855 NE 91 Terr (7)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 wor
• Owner's Name and Address
Registered Architect and/or E
Employing Plumber's Name
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)____
New Building_ Remodeling Addition.
---------
Amount of Permit $
STATE OF FLORIDA, }
as.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank________ 124_ __Type of
Feet of Drain Tile_ •
7 5-1
_ Stree
(Signed)
Date /9 73
Street_
Capacity Gals—
__Dist. Feet of Tank or Drain Field from Well
( Signed )_ (Z5
My Commission Expires Notary Public, State of Florida
• -• ...... •
Subdivision
Str
10---sd.ir-- •
Repairs No. of Stories.... •.....
Nature of Water Supply: ....... ....... of Soakage Pit
... ....
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his. gations as an employer of labor
under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ccmi
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 pu c notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors ork to be s -rfo .' ed nder this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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/cor workmanship.
CLOSETS
BATH
Tues
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuas
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
Corm.
UST
CHECK
...
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I M•G
POOL
CONTI.
UST
t.'
--.....
CHEW(
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 wor
• Owner's Name and Address
Registered Architect and/or E
Employing Plumber's Name
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)____
New Building_ Remodeling Addition.
---------
Amount of Permit $
STATE OF FLORIDA, }
as.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank________ 124_ __Type of
Feet of Drain Tile_ •
7 5-1
_ Stree
(Signed)
Date /9 73
Street_
Capacity Gals—
__Dist. Feet of Tank or Drain Field from Well
( Signed )_ (Z5
My Commission Expires Notary Public, State of Florida
• -• ...... •
Subdivision
Str
10---sd.ir-- •
Repairs No. of Stories.... •.....
Nature of Water Supply: ....... ....... of Soakage Pit
... ....
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his. gations as an employer of labor
under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ccmi
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 pu c notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors ork to be s -rfo .' ed nder this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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/cor workmanship.
Permit No 4114
State work to be performed and purpose of building (By Floors)_
New Building Remodeling Addition
Size Septic Tank_ of Tank_
Feet of Drain Tile.—
30 —
1 fo ik Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
N
_Dist. Feet of Tank or Drain Field from Well
(.0‘)
(Signed) -g
(Signed
Street..
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 Engineer
Employing Plumber's Name. ... 16:2412 /12-A 4.
Location and Legal Description Lot.
Street and Number where work is to be performed—No
.4r . 6.0.4.1.1•17?
Block
(f Street. Ai E
Repairs No. of Stories
Capacity Gals..
Nature of Water Suppl Cityj..WeIL _ of Soakage Pit
Plumbing Inspector.
undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
° er the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has cam-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
7 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.
STATE OF FLORIDA, 58.
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 be did sign the mune, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Muter Plumber.
NOTE: A re fee of $1.00 will be made when such re is tneds.neoessary by improper notice for inspection, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUBS
,„ „,,...,...
°"""'"'”
LAVA-
TORIES
S
SLOP
SINKS
LAUNDRY
TUGS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NO
041 0 1
4•146.14 .
1 ‘• ildk
TOTAL
FIXTURES
CONTR.
LIST
/
c---
....._
1
I
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
8 4iiiiiiit
H
DEEP
WELL
SPRKLR.
SYSTEM
SW I NI' 0
POOL
Nig.
cwrra.
I
LIST
CHECK
—1----
Permit No 4114
State work to be performed and purpose of building (By Floors)_
New Building Remodeling Addition
Size Septic Tank_ of Tank_
Feet of Drain Tile.—
30 —
1 fo ik Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
N
_Dist. Feet of Tank or Drain Field from Well
(.0‘)
(Signed) -g
(Signed
Street..
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 Engineer
Employing Plumber's Name. ... 16:2412 /12-A 4.
Location and Legal Description Lot.
Street and Number where work is to be performed—No
.4r . 6.0.4.1.1•17?
Block
(f Street. Ai E
Repairs No. of Stories
Capacity Gals..
Nature of Water Suppl Cityj..WeIL _ of Soakage Pit
Plumbing Inspector.
undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
° er the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has cam-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
7 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.
STATE OF FLORIDA, 58.
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 be did sign the mune, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Muter Plumber.
NOTE: A re fee of $1.00 will be made when such re is tneds.neoessary by improper notice for inspection, or faulty
materials and/or workmanship.