1270 NE 92 Stt
t
Permit No.___.d_.l f --��__—_—_
Owner's Name and Address -.7 .. l
Registered Architect and /or En ' eer _____ ____— ____________
i
Employing Plumber's Name— _ __ _ -- -4..i - :!
Location and Legal Description Lot ____.
Size Septic Tank_ o-�
Feet of Drain Tile J_
----------------- -------------------------
Araount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI S MORES VILLAGE
PLUMBING INSPECTPON DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._
Dist. Feet of Tank or Drain Field from Well.
Date
Street.
1'1- 0 -ez
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.
_ Block_
Street and Number where work is to be performed —No 1� �— ` Street
State work to be performed and purpose of building (By Floors)
New Building ____ ___ Remodeling____ — Addition_ Repairs No. of Stories.
Subdivision
wJ
Type of Tank__ Capacity G
Nature of Water Supply: City — Well.------ _------- - _- ___ - -- ___ -- -Size of Soakage Pit
ff --
(Sig 1 -
Plumb' 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 5386, 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized tc 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 foregoig application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of 01.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
snatorials and /or workmanship.
CLOCHTS
BATH
TUBS
SHOWERS
LAVA-
TORIES
NK6
SINKS
SLOP
SINKS
LAUNDRY
Tues
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FI %TURE6
CONTR.
LIST
CHOSCCS
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
3
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
_ - -.-
CHECK
t
t
Permit No.___.d_.l f --��__—_—_
Owner's Name and Address -.7 .. l
Registered Architect and /or En ' eer _____ ____— ____________
i
Employing Plumber's Name— _ __ _ -- -4..i - :!
Location and Legal Description Lot ____.
Size Septic Tank_ o-�
Feet of Drain Tile J_
----------------- -------------------------
Araount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI S MORES VILLAGE
PLUMBING INSPECTPON DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._
Dist. Feet of Tank or Drain Field from Well.
Date
Street.
1'1- 0 -ez
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.
_ Block_
Street and Number where work is to be performed —No 1� �— ` Street
State work to be performed and purpose of building (By Floors)
New Building ____ ___ Remodeling____ — Addition_ Repairs No. of Stories.
Subdivision
wJ
Type of Tank__ Capacity G
Nature of Water Supply: City — Well.------ _------- - _- ___ - -- ___ -- -Size of Soakage Pit
ff --
(Sig 1 -
Plumb' 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 5386, 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized tc 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 foregoig application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of 01.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
snatorials and /or workmanship.
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 w rk.
Owners Name and Address- 6
No. Street
Registered Architect and /or
Employing Plumber's Name
Location and Legal Description Lot Bl
Street and Number where work is to be performed —No , fi
Size Septic Tank .....
`
Feet of Drain Tile_I�C
STATE OF FLORIDA, I
COUNTY OF DADE.
Amount of Permit $ 1
MIAMI SHORES VILLAGE
PLUMBING INSPECTJON DEPARTMENT
APPLICATION FOR L'LUMBING PERMIT
State work to be performed and purpose of building (By Floors )__— ____________________.__
New Building- _ - - - -_ _ ----- -____. Remodeling __ __ Addition.__ —_ _____ Repairs No. of Stories.
t. Feet of Tank- or Drain Field from Well .
Nature of Water Supply: City— WeIL__ _ ..... ___Size of Soakage Pit
Capacity Gals.
Plum • g 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 perf rmed under this permit, as are
licensed by Miami Shores Village.
(Sii )- L Z 4
Date 2/! `
My Commission Expires Notary Public, State of Florida
_ --- -_ -_ -- Street- - - - -_- _
Subdivision __
Street
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 slid 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- inspectlm is made-necessary by improper notice for inspection, or faulty
materials and /or worinmanship.
CLOSETS
BATH
TUBS
SH
LAVA-
TORI
SINKS
SLOP
SINKO
LAUNDRY
TUBS
URINALS
U
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
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 w rk.
Owners Name and Address- 6
No. Street
Registered Architect and /or
Employing Plumber's Name
Location and Legal Description Lot Bl
Street and Number where work is to be performed —No , fi
Size Septic Tank .....
`
Feet of Drain Tile_I�C
STATE OF FLORIDA, I
COUNTY OF DADE.
Amount of Permit $ 1
MIAMI SHORES VILLAGE
PLUMBING INSPECTJON DEPARTMENT
APPLICATION FOR L'LUMBING PERMIT
State work to be performed and purpose of building (By Floors )__— ____________________.__
New Building- _ - - - -_ _ ----- -____. Remodeling __ __ Addition.__ —_ _____ Repairs No. of Stories.
t. Feet of Tank- or Drain Field from Well .
Nature of Water Supply: City— WeIL__ _ ..... ___Size of Soakage Pit
Capacity Gals.
Plum • g 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 perf rmed under this permit, as are
licensed by Miami Shores Village.
(Sii )- L Z 4
Date 2/! `
My Commission Expires Notary Public, State of Florida
_ --- -_ -_ -- Street- - - - -_- _
Subdivision __
Street
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 slid 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- inspectlm is made-necessary by improper notice for inspection, or faulty
materials and /or worinmanship.
Permit No - 3 2 Xs
Application is hereby made for the approval of the detailed statement of t~ , ; and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and con. a. :.:' with the Ialilding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Mi: • Viiiag;= and all rules and regulations of the Building Division
of Mimi Shores Village shall be complied with, whether herein speefi:• A cop; t approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Regisye.;ed Architect and /or Enginee
Employing Plumber's Name /a ____ No. Street-_
Location and Legal Description Lot_.____.____ ____ -_____ — B ock_.�� _..__ --_ Subdivision
A �
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) _
New Bcilding Remodeling
Size Septic Tank d
Feet of Drain Tile__
Nature of Water Supply: City — Well...
- - - -- -- _.. ..------ -------------- --- --- - -- - --
Amount of Permit $L_._? s?
C - i A' 'E O. : FLORIDA, i
CO iNT Y OF DADE.
MIAMI SHOGtLS vi, 4,0,:
PLUMBING INSPECTION DEPARTMc.:
APPL9CATION FOR PWUMBIN
_Type of Tank
▪ No. Street
Date
Addition.._.___._ _ Repairs No. of Stories .. .......................
f.
Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
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 5986, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from al 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
rxpzired by the Act. The undersigned agrees to employ only such sub - contract rs, onAork iF be pe forme • nder this pennit, as are
licensed by Miami Shores Village. no .
(Signed) —_-_ / _ d —
Master Plumber.
(Signed)_— C
My Con: mission Expires Notary Public, State of Florida
)i ::ore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to 'e well lmown, 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 foregoirg application, and that he did sign the same, and that all facts
ter . by lam stated are true.
NOTE: A re- inspection fee of 01.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
sat .vials end /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT' NS
TOTAL
FIXTURES
CONTR.
LIST
- -_
CAECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
-
CHECK
Permit No - 3 2 Xs
Application is hereby made for the approval of the detailed statement of t~ , ; and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and con. a. :.:' with the Ialilding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Mi: • Viiiag;= and all rules and regulations of the Building Division
of Mimi Shores Village shall be complied with, whether herein speefi:• A cop; t approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Regisye.;ed Architect and /or Enginee
Employing Plumber's Name /a ____ No. Street-_
Location and Legal Description Lot_.____.____ ____ -_____ — B ock_.�� _..__ --_ Subdivision
A �
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) _
New Bcilding Remodeling
Size Septic Tank d
Feet of Drain Tile__
Nature of Water Supply: City — Well...
- - - -- -- _.. ..------ -------------- --- --- - -- - --
Amount of Permit $L_._? s?
C - i A' 'E O. : FLORIDA, i
CO iNT Y OF DADE.
MIAMI SHOGtLS vi, 4,0,:
PLUMBING INSPECTION DEPARTMc.:
APPL9CATION FOR PWUMBIN
_Type of Tank
▪ No. Street
Date
Addition.._.___._ _ Repairs No. of Stories .. .......................
f.
Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
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 5986, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from al 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
rxpzired by the Act. The undersigned agrees to employ only such sub - contract rs, onAork iF be pe forme • nder this pennit, as are
licensed by Miami Shores Village. no .
(Signed) —_-_ / _ d —
Master Plumber.
(Signed)_— C
My Con: mission Expires Notary Public, State of Florida
)i ::ore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to 'e well lmown, 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 foregoirg application, and that he did sign the same, and that all facts
ter . by lam stated are true.
NOTE: A re- inspection fee of 01.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
sat .vials end /or workmanship.