705 NE 94 St (4)MIAMI SHORES VILLAGE, FLA.
JOB
J
ADDRESS
INSPECTION
TIME READY
REMARKS:
INSPECTOR
.fl
JOB tJ . 4 E- S.
INSPECTION
REMARKS:
c)
MIAM■, SHORES VILLAGE, FLA:"
ADDRESS 70 ✓ �` �'�` _ c�'"
� ) ✓1 ! f E= l `A? , C'
TIME READY f7 /= j c ". - -1/2
INSPECTOR
N9 5005
DATE C` 2 J
N9 5041
DATE _'
•
Penn; No. a p`
:,pphc:IUun is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.rt:..A for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of ••; Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic• • . of the Building Division
oI Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec. ficatlons must be kept at
Building during progress of work.
`.)wnei's Name and Address Jim O'Brien
- No. Street ._- ..... -.
.egist!red Architect and /or Engineer 813 _ 3r.=,--94
mploying Plumber's Name Roe �t l� ± ink C n -
Location and Legal Description Lot P• 0. Bo x 344 H i a l e� � 3 011
BI'ock
Street and Number where work is to be performed— No. — '7 05 N.-.r. 9'i t-h s±z -eet Street
State work to be performed and purpose of building (By Floors)
New Building______________ ....... ........ Remodeling-__ — ._ Addition Repairs
CONTR.
LI
CHECK
L
CONTR.
LIST
CHECK
Size Septic Tank_. -
Feet of Drain Tile.._._
Nature of Water Supply: City — Well..--- ._.__._. _ - -_- -_ --_ - •-- -- .. - Size of Soakage Pit
Amount of Permit $
Plymbin:; inspector
The undersigned applicant for this building permit does hereby certify that he t\nderstands and accepts his obligations as an en, loser of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Cup lement, and tlas iNyr 5-
t.licd with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' ,. ul elr v b-
performed under this permit; and will post or cause to be posted for inspection on the site of the work such publ: notice 1: no ices +s a:
requ'red by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed 3 „1 this p:rl.oit,
licensed by Miami! Shores Village.
S ATE OF FLORIDA,
C(, NTY OF DADE. b
CLO5rTs
SEPTIC
TANK
BATH
Tuns
SEWER
CONN.
SS.
DRAIN
PIELD
SOAKAGE
PIT
1 -300 sq.
Cmnunission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
GREASE
TRAP
ft. -S
SOLAR
M
'5.00
DEEP
WILL
SHOWERS
LAVA•
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
PLOOR
DRAIN
DRINKING
PQUNT•NS
— __ —. -- . .Type of Tank— Capacity ^ .als.
__Dist. Feet of Tank or Drain Field from Well .............---- • - -••-
SPRKLR.
STSTEN
(Signed).
SW1N•0
POOL
Date..._ 9-11-81
No of Stones
NOTE: A re- inspection fee of $1.00 will be made when such rodaspeetfoo a made by improper notice
materials and /or workmanship
Notary Public, State of Florida
Mesta Plumber.
TOT...
PIET■ RES
l'iore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per or.o; ! c ppearec.
to me well knwn and who, being by me first duly sworn, upon oath deposes and says that he is the .
of the above t e scr ib ed construction, that be bas carefully read the foregoing application, and that he did sign the same, and t aut all acts
therein by bars. sated are true.
for inspection, tr omit,
MIAMI SHORES VILLAGE, FLA.
JOB id, 4 'IA) A) CT' S
ADDRESS , -
�-
INSPECTION �= /� 7 / 7 - /J _
TIME READY
REMARKS:
N9 5005
INSPECTOR DATE
9- 2.Y=1