806 NE 92 St (2)Location and Legal Description Lot_______
Street and Number where work is to be performed —No 806
Registered Architect and /or Enginee ____ __ __.__�_.�
O' Neal Se Tank Co.
Employing Plumbers Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
PPIAC PION FOR PLUMBING PERMIT
Permit No Date_ ---- ....slt1_.t'.. Application is 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 -( .re_n_,Se.Uttem -------- .____ - - -- No. - -- :d ...... . Street:_ --- 85th ,Stre t
State work to be performed and purpose of building (By Floors)_
New Building X - _ -- Remodeling _______ Addition__
Amount of Permit $_____._.— :_00
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
Type of Tank
(Signed)
No. P o Q 62s_Tar.1 arittree tiA _ - - - -
k aml, tf la. 3314
Subdivision .
Street- NA_.__9? Street
Block_
Repairs No. of Stories. _ .. �. __ ....... .
Size Septic Tank_._ _900_ -ep 1
Feet of Drain Tile 75 _ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well._____— ________ .... _______..... ______ —____Size of Soakage Pit
Capacity Gals. 90Q_.ga1.a
My Commission Expires Notary Public, State of Florida
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 5968, Compiled General Laws of Florida Permanent Supplement, and has ccnn-
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.
(Signed). 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 insr ' •n, 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
FIKTURES
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
X
CHICK
Location and Legal Description Lot_______
Street and Number where work is to be performed —No 806
Registered Architect and /or Enginee ____ __ __.__�_.�
O' Neal Se Tank Co.
Employing Plumbers Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
PPIAC PION FOR PLUMBING PERMIT
Permit No Date_ ---- ....slt1_.t'.. Application is 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 -( .re_n_,Se.Uttem -------- .____ - - -- No. - -- :d ...... . Street:_ --- 85th ,Stre t
State work to be performed and purpose of building (By Floors)_
New Building X - _ -- Remodeling _______ Addition__
Amount of Permit $_____._.— :_00
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
Type of Tank
(Signed)
No. P o Q 62s_Tar.1 arittree tiA _ - - - -
k aml, tf la. 3314
Subdivision .
Street- NA_.__9? Street
Block_
Repairs No. of Stories. _ .. �. __ ....... .
Size Septic Tank_._ _900_ -ep 1
Feet of Drain Tile 75 _ _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well._____— ________ .... _______..... ______ —____Size of Soakage Pit
Capacity Gals. 90Q_.ga1.a
My Commission Expires Notary Public, State of Florida
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 5968, Compiled General Laws of Florida Permanent Supplement, and has ccnn-
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.
(Signed). 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 insr ' •n, or faulty
materials and /or workmanship.