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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-