PLUMBING PERMITS1,1IA:31I SHORES VILLAGE, FLA.
A WPLICATION FOR SEPTIC TANK PRiIT
IFIvisiom OF plinTmer INsplivoN
Date:
7 —
I herewith submit the following application for a permit coverina
the installation of a Septic Tank
Soakage Pit: : Relaying:
Feet of drain tile: - (J - '
Installed by:/
,,. 7/ /
(NEW: V Old: Story: / Addition:
:or a (Store: Garage:_ Apt: Hotel: Office BLdp
(Res: V Garage wash floor: gaste %ater from
c. „
gallons : 7
Size of Soakage Pit:
Address:
Additional information:
,/
Building has: Stores; Offices; Apts; , Hotel 1:
Bedrums zz-_
Omer or Agent: / /".,,- Address: _____
// /.
LetYALL Block No ..2- SUBDIVISIONYN/YA '
--- _
, cfr
Address of work: 2 ( l // ri ---:
No. of PlumbinB Fixtures: e Laundry Tubs.: Floor Drol-E:
Nature of water supply: Cicy: V/ Well: ---- Feet Distant Item 'd
/
wells: Type of tank installed://
Purpose of same:
- z /
Ready for Inspection: Data: '
APPROVED BY:
Remarks:
PERJIT NO
CONDMNED BY:
Remodeled:
Tank capacity In
A -244 :iM 2_
I herewith submit the following plan of plumbing for approval:
Employing Plumber
For a
New r_::
Dwelling i Store ❑ Garage ❑
Owner or Agent
Builder or Contractor is
Lot No. Block No. Subdivision
Address
Sewer Connections
CLOSETS
Approved by
Condemned by
BATH
T ues
SHOWERS
REMARKS
LAVA-
TORIES
Old ❑
Date
ROUGH -IN INSPECTION
Ground Rougb -In Rain Leader
�M b M
DIVISN OF PLUMBING INSPTION
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
At center of St. ❑ At curb ❑
SINKS
SLOP
SINKS
LAUNDRY
Tuos
AM
Approved by
Condemned by
Story
URINALS
Work executed by
Apartment ❑
Address
Address
At property line ❑
To septic tank
CATCH
BASIN
FLOOR
DRAIN
Addition ❑ Remodeled ['
Hotel ❑ Off cc Bldg. 0
Existing in alley ❑ si:Lrc .:u ::ewer
Eisting bldg. drain r, '.n dry well ❑
DRINKING
FOUNT'NS
A charge of 51.00 will be made for correcting any inaccuracies in the foregoing information.
DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY.
Date
SEWER INSPECTION
Plan Nc Sewer Permit No
P M.
Date
FINAL INSPECTION
Approved by
Condemned by
REMARKS REMARKS
TOTAL
FIXTURES
1�.M. - - -- P. M.
• •
THIS SPACE FOR ELEVATION SKETCH A PERSPECTIVE SKETCI
In alterations to existing work show the old work in red ink and the new in black ink. Letter °cch such to correspond
with the opening shown in floor plan or ground plan on opposite page.
PROVIDED THE WORK C
WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH
AN EE CLEARLY SHOWN
• •
Show location of stacks and horizontal drains inside building, Iettering each opening to correspond with the stock con-
nections as shown on the elevation sketch an opposite page. Where ground work is concealed, draw flonr plan of build-
ing showing location. of walls, partitions, columns, etc., and the location of all horizons I soil and tiro =te pipet, in ref-
erence to same.
F
N
w
W EGT
Sketch position of building and loges in square (which represents an entity block) , showing on which street
the building and lot faces; also show exact locations of "Y" in street and position of `ateral or septic tank. Show
sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all
underground pipes for future references.
NORTH
A
EAST
Remarks:
NORTH
SOUTH