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PLUMBINGAmount of Permit $ y ! JY9 /c; �l MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 plena and specifications must be kept at building during progress of work. Owner's Name and Address �� ' Registered Architect and /or Engineer G 1 () v1 ll�j 1 � � 1 OA )er CQ Regl Lia-- • Employing Plumber's Name — .- --- / -- Location and Legal Description Lot. S }(/) , 7 Street and Number where work is to be performed —No ) 0' 0 G L Street.. State work to be performed and purpose of building (By Flooat)_ Ot E/ (Signed) - d.-`1 . re , / ye 9 (5 Size Septic Tank__ Type of Tank._ Feet of Drain Tile Dlzt. Feet of Tank or Drain Field from Well .. - -__. _ - -_ ..-- •-- ._....__._ Nature of Water Supply: City —Well. Size of Soakage Pit Subdivision. it a/2. 3 3 New Building..__._ __.._.........._.. Remodeling____.__....._____ Addition.. -- .__..__ 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 5968, Compiled General Laws of Florida Permanent Supplement, and hen 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-oontr performed under this lnit, as are licensed by Miami Shores Village. (Signed) Master PMntber. STATE OF FLORIDA, 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 be is the .. _ ._..._....... _ _... _ ._...._.. _.. of the above described construction, that he has carefully read the foregoing application, and that be did sign the slam and that all facts therein by him stated are true. My Commission Expo Notary PablIo State of Markle NOTE: A re inspection fee of 31.00 will be made when me raiapeedon is mad••*o—sary by improper *floe fat hispectlou, or faulty materials and /er worlonamshcp. CLOSETS BATH Tugs 11 /"°v"" 8 LAVA- Tomas aINKS SLOP SINKS LAUNDRY TUSS URINALS CATCH •AOIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIII TUNIS CONTK. LIST CHECK SEPTIC TANK BEWIK CONN. DRAIN FIELD •OAKASS PIT 0 TRAP SOLAR HATER DRIP WILL a IY•TEM •W IM•O FOOL ' CONT ,. LIST CHICK Amount of Permit $ y ! JY9 /c; �l MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 plena and specifications must be kept at building during progress of work. Owner's Name and Address �� ' Registered Architect and /or Engineer G 1 () v1 ll�j 1 � � 1 OA )er CQ Regl Lia-- • Employing Plumber's Name — .- --- / -- Location and Legal Description Lot. S }(/) , 7 Street and Number where work is to be performed —No ) 0' 0 G L Street.. State work to be performed and purpose of building (By Flooat)_ Ot E/ (Signed) - d.-`1 . re , / ye 9 (5 Size Septic Tank__ Type of Tank._ Feet of Drain Tile Dlzt. Feet of Tank or Drain Field from Well .. - -__. _ - -_ ..-- •-- ._....__._ Nature of Water Supply: City —Well. Size of Soakage Pit Subdivision. it a/2. 3 3 New Building..__._ __.._.........._.. Remodeling____.__....._____ Addition.. -- .__..__ 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 5968, Compiled General Laws of Florida Permanent Supplement, and hen 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-oontr performed under this lnit, as are licensed by Miami Shores Village. (Signed) Master PMntber. STATE OF FLORIDA, 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 be is the .. _ ._..._....... _ _... _ ._...._.. _.. of the above described construction, that he has carefully read the foregoing application, and that be did sign the slam and that all facts therein by him stated are true. My Commission Expo Notary PablIo State of Markle NOTE: A re inspection fee of 31.00 will be made when me raiapeedon is mad••*o—sary by improper *floe fat hispectlou, or faulty materials and /er worlonamshcp. z SOLAR SURVEY and INSTALLER INFORMATION SURVEY FOR: _ ADDRESS: /,�W- COUNTY- CITY (R.t--- STAT , TYPE: ONE (1) STORY TWO (2) STOR4 ❑ OTHER ❑ � ** SPECIAL INST UCTIONS ** N U e, - xca 0 sed EXISTING TANK LOCATED IN: WILL TANK BE RE- LOCATED? LOT: NATIONWIDE - - POWER - CORPORATION 1 �r I HOUSE DESCRIPTION 1 ROOF: ASPHALT SHINGLE ❑ TAR & GRAVEL ❑ TILE ❑ BLOCK: 8( GARAGE ❑ YES ❑ NO FOR OFFICE USE ONLY k 75 - 77$ aC2 - 7s-„5 . 8"-- 3 7 i4P r.* i s - �ov,�.or t IJ1 /t , (NOTE: BE SURE TO INDIC E SOUTHERLY DIRECTION) I TANK LOCATION I UTILITY ROOM ❑ Inspector PHONE# 756 7 5 / 1 WORK ZIP 13g BAHAMA ❑ BARREL TIL OT ER ❑ CLOSET ❑ _ ,. .-. r.,..... i.1 Lin '4e1Ms,. ..a .DmmetAetel.B.AAQb., A1331169 -4619 1 OTHER E� PRO PA OIL D NATURAL 0 GAS IF YES, HOW FAR FROM EXISTING TANK/ FEET RE- LOCATED TO WHAT AREA? IF TANK IS TO BE RE- LOCATED - INFORM CUSTOMER OF $ WHAT ELECTRICITY IS AVAIL B AT EXISTING OR NEW LOCATION? 220 VOLT OUTLET: YES NO 0 HOW MANY FEET FROM TANK? FEET 110 VOLT OUTLET: YE NO 0 HOW MANY FEET FROM TANK? FEET I LEGAL DESCRIPTION 1 \ s SUB - DIVISION: /4 / 0 / 4.4. ` �c ee's'• -k,- 37 RE- LOCATION CHARGE. FORM 2018 /FL Rev 09_/15'83 SOLAR SURVEY and INSTALLER INFORMATION 756- 7i TYPE: ONE (1) STORY TWO (2) STO( ❑ OTHER ❑ � N ** SPECIAL INST UCTIONS ** i EXISTING TANK LOCATED IN: WILL TANK BE RE- LOCATED? IF TANK IS TO BE RE- LOCATED - WHAT ELECTRICITY IS AVAILA 220 VOLT OUTLET: YES 110 VOLT OUTLET: YE LOT: GARAGE ❑ YES ❑ NO BLOCK: FOR OFFICE USE ONLY \ ■ 1 i NATIONWIDE - POWER - CORPORATION ' , 75z--775/4 a, 7—. 5 7 �S� 176 f (NOTE: BE SURE TO INDIC E S UTHERLY DIRECTION) a)11- a° sA) Se de. /y7 $°tO 11-4-( 1--04 ROOF: ASPHALT SHINGLE ❑ TAR & GRAVEL ❑ TILE ❑ I HOUSE DESCRIPTION e 8 - 4 / 2T'i PHONE # HOM SURVEY FOR: —J /� I WOR ADDRESS: / & Y COUNTY CITY: STAT ZIP: -3.343k 1 TANK LOCATION 1 UTILITY ROOM ❑ CLOSET ❑ OTHER IF YES, HOW FAR FROM EXISTING TANK? FEET RE- LOCATED TO WHAT AREA? INFORM CUSTOMER OF $ RE- LOCATION CHARGE. AT EXISTING OR NEW LOCATION? NO 0 HOW MANY FEET FROM TANK? NO 0 HOW MANY FEET FROM TANK? I LEGAL DESCRIPTION I i gyr • -1 37 c2 SUB -DIVISION BAHAMA ❑ BARREL TIL OT ER ❑ .11111h- Inspector C , _ e.r�. � ^•.Yl .i a_ . p ,.F133089d4619 PROPA E 0 OIL NATURAL 0 GAS FEET FEET FORM 2018 /FL Rev 09 15/83 1}0 MMTROPOUTAI.OAOK COUNTY. IROAIOA 3uinox Solar, Inc. 350 N.W. 60 Street Land, Fla. 33142. .10EP?AM+a No.: 83 0422.2 (82)R MOVED June 13. 1983 rpE8 • June 14, 1985 PipDUCT CQmj'EDL iiOTICI OP h%C1EPT4PC1 and A.T. Bliss & Company 1300 S.W. 12 Avenue Pompano Beach, Pla. 33060. vt MA LOINa & ZONING OMARTME NT EMI souTMIIIi TINT AVENUE •INCN(IL,L PLAZA WILDING MIAMI. PLCIAIOA 33131 074 579 -261 awe application for Product Approval of Solar Collectors EP46SCIH, EP48SCIH and �410SCIH under Section 203 and 204 of the South Florida I ilding Code governing the use of Alternate Materials and Types of Construction, and ampletaly described iaa the plans, specifications and calculations as submitted by . Farooq, P.E.; Knezevich, Farooq and Associates along with drawing #82-32 and Reports ;EC #812375 by Solar Ene>sy Center and MTL 10679 by Miami Testing Laboratory is been accepted by Product Control to be used in the Unincorporated areas of Dada minty under the Specific Conditions set forth on Page 2 thru 2a Ld the Standard Conditions on Page 3 0 lson, P.E. Product Control Supervisor Metropolitan Dade County Building b Zoning Departmea SURD 07 BULBS AND AP 'BLS NOTZQ 07 ACCEPTANCE xis application for Product Approval has bees accepted by the Metropolitan Dade Count acrd of Roles and Appeals to be used in the Incorporated and Unincorporated areas of sda Comity under tha conditions sat forth above. . 7y O / 'hoses M. Black, P.E. Deputy Secretary Metropolitan Dada County Bard of Rules & Appeals C M 0Olt Orient Solar, Inc /A.T. Olio* 4 Co. Moms 'Wickets 1246SC18 Wes 4 -2- SP4ASCn1 4 acct N,; 83- 0422.2 (a) ATlIO1s0 • •ram .e,�..•. n. .r!edra>.et_: —MUM Cagna1MY. 1. This approval covers a solar heater system for the production of dsmestie hot sad VI water comprising Modal 89468C111, 19488011 �t d 194148CI filter. ip sa NSF or other re00,01a� Sanpy MV and valves. lmerp output at intermediate temperature �/� as regarded by Florid* Solar leers, oa Cotter i. SC==Ar - 28,800 " 12410SCa - 35,400 " with Chapter 43, ile*trical and IQPA 70. 2. All electrical work shall be in conformance Section, of the South Florida Building Coda 3.. Singl.Mnitipla collectors may e n stalled grade, using the following coapo pp���Fsol1 (Siaalo1usa —s) Sisal 1l4610m - 464" s 764" x 3 3/8" R488Ca - 46t "x96 5/8" x 3 3 /8" i 410SCI8 - 46y" r 1203/4" s 3 3/8" frame constructed of 0.036" thick wall extruded aluminum ehan"al with mitered COMICS. Onit 'lased with 3/16" tempered pattern glass. A 0.019" thick embossed aluminum sheet absorbent plate W consttucted of 8 panel w/1" d.coppor tubes. 1asaLeios Connection of Collector Panel to the Roof of the Puildipz up to elevations of 35 It. above 041011011 Arises 14" x Art" x l /S" or It" x 6" s 1 /8" raaceaar. (pas bracket) One 3 /8" x 3" lag screw (tor wood) or 4" r 31" waft* anchor (for metal toot) All root penetrations at be through pitchpaos Iselin* mount frame constructed of 1;" x 1;" x 1 /8" angle*. 4. Applications for solar !motor permit must bo accompanied by two duplicate acts of the approved drawings along with plot plans sh ing `he Lamaism of th pawls on the roof, and an isometric piping diagram 3. All piping and connections to potable water shall be performed by • qualified plumbiog contractor, and all electrical work .hall bs by a qualified elecctical contractor. 6. This revises and supersedes Product Approval d113- 0422.2.(12) dated February 14. 1913 to include A.T. Bliss 4 Comp• p y as os, P 1. Product Control supervisor MIecropolitas Dade County building 4 Using D.pertmemt • 1 .19 Noe 14, sops: FLORIDA SOLAR ENERGY CENTER 300 State State Road 401. Cape Canaveral. Florida 32920. Telephone: (305) 783 -0300 , C FSEC #. S3127 The system listed below was evaluated by the Florida Solar Energy Center (FSEC) in accordance with the Florida Standards Program for Solar Domestic Water and Pool Heating Systems (FSEC- GP -80 -7) and was found to meet the minimum standards established by FSEC. Description Collector Pump Approved Solar Energy System DISTRIBUTOR Nationwide Power Corp. 1300 S.W. 12 th Avenue Pompano Beach, FL 33060 Model Units Total Rating 1 Equinox Solar EP410 SCIH 1 35,400 Btu 2 3 4 Tank Model Capacity ® Direct 1 Equinox (Mor -flo Ind.) ❑ Int. Heat Exch. 2 E0 -82SS (SSTA 82ES) 82 gal, 3 Lochinvar FTA -082 -K 80 gal. 4 Model Power Draw Rated Power 1 March 809 20 Watts 11100 H.P. 2 March 809 HS 80 Watts 1/25 H.P. 3 Controller Model MI Differential Temperature 1 HI Square DCFL - 120 ❑ Absolute Temperature 2 Independent Energy C -30 or CM -30 ❑ Thermosiphon 3 ❑ Other 4 Freeze protection by automatic recirculation and manual draindown during power failure. Freeze protection option: Manual draindown alone. Other Major Components 1 in addition to above 2 3 4 AUG 83 Revised SEP 84 SYSTEM NPC - 82 - 2 If further information is required you may contact the Florida Solar Energy Center at the above address. Reference S3117 1. Tank sensor 2. Electric element 3. Check valve 4. Gate valve 5. Drain valve 6. P & T valve 7. Air vent valve 8. Collector sensor 9. Differential control 10. Pump Heel ck. — -- 5 CC�A "N —10 9 - 5 3 Ayb.® 'ccaza 1. h 1 PME T 0120 , 4/ Sfuaod) •' `Qa✓ir� 4 -5A qs.row0,0 CE•(..vy s74 ,..+wo �/6 s eo- Tyf3_xc •�!o %v�•�Y.�c.� �criu^. Fe? rots 4 - ,o itr 7 ' s .e :oG3 mac 1...,. /1 y .o.4 - :a 3.4 008 I4c4 4(411 ✓AL 1 re 2 d Z4 - r4 .lexgayrA/ur ) 44'SI /3 / 1.Z.z ��\' t urf " e t ® E`tr e9 0 .09 ' x / 'if %g4 low o• MO ✓."r q Ca.C4 i 2 * 664 7013 T73. F,Q• DME Pi run's L. ;a 3 /QL /JA1 /41.41/ SOLAQ pAs'EL tics %Z /.O' I S. / /` / f '4y. S /1c/ /o c-c l- AbiltCr /av NW/ 5/ De AICLL Aldo 4/7 Scot, %t /.e' /0 so 4, zoos .vautS 5 /a4"d:E - 4 r /0 Atifi.V r' Der/P4 .410.ci s. s'a - ar 0 4Oi0p 3 /g "RS''144 /304/Oe'7'cs '.v70 Z c1 , e.f L Gh uvscl, 4'9.16 •U(c AS SKw RAP • 7/ ' �V►»� t • �- , ,} • M • 'it. • FL s2.C'GLO sriQr! 4 A. 'venC4s /AV: A? /3Or //7/, ' 4/0, i40,e /.0Av .7Zi: 7O 0/4044v "If 654ve /ag ' esve ./ ale /2 r' Og NW10.00 1114004, year. or / trV. Qrt.4 c. S #R P*i STC Q',4( - s✓Pp.ser i � • Zone cubage required__ :fr.? SUIL.il!r.:C3 !NSF : APFU A /7. Application is hereby made for the approval of the detaikO ing or other structure herein described. This application is made Shores Village, Florida, and all provisions of thc' 1. .,a.vs of the Ft -t- regulations of the Building Division of Miami SII(Are! V;17ag- iiJi •, plans and specifications must be kept at building de:- nsr Owner's Name and Address . T7rs. 'Z. F. Andes, .1080 _N. E. Registered Architect and/or Engineer NOTE: A charge of $1.00 will be made for the Planning Board. A re-inspection fee of $1.00 will be charged materials and/or workmanship. Disapproved Date (Signed) Bilispecor PLANNING BOARD Chainnan Member Member Council Approved Date Member Mew Membci Disapproved LLAGE ARTMENT PERMIT 0 and specifications herewith submitted for the build- 41- (e I. conformity with the Building Ordinance of Miami ctrdinances of Miami Shores Village and all rules and -1 A al!, whether . specified or not. A copy of approved , Aua u.st 17 , 1953_ No...56th Street:Lj.a.T.,. :5 Name and address of licensed contractor BMORSSprinkler. Location and legal description of lot to be built on: Lot__ Block , Subdivisirm Street and Number where work is to be done 108QL.. Street, ..i,darni_Shore.sElaricia State work to be done and purpose of building (by fioors) ...... Sprinkler___Systm and TI011 and for no other purpose. New Building Remodeling ACrtit OD Repairs No. of Stories To be constructed of Ki:d ol: feundat; ,-) Roof Covering Estimated Total cost of improvements $. _.1250-..0-0. ,-, , ---..nt or - 1 ermit $.3.,...00 Distance to next nearest building of Bel;r.g Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. A , lotices wih r eference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby (.,:rtii thaz 'ot une2rstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being S: L 5,106, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will requi:e 110.12 all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or censo to be 17 for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees tc e,.:ploy only .1 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Villag. Remarks_ (Signal) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, dui. 2 ' rued t: : )i!,Per oaths ane take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes arid says ti t he ;s of the above described construction, that he has carefully read the co .t,:.; a and that he did sign the same, and that all facts therein by him stated are true. :;.e..1 4 , - «0,n to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Date making corrections or cliangc; to this application a:ter approval has been obtained from when such rc-inspection is made necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Jr ge CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's PERMIT N2 5847 Work to be performed under this Permit Bl. Subdi- vision 194/ Address of t Value of Amt. of , ,� 1 ` Building / /.� '+w.. Project / .: ." "'� Permit / : This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stateme , is or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. ,,.;! Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this petanit Vassur: responsi y for II work done by either myself my agent, servant or employee. BY • AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N." 4080 Work to be performed under this Permit DATE: 194— Contractor's License No. Architect Contractor or Builder Legal Lot BL Subdi- Description vision Address of Value of Aint. of Building g Permit ._— This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed• By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of wilding Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT 11T° 4390 ❑ CONTRACTOR OR BUILDER Work to be performed under this Permit. Bl. Subdi- vision Value of Project $ DATE Contractor's License No. 195 Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work w. 11 be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any lime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thoroucth knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work jone by his agents, servants or employees. Signed. - BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- =epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY u CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS TOTAL. FIXTURES l � � A - - 14 3 -33 331 Lot No. Address DIVISION OF PLUMBING INSPECTION bbEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA . 19 I heriwitJ submit the following plan of plumbing for approval: Employing Plumber Work executed by Builder or Contractor is Date ROUGH -IN INSPECTION Ground Rough -In Rain Leader A M P M Approved by Condemned by REMARKS Plan No. New ❑ Old ❑ - Story ❑ For a Dwelling ❑ Store ❑ Garage ❑ Apartment ❑ Owner or Agent Block No. Subdivision Address Address Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank ❑ 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— SEWER INSPECTION A M P M Approved by Condemned by REMARKS Sewer Permit No Addition ❑ Remodeled ❑ Hotel ❑ Office Bldg. ❑ Date FINAL INSPECTION A M P M Approved by Cor..demned by REMARKS THIS SPACE FOR ELEVATION SKETCH En 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. ■ A PERSPECTIVE SKETCH PROVIDED THE WORK CA WILL BE SUFFICIENT N 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. Sketch position of building and lot lines in square (which represents an entire city block), showin o \vhich street the building and lot faces; also show exact location of "Y" in street and position of latera o septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have ccurate layout of all underground pipes for future references. WEST NORTH A EAST Remarks : NORTH SOUTH BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9793 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install th! equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifir.tions and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder ir, compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building Architect Contractor or Builder Legal Lot II BL Description Address of Building MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N? 15145 LI Work to be performed under this Permit__ CONTRACTOR. OR BUILDER Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No 4 `t 13 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 confo ::qty with the wilding 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 n= nrt. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address�!.!�� Registered Architect and /or Engineer ________ _______ _______________ l ' 1� Employing Plumber's Name_ �r ^«-✓ -te__ , �� [,.: .� Location and Legal Description Lot-.__._— — _____r_____.__. Block_ Subdivision_ - ._-------...... _ / Street and Number where work is to be performed —No 7U C ,,4....7,4....7- , 7 Street State work to be performed and purpose of building (By Floors)__ _ --_._____- .__----------- - - - -._ New Building Remodeling _ __ _____. Addition Size Septic Tank Amount of Permit $ k Ate; OF FLORIDA, ( COUNTY OF DADE. �o MIAMI SHORES Vii -AG' PLUMBING INSPECTION DEPARTMEN': APPLICATION FOR PLUMBING • N _Type of Tank__ Capacity Gals Feet of Drain Tile ____________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._..______ -n _ ___Size of Soakage Pit_.._ -, /l S ,r ; ` / . � - f Y i (Signed)._ Date Repairs ( Signed % Street-1V ( 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 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. / tea` Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well /mown, 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES INK SINKS SLOP SINKS LAUNDRY TUBS R INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Coma. LIG? CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. 6 ^OT ` -- CHQCK Permit No 4 `t 13 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 confo ::qty with the wilding 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 n= nrt. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address�!.!�� Registered Architect and /or Engineer ________ _______ _______________ l ' 1� Employing Plumber's Name_ �r ^«-✓ -te__ , �� [,.: .� Location and Legal Description Lot-.__._— — _____r_____.__. Block_ Subdivision_ - ._-------...... _ / Street and Number where work is to be performed —No 7U C ,,4....7,4....7- , 7 Street State work to be performed and purpose of building (By Floors)__ _ --_._____- .__----------- - - - -._ New Building Remodeling _ __ _____. Addition Size Septic Tank Amount of Permit $ k Ate; OF FLORIDA, ( COUNTY OF DADE. �o MIAMI SHORES Vii -AG' PLUMBING INSPECTION DEPARTMEN': APPLICATION FOR PLUMBING • N _Type of Tank__ Capacity Gals Feet of Drain Tile ____________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._..______ -n _ ___Size of Soakage Pit_.._ -, /l S ,r ; ` / . � - f Y i (Signed)._ Date Repairs ( Signed % Street-1V ( 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 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. / tea` Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well /mown, 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. Permit No. 1)ate.... Application is hereby made for the approval of the detailed statement of the plans ad specifications herewith submitted for the building or other structure heren described. This application is made in compliance and con!ormity wit' the Building Orlinancc of Miami Shores Tillage, 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 Shors Village shall be complied with, whether herein specified or rot. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - . . No. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Thck Street and Number where work is to be performed —No h____ Street State work to be performed and purpose of building (By Floors) New Building . ____ .__ ___. Remodeling / Additin Size Septic Tank Type o Tank Feet of Drain Tile Dist. Feet F Tank or Drain Field from Well._. Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ ____ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VLLAGE PLUMBING INSPECTION DEPOMENT APPLICATION FOR PLUMBIfta PERMIT ( Signed) No.. - Repairs Street .. Street _ . Subdivision Capacity Gals. No. of Stories . 'l Plumbing Inspector. The undersigned applicant for this building permit does her, certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 556, Compiled General Laws of Flor da Permanent Supplement, and has com- plied with the. provisions thereof, and will require similar complia from all contractors or sub - contractors employed by him in the work to he performed under this permit; and will post or cause to be posted fe inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only stel sub - contractors, on work to he performed under this permit, as are licensed by Miami Shores Village. ( Signed) Master Plumber. Before me, the undersigned authority, a notary public, duly authorize) 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. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNRY TUS URINALS CATCH BASIN FLOOR DRAIN DRINK INGi FOUNT'NS : } TOTAL FI %TURES CONTR. lsr L r / a/ • -- CHECK SEPTIC TANK SEWER DRAIN CONN. FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP VELL SPRKLR. SYSTEM $WIM•G POOL t .•, - - - CONTR. LIST .-- -- -- - CHECK Permit No. 1)ate.... Application is hereby made for the approval of the detailed statement of the plans ad specifications herewith submitted for the building or other structure heren described. This application is made in compliance and con!ormity wit' the Building Orlinancc of Miami Shores Tillage, 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 Shors Village shall be complied with, whether herein specified or rot. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - . . No. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Thck Street and Number where work is to be performed —No h____ Street State work to be performed and purpose of building (By Floors) New Building . ____ .__ ___. Remodeling / Additin Size Septic Tank Type o Tank Feet of Drain Tile Dist. Feet F Tank or Drain Field from Well._. Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ ____ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VLLAGE PLUMBING INSPECTION DEPOMENT APPLICATION FOR PLUMBIfta PERMIT ( Signed) No.. - Repairs Street .. Street _ . Subdivision Capacity Gals. No. of Stories . 'l Plumbing Inspector. The undersigned applicant for this building permit does her, certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 556, Compiled General Laws of Flor da Permanent Supplement, and has com- plied with the. provisions thereof, and will require similar complia from all contractors or sub - contractors employed by him in the work to he performed under this permit; and will post or cause to be posted fe inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only stel sub - contractors, on work to he performed under this permit, as are licensed by Miami Shores Village. ( Signed) Master Plumber. Before me, the undersigned authority, a notary public, duly authorize) 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. 1 fv '`.IAMI SHORES VILLAGE Plumbing-Permit Permit ` :/ Miami Shores Village, Fla. Permission is hereby granted to install the following described plumbing, in accordance with t laws, statutes and regulations of Miami Shores Village, Florida any; the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a At No. Lot Block Subdivision Fixtures As Shown on attached approved plans. FIXTURES ROUGHED IN FIX'T'URES SET SEWER SEPTIC TANK TOTAL. Village Plumbing Inspector This permit issued subject to approval of County Plubing Inspector Payment Received By BUILDING ELECTRICAL ' PLUMBING Owner of Building Contractor ; i or Builder '' a itre Legal Lot Description CONTR CTOR OR BUIL MIAMI SHORES VILLAGE, ERMIT N2 5847 Work to be performed under this Permit ,Zs Architect Bl. Address of `° �""" - Value o ,� '- Amt. of , Building '" Project. " Permit Thi permit is granted to the contr. ctor or . ilder named above to construct the building or to install th e equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without au thorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility For a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statem nts or specifications and that assumes respon- sibility for work done by his agents, servants or employees.'". , Signed: � .. 4 '4 t .. 4 ._ INSPECTOR/ p,g By E3 ,`S L 1 .5 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with*.►ordinances and regulations pertaining thereto and in y fo 11 work done by either myse , my agent, servant or employee. 'ass conformity with the - plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac _ pting this p ; • it ass ' e respons i Subdi- vision FLORIDA DATE #" Contractor's ,< d , License No. BY AUTHORITY 194 /. 947 ) 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 rues 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 he kept at building during progress of work. 1' Owner's Name and Address_ t± +----------- i ------ No.__, _ Street - Registered Architect and /or Engineer f, r p Employing Plumber's Name _t -,''� .-- -- -� � No.._.--__ --: _ -- =- r -- Street. _ - - - - -- - ', Location and Legal Description Lot Block Subdivision J - Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Size Septic Tank - Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ ___- .. (Signed) ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Addition Repairs _ (Signed) No. of Stories Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit My Commission Expires Notary Public, State of Florida r Master Plumber. Plumbing Inspector. r The undersigned applicant for this building permit does hereby certify that he uriaerstands 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 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 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. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and tal acknowledgments, personally appeared to nie 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 'ie 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 LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRP IN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. 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. / 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 rues 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 he kept at building during progress of work. 1' Owner's Name and Address_ t± +----------- i ------ No.__, _ Street - Registered Architect and /or Engineer f, r p Employing Plumber's Name _t -,''� .-- -- -� � No.._.--__ --: _ -- =- r -- Street. _ - - - - -- - ', Location and Legal Description Lot Block Subdivision J - Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Size Septic Tank - Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ ___- .. (Signed) ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Addition Repairs _ (Signed) No. of Stories Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit My Commission Expires Notary Public, State of Florida r Master Plumber. Plumbing Inspector. r The undersigned applicant for this building permit does hereby certify that he uriaerstands 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 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 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. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and tal acknowledgments, personally appeared to nie 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 'ie 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. Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ® 2 ' 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 work. No.Lt gC .thiE ! -_ Street ___ qI Registered Architect and /or Engineer _____ ____------ �_ -� - -- ; � Y_ — � / ,q/ g� Employing Plumbei s Name.0 4 43:Le ___ $�!!! �h�fS._ IN � LJ M/ Street__ -/ --L Location and Legal Description Lot___________-___________ —__ - -- Block 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__ Size Septic Tank_ _____ - � Feet of Drain Tile_3 p f N c' Nature of Water Supply: City - Well - __. _ -- - ------- - - - - -- Amount of Permit $ Repairs No. of Stories. _ Type of Tank Capacity Gals st. Feet of Tank or Drain Field from Well __Size of Soakage Pit (Signed)- The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perman9 plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed performed under this permit; and will post or cause to be posted' for inspection on the site of the work such , public required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perform licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Plumbing Inspector. s as an employer of labor t S • plement, and has com- him in the work to be notice or notices nder this permit, as are as are (Signed)_6 2& fLJ L (lam drE _k /1gAJX Master Plumber. STATE OF FLORIDA, } es.. 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 /o3 workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES 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 HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL Comm. LIST CHECK - Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ® 2 ' 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 work. No.Lt gC .thiE ! -_ Street ___ qI Registered Architect and /or Engineer _____ ____------ �_ -� - -- ; � Y_ — � / ,q/ g� Employing Plumbei s Name.0 4 43:Le ___ $�!!! �h�fS._ IN � LJ M/ Street__ -/ --L Location and Legal Description Lot___________-___________ —__ - -- Block 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__ Size Septic Tank_ _____ - � Feet of Drain Tile_3 p f N c' Nature of Water Supply: City - Well - __. _ -- - ------- - - - - -- Amount of Permit $ Repairs No. of Stories. _ Type of Tank Capacity Gals st. Feet of Tank or Drain Field from Well __Size of Soakage Pit (Signed)- The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perman9 plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed performed under this permit; and will post or cause to be posted' for inspection on the site of the work such , public required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perform licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Plumbing Inspector. s as an employer of labor t S • plement, and has com- him in the work to be notice or notices nder this permit, as are as are (Signed)_6 2& fLJ L (lam drE _k /1gAJX Master Plumber. STATE OF FLORIDA, } es.. 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 /o3 workmanship.