420 NE 92 St (10)- - -
-
CLOOrr?D
BATH
Tutu) O
LAVA•
vorwD
BINK6
SLOP
OINK°
LAUNORY
TUDO
URINALS
CATCH
®AOIN
FLOOR
DRAIN
DRINKING
FOUNT•N/
/ W /
�� J
J.O4/
TOTAL
PIATUR60
COHTA.
LILY
� / r ) �
1
a
°v i/V
y
/
�iJ
—
CHSeK
1
SCEPTIC
TANK
GSRW(aR
comm.
DRAIN
rump
SOAKAOa
PIT
GAO
TRAP
SOLAR
HaATaR
DaGta
Wall.
SPRKLR.
eYOTat9
SWlld'el
POOL
/ op
�� I,?
�. I.
40
�� de
f, ,t
CONdTR.
' 4
CHt K
_
4
1,5
IPo sit Na it Z — i
Application is hereby made for the epproval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application b 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 Shares Village and all rules and regulations of the Building Division
of. Miami Shores Village shall be complied with, whethiar hen specified ca mt. A copy of approved plans and specifications most be kept at
building during progress of work.
Amount of Permit a 1 / 6
My Conamirdirm E rp ce
MIA MO SHARES VORA arAGE /� 7
PLUMING INSPECTION DEPARTMENT (�
QPPLOCNTIO l FOC3 PUS/MOM' PERMIT 78aS
No 'Vole
Owner's Name and Address /s
Registered Architect and /or Engineer
EMPIOrine Plumb is Name 41112/R a ,e
Location and Legal Description Lot_
Street and Number where work is to be perform •: No,,4p? -c) /lam L�r
Size Septic Tank _Type of T om ---
Feet of Drain Tile Dino-- Feat of Tarr or Darin Field from Well..._.__. _ _
Nature of Water Supply: City —Well Siva of Soakage Pit.
NOTE: A re-Inspection fee of 61.00 aAIR ba made try r:
materials a d /ea lsa akti.9.
(Si
(Si
Date... 740,
Street
Subdivision.
Street_ .._...._._...... -. if
State arork to be performed and purpose of building (By 41! ? S12YeG . . !a-evo
New Building- -_._._ _ ---- ._..... - -._.. Remodeling___._.. .___. - -- Addition...-___.- ... -__ Repairs No. of Stories
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 5988, Compiled General Laws of Florida Permanent Supplement, and hie( com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the weer to hr
performed under this permit; and will post or cause to be posted' for inspection on the site of the such public notice or notices as ary
onned under this permit, 14115 are
required by the Act. The undersigned afire to employ only ouch Saab -con. actors. on
Bocci by Miami Shares Village.
/4 rho Master Plumber.
STATE OF FLORIDA, I a.
Q OUNT f OF DADE.
Before me, the undersigned authority, a notary public, duly aautheriard 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 be is the ._..... -_ --- ...- •_ - - -.. _ _...._.
of the above described construction, that. ho hna earefuliy reed the fforegrialS ageptiostion, and that be dad sign the same, and that all faels
therein by him stated we true.
Notary Public, State of Florida
�' asOWIery by hummer motley for inspection, or feat