730 NE 94 St (12)Permit No 7 6 7
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.
Owner's Name and Address � JI'�_ 1 f - 111. No Street -- ?-L---
Registered Architect and /or Enginee
Employing Plumber's Name
Location and Legal Description Lot
Amount of Permit $__
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
(Signed)`
(Signed)
Date
Street
Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile �.�
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
/ - -9
Plumbing Inspector.
,Z. - air"; ,r
My Commission Expires Notary Public, State of Florida
Master Plufhber.
i
The undersigned applicant for this building permit does hereby certify that u erstands and accepts hi obli�.ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida Perma 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 unde khi permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t
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 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 inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
SHOWERS
LAVA-
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
-
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S
POOL
CONTR.
LIST
CHECK
Permit No 7 6 7
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.
Owner's Name and Address � JI'�_ 1 f - 111. No Street -- ?-L---
Registered Architect and /or Enginee
Employing Plumber's Name
Location and Legal Description Lot
Amount of Permit $__
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
(Signed)`
(Signed)
Date
Street
Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Repairs No. of Stories
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile �.�
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
/ - -9
Plumbing Inspector.
,Z. - air"; ,r
My Commission Expires Notary Public, State of Florida
Master Plufhber.
i
The undersigned applicant for this building permit does hereby certify that u erstands and accepts hi obli�.ns as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida Perma 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 unde khi permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, t
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 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 inspection, or faulty
materials and /or workmanship.
REQUEST FOR INSPECTION
Address 2 •/ } , I' �:�• --�-
Inspection -
Time Ready
Date Ready /// C94r:
•
to install the following ryescri-bed plumbing, in accordance
the laws, statutes and regulations of Miami Shores Village,
Florj da and the State of F o-21 c?.a, governing plumbing and drain-
age work done in Miami .:hares V -. llage, Florida.
FOR A STORY
AT Z `7/, .,.,_ 95
F =?;' =: UR S
/ / # / 4
• SEWER
r
SEPTIC TANK °
FIXTURES 4 4 ' 113
TOTAL
MIAMI SHORES VILLAGE FLA.
PLUMBING PERMTT
By
NO.
Payment Received
561
BUILDING
..
Village P.Lumbing Inspector
This permit issued subject to approval of County Plumbing Inspector
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTAINS
TOTAL
FIXTURES
1
1
1
1
4
Sketch position of building and lot lines in square (which represents an entire city block), showing on w ich
street the building and lot faces; also show exact location of "Y" in street and position of lateral or se tic
tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accu tey
layout of all underground pipes for future references.
;`,t
WEST
NORTH
A
SOUTH
EAST
Remarks :
NORTH
SOUTH
0
A -244 5 -35 5M
DIVISION OF PLUMBING INSPECTION
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
4 - 16 - 37 1
I herewith submit the following plan of plumbing for approval:
Employing Plumber A.L.Hilcebrandt Work executed by
Job 10
New ❑ X
For a
Owner or Agent
Lot No.
Ground
Dwelling
C3�
Builder or Contractor is
ROUGH -IN INSPECTION
REMARKS
Old ❑
Store ❑ Garage ❑
Reva Burckel
Block No. Subdivision
Story ❑
Addition ❑
Apartment ❑ Hotel ❑
Address
Address
Address 1-6730 NE 94th street Miami Shores Village
Remodeled ❑
Office Bldg. ❑
Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
To septic tank [3 Existing bldg. drain ❑ To dry well ❑
A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information.
DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY.
Date /6 -s)
Rough -In Rain Leader
AM PM.
Approved by ( 4 t / ; f i
Condemned by
Date—
SEWER INSPECTION
A M P M
Approved by
Condemned by
REMARKS
Plan No 561 4 -16 -37 Sewer Permit No
Date
FINAL INSPECTION
A M P M
Approved by
Condemned by
REMARKS
THIS SPACE FOR ELEVATION SKETCH
In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to
correspond with the opening shown in floor plan or ground plan on opposite page.
6 to
K•
L ' 4th ♦ .4r��
V '
A PERSPECTIVE SKETCH WILL BE SUFFICIENT
PROVIDED THE WORK CAN BE CLEARLY SHOWN
THIS SPACE FOR PLAN SKETCH
Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the
stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw
floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal
soil and waste pipes, in reference to same.
:DATE
ISSUED TO
to install the following described plumbing, in accordance'with
the laws, statutes and regulations of Miami Shores Village,
:Fier rl.a and the State of Florida, governing plumbing and drain-
age work done in Miami Shores Village, Florida.
FOR A
AT
FIXTURES '-
SEWER !
SEPTIC TANK
TOTAL v6
:l �
t i r' {
MIAMI SHORES V ILLAGE FLA.
STORY
f
.r^
PLUMBING PERMIT
r ,
•
NO.
} .r " BUILDING
Payment Received
By
561
Village Plumbing Inspector
This permit issued subject to approval of County Plumbing Inspector
r f 7 Permit No.-- - - - - - - - - -- 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 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 wor
Owner's Name and Address___
yi 4(ete
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ + Street.__
Registered Architect and /or
Employing Plumber's Name/70 w � ' ��� /� No. _� ✓A� Street_
Location and Legal Description Lot ____-- _ ..... ____._________ _ _ Block Subdivision_-
Street and Number where work is to be performed —No C% = - • — Street
State work to be performed and purpose of building (By Floors) __.
----------------- - - - - --
New Building _.__ ___ Remodeling____ ___ __ Addition.______.__.___ Repairs No. of Stories.
Size Sep c
Feet of Dr
Nature of Water Supply: City —Well
Amount of Permit $
Tank _ Type of Tank_
Feet of Tank or Drain Field from Well
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
(Signed)_
(Signed).
Capacity Gals
Size of Soakage Pit
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep is obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida ennanent 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.
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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
S
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
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
r f 7 Permit No.-- - - - - - - - - -- 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 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 wor
Owner's Name and Address___
yi 4(ete
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._ + Street.__
Registered Architect and /or
Employing Plumber's Name/70 w � ' ��� /� No. _� ✓A� Street_
Location and Legal Description Lot ____-- _ ..... ____._________ _ _ Block Subdivision_-
Street and Number where work is to be performed —No C% = - • — Street
State work to be performed and purpose of building (By Floors) __.
----------------- - - - - --
New Building _.__ ___ Remodeling____ ___ __ Addition.______.__.___ Repairs No. of Stories.
Size Sep c
Feet of Dr
Nature of Water Supply: City —Well
Amount of Permit $
Tank _ Type of Tank_
Feet of Tank or Drain Field from Well
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
(Signed)_
(Signed).
Capacity Gals
Size of Soakage Pit
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep is obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida ennanent 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.
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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No ig(g'c'(/
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 Mlaml 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
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. n
Owner's Name and AddrespOR / ? ,9L? .s No 7 3 0 t 5r
Registered Architect and /or Engineer
Employing Plumber's Name ._I1..:.. �61 jL�� _._... N o.. .. ° . w Street.. 2— )
- 5 T
Subdivision
Street- -..._. —
Location and Legal Description Lot. Bloc]
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)_._____... . _
New Building. Remodeling ._._. Addition-- - - - -__ --- .__ Repairs.._ No. of Stories. _ _........ ........
Size Septic Tank_
Feet of Drain Tile.
_Type of Tank_._...
...... _Dist. Feet of Tank or Drain Field from Well_._ ,`__._....__..
_
Nature of Water Supply: City—Well. Size of Soakage Pit
STATE OF FLORIDA, }
C
u.
OUNTY OF DADE.
(Signed)_
(Signed)
Capacity
Plum Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, 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 beperfor�r led under this permit, as are
licensed by Miami Shores Village. —
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 dep oses 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.
My Commission Erpires Notary Public, State of Florida
mat a : A r r e - i milkman ion of 411.00 will be made when such re-inspection is made•neoessary by improper notice for inspection, or faulty
CLOSETS
OATH
Tua8
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
TOTAL
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DE•
WELL
SPRKLR.
SYSTEM
SW1M•G
POOL
cetera.
LIST
CHECK
Permit No ig(g'c'(/
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 Mlaml 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
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. n
Owner's Name and AddrespOR / ? ,9L? .s No 7 3 0 t 5r
Registered Architect and /or Engineer
Employing Plumber's Name ._I1..:.. �61 jL�� _._... N o.. .. ° . w Street.. 2— )
- 5 T
Subdivision
Street- -..._. —
Location and Legal Description Lot. Bloc]
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)_._____... . _
New Building. Remodeling ._._. Addition-- - - - -__ --- .__ Repairs.._ No. of Stories. _ _........ ........
Size Septic Tank_
Feet of Drain Tile.
_Type of Tank_._...
...... _Dist. Feet of Tank or Drain Field from Well_._ ,`__._....__..
_
Nature of Water Supply: City—Well. Size of Soakage Pit
STATE OF FLORIDA, }
C
u.
OUNTY OF DADE.
(Signed)_
(Signed)
Capacity
Plum Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, 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 beperfor�r led under this permit, as are
licensed by Miami Shores Village. —
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 dep oses 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.
My Commission Erpires Notary Public, State of Florida
mat a : A r r e - i milkman ion of 411.00 will be made when such re-inspection is made•neoessary by improper notice for inspection, or faulty
Permit No 1. ‘Z
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the builds g 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 comdplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Cf A
Owner's Name and Address ____________
" -_`__� vfJ 1
Registered Architect and /or Engineer Y
Employing Plumber's Name9_.Ali-i-Ar41' � )C
S PT't Al_ _
Location and Legal Description Lot._ _____ _.__________ ___-_ Block__
3
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floars)__._� _ -.._!
New Building _.___ ....... ..... .. ._ -- Remodeling - Addition
Size Septic Tank ..... - _....
Feet of Drain Tile____ -__
Nature of Water Supply: City — Well.______....... _-- ..... ________.... _.-__-______Size of Soakage Pit
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
_Dist. Feet of Tank or Drain Field from Well
(Signed)
STATE OF FLORIDA, f
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to a
No. _ —___ 0_.__ Street.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe
plied with the provisions thereof, and will require similar compliance from all contractors or sub -con
performed under this permit; and will post or cause to be posted' for inspection on the site th
required by the Act. The undersigned agrees to employ only such sub -contr
licensed by Miami Shores Village.
_.. Street --l-•�-._
Subdivision
Strati* _____
f"�-
Repairs No. of Stories
7
Date \I" -4F/94/
My Commission Expires Notary Public, State of Florida
F9 96
Capacity Gals
�y—
Plumbing Inspector.
ligations as an employer of labor
ent Supplement, and has com-
ployed by him in the work to be
public notice or notices as are
under this permit, as are
ster oaths and take aclmowledgments, 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 $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLO$P.T6
BATH
7UB6
bH
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuea
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N6
TOTAL
FIXTURES
GNTR.
O
LIST
_- _.__._
CHECK
.....„...`
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. ‘Z
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the builds g 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 comdplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Cf A
Owner's Name and Address ____________
" -_`__� vfJ 1
Registered Architect and /or Engineer Y
Employing Plumber's Name9_.Ali-i-Ar41' � )C
S PT't Al_ _
Location and Legal Description Lot._ _____ _.__________ ___-_ Block__
3
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floars)__._� _ -.._!
New Building _.___ ....... ..... .. ._ -- Remodeling - Addition
Size Septic Tank ..... - _....
Feet of Drain Tile____ -__
Nature of Water Supply: City — Well.______....... _-- ..... ________.... _.-__-______Size of Soakage Pit
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
_Dist. Feet of Tank or Drain Field from Well
(Signed)
STATE OF FLORIDA, f
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to a
No. _ —___ 0_.__ Street.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe
plied with the provisions thereof, and will require similar compliance from all contractors or sub -con
performed under this permit; and will post or cause to be posted' for inspection on the site th
required by the Act. The undersigned agrees to employ only such sub -contr
licensed by Miami Shores Village.
_.. Street --l-•�-._
Subdivision
Strati* _____
f"�-
Repairs No. of Stories
7
Date \I" -4F/94/
My Commission Expires Notary Public, State of Florida
F9 96
Capacity Gals
�y—
Plumbing Inspector.
ligations as an employer of labor
ent Supplement, and has com-
ployed by him in the work to be
public notice or notices as are
under this permit, as are
ster oaths and take aclmowledgments, 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 inspection, or faulty
materials and /or workmanship.
�r1 S S�rJ�.3
ll ,3?-Q6 /4 /A90 S
Permit No XI0 1
Owner's Name and Address r t M Y . YS
Registered Architect and /or Engineer
Employing Plumber's Name
Q•q.
Location and Legal Description Lot.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building.. _— _- .---- ........_ -- Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 VWage, 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 et
building during progress of work.
B
°1 �o AID
Floor+ —._e_
Addition.
Size Septic Tank_ Type of Tank___..
Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well.
Nature of Water Supply: City —Well. Size of Soakage Pit.
(Signed)
No 130
frthh
_ _ _ Lkgri
Street_.. —N q `-F Skeet
1
Subdlvlslon
Street
/Sc9
Repairs No. of Stories. ....
Capacity Gals
Amount of Permit $ t t SS K• gy
M Commission Expo Notary Public, State of Fl ash
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 lids com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worb 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 • , - ormed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, I µ
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 be did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will bir made wham snob roispaolfan is maw mic asarr by improper notion far impaction, or faulty
materials and /or workmanship.
CLOSETS
BATH
Tue.
SHOWERS
L*vA•
TORIES
SINK[
SLOP
SINK[
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N•
TOTAL
FIETURES
CONTR.
LI•Y
CHECK
a
G
TRAP
SOLAR
HEATER
Div
WELL
8 .
SYSTEM
SWIM'O
POOL
SEPTIC
TANK
SEWER
CONN.
DRAIN
F ItL. D
SOAKAGE.
PIT
COMIC
I !
I
LIIIT
CHECK
�r1 S S�rJ�.3
ll ,3?-Q6 /4 /A90 S
Permit No XI0 1
Owner's Name and Address r t M Y . YS
Registered Architect and /or Engineer
Employing Plumber's Name
Q•q.
Location and Legal Description Lot.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building.. _— _- .---- ........_ -- Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 VWage, 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 et
building during progress of work.
B
°1 �o AID
Floor+ —._e_
Addition.
Size Septic Tank_ Type of Tank___..
Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well.
Nature of Water Supply: City —Well. Size of Soakage Pit.
(Signed)
No 130
frthh
_ _ _ Lkgri
Street_.. —N q `-F Skeet
1
Subdlvlslon
Street
/Sc9
Repairs No. of Stories. ....
Capacity Gals
Amount of Permit $ t t SS K• gy
M Commission Expo Notary Public, State of Fl ash
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 lids com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worb 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 • , - ormed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, I µ
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 be did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will bir made wham snob roispaolfan is maw mic asarr by improper notion far impaction, or faulty
materials and /or workmanship.