1154 NE 91 Terr (9)di(L,0
Permit No. r
A. Fusco
Owner's Name and Address
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
9-12-67
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.
1154 NE 91 terr.
No. Street
Registered Architect and/or Engineer —
Employing Plumber's Name Rose St C Tank Co. No. 2552 VI. 3rd s 6y . e 2
Location and Legal Description Lot__ Subdivision
11 4 gE —13 1. wi tErrii —
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 Repairs No. of Stories ..........
Size Septic Tank Type of Tank_ Capacity Gals.
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well _Size of Soakage Pit
$ 3 • 00
Amount of Permit
(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 Worlanen'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).
Street
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, }
ss.
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.
CLoSIET5
BATH
Tues
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
SW I M'G
POOL
CONTR.
LIST
25'
CHECK
di(L,0
Permit No. r
A. Fusco
Owner's Name and Address
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
9-12-67
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.
1154 NE 91 terr.
No. Street
Registered Architect and/or Engineer —
Employing Plumber's Name Rose St C Tank Co. No. 2552 VI. 3rd s 6y . e 2
Location and Legal Description Lot__ Subdivision
11 4 gE —13 1. wi tErrii —
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 Repairs No. of Stories ..........
Size Septic Tank Type of Tank_ Capacity Gals.
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well _Size of Soakage Pit
$ 3 • 00
Amount of Permit
(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 Worlanen'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).
Street
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, }
ss.
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 $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty
materials and/or workmanship.
Permit No. _' _ZPS
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 1/8/64
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address P$'s z - -A! Susco No. 1 Street N.E. 91st Terrace
Registered Arch,'tr z appor Engineer ____.__________._-- ______ — _ _ _ ------------_--- •------ _-- -- --- -- ---_---- _ - __..
Employing Plumber's ame Rose Septic Tank Co., Inc 2552 �'. 3rd Ave.,Hialeah,Fla:
_ -- ^--- ___ - -- No.____.__�--- ____ -- Street__- _...
Location and Legal Description Lot_-___.__ — ____ _ Block
Street and Number where work is to be performed —No 1154
State work to be performed and purpose of building (By Floors)
N Building ____ Remodeling Addition_________ Repairs X No. of Stories.
Amount of Permit
Street N.E. 91st Terrace
Capacity Gals
Size Septic Tank ______ Type of Tank_
Feet of Drain Tile -2.Q1-_bik.__drain_-_-__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._.______ _.______________Size of Soakage Pit
ez 4 e , 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.
(Signed)._
STATE OF FLORIDA, } »a.
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
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINK6
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
-
CHECK
Permit No. _' _ZPS
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 1/8/64
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address P$'s z - -A! Susco No. 1 Street N.E. 91st Terrace
Registered Arch,'tr z appor Engineer ____.__________._-- ______ — _ _ _ ------------_--- •------ _-- -- --- -- ---_---- _ - __..
Employing Plumber's ame Rose Septic Tank Co., Inc 2552 �'. 3rd Ave.,Hialeah,Fla:
_ -- ^--- ___ - -- No.____.__�--- ____ -- Street__- _...
Location and Legal Description Lot_-___.__ — ____ _ Block
Street and Number where work is to be performed —No 1154
State work to be performed and purpose of building (By Floors)
N Building ____ Remodeling Addition_________ Repairs X No. of Stories.
Amount of Permit
Street N.E. 91st Terrace
Capacity Gals
Size Septic Tank ______ Type of Tank_
Feet of Drain Tile -2.Q1-_bik.__drain_-_-__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well._.______ _.______________Size of Soakage Pit
ez 4 e , 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.
(Signed)._
STATE OF FLORIDA, } »a.
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
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 faulty
materials and /or workmanship.