691 NE 94 St (4)Permit No.
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 specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
iec Nurre
Owner's Name and Address
Registered Architect and/or En
Employing Rubber's Name.
MIAMI SHORES VILLAGE firr
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Tic 7
Location and Legal Description Lot Ng&
Street and Number where work is to be performed—No 9/ / 11--- " Street
State work to be performed and purpose of building (By Floors)_ _
New Building Remodeling Addition.
No. 6q( 4/6treet_. 9Wsr
Repairs No. of Stories
Size Septis
Feet of Itinite. :2
Amount of Permit $
__Type of
. Feet of Tank or Drain Field from Well
Nature of Water Supply: of Soakage Pit
Capacity ......... _ ...... . ...____
(Signed)_ ...... ...
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 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.
.rd
er Plumber.
STATE OF FLORIDA, I is.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Publlo, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is mede.neoessary by hnproper notice for Inspection, or faulty
materials and/or workmanship.
SLOP
SINKS
LAUNDRY
Tugs
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URINALS
CATCH
SAWN
FLOOR
DRAIN
DRINKING
FOUNT'N•
TOTAL
FIXTURES
CLosa
BATH
TUBS
SHOWER•
LAVA-
TOPIISS
SINKS
CONT.
LIST
CHECK
SEPTIC
TANK
SEWS*
Corm.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
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LiIIT
CHECK
Permit No.
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 specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
iec Nurre
Owner's Name and Address
Registered Architect and/or En
Employing Rubber's Name.
MIAMI SHORES VILLAGE firr
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Tic 7
Location and Legal Description Lot Ng&
Street and Number where work is to be performed—No 9/ / 11--- " Street
State work to be performed and purpose of building (By Floors)_ _
New Building Remodeling Addition.
No. 6q( 4/6treet_. 9Wsr
Repairs No. of Stories
Size Septis
Feet of Itinite. :2
Amount of Permit $
__Type of
. Feet of Tank or Drain Field from Well
Nature of Water Supply: of Soakage Pit
Capacity ......... _ ...... . ...____
(Signed)_ ...... ...
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 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.
.rd
er Plumber.
STATE OF FLORIDA, I is.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Publlo, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is mede.neoessary by hnproper notice for Inspection, or faulty
materials and/or workmanship.