295 NE 94 St (10)Permit No
9')
4_r
State work to be performed and purpose of building (By Floors) __._._ _DrAi LiCl
Street and Number where work is to be performed —No
New .... ...._.. Remodeling____ ___.__ Addition
Size Septic Tank_. -
Feet of Drain Tile
Nature of Water Supply: City —WeIL
Amount of Permit ;L—�
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank __ - - -- -- - - - - -- - - -.
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
( Signed ) _
(Signed) C_
r,P
Date
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 L 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 specificatlosu must be kept at
building during progress of work. Q�C
Owner's Name and Address �S.I0N4- ' �' JC �1_ No 2 S�
Registered Architect and /or Engineer
n rat yi /lum yen Vaal on Lot _ 1 �.._.....�........ ietwt.v.W r ...-
,,��,0 ` � � C_
Nor
t on and Legal p �
tt �,2 3 Blom a SubdivLdon..7 ei)
Street-- -- - - - - ... . ... ...
-- .
Street... 7 /. _.
•
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 5966, Compiled General Laws of Florida Permanent Supplement, and Ilan crnm-
piied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to he
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.
aster Plumber..._
ti STATE OF FLORIDA, I u.
' 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 be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when meal, ale•iaspettion le mede•aaoaasary by bnproper notion for baspection, re faulty
materials and /or worlanaaahip.
CLOUTS
BATH
TOLL
b
LAVA.
TORI[L
SINKS
SLOP
SINK[
D t
LAUN TuLL R
URINAL[
A
C TC N
PALIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
IIAtURt•
--
CONTN.
LIST
CN[CK
+
SEPTIC
TANK
SI LR
CONN.
DRAIN
FILLD
SOAKAO[
PIT
G
TRAP
SO LAR
HUTU
DRIP
WtLL
BPRKLR.
5
•W um' a
POOL
CONTR.
LIST
7 '" 7'
�-
/
CHICK
Permit No
9')
4_r
State work to be performed and purpose of building (By Floors) __._._ _DrAi LiCl
Street and Number where work is to be performed —No
New .... ...._.. Remodeling____ ___.__ Addition
Size Septic Tank_. -
Feet of Drain Tile
Nature of Water Supply: City —WeIL
Amount of Permit ;L—�
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank __ - - -- -- - - - - -- - - -.
_Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
( Signed ) _
(Signed) C_
r,P
Date
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 L 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 specificatlosu must be kept at
building during progress of work. Q�C
Owner's Name and Address �S.I0N4- ' �' JC �1_ No 2 S�
Registered Architect and /or Engineer
n rat yi /lum yen Vaal on Lot _ 1 �.._.....�........ ietwt.v.W r ...-
,,��,0 ` � � C_
Nor
t on and Legal p �
tt �,2 3 Blom a SubdivLdon..7 ei)
Street-- -- - - - - ... . ... ...
-- .
Street... 7 /. _.
•
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 5966, Compiled General Laws of Florida Permanent Supplement, and Ilan crnm-
piied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to he
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.
aster Plumber..._
ti STATE OF FLORIDA, I u.
' 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 be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when meal, ale•iaspettion le mede•aaoaasary by bnproper notion for baspection, re faulty
materials and /or worlanaaahip.
SEPTIC TANKS
COMMERCIAL • RESIDENTIAL
SPECIALISTS IN CLEAN OUTS o PUMPS OUTS
o WE INSTALL AND REPAIR DRAIN FIELDS o
o WE INSTALL SEPTIC TANKS o
688 -4403
24 HOUR SERVICE
1 6 WASHINGTON AVENUE o OPA -LOCKA 33054