1235 NE 96 St (5)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 plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot____
Street and Number where work is to be performed —No / t 9 �
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 $
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oigations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn ent Supplement, and bus 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.
STATE OF FLORIDA,
COUNTY OF DADE. j
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
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for '.v'pection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
- ----- - -- - -- Street —
— — Subdi vision - - — — --
Street
Street__
Remodeling____ Addition________ Repairs No. of Stories .
of ark
t. ee of Tank or Drain Field from Well
_— _._Size of Soakage Pit
\
(Signed)___ -- �—
Capacity Gals.__.___
�2 i
( Signed )__ -- _
Date 14/ - -
7
Notary Public, State of Florida
Plumbing Inspector.
Master Plum er.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
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'G
POOL
CONTR.
LIST
CHECK
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 plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot____
Street and Number where work is to be performed —No / t 9 �
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 $
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oigations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn ent Supplement, and bus 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.
STATE OF FLORIDA,
COUNTY OF DADE. j
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
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for '.v'pection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
- ----- - -- - -- Street —
— — Subdi vision - - — — --
Street
Street__
Remodeling____ Addition________ Repairs No. of Stories .
of ark
t. ee of Tank or Drain Field from Well
_— _._Size of Soakage Pit
\
(Signed)___ -- �—
Capacity Gals.__.___
�2 i
( Signed )__ -- _
Date 14/ - -
7
Notary Public, State of Florida
Plumbing Inspector.
Master Plum er.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No ., 2 --
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 - e ; Street_..
1 216 S ! ~
/ . .
Registered Architect and /or Engineer d.X
Er+.ploy ng Plumbc 'is Nam . `L - , NO.Le
Location and Legal Description Lot. $ 7 / 13l0clr a .�
15ubdiv ce v y � / S A e,
Streek...Z/Z4 -- -• j E 5
State work to be performed and purpose of building (7 isers) pG6) 0 / P_ /. 4 fi
Street and Number where work is to be performed — No
New Building. Remodeling _.. Addition ..._ - Repairs No. of Stories. ....
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.
Amount of Permit $ / i
STATE OF FLORIDA, I
COUNTY OF DADE.
C 7
My Commission Expires
\.)./
(Signed) _..___.. -
Capacity Gals..._..
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli Lions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perm nt Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emp oyed 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village
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 sonde, and that all facts
therein by him stated are true.
Notary Public, State of Florida
materia NOTE: re-inspection
sipee of $1.00 will be made when arch re- Inspection is made•neoessary by improper notice for inspection, et faulty
CLOSETS
BATH
TUBS
S HOWER[
LAVA.
TORIES
SINKS
SLOP
SINK[
LAUNDRY
Tu[s
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N[
TOTAL
FIIITUR[[
CONTR.
LIST
CHECK
—..
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
P001.
/ -,(
Y4 .1 P j /
CONTR.
LIST
v
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No ., 2 --
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 - e ; Street_..
1 216 S ! ~
/ . .
Registered Architect and /or Engineer d.X
Er+.ploy ng Plumbc 'is Nam . `L - , NO.Le
Location and Legal Description Lot. $ 7 / 13l0clr a .�
15ubdiv ce v y � / S A e,
Streek...Z/Z4 -- -• j E 5
State work to be performed and purpose of building (7 isers) pG6) 0 / P_ /. 4 fi
Street and Number where work is to be performed — No
New Building. Remodeling _.. Addition ..._ - Repairs No. of Stories. ....
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.
Amount of Permit $ / i
STATE OF FLORIDA, I
COUNTY OF DADE.
C 7
My Commission Expires
\.)./
(Signed) _..___.. -
Capacity Gals..._..
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli Lions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perm nt Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emp oyed 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village
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 sonde, and that all facts
therein by him stated are true.
Notary Public, State of Florida
materia NOTE: re-inspection
sipee of $1.00 will be made when arch re- Inspection is made•neoessary by improper notice for inspection, et faulty
Permit No._ 1
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 rude in complionoe sad coskomity with the Builchng Ordinance of Miami Shores Village, Florida,
and all providons of the Laws of the State of Florida. al ordinances of kfland Shores Village and all rules and regulations of the BWIding Division
ork.
of Miami Shores Wage shall be complied with, whether herein rpedfied or not. A copy of approved plans and specificities, must be kept at
building during prowess of w
1235 N.E. 96th. Street
Street_
Owner', Na and Add _Lob er t U. Geyer
Registered Architect and/or Engineer
Employing Plumber's Name. Brooks Sprinkle Co.
Location and Legal Deeceiptios Los
CONTIt.
LIST
CREAK
CONTR.
LIST
CNN=
Size Septic Tr&
Feet of Drain Mk_
Nature of Water Supply: City—Well.
Amount of Permit 10 -
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
Moe
Sweet and Number where work is to be pedonnad—No. 1235 N.E. 96th. Streei
State w�dg to be performell and pupae of Wan (I7
New BristAsss Ranedellos
D ate... Dec. 27, 1972
- 13137M171 e et
No. Street—
Adation..—.__ Repairs__ —. No. of Stories. ..........
cLosave
RATS
TUBS
SIMS
CONN.
SHOWERS
SEPTIC
TANK
LAVA..
TONIMI
SINKS
DAMN
MINA
SOAKAINI
OAP
Ones
Laver
Tuas
SNEASIE sous ow ,
TRAP MATEO WILL
1
URINALS
CATCH
gam
SWIM'S
POOL
'Loon
DRAIN
DRINKING
FOUNT*N11
SPONLN.
STEM.
1
Two of Tao. .Capecity Gals.
Mat. Feet of Tank or Drabs Field be
Well. nt
Sin of Soakage Pit.
(stow
(
......
The undenigned apohoent for this WSW Pena dna born NI* did ba undonbad• and incepts his nbligadano et an employer of lak, .
und th news workmen's Compensation Act, beim Section MK Compiled COMM Laws of Florida I/ Supplement, and has sem-
i:died with the provisions thereof, and will require dmibr emphases from all contractors at sub-contractors employed by him in the work to be
performed under this permit; and will post or cause to be posts:Ike inspection on the site of the work such public notice or notices as are
heeded by Miami Shares Vthage.
required by the Act. The undersigned agrees to empby ally such mbcontractors, on work to be performed under this permit, as are
(
S ubdi visio n
My Cenoniseion 11616.1
Notary Pali% State of Florida 4.3 NOTL: fee et $1.00 will be node when awe voiorgeotlon 6 mode 'nerearwy by improper notice for hupection, or faulty
■•••••■•••pose••■•••■••••......
r . Tout.
PIETURES
bun
zrATE OF FLORIDA, as
:R/NT OF DAD&
Deface sea the undersigned authority, a solar pub*. duly bpd to administer oaths and take acknowledgments, personally appeared
known. and who. being by me Ont doly avapteponeeth deem and .aaye that be is the
ersM the above chradised construction, that be bas carefully read the forqping applicanon, and that he did sign the sense, and that all facts
by him Med Ultras.
Permit No .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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.
Owners Name and Address '
Registered Architect and /or Engineer
E i Flume's G . 7 . (weir : ; L: L; L. 10 an c, N a. _.. e...�.._,�..�....m. arse_
Location and Le Desct[pdo Lot�r Bkx%
Z- frt Street .._ '- . f* :7. ..
Street and Number where work b / to be performed —No s 7j 76 c . .--- .-- . ._..._._.. _.. ._ - _..._._.
State work to be performed and purpose of building (By Floors) _ _- .______ .__._.�__�
New Building- - - - - -_ _-- .- -••••- -. Remodeling____. __ Addition.
My Commission Expires
Size Septic Tank_ Type of Tank___.
_.
Feet of Drain Tile �' n ft ' Dist- Feet of Tank or Drain Field from Well
Nature of Water Supply: City—We1L Size of Soakage Pit
Amount of Permit $
No.
ti
(Signed) __ - - -- e \I = —
(Signed)
Repairs
Street..._
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 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore.- to be
performed under this permit; and will post or cause to be posted' for inspection on the site of work such public notice or notices as err
required by the Act. The undersigned agrees to employ only such cab- contractors, on be perf . under this • -. snit, es are
licensed by Miami Shores Village.
No. of Stories
Notary Public, State of Florida
Master Plumber.
9-
STATE OF FLORIDA, 1 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 be made wham mob miesp•oties Y so•de by improper notice for baspeciion, or faulty
materials and /or worlmoaoship.
CLO[sTa
BATH
'ruse
aHOW[Ra
LAVA
TORIES
SINKS
BLOT
•INK[
LAUNDRY
TOSS
URINALS
CATCH
!BASIN
FLOOR
DRAIN
DRINK NO
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
•_
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAO[
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
NN
SWtM'O
POOL
COHTR.
LIST
CHECK
_
Permit No .
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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.
Owners Name and Address '
Registered Architect and /or Engineer
E i Flume's G . 7 . (weir : ; L: L; L. 10 an c, N a. _.. e...�.._,�..�....m. arse_
Location and Le Desct[pdo Lot�r Bkx%
Z- frt Street .._ '- . f* :7. ..
Street and Number where work b / to be performed —No s 7j 76 c . .--- .-- . ._..._._.. _.. ._ - _..._._.
State work to be performed and purpose of building (By Floors) _ _- .______ .__._.�__�
New Building- - - - - -_ _-- .- -••••- -. Remodeling____. __ Addition.
My Commission Expires
Size Septic Tank_ Type of Tank___.
_.
Feet of Drain Tile �' n ft ' Dist- Feet of Tank or Drain Field from Well
Nature of Water Supply: City—We1L Size of Soakage Pit
Amount of Permit $
No.
ti
(Signed) __ - - -- e \I = —
(Signed)
Repairs
Street..._
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 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore.- to be
performed under this permit; and will post or cause to be posted' for inspection on the site of work such public notice or notices as err
required by the Act. The undersigned agrees to employ only such cab- contractors, on be perf . under this • -. snit, es are
licensed by Miami Shores Village.
No. of Stories
Notary Public, State of Florida
Master Plumber.
9-
STATE OF FLORIDA, 1 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 be made wham mob miesp•oties Y so•de by improper notice for baspeciion, or faulty
materials and /or worlmoaoship.
Date /
ti
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ! L l C )T Tax Folio J - 0 L' / '- d
Legal Description
Owner/Lessee / Tenant (" d J-- L t a 4 /'Al/
Owner's Address / 3 - t 5-7"
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICALBIN
WORK DESCRIPTION 1 ;✓' 7:✓'z ` 1
Square Ft.
/ 11 OA
Signature of owner or C President
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
RADON
APPROVED:
Zoning Building
Mechanical Plumbing
Date
Historically Designated: Yes No
Address
Address
Notary as
My Commission
Master Permit #
Phone
Address S /' C -TZ;` — y' ;� /.l ly/
Contracting Co. 5/5c, Ci )
Qualifier 4 k/I .(' (lit f_e A. c 7- ss# -, ) 2.f — 2-75/V
Address
MECHANICAL ROOFING PAVING FENCE SIGN
Estimated Cost alue / V DO " U `-'
7 4-- t_L
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YO'
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND }
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all w,;_
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRIC
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that 1 work will be done in compliance with all applicable laws regulati.
construction and zoning. Furthermore, I authorize the above -named contractor to do the vo)'stated.
C.C.F. aitiM NOTARY
Electrical
ews L/4fl Dat� O j
ires: (;1.1+,1Y S J V1:11AX
AM' U STALE oz: ILOR;BA
COMM ISSION No. CC 7.1
{YeriNIMTS.SK)N ]r?tv)2_
BOND
TOTAL DUE
Date
Structural Engineer
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
2orrespond with the opening shown in floor plan or ground plan on opposite page.
•
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.
•
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTAINS
TOTAL
FIXTURES
Sketch position of building and lot lines in square (which represents an entire city block), showing on which
street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic
tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate
layout of all underground pipes for future references.
WEST
NORTH
A
SOUTH
EAST
Remarks:
NORTH
SOUTH
1.
A -244 5.35 511
I herewith submit the following plan of plumbing for approval:
Employing Plumber ` Y� Work executed by
For a
Lot No.
Ground
Address
New
Dwelling ❑
Owner or Agent
Builder or Contractor is
A
Sewer Connections At center of St. ❑ At curb ❑ A‘t property line ❑
To septic tank
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-
ROUGH -IN INSPECTION
Rough -In Rain Leader
A M P M.
Approved by
Condemned by
REMARKS
c4Lli
Plan No
DIVISION OF PLUMBING IN SPECTION
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
Old ❑ v Story ❑
Store ❑ Garage ❑
Block No. Subdivision
Date—
SEWER INSPECTION
A M P M.
Approved by
Condemned by
REMARKS
Apartment ❑
Address
Address
Sewer Permit .No
19
Addition ❑ Remodeled ❑
Hotel ❑
Office Bldg. ❑
Existing in alley ❑ Existing bldg. sewer ❑
Existing bldg. drain ❑ To dry well ❑
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.
j
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.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTAINS
TOTAL
FIXTURES
F
w
Sketch position of building and lot lines in square (which represents an entire city block), sho
street the building and lot faces; also show exact location of "Y" in street and position of` lat
tank. Show sewer and any change in direction same may make. The purpose of this plan is to
layout of all underground pipes for future references.
WEST
NORTH
A
SOUTH
EAST
NORTH
Remarks:
SOUTH
ng on which
al or septic
an accurate
t1
A -244. 5 -35 5M
I herewith submit the following plan of plumbing for approval:
Employing Plumber
New .%
For a
Owner or Agent
Address
Ground
Dwelling
Builder or Contractor is /. �'/
Lot No. f 'q Block No.
Sewer Connections At center of St. ❑
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 7
ROUGH -IN INSPECTION
Rough -In Rain Leader
A M
Approved by
� 1'
Condemned by
/f
REMARKS
7— 2— — (2,4-
Z� ?c
Plan No
DIVISION OF PLUMBING INSPECTION
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
Store ❑
P M.
Old ❑
Garage ❑
At curb ❑
Sewer Permit No
Work executed by
• Story
J
Ef
Subdivision
^i?
SEWER INSPECTION
fV 1
Apartment . ❑
Address
Date_
AM PM.
Approved by
Condemned by
REMARKS
knit e .
Addition ❑
/1
Hotel ❑
1/4
A M
Remodeled ❑
Office Bldg. ❑
,10
At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
To septic tank' Existing bldg. drain ❑ To dry well ❑
Date
FINAL INSPECTION
P M.
Approved by
Condemned by
REMARKS
w
Pe iP'• 47 7
:mit #
MJiI
ViLLAG-E
lumi g Penni
Miamj Shr.l_res Vi Fla,
_
Permission is hereby ;ranted
/•(•'
, (
ws, install the folloAring described plumbing, in. ccjr with the
statutes regulations of Miami Sores Florida. and
tht State of Florida, governing phimbing and drainage work done in
Miami. Shores Village, Florida.,-"'
For. a 4.Z"ly
'....2- I -7-
7 )/ :-
t No. / ../ i , ? 1 - -- - --- ,i,e-
Lot ' - • •-- ' ,- Block
Subdivision
Lizt.:LL7, 47. ,, i /.
.....,
Fixtures r
i
Je - i . 1. 1 1 ...I C., e s Z ig i 6, , w e* L. , ( . ' ' •' , . „ -
A s shown on attached approved. plans
F ROUGHED IN / $ &
:2 ST 1■7•74 ;, 3 :2- - `: .--
E V V E R /
e.. .-c- ..---)
4.,
4f,PTIC TANK 4';
---ir By -- .> L--
--- 7.5
■•■•••••■••••M
Payment
Village Plumbing Inspector
?his permit issued subject to approval of County Plumbing Inspeci;or
received ;(
APPLICATION FOR PLUMBING PERMIT /
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbmitted 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
caring progress o work.
d f k
w/ .
Owner's Name and Address ... __ —_
Registered Architect and /or Engigee
Employing Plumber's Name _
Size Septic Tank____
Amount of Permit S-
Location and Legal Description Subdivision—_-_____ —__
Street and Number where work is to be performed— No. _ /_02- a S Street_
State work to be performed and purpose of building (By Floors)
New Building_ Remodeling Addition_
Nature of i pply: City—
s►
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
__ No._-- -- ___� -____� Street- - - - - --
F�JZ�r ' Street__ — —
Type of Tank ____________________ _____________________.Capacity Gals._
Feet of Drain Tile_ ______.- __-_ ....... ___________ Dist. Feet of Tajik 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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed
Repairs
Rted
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. a.
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.
Notary Public. State of Florida
No. of Stories__ _
Plumbing Inspector.
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
APPLICATION FOR PLUMBING PERMIT /
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbmitted 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
caring progress o work.
d f k
w/ .
Owner's Name and Address ... __ —_
Registered Architect and /or Engigee
Employing Plumber's Name _
Size Septic Tank____
Amount of Permit S-
Location and Legal Description Subdivision—_-_____ —__
Street and Number where work is to be performed— No. _ /_02- a S Street_
State work to be performed and purpose of building (By Floors)
New Building_ Remodeling Addition_
Nature of i pply: City—
s►
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
__ No._-- -- ___� -____� Street- - - - - --
F�JZ�r ' Street__ — —
Type of Tank ____________________ _____________________.Capacity Gals._
Feet of Drain Tile_ ______.- __-_ ....... ___________ Dist. Feet of Tajik 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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed
Repairs
Rted
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. a.
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.
Notary Public. State of Florida
No. of Stories__ _
Plumbing Inspector.
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
7
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
/L � APPLICATION FOR PLUMBING PERMIT
�
Permit No. .___ � Date V
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbmitted 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.
Size Septic Tank Type of Tank
Feet of Drain Dist. Feet of T k or Drain Field from Well
Nature of '' at pply: City —W ._.- L a __� Size of Soakage Pit
ea- 1
(Signed)
(Signed)
No.--- - - - - -- - - - -- —_w Street_
Registered Architect and /or Engineer
Employing Plumber's Name L1'" d
Location and Legal Description Lot _Block.
Street and Number where work is to be performed— No._ /2 3 %.5 Street
Y
State work to be performed and purpose of building (By Floors) ........ _________— ____
New Building ________________________ Remodeling Addition Repairs —___ No. of Stories__ —
a t. t — — — Street
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 under signed agrees to employ only such
licensed by Miami Shores Village.
sub - contractors, on
Capacity Gals
Notary Public. State of Florida
Plumbing Inspector.
work to be performed under this permit,
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 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.
as
are
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
Owner's Name and Address
7
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
/L � APPLICATION FOR PLUMBING PERMIT
�
Permit No. .___ � Date V
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbmitted 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.
Size Septic Tank Type of Tank
Feet of Drain Dist. Feet of T k or Drain Field from Well
Nature of '' at pply: City —W ._.- L a __� Size of Soakage Pit
ea- 1
(Signed)
(Signed)
No.--- - - - - -- - - - -- —_w Street_
Registered Architect and /or Engineer
Employing Plumber's Name L1'" d
Location and Legal Description Lot _Block.
Street and Number where work is to be performed— No._ /2 3 %.5 Street
Y
State work to be performed and purpose of building (By Floors) ........ _________— ____
New Building ________________________ Remodeling Addition Repairs —___ No. of Stories__ —
a t. t — — — Street
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 under signed agrees to employ only such
licensed by Miami Shores Village.
sub - contractors, on
Capacity Gals
Notary Public. State of Florida
Plumbing Inspector.
work to be performed under this permit,
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 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.
as
are
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
Owner of
Building , •
Architect
Contractor /
or Builder
Legal
Description
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 2246
Work to be nerfonned under this Permit '
Address of / 3 •
Building / „el 1
Bl.
Subdi-
vision
Value of
Project
BY
, €.4 1 ,404t
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device bed in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that she work will be performed compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the asunicipal authorities. Permit may
be revoked at any time if the work is not done in compliance with such ordinsinc.es or if the plans are A condition :=P
upon which this permit is granted is the understanding that the contractor or"bnilder arced above of A:
the ordinances and regulations pertaining to the work covered hereby whether damn oti the plans or Oa or Mid
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 or vered hereunder in compliance with all ordi and r.goIp
dons pertaining thereto and in strict conformity with the plans, drawings, statemen r specifications submlstud W the proper authorities of
Village. In accepting this perTit I assume responsibility for all work done by either myself, my agent, servant �Ustp1oyee. ..!."...-
:" -Lin& $ ' IfItR BUILDER
DATE
.or
$
No.
Amt. of
Permit
AUTHORrTY
4
41-