700 NE 93 St (8)P�seuJt NO._.Jr �
building during progress of wo
Owner's Name and Address_., .. ___________ _______ __.
Registered Architect and /or Engle
Employing Plumber's Name
Location and Legal Description Lot f��
Street and Number where work is t� be performed— No.•-_- __
Size Septic Tank .....
_--- -�_ - -�
Feet of Drain Tile.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 sp ' • • po t. A copy of approved plans and specifications must be kept at
II
Tr y/ d"
Dis . Feet of T:
Amount of Permit $__ 3t (Signed) - --
Date — /
Street_
— - Street_ —
Subdivision. -____
Street
State work to be performea and purpose of building (By Floors)___ _________ __________
New Building_- _--- _------ ---- - - - - -- - - - -_ -- Remodeling___ -__ — ____ —_ Addition--- __ -___ Repairs No. of Stories... ...... ....... .....
Capacity Gals
or Drain Field from Well
Nature of Water Supply: City—Well. __._ ..._._._.___.____.______._____— ____Size of Soakage Pit
P1. bang 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 performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
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 worlm►anship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
LIST
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
( - -.-
-
CONTR.
LIST
CHICK
P�seuJt NO._.Jr �
building during progress of wo
Owner's Name and Address_., .. ___________ _______ __.
Registered Architect and /or Engle
Employing Plumber's Name
Location and Legal Description Lot f��
Street and Number where work is t� be performed— No.•-_- __
Size Septic Tank .....
_--- -�_ - -�
Feet of Drain Tile.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 sp ' • • po t. A copy of approved plans and specifications must be kept at
II
Tr y/ d"
Dis . Feet of T:
Amount of Permit $__ 3t (Signed) - --
Date — /
Street_
— - Street_ —
Subdivision. -____
Street
State work to be performea and purpose of building (By Floors)___ _________ __________
New Building_- _--- _------ ---- - - - - -- - - - -_ -- Remodeling___ -__ — ____ —_ Addition--- __ -___ Repairs No. of Stories... ...... ....... .....
Capacity Gals
or Drain Field from Well
Nature of Water Supply: City—Well. __._ ..._._._.___.____.______._____— ____Size of Soakage Pit
P1. bang 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 performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
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 worlm►anship.
- -^
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
..
RINALS
BASIN
FLOOR
DRAIN
ORINKINO
FOUNT•NS
TOTAL
FIXTURE,
CONTR.
LIST
- -_
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 0
POOL
CONTR.
LIST
CHECK
f V y
Permit No. G
, .
: Date 5r . - .2-
.
Application is hereby made fo 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 at
building during progress of work. /� / G�
Owner's Name and Address . -- _ L • P' --- - - - - �) 1� No. .70 —4 0__ _ LIB C ? • Street --- .!'- J_-- - - -- - ---- --
Registered Architect and /or Engineer . -_._ -- - __ -• -- - -_..__ _._�_ �� --- . _ - - - - -_ PA ' - -- - -.
Employing Plumber's Name.. 0 4OI 1� A/ �I _�G !�l./- No. -1 _
._ V' ' Street - -.I 3 -
Location and Legal Description Lot______._. _ _. _ Block_ ______ _ ._._.. Subdivision
Street and Number where work is to be performed —No -7; .AL1 ' � Street
State work to be performed and purpose of building (By Floors)—
New Building .__._ Remodeling Addition.
Size Septic Tank
Feet of Drain Tile ......
Nature of Water Supply: City —Well
Amount of Permit S.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
e_k14 ist. Feet of Tank or Drain Field from Well
of Soakage Pit
(Signed)
(Signed)._
Repairs.
Capacity Gals.
No. of Stories
Plumbing Inspez tor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga'ions as at, employer of labcr
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and hc: cc
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 si of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, rk tg�be performed under this t rmit, as art
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, as.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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.
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 f..ul
materials and /or workmanship.