740 NE 94 St (6)Permit No.
New Building
Applicatio 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 JOLlj .AHL No. Street
Registered Architect and /or Engineer
Employing Plumber's Name-__ L.. 11 .--- ,SL.0- ! TLI1- - -CO•- No.-I-1-23---10-23r-d- ksLlb___130X-- a0- I2 :_I.1H
Location and Legal Description Lot___JQ &L—'t3., Block 65 Subdivisioni3 sabiORES_,-___S.f;0.3
Street and Number where work is to be performed —No 740 Street N. L' 94 ST.
State work to be perfored,/and purpose of building (By Floors) SS131-110 TANK INSTALLATION
m
Remodeling Addition_______ Repairs No. of Stories 1
Size Septic Tank 50Q Gall! Type of Tank 2'131" CAST - GONCR1 Capacity Gals
7 5
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $
I
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
(Signed)
Date_____I f L8
500
•
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ei oyed by him in the work to be
p erformed under this permit; and will post or cause to be posted for inspection on the site of the work s 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.
STATE OF FLORIDA, 1
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.
My Commission Expires 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.
Master Plumber.
LAVA -
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CLOSETS
BATH
TUBS
SHOWERS
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
CHECK
Permit No.
New Building
Applicatio 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 JOLlj .AHL No. Street
Registered Architect and /or Engineer
Employing Plumber's Name-__ L.. 11 .--- ,SL.0- ! TLI1- - -CO•- No.-I-1-23---10-23r-d- ksLlb___130X-- a0- I2 :_I.1H
Location and Legal Description Lot___JQ &L—'t3., Block 65 Subdivisioni3 sabiORES_,-___S.f;0.3
Street and Number where work is to be performed —No 740 Street N. L' 94 ST.
State work to be perfored,/and purpose of building (By Floors) SS131-110 TANK INSTALLATION
m
Remodeling Addition_______ Repairs No. of Stories 1
Size Septic Tank 50Q Gall! Type of Tank 2'131" CAST - GONCR1 Capacity Gals
7 5
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
Nature of Water Supply: City —Well
Amount of Permit $
I
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
(Signed)
Date_____I f L8
500
•
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ei oyed by him in the work to be
p erformed under this permit; and will post or cause to be posted for inspection on the site of the work s 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.
STATE OF FLORIDA, 1
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.
My Commission Expires 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.
Master Plumber.