1050 NE 93 St (8)Permit No 5v6 3
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
Amount of Permit $
0
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot____--_ _ Block
Street and Number where work is to be performed— No.___—_
State work to be performed and purpose of building (By Floors)_______________
N Building Remodeling_____ ____ Addition Repairs
No _ID (5
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
(Signed )
Plum • ing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his •.• .'rations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pert anent 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
Date
Street ... __/__!_ 61_2.3 4 27 _ __
Street__ 4/
- O__,�
Subdivision a
Street E , J A_
No. of Stories.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. J
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.
Notary Public, State of Florida
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
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
I NALS
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 IM'G
POOL
CONTR.
LIST
-
CHECK
Permit No 5v6 3
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
Amount of Permit $
0
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot____--_ _ Block
Street and Number where work is to be performed— No.___—_
State work to be performed and purpose of building (By Floors)_______________
N Building Remodeling_____ ____ Addition Repairs
No _ID (5
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
(Signed )
Plum • ing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his •.• .'rations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pert anent 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
Date
Street ... __/__!_ 61_2.3 4 27 _ __
Street__ 4/
- O__,�
Subdivision a
Street E , J A_
No. of Stories.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. J
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.
Notary Public, State of Florida
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
Tues
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TU08
URINALS
CATCH
BABIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
J I t---
K.c ..ric,"si
--
TOTAL
FIXTUREI
- ^_
CONTR.
LIST
of
v �
/
A � 1
CHECK
1 - .N
✓S,
W)
J.
� C-
_
'
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
Q1 ''''
&/ et.E/
T //..,
D/J 'h-
�I.�`y:. ; A
a
CONTR.
LIST
CHECK
, /
/
e
/
; J�
/i
/� C� .
D ?. .
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address ___ ../V. 1_: - -- &_ No.•_._._ Street
Registered Architect and /or Engineer
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
New Building__ . . Remodeling
Size Septic Tank
Feet of Drain Tile
/ 1 _ _.Dist. Feet of Tank or Drain Field from Well_ . __
niR�
Nature of Water Supply: Cit ell , f - Size of Soakage Pit._
Amount of Permit $- ......
STATE OF FLORIDA, t ss,
COUNTY OF DADE. I
�n ° Type of Tank_ _ Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ^II employer of labcv
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has
plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the wo -k 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.
i ��
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block- ._.____ - _.-- - - - - -- - - - - -- Subdivision
` Street
Floors)._
No
Addition__._.___._____. ___. Repairs
A-
(Signed)
Street
(Signed)_____.N.2"/ -2h
Date 0 — `S ",
No. of Stories / _ ....... ._ .
Notary Public, State of Florida
Plumbing Inspectoz.
r,=
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally :,ppeare
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 tat.
therein by him stated are true.
NOT A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Lail
materials workmanship.