546 NE 92 St (5)Permit No 1 39 a �O
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, wlr 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_' _!_I fi L !' eeiz
Size Septic Tank_______
Feet of Drain Tile
Nature of Water Supply: City-Well.
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. j
MIAMI SHtNRES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPL CAT6:!?R9 FOR PLUMBING PERMIT
Location and Legal Description Lot____________ __ Block_ - Subdivision .. , _
4 6 street I/ e q - s
State work to be performed and purpose of building (By Floors) , e '..-A _. -_ -_- - -2 -S - 3..L -R _-CC
New Building ___ Remodeling__ _______ Addition____ Repairs__ No. of Stories. Stories .................
Street and Number where work is to be performed -No
Date.
Street
c7/6C No._ _____ - 7,S Street___ °1_
_Type of Tank
_Dist. Feet of Tank or Drain Field from Well
______Size of Soakage Pit
Capacity Gals
(Signed) -
Plu bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obhgations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. • Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contracto • empl. ed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on site of the wo su • public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub - contractors, r ; to der 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 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 insf , n, or faulty
materials and /or workmanship.
sP7
CLOSETS
BATH
TUBS
SHOWERS
O
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
- -.-
CHECK
Permit No 1 39 a �O
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, wlr 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_' _!_I fi L !' eeiz
Size Septic Tank_______
Feet of Drain Tile
Nature of Water Supply: City-Well.
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE. j
MIAMI SHtNRES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPL CAT6:!?R9 FOR PLUMBING PERMIT
Location and Legal Description Lot____________ __ Block_ - Subdivision .. , _
4 6 street I/ e q - s
State work to be performed and purpose of building (By Floors) , e '..-A _. -_ -_- - -2 -S - 3..L -R _-CC
New Building ___ Remodeling__ _______ Addition____ Repairs__ No. of Stories. Stories .................
Street and Number where work is to be performed -No
Date.
Street
c7/6C No._ _____ - 7,S Street___ °1_
_Type of Tank
_Dist. Feet of Tank or Drain Field from Well
______Size of Soakage Pit
Capacity Gals
(Signed) -
Plu bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obhgations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. • Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contracto • empl. ed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on site of the wo su • public notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub - contractors, r ; to der 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 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 insf , n, or faulty
materials and /or workmanship.
sP7