PLUMBING.ti
Permit No._ __>SZ
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_.leA
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 ...... Repairs No. of Stories..
Size Septic Tank
Feet of Drain Tile Tile_A22gelT.
Nature of Water Supply: City—Well.
Amount of Permit $
0 0
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1 ./_ — :-Po ed> No._ _ / _ Q__7_________ -__ -- street /2e_G.. <__2_3.za '
Type of Tank
Block Subdivision :- ____ --
Street
. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
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 tlie 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__._ -
Capacity Gals.
My Commission Expires Notary Public, State of Florida
Street��� - �� - I °`.- --- -- -
Plumbing Inspector.
Master Plumber.
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.
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
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHICK
.ti
Permit No._ __>SZ
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_.leA
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 ...... Repairs No. of Stories..
Size Septic Tank
Feet of Drain Tile Tile_A22gelT.
Nature of Water Supply: City—Well.
Amount of Permit $
0 0
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1 ./_ — :-Po ed> No._ _ / _ Q__7_________ -__ -- street /2e_G.. <__2_3.za '
Type of Tank
Block Subdivision :- ____ --
Street
. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
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 tlie 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__._ -
Capacity Gals.
My Commission Expires Notary Public, State of Florida
Street��� - �� - I °`.- --- -- -
Plumbing Inspector.
Master Plumber.
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.
Owner's Name and Address___.
Registered Architect and /or Engineer . .__
Employing Plumber's NameC. T
Location and Legal Description
Street and Number where work is to be performed —No
Size Septic Tank_...Cc_'_.CC C
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING Nw.MIT
Type of Tank
Date
No.-_ Street
Application is hereby mafe for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein describe . 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 in specs or
building during progress of work. +;t . py of approved plans and on ust be .t at
i r !' /) � A
V
c / s
' �... y :'_�'i tt� t e "1 Street_ =7Me' l� � "'
Block Subdivision
Street
State work to be performed and purpose of building (By Floors)._
N B _ ______ Remodeling Addition____ Repairs No. of Stories
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
Amount of Permit $
_DT.L f
(Signed)
( 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 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 tlie 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.
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.
My Commission Expires Notary Public, State of Florida
N TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materi and or worlonanship.
CLOSETS
BATH
TUBS
SHOWERe
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK Ne
FOUNT' N8
TOTAL
FI %TORES
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.
Owner's Name and Address___.
Registered Architect and /or Engineer . .__
Employing Plumber's NameC. T
Location and Legal Description
Street and Number where work is to be performed —No
Size Septic Tank_...Cc_'_.CC C
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING Nw.MIT
Type of Tank
Date
No.-_ Street
Application is hereby mafe for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein describe . 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 in specs or
building during progress of work. +;t . py of approved plans and on ust be .t at
i r !' /) � A
V
c / s
' �... y :'_�'i tt� t e "1 Street_ =7Me' l� � "'
Block Subdivision
Street
State work to be performed and purpose of building (By Floors)._
N B _ ______ Remodeling Addition____ Repairs No. of Stories
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
Amount of Permit $
_DT.L f
(Signed)
( 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 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 tlie 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.
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.
My Commission Expires Notary Public, State of Florida
N TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materi and or worlonanship.
01 3 j
MIAMI S ONES VILLAGE, FLA.
INSPECTION
TIME READY /4 7 q , � 6.-- 5
L/1
it<
REMARKS
N9 5180
PECTOR DATE / ,2-6) ��
MIAMI SHORES VILLAGE, FLA. No 5922
JOB Di 14TS
ADDRESS / 7 /V•
INSPECTION -S t !.J/
TIME READY P1 4 - 2 r— 6o `(
REMARKS •
INSPECTOR
LL o 7Ds c p9.
DATE