PLUMBINGPermit No ° e6
___.......--•-•
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. /
Owners Name and Address L1� Y /' e`er No. /0 Street. - L�� _•_- - -•. /� ��Q
Registered Architect and /or Engineer
Employing Plumber's. Name
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit $ 0 7„ri Ofi
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
The undersigned applicant for this building permit does hereby certify that he understands and accepts
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida
plied with the provisions thereof, and will require similar compliance from all contractors or su
performed under this permit; and will post or cause to be posted for inspection on the si of
required by the Act. The undersigned agrees to employ only such sub- contractors,
licensed by Miami Shores Village.
(Signed)
Subdivision
Street. - -.
7
State work to be performed and purpose of building (By Floors)_ —._ -- -- •-------- _• -• --_`
New Building______._ ...... Remodeling —_ —.__ Addition..- _.___.._ _..... Repairs No. of Stories
Mast
M Connadssioo Expo Notary Public', State of Florida
Plumbing Inspector.
his obligations as an employer of labor
ent Supplement, and haw com-
yed by him in the wort• to he
blic notice or notices as are
Init, as are
s empl
e k such p
STATE OF FLORIDA, 1
COUNTY OF DADE. f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgements, 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 be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of 11.00 will be made whoa snob ieispaotlaa fe mede.ssesseary by improper node. for lespectlon, er faulty
materials and /or worl®anshiL.
CLO$ TS
BATH
TUB[
aHOW[RB
LAVA•
TORIES
LINKS
SLOP
SINK•
LAUNDR
Tun[
URINALS
CATCH
BASIN
FLOOR
DRAIN
ORINKINO
FOUNT' NS
TONAL
•IIITUR[S
CONT11.
LIST
CHECK
SEPTIC
TAN
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
EATER
HEATER
WELL
s
SYSTEM
twice
01.
POOL
•
ZW
comm. LIST
LIST
__
�.�7
7 ..
CHICK
Permit No ° e6
___.......--•-•
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. /
Owners Name and Address L1� Y /' e`er No. /0 Street. - L�� _•_- - -•. /� ��Q
Registered Architect and /or Engineer
Employing Plumber's. Name
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit $ 0 7„ri Ofi
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
The undersigned applicant for this building permit does hereby certify that he understands and accepts
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida
plied with the provisions thereof, and will require similar compliance from all contractors or su
performed under this permit; and will post or cause to be posted for inspection on the si of
required by the Act. The undersigned agrees to employ only such sub- contractors,
licensed by Miami Shores Village.
(Signed)
Subdivision
Street. - -.
7
State work to be performed and purpose of building (By Floors)_ —._ -- -- •-------- _• -• --_`
New Building______._ ...... Remodeling —_ —.__ Addition..- _.___.._ _..... Repairs No. of Stories
Mast
M Connadssioo Expo Notary Public', State of Florida
Plumbing Inspector.
his obligations as an employer of labor
ent Supplement, and haw com-
yed by him in the wort• to he
blic notice or notices as are
Init, as are
s empl
e k such p
STATE OF FLORIDA, 1
COUNTY OF DADE. f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgements, 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 be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of 11.00 will be made whoa snob ieispaotlaa fe mede.ssesseary by improper node. for lespectlon, er faulty
materials and /or worl®anshiL.
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 1 9eb'tua'tL/ 1967
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. f
Owner's Name and Address C. .C'. rI)ecke4, No 1069 N. E.
Street
914t 9eaitace
Registered Architect and /or Engineer �+ ��� �L cl c
Employing Plumber's Name____ 0_ l /_yeaLif Q __ & Sep __J.ast7J�
iZ__CQ�___ No 1368 �.. U). Street______2QQth gt
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No. 1069 N. E. Street 91 at 9ea'tace
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 Capacity Gals
Feet of Drain Tile 38 it. Dist Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $ 3.00
ss.
(Signed)_
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio n. s an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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.
My Commission Expires Notary Public, State of Florida
Master 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 fault
materials and /or workmanship.
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
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
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 1 9eb'tua'tL/ 1967
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. f
Owner's Name and Address C. .C'. rI)ecke4, No 1069 N. E.
Street
914t 9eaitace
Registered Architect and /or Engineer �+ ��� �L cl c
Employing Plumber's Name____ 0_ l /_yeaLif Q __ & Sep __J.ast7J�
iZ__CQ�___ No 1368 �.. U). Street______2QQth gt
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No. 1069 N. E. Street 91 at 9ea'tace
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 Capacity Gals
Feet of Drain Tile 38 it. Dist Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $ 3.00
ss.
(Signed)_
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio n. s an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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.
My Commission Expires Notary Public, State of Florida
Master 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 fault
materials and /or workmanship.
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.