of ? �.'=cj
Building Av _) C Project $ 1 Permit $ ` ' ""
This permit is granted to the contractor or wilder named above to construct the building or to install the equipment or device descriW in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in comiance 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.
�,��^ IN�SP CTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance, with all ordln nbel3`i d"rs u lations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao
ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY •••ot '-'S°'
MIAMI SHORES VILLAGE, FLA. No 2088
JOB R�ErC� , r. ".� -�
ADDRESS '; •
INSPECTION
TIME READY �� ' •�� �^ ^
REMARKS:
•
No.._
Application k
�s
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
Registered Architect and /or E • ( leer____—__ _ —
Employing Plumber's Name. - ".00, t'� ✓ '
Location and Legal Descrip • , Lot--- _ - - - -_ _ - -_ - --
Street and Number where work is to be performed— No._..
S to be performed and purpose of building (By Floors)
ew Building - -- _ •-- ___ - - - -- ________ Remodeling__.__._- - - - -__ _ —_ Addition_____ -_ Repairs No. of Stories.
Size Septic Tank ......
__._._.
Feet of Drain Tile._
NatLre of Water Suppl City )1V ell._____ — Size of Soakage Pit
Amount of Penult 4_
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._____ Street
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
(Signed )
3l� /041 '1
o. _ Street__
Date
Subdivision
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 corn -
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 Mlsmi Shores Village.
� r cam
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
(Signed) -- -_ --
Master Plumber.
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.
Notary Public, State of Florida
NOTE: A re- inspection fee of 41.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or worlonanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
pia)
,In`
TOTAL
I %TURES
CONTR.
LIST
CHICK
! 3
/
/
A_
/
/
•
-
--
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
AMR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
COMTR.
LIST
/
^ - -
CHECK
•
No.._
Application k
�s
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
Registered Architect and /or E • ( leer____—__ _ —
Employing Plumber's Name. - ".00, t'� ✓ '
Location and Legal Descrip • , Lot--- _ - - - -_ _ - -_ - --
Street and Number where work is to be performed— No._..
S to be performed and purpose of building (By Floors)
ew Building - -- _ •-- ___ - - - -- ________ Remodeling__.__._- - - - -__ _ —_ Addition_____ -_ Repairs No. of Stories.
Size Septic Tank ......
__._._.
Feet of Drain Tile._
NatLre of Water Suppl City )1V ell._____ — Size of Soakage Pit
Amount of Penult 4_
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._____ Street
Type of Tank Capacity Gals
Dist. Feet of Tank or Drain Field from Well
(Signed )
3l� /041 '1
o. _ Street__
Date
Subdivision
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 corn -
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 Mlsmi Shores Village.
� r cam
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
(Signed) -- -_ --
Master Plumber.
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.
Notary Public, State of Florida
NOTE: A re- inspection fee of 41.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or worlonanship.
Permit No.._�..G' __5C! 7
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 S. Rudnigk No._, 60 --------- _ - -_ -- s treet 102nd
Registered Architect and /or Engineer Brooks Sprinkler
Re
gi --
Brooks
Employing Plumber's Name -- ___._.__ No.___.__ ___._ _.__ Street_
_.__.._. —
Location and Legal Description Lot_ Block Subdivision--- --- -_--.__ -__ -_.
Street 10211d.
Street and Number where work is to be performed —No 60 NE
State work to be performed and purpose of building (By Floors)__.___
New Building ___ Remodeling___ Addition__- _____._ 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: 4k—Well. Size of Soakage Pit
` Amount of Permit $-
(Si - - -
mbing 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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r';iAMIT
(Signed) _e
Date
5/161
Capacity Gals.
Mastei Member.
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.
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
Tues
URINAL!
CATCH
BASIN
FLOOR
DRAIN
DRINK NG
FOUNT' NE
TOTAL
FI %TURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD•
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H CATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'GI
POOL
CONTR.
LIST
CHECK
X
Permit No.._�..G' __5C! 7
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 S. Rudnigk No._, 60 --------- _ - -_ -- s treet 102nd
Registered Architect and /or Engineer Brooks Sprinkler
Re
gi --
Brooks
Employing Plumber's Name -- ___._.__ No.___.__ ___._ _.__ Street_
_.__.._. —
Location and Legal Description Lot_ Block Subdivision--- --- -_--.__ -__ -_.
Street 10211d.
Street and Number where work is to be performed —No 60 NE
State work to be performed and purpose of building (By Floors)__.___
New Building ___ Remodeling___ Addition__- _____._ 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: 4k—Well. Size of Soakage Pit
` Amount of Permit $-
(Si - - -
mbing 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.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING r';iAMIT
(Signed) _e
Date
5/161
Capacity Gals.
Mastei Member.
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.
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.
MIAM
I SHORES VILLAGE, FLA. N9 5972
JOB 72 Ail c.. 1 g t eza.. 4
4 444
4„,
ADDRESS
INSPECTION
A tz.
}
TIME READY "Ofd h
REMARKS • / /
INSPECTOR
DATE
permit - P
State work to be performed and purpose of building (By Floors)________
New Building Remodeling _ Addition
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_ .2/(i`
Date
-woo' Lae'
( Signed
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 -574 At_ ..... _ No._ a Street__ AV /6
Registered Architect and/or
Employing Plumber's NameihirAL.A__40 S‘A. 71 Noli 0 Street_ _
Location and Legal Description Subdivision
Street and Number where work is to be performed—No ° Street 4 /Y__Zr A ...................... .....
Repairs No. of Stories
Size Septic Tank_ Type of Tank_
Feet of Drain Tile e f Wiwi _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. Size of Soakage Pit
Capacity Gals
/
' •
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 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 4rk t., p. performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
ing
spector.
Master Plumber.
STATE OF FLORIDA,
53.
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 • necessary by improper notice for inspection, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Toes
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
Conroe.
LIST
CHECK
SEPTIC
TANK
SEWER
Conn.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SW IM G
'
POOL
VALL__
CONTR.
LIST
---
-
CHECK
permit - P
State work to be performed and purpose of building (By Floors)________
New Building Remodeling _ Addition
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_ .2/(i`
Date
-woo' Lae'
( Signed
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 -574 At_ ..... _ No._ a Street__ AV /6
Registered Architect and/or
Employing Plumber's NameihirAL.A__40 S‘A. 71 Noli 0 Street_ _
Location and Legal Description Subdivision
Street and Number where work is to be performed—No ° Street 4 /Y__Zr A ...................... .....
Repairs No. of Stories
Size Septic Tank_ Type of Tank_
Feet of Drain Tile e f Wiwi _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well. Size of Soakage Pit
Capacity Gals
/
' •
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 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 4rk t., p. performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
ing
spector.
Master Plumber.
STATE OF FLORIDA,
53.
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 • necessary by improper notice for inspection, or faulty
materials and/or workmanship.
BATH
r'L6-n9? TUBS
SHOWER!
LAVA.
TORICS
SINKS
SLOP
SINKS
LAUNDRY
TUeB
URINAL!
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N6
TOTAL
FIXTURES
-
CONTR.
LIST h ...
_-
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
Ceuta.
LIST
-
CHECK
Permit No
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
Size Septic Tank_ AO j} Type of Tank
Feet of Drain Tile._ _3
Nature of Water Supply: City —Well.
Amount of Permit $ __ _ (-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
.._j� No.__. Street.
(Signed) ----eZ
Date
(Signed)._ ef / �__. �I!_
Registered Architect and /or Engine /�
Employing Plumber's Name / _' � ��.__&! _. o._ Street.
Location and Legal Description Lot---_-.-_.---__..__._ -_ __- _. - __ _ . Subdivision
Street and Number where work is to be performed —No._ _ , L E I . " T r c f e eet_
State work to be performed and purpose of building (By Floors) _________....
New Building__________ .......... - -- Remodeling_. -___ _ ._._ Addition. -__ -__ Repairs No. of Stories.
Capacity Gals -
ist. Feet of Tank or Drain 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.
. .ego
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. j
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.
Application is 1lermby t,l.^. a 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,
anti 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 Engineer____ _. _
Employing Plumber's Named -
MIAMI SHORES V L GE
PLUMBING INSPECTION DEPART NT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot__._. ________- ____________.// --__— Block jj ___ ._ Subdivision -
1Q12
Street and Number where work is to be performed- No. ____1 ¢_.l_-_�_..� ..01:1 eei
State work to be performed and purpose of building (By Floors)_- -___ -_ ____________ -_ --
New Building ___... Remodeling_.____.__ ____ -__ Addition Repairs No. of Stories ....... ... ..............
Size Septic Tank_-_- ...... p -
Feet of Drain Tile_fh
Nature of Water Supply: City -Well.
Amount of Permit $___ .... - -- - - - - -- -- - - - - — (Signed) _
_
ype of Tank__ Capacity Gals
of Tank or Drain 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 o1fgations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Per "ent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor- nployed 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 uch 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)._
Date
/
No.__— Street
Street..
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•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLC?4ETA
0 ATH
TUBE
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
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 I PA' G
POOL
COMM.
LIST
-
CHECK
Application is 1lermby t,l.^. a 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,
anti 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 Engineer____ _. _
Employing Plumber's Named -
MIAMI SHORES V L GE
PLUMBING INSPECTION DEPART NT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot__._. ________- ____________.// --__— Block jj ___ ._ Subdivision -
1Q12
Street and Number where work is to be performed- No. ____1 ¢_.l_-_�_..� ..01:1 eei
State work to be performed and purpose of building (By Floors)_- -___ -_ ____________ -_ --
New Building ___... Remodeling_.____.__ ____ -__ Addition Repairs No. of Stories ....... ... ..............
Size Septic Tank_-_- ...... p -
Feet of Drain Tile_fh
Nature of Water Supply: City -Well.
Amount of Permit $___ .... - -- - - - - -- -- - - - - — (Signed) _
_
ype of Tank__ Capacity Gals
of Tank or Drain 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 o1fgations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Per "ent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor- nployed 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 uch 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)._
Date
/
No.__— Street
Street..
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•necessary by improper notice for inspection, or faulty
materials and /or workmanship.