PLUMBINGStreet and Number where work is to be performed —No
New Building_____ _ _ _ Remodeling
STATE OF FLORIDA, }
COUNTY OF DADE.
(Signed)
(Si
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. ..._..._..__
... Capacity Cals..._..
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submAtted 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. ^ I
Owner's Name and AddressAf tLClores / ►' ILCI_� I / ' a/
f 1S. No / �? E. Street... . 2. - ;
Registered Architect and /or Engineer
Employing Plumber's Name ,.M.t (0 4. _ 'S .,.......... No,— . . . . . . . . . . . , 2 . 2. . J Street..._jdt ,r-
Location and Legal Description Lot. NE- Mori Subdivision
Street..—ALE _- -_. 6
State work to be performed and purpose of building (By Floors)__._._ ... ._q_ �.A4 ! _. 3 L ' 1....A �.K-
_ Addition.
AA
Repairs No. of Stories..
Size Septic Tank_.. .Type of Tads___
Feet of Drain Tile. __. _______ rest Feet of Tank or Drain Field from Well..._ _...._
Nature of Water Supply: City—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 em .. ed by him in the work to be
performed wider this permit; and will post or cause to be posted' for inspection on the site of the work su . - ' lie notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on to be .. er this permit, as are
licensed by Miami Shores Village.
Muter Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer • : the 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.
M C Expires Notary Public, State of Florida
NOTE: A re inspection fee of $1.00 will be made when such re L made•neoessary by improper notice for inspection, or faulty
materials and /cr worlovanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINK{
SLOP
SINKS
LAUNDRY
Tuff
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING DRINK
FOUNT'NB
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
I
cowrie.
LIST
CHECK
Street and Number where work is to be performed —No
New Building_____ _ _ _ Remodeling
STATE OF FLORIDA, }
COUNTY OF DADE.
(Signed)
(Si
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. ..._..._..__
... Capacity Cals..._..
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submAtted 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. ^ I
Owner's Name and AddressAf tLClores / ►' ILCI_� I / ' a/
f 1S. No / �? E. Street... . 2. - ;
Registered Architect and /or Engineer
Employing Plumber's Name ,.M.t (0 4. _ 'S .,.......... No,— . . . . . . . . . . . , 2 . 2. . J Street..._jdt ,r-
Location and Legal Description Lot. NE- Mori Subdivision
Street..—ALE _- -_. 6
State work to be performed and purpose of building (By Floors)__._._ ... ._q_ �.A4 ! _. 3 L ' 1....A �.K-
_ Addition.
AA
Repairs No. of Stories..
Size Septic Tank_.. .Type of Tads___
Feet of Drain Tile. __. _______ rest Feet of Tank or Drain Field from Well..._ _...._
Nature of Water Supply: City—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 em .. ed by him in the work to be
performed wider this permit; and will post or cause to be posted' for inspection on the site of the work su . - ' lie notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on to be .. er this permit, as are
licensed by Miami Shores Village.
Muter Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer • : the 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.
M C Expires Notary Public, State of Florida
NOTE: A re inspection fee of $1.00 will be made when such re L made•neoessary by improper notice for inspection, or faulty
materials and /cr worlovanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date `/ Job Address / 7y/`/ 94P- Tax Folio
Legal Description
Owner / Lessee / Tenant Af - / ,,(( ���/'
»'in Y Master Permit # js7Vj
Owner's Address Pt S j ,,PiKi, riato r Phone 75 : 9/ p
Contractin n 8�cA�'/GY pN ();(1- a .1/` Address 6/ / ( t /L!/ /6'-( 6 2 S
Qualifier 2 / / ) /9' /L - ? Phone V - CF
State #C'f4C//.4 Municipal # Competency 4t Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): / BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Chi r� .4/� r 0 7 3 Z -/ Ll�r¢�r� gov��)0, 4 r�
L i — / �` 7 � )(! /0 K GEC/
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER' '.VIT: I c•rtify that all the foregoing information is accurate and that all work will
be h all applicable laws regulating c uction and zoning. Furthe e, I
au c- ntractor to do the work sta
Si: ature o
Date:
Notary as to Owner and /or C do President
My Commission Expires:
FEES: PERMIT Q RADON C.C.F. f/
APPROVED:
Mechanics )K
President
Signature of Contractor or Owner- Builder
Date: y�& 1 L/
Notary as to n 6forICQnnel>cr,Buildsr•
My Commission 1, 4 1.- 1 SCOTT W DAVIS
7 COMMISSION NUMBER
cr CC :55237
r MY COMMISSION EXP.
** * * * * * * * * * * * . * OA a p*:. 3. *347
NOTARY ` Z v TOTAL DUE ' 10
Fire Other
Zoning Building Electrical
Plumbing Engineering
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building /
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Work to b
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 2784
performed under this Permit
Signed:
Subdi-
vision
Value of Amt. of �� •
+ • ` Project Permit '�.+�
DATE , �'` 194Z
Contractor's r:
License No.
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 spec fications 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 dome in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the unc erstanding 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 orvpecifications and
that h occ..m r for work clan.. by his agents, servants or emp
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform thork covered hereunder in compliance with all ordinances and regula-
tions 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 t e sponsibility for all work done by either ,> > f, my agent, servant or employer.;
I *''t•er
;1 AUTHORITY
By
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor ' '�'
or Builder f
Legal Lot
Description
i
Address of { _Y
Building
This permit is granted to the contractor or b
Work to
M
AMI SHORES VILLAGE, FLORIDA ,.
DATE !'i- 2i- 02.2w 194
PERMIT 4186
e performed under this Permi
Subdi-
vision
I /
Project Permit f `
Value of
Contractor's
License No.
..u de named above to construct the building or to install the equipment or device desmibed in the a pps -
cation herefgr in strict compliance with all ordinances pertaining thereto and with the understanding that the . work will be performed in compliance with
plans, drawings statements or specifibation that may have been ed to and approved byt the proper municipal authorities. This Permit may be revoke
st any time if the work is not done in com trance with such ordinances or if the plans are changed 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 cSvered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respod-
sibility for work done by his agents, sbhrrvvanti or employees.
Signed: By
INSPECTOR
In consideration of the issuance to a of this permit I agree to perform the work covered hereunder in compliance with all os apd
pertaining thereto and ip strict con rmity with the plans, drawings, statements or specifications submitted to the proper authorities Miami Shoes
In aceepti y}is w I pansih i '7 ;all work done by either se1tf, a t servant or employee.
c 411QT121 cSliores9illage
F L O R I D A
PLUMBING PERMIT
Se
Issued to
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shg s Village, Florida.
building at
Total $
Village Plumbing Inspector
Received Payment by
For a % story,
Fixtures �
Fixtures g* $ ese �/ ,�j
Sewer $ ! 6 D
•tic Tank $
a ` -, •
,C / .' -
N9 1231
O , ER
LOT
BLOCK
SUBDIVI • N
1
e
.0ff rf
for
AO
/7 '41
c 411QT121 cSliores9illage
F L O R I D A
PLUMBING PERMIT
Se
Issued to
to install the following described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and
drainage work done in Miami Shg s Village, Florida.
building at
Total $
Village Plumbing Inspector
Received Payment by
For a % story,
Fixtures �
Fixtures g* $ ese �/ ,�j
Sewer $ ! 6 D
•tic Tank $
a ` -, •
,C / .' -
N9 1231
IAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE 3- 1- S 19
ELECTRICAL ❑ PERMIT N? 14326 Contractor's
PLUMBING [ ' License No
ROOFING ❑ Wor to be performed under this Permit
Owner of
Building
Architect
Contractor / 4:
or Builder kat
Legal Lot II BI. Subdi-
Description. vision
Address of Value of II
Building ! 1 3 \ /1 �I ,, 5 Project $
This permit is granted to the con 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 thak 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 condidon u which this perniit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordi nances and re o #ons
pertaining to the work covered hereby s
ether shown on the plans or drawings or in the statements or specifications and that he assume lfesponsiibflfty for Work
do by his agents, servants or employes. p C (
Signed • By
"INSPECTOR
Amt. of
Permit
s i
In consideration of the issuance to me of this permit I agree to pW the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conform vigh the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shore. Village.
In accepting this permit I assume responsibly for all work done by either, myself, my agent, servant or employee.
th-
CONTRACTOR OR BUIIi )ER BY AVPli TT
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Con trr " `
or B uilder acto f/ I
Legal
Description
Address of
Building
This permit i
rAi
PER MIT N? 2875
Wk to be
dri
MIAMI SHORES VILLAGE, FLORIDA,
erf orine d under this Permi
•
Signed-
In consideration of the issuance to me of this permit I agree to perform
tions pertaining thereto and in strict cbnformity with the lane, drawings,
Village. In accepting this permit I woe*
Subdi-
vision
Value of
Project
INSPECTOR
DATE ' d 194_41
Contractor's
I No.
1
anted to the conitractot or wilder 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 speci tions 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 nbt do in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the and . s t anding that the contractor or builder named above a/stimes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans o 4,tawings or in the statemefts .or fcations and
that he assumes responsibility for work done by his agents, servants or employees. " r'
Amt. of ;,+G
Permit
ork covered hereunder in compliance with all ordinances and regula.
s or specifications submitted to the proper authorities of Miami Shores
self, as agds nt, servant or employee.
•
BUILDING
ELECTRICAL
PLUMBING
MIA
.PERMIT N? 287
1 dt Work to be performed under this Perms(' `'r ''
Owner of
Building .« L
Architect i1 r
or Builder ' `L 'tf-f'. 1 ,,
Legal Lot 1 1•1
Description
Address of
In consideration of the issuance to me i bf this
none pertaining thereto and ' strict cDnfotunity wi
Village. In accepting this l � I
I SHORES VILLAGE, FLORIDA
DATE
Contr tor's
Lice No.
upon which this permit is granted is the understanding that the contractor or buil
the ordinances and regulations pertainitg to the work covered hereby whether sh
that he assumes responsibility for work) done by his agents, servants or employees.
Signed •
Subdi- F f
vision ; ` I
Value of
Project
I
��,� . ► 1941-
3
/
Amt. of
Permi
.0W
Building . / , 0 i 0
This permit is granted to the contractorlor 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 plane, 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 nged without authorization. A further condition
above es the responsibility f a knowledge of
drawi or in the state ien orr, cations and
- , ' . ' _or" .. By
INSPECTOR
rmst I agree to perform the work covered hereunder in compliance wi! all ordinances and regal*
lass, drawings, Statements or specifications submitted to the proper authorities of Miami Shores
all Jerk done by either myself, my agent, servant or employee.
AUTHOR1T.
BUILDING
ELECTRICAL ❑ PERMIT IT? 11982
PLUMBING
ROOFING
Owner of G
Building V �• +►""�.�
Architect
0k:ntractor
or Builder
D escription
Address of
Building
lot
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE.. 7 3 - 1► - 1 195
C tntractor s
License No.
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
170
Subdi-
vision
Value of
Project $
11 . Amt of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install thel equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work w� ill 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 showq on the plans or drawings or in the statements or specifica "ons and that he assumes responsibility for work
done by his agents, servants or employees. f
Signed • J �,rti �..k.,. t� BY
IN E �IOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all
oiiiim
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper ' iies`
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or ]ayes ''
a /�
ate_ regrlations
Shores Village.