1219 NE 96 St (10)CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTAINS
TOTAL
FIXTURES
.
.
/
/
v
Sketch position of building and lot lines in square (which represents an entire city block)
street the building and lot faces; also show exact location of "Y" in street and position
tank. Show sewer and any change in direction same may make. The purpose of this plan is
layout of all underground pipes for future references.
WEST
NORTH
A
SOUTH
EAST
Remarks:
NORTH
SOUTH
, showing on which
of lateral or septic
to have an accurate
.J .
A -244 5 -35 55!
DIVISION OF PLUMBING INSPECTION
DEPARTMENT OF PUBLIC SERVICE
11 SgpjEs Y L AG MIAMI, FLORIDA
I herewith submit the .11owing pla of plumbing for approval:
Employing Plumber
New
Owner or Agent
For a
Builder or Contractor is
Address
. -7
wt1
Lot No. J / .,944ceetio. g
Date 14"1`
ROUGH -IN INSPECTION
Ground Rough -In Rain Leader
A M P M.
I
Approved by v" �
Condemned by
REMARKS
/ -t() i, ' •
Plan No 'i .1
, Work executed by
Old ❑ Story f?
Dwelling Store ❑
Garage ❑ Apartment ❑
Subdivision
SEWER INSPECTION
A M P M.
Approved by
Condemned by
REMARKS
Date—
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.
Sewer Permit No.
Addition ❑
7
19
Remodeled ❑
Hotel ❑ Office Bldg. ❑
s� �
.iJ /7?
f �
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.
1
9 1w
C.
1
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.
1 0
7'1 /
l
efk r.,
r
.2..
r.
Permit No
ss.
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 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_ "" �'L'� No Street
Registered Architect and /or Engineer
Date
Employing Plumber's Name 7 .�— —� " - No Street
Location and Legal Description Lot ______ Block
Street and Number where work is to be performed— No.___________1__ 2.J4 __ - ' __________ Street
(Signed) f
Amount of Permit $
Subdivision
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
Plumbing Inspector.
The undersigned app lj ant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor i _
under the Florida Work en's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisio s 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.
(Signed)
Master Plumber.
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.
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
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
CONTR.
LIST
CHECK
Permit No
ss.
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 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_ "" �'L'� No Street
Registered Architect and /or Engineer
Date
Employing Plumber's Name 7 .�— —� " - No Street
Location and Legal Description Lot ______ Block
Street and Number where work is to be performed— No.___________1__ 2.J4 __ - ' __________ Street
(Signed) f
Amount of Permit $
Subdivision
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
Plumbing Inspector.
The undersigned app lj ant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor i _
under the Florida Work en's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisio s 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.
(Signed)
Master Plumber.
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.
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
i . ERMIT N? 12463
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal
Description
Address of
Building ). ( 1
herefor p p g g p
Bl.
This permit is gra ted to the contractor or builder named above to construct the building or to install the equipment or device des
in strict compliance with all ordinances ertainin thereto and with the understandin that the work will be erformed in coin
drawings, statements or specifications that may have been submitted to an
time if the work is not done in compliance with such ordinances or if the
granted is the understanding that the contractor or builder named above a ti
pertaining to the work covered hereby whether shown on the plans or drawings-
done by his agents, servants or employees.
Signed:
Subdi-
vision
Ycxlue of
Project $
INSPECTOR
DATE
Contractor's
License No
,ezte
04.....ikk
BY
95
Amt. of
Permit $
ki d in the application
lance with any plans,
approved by the proper municipal authorities. This Permit may be revoked at any
are changed without authorization. A further condition upon which this permit is
s the responsibility for a thorough knowledge of the ordinances and regulations
in the statements or specifications and that he assumes responsibility for work
In consideration of the issuance to me of this permit I agree pe orm the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, sta ents 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.
Permit No
/9a T3 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 wi whether hgiein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address
Registered Architect and /or Engirer
Employing Plumber's Name � i
Location and Legal Description Lot- Mork
Street and Number where work is to be performed —No
r f
Amount of Permit $
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
Nature of Water Supply: Ci —Well.
..-r
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
9 /1.4' No,
Street.
Type of Tank — -- -- -- —__.
Feet of Tank or Drain Field from Well
Size of Soakage ......
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. . as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent upplement, and hay; 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 • permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, l u.
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 oses and says that be is the __.._.--- .-- ••-- _ -_ -.. _ _... —.
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated are true.
My Commission Expo Notary Publio, State of Flalda
NOTE: A re inspection fee of $1.00 will be made whom rune seispeottos ls orade•aeosaary by bnps'oyer notice for Inspection, or faulty
materials and /or worlmranship.
.Capacity Cale..
v
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TOTAL
FI[TUR[S
- -�
CLOSR$
BATH
Tune
SHOWERS
LAVA.
Team.
SINKS
SLOP
SINK[
LAUNDRY
TOSS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
CONTR.
Liar
CHECK
'
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
MEATIER
DEEP
WILL
8PRKLR.
SYSTEM
SWIM'G
POOL
CO►mt.
LIST
-
-
CHECK
Permit No
/9a T3 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 wi whether hgiein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address
Registered Architect and /or Engirer
Employing Plumber's Name � i
Location and Legal Description Lot- Mork
Street and Number where work is to be performed —No
r f
Amount of Permit $
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
Nature of Water Supply: Ci —Well.
..-r
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
9 /1.4' No,
Street.
Type of Tank — -- -- -- —__.
Feet of Tank or Drain Field from Well
Size of Soakage ......
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. . as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent upplement, and hay; 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 • permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, l u.
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 oses and says that be is the __.._.--- .-- ••-- _ -_ -.. _ _... —.
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated are true.
My Commission Expo Notary Publio, State of Flalda
NOTE: A re inspection fee of $1.00 will be made whom rune seispeottos ls orade•aeosaary by bnps'oyer notice for Inspection, or faulty
materials and /or worlmranship.
.Capacity Cale..
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Permit
For
Lot
a
L. r.
to install the following described plumbing in accordance with the
laws, statutes and regulations of' the State of Florida, governing
plumbing and drainage work done in Dade County, Florida.
a t
,1 Lo " t 4 At No . /,/1 -• t ;"
Permission is hereby granted V�
Fixtures Roughed. in
Fixtures Set
Sewer
OFFICE OF COUNTY PLUMBING INSPECTOR
Dade County Court House
Plumbing Permit
i t Bll'ck
MIAMI SIIO
Fixtures •: ��,•`�.-�. f 4�. , a.;,;J°�� . ,
As shwon on attached approved plans.
Permit
./ Total
4L
A. H Nichols, t o ty Plumbing
Ins$ector
Miami,
Subdivision
Fla 2
o
L • 4 - �. > r •
A
19 .-1