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136 NE 96 St (4)iami cfbores9 llage F L O a 1 D A PLUMBING PERMIT N9 785 e Issued to f /J(=- - ' • to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumb}ng and drainage work done in Miami Shores Village, Florida.. �t For a.0 story " ' building at /0 .> ,Z Fixtures O/ $ 0'a e) Sewer $ •tic Tank $ Total $ 00 • Village Plumbing Inspector e Received Payment by elf OWNER LOT BLOCK SUBDIVISION -• 4 L iami cfbores9 llage F L O a 1 D A PLUMBING PERMIT N9 785 e Issued to f /J(=- - ' • to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumb}ng and drainage work done in Miami Shores Village, Florida.. �t For a.0 story " ' building at /0 .> ,Z Fixtures O/ $ 0'a e) Sewer $ •tic Tank $ Total $ 00 • Village Plumbing Inspector e Received Payment by elf CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURCS 1 I , / DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA I herewith submit the following plan of plumbing for approval: Employing Plumber / r �r Work executed by A -244 SM 3 - 3a For Owner or Agent Lot No. Address Ground New 0 Dwelling tlk Builder or Contractor is / Sewer Connections Store Block No. At center of St. ❑ DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date ROUGH -IN INSPECTION Rough -In Rain Leader AM P M. Approved by Condemned by REMARKS - •� Old ,R ❑ Garage ❑ A charge of $ 1.00 will be made for correcting any inaccuracies in the foregoing information. ( At curb ❑ Story Subdivision Apartment Address Address At property line ❑ To septic tank Date SEWER INSPECTION AM P M Approved by Condemned by REMARKS Plan No. ' ' Sewer Permit No Addition Remodeled ❑ Hotel ❑ 19._..,.� Office Bldg. ❑ fisting in alley ❑ Existing bldg. sewer ❑ Existing bldg. drain ❑ To dry well 0 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. A PERSPECTIVE SKETC PROVIDED THE WORK C 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 locations 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 EAST Remarks: NORTH SOUTH -I WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH AN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building. lettering each opening to correspond with the stock con- nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build- ing showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in ref- erence to same. __________ Location and Legal Description Lot. Amount of Permit 8_._ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No 136 State work to be performed and purpose of building (By Floors) ____.______ New Building _ Remodeling _____ -.___-_-_______ Addition (Signed)._ (Signed). Date___ 2 171 62 Ap_ lication is 1>y 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 R.N TurneraJr. No. Street. 136 N.E. 96th St. ..- _- -. - - -. _ — — _- - .- .------ _______ Registered Architect and /or Employing Plumber's Name Rose Septis Tank — _� �� - ___.__ No._____ ��. Street___wt Ave. a1ea �. Block Subdivision Strom N.E. 96th St. Repairs No. of Stories. Size Septic Tank_ .... --- - -__ -- -Type of Tank Feet of Drain Tile. _. t Rant ---- - - - - -- _.List. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______ __— ____Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted! for inspection on the site of the work such public notice or notices as are required by die 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. 2 STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLO:I£.ra BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TU., URINALS CATCH BA.IN FLOOR DRAIN DRINKI N6 FOUNT•NS TOTAL FIXTURES -- GONTT. LI_s� CHECK — y SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHICK X __________ Location and Legal Description Lot. Amount of Permit 8_._ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No 136 State work to be performed and purpose of building (By Floors) ____.______ New Building _ Remodeling _____ -.___-_-_______ Addition (Signed)._ (Signed). Date___ 2 171 62 Ap_ lication is 1>y 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 R.N TurneraJr. No. Street. 136 N.E. 96th St. ..- _- -. - - -. _ — — _- - .- .------ _______ Registered Architect and /or Employing Plumber's Name Rose Septis Tank — _� �� - ___.__ No._____ ��. Street___wt Ave. a1ea �. Block Subdivision Strom N.E. 96th St. Repairs No. of Stories. Size Septic Tank_ .... --- - -__ -- -Type of Tank Feet of Drain Tile. _. t Rant ---- - - - - -- _.List. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______ __— ____Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted! for inspection on the site of the work such public notice or notices as are required by die 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. 2 STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. cJhores94llage F L 0 A I D A PLUMBING PERMIT Date Issued to • # < <� N9 785 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_. story 7 4: - building at /*/ , Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ /+ dt 47 Village Plumbing Inspector 77)' Received Payment by OWNER r LOT BLOCK SUBDIVISION �� cJhores94llage F L 0 A I D A PLUMBING PERMIT Date Issued to • # < <� N9 785 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_. story 7 4: - building at /*/ , Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ /+ dt 47 Village Plumbing Inspector 77)' Received Payment by Owner of Building_ Architect Contracto or Builder Legal Descriptio Address Building MIAMI SHORES VILLAGE, FLORIDA BUILDING O ELECTRICAL ICI PERMIT o PLUMBING N . 9114 ROOFING a Work to be performed under this Permit DATE � 1954 Contractor's 2 s License No. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. / f , Signed: INSPECTOR N In consideration of the issuance to me of this permit I agree to perform the work covered hpieunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications st mitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • CONTRACTOR OR BUILDER BY AUTHORITY x 1 7 tV t. t L. 4 . ,3 t 1. 3 a t i. P`„ t c. i t7 ,' / r t n Lot Bl Subdi- vision ,f (3 C. �► -- L` ( ` — s Ft Amt. of Permit } lue of Value Project $ Owner of Building_ Architect Contracto or Builder Legal Descriptio Address Building MIAMI SHORES VILLAGE, FLORIDA BUILDING O ELECTRICAL ICI PERMIT o PLUMBING N . 9114 ROOFING a Work to be performed under this Permit DATE � 1954 Contractor's 2 s License No. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. / f , Signed: INSPECTOR N In consideration of the issuance to me of this permit I agree to perform the work covered hpieunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications st mitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • CONTRACTOR OR BUILDER BY AUTHORITY x 1 7 BUILDING ELECTRICAL PLUMBING Owner of ,/ , Building -- Architect Contractor j or Builder Legal Lot Description Address of Building / mis permit is granted to the contractor 6r builder named above to construct the building or to install the equipment or device described in the appli- cation herefor m strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge a of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or draw• ) 7. / / or in the sments or specifications an that he assumes respon- sibility fur work done by his agents, servants or employees. , Signed. c , € .� B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the v&ork covered hereunder in compliance with all fiances and regulations • g thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities.bf Miami Shores Village. :..:: g this a 't I . e respon • ility for all work done by either myself, my agent, servant or employee. • CONTRACTOR OR B MIAMI SHORES VILLAGE, FLORIDA DATE ) 19_D Coiltractor's License No. PERMIT N? 8722 Work to be performed under this Permit 7 Subdi- vision Value of Project BY Amt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building o ❑ � .. PERMIT N? 15045 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bl. Subdi- Description. vision Address of Building 1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by hir agents, servants or employees. Signed , �..., ,,, BY . 1 _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Value of Project $ DATE ..L, r 195_ Contractor's License No. .s! Amt. of Permit $ BY AUTHORITY P R'M IT A N? 797 MIAMI SHOR m 5 VILLAGE LICENSE NO. T of This permit is granter n • n tbe ezpras condition pistils and specifications sub tted, and in acacs and zoning laws of Miami Sho. - Village. and sad at any tin; upon the violation . any provisions of rized the building inspec . • ,� AL BING of Building and/or Engineer_ -_.r. or .ertiltiier Location of the i _ zoning NAME 1 L sus -o vissei ADDRESS ADDRESS -- ADDR permit is issued to above described. as tion. Plans and Specifications heretofore filed in this stated in 'the appiica , • n are true and that the construction complies strictly with with tbe building I laws f the State of Florida and with the build' ordina of the building department Shores Village. This permit may tavok or riles and regale as change in *Adam and RECD. YMINT ACCT. DEPT. ii Y to cane of permit I hereby agree to the prod construction in strict conformity On i me submitted, and in compliance with all provisions of all building laws of the of smi Shores Village and all rules and regulations of the building , . rtment of Miami charge ot WM be in.ade for making corrections or changes to this application after approval has been obtained fee of $1.(4 be when such re- inspection is made necessary by improper notice for inspecting or faulty INetot * O* th the a toes and - tate of 1 air the Shores Villag Permit No. 1 ' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address STATE OF FLORIDA, t COUNTY OF DADE. 1 ss. I jit Zti� Registered Architect and /or EngineeyAC.M. €__SEPT ___ CO. Employing Plumber's Name p _c,_ abl ___ �� No Street HEA � _ " Location and Legal Description Lot_____________L __AAN._ IA,f AA Block _ __ Subdivision -__ 1_ Street and Number where work is to be performed —No I. _ ` - c _ ______ r e dt State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories ( Signed) No Street Size Septic Tank Type of Tank Capacity Gals ( r Feet of Drain Tile 7 J Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —W -- - Size of Soakage Pit Amount of Permit $ ----------- - --- -- ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida 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. 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. 1 ' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address STATE OF FLORIDA, t COUNTY OF DADE. 1 ss. I jit Zti� Registered Architect and /or EngineeyAC.M. €__SEPT ___ CO. Employing Plumber's Name p _c,_ abl ___ �� No Street HEA � _ " Location and Legal Description Lot_____________L __AAN._ IA,f AA Block _ __ Subdivision -__ 1_ Street and Number where work is to be performed —No I. _ ` - c _ ______ r e dt State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories ( Signed) No Street Size Septic Tank Type of Tank Capacity Gals ( r Feet of Drain Tile 7 J Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —W -- - Size of Soakage Pit Amount of Permit $ ----------- - --- -- ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida 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. 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. r Permit No. /' r� • STATE OF FLORIDA, 1 ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No �- _ ( Signed) 1�6 Date Block Application is hereby made for the approval of the detailed statement of the plans and specifications herewi 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 v�LY___c� • No Registered Architect and /or Engineer i" Employing Plumber's anie) Location and Legal Description Lot s Street and Number where work is to be performed —No / i n / V b � !r ocD Street 4/�• Street / t Z • Street 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 Amount of Permit $___ - - ( Signed) ' 1 •••t— Z, f , Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 Comrnission 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. va j t i Master Plumber. 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 H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL L T AT" CONTR. LIST CHECK r Permit No. /' r� • STATE OF FLORIDA, 1 ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No �- _ ( Signed) 1�6 Date Block Application is hereby made for the approval of the detailed statement of the plans and specifications herewi 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 v�LY___c� • No Registered Architect and /or Engineer i" Employing Plumber's anie) Location and Legal Description Lot s Street and Number where work is to be performed —No / i n / V b � !r ocD Street 4/�• Street / t Z • Street 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 Amount of Permit $___ - - ( Signed) ' 1 •••t— Z, f , Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 Comrnission 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. va j t i Master Plumber. 1.7 Permit No 1 Owner's Name and Address Nature of Water Supply: City —We Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 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 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. Registered Architect and /or Engineer Employing Plumber's Name ACME SEPTIC TANK CO . No Street P. O. BOX 1000 Location and Legal Description Lot —_ Block Subdivision HfALEAEL FLORIDA t E 9� • Street and Number where work is to be performed —No ___________ S tr eet ( Signed) ( Signed) No Street Date 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 r 1 - -- Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. 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. 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 SW IM'G POOL CONTR. LIST CHECK 1.7 Permit No 1 Owner's Name and Address Nature of Water Supply: City —We Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 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 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. Registered Architect and /or Engineer Employing Plumber's Name ACME SEPTIC TANK CO . No Street P. O. BOX 1000 Location and Legal Description Lot —_ Block Subdivision HfALEAEL FLORIDA t E 9� • Street and Number where work is to be performed —No ___________ S tr eet ( Signed) ( Signed) No Street Date 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 r 1 - -- Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. 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. 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. C// 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... • 1 6 —� "— . :�,,+ _ No. L - . Street a Registered Architect and /or ._._ -.— Employing Plumber's Name N o . ; " — Street. a Location and Legal Description Lot Bloch Subdivision._ . Street and Number where work is to be performed —No C - r '^ t-- (> Street State work to be performe8 and purpose of building (By Fkrors)___ -_.... New Building _. __ -_ .. Remodeling_ __.__._. _ __ Addition. Size Septic Tank_-- _.__.- __.. Feet of Drain Nature cf Water Supply City —Well. Amount of Permit $ 31 e f MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT' APPLICATION FOR PLUMBING °'` ,,MIT _Type of Tank____ _Dist. Feet of Tank or Drain Field from Well of Soakage Pit ( S)- ( Signed )- L� ✓Le� Repairs Date..!` 1. ___ r My Commission Expires Notary Public, State of Florida No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi': • ons as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Ferman Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors em • • 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 required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as licensed by Miami Shores Village. L-,g+, _ .� Master Plumber. are are STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 be did sign the same, and that all facts therein by him stated are true. • NOTE: A re- inspection fee of MOO will be made when such re- inspection is made•neeessary by improper notice for inspection, or faulty materials and/or woalamtwab CLOSETS TUBS TUBS $HOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuff U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N$ TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWIII CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER Dar" WILL e►RKLR. SYSTEM SWIM•G POOL CONTR. LIST \ CHECK C// 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... • 1 6 —� "— . :�,,+ _ No. L - . Street a Registered Architect and /or ._._ -.— Employing Plumber's Name N o . ; " — Street. a Location and Legal Description Lot Bloch Subdivision._ . Street and Number where work is to be performed —No C - r '^ t-- (> Street State work to be performe8 and purpose of building (By Fkrors)___ -_.... New Building _. __ -_ .. Remodeling_ __.__._. _ __ Addition. Size Septic Tank_-- _.__.- __.. Feet of Drain Nature cf Water Supply City —Well. Amount of Permit $ 31 e f MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT' APPLICATION FOR PLUMBING °'` ,,MIT _Type of Tank____ _Dist. Feet of Tank or Drain Field from Well of Soakage Pit ( S)- ( Signed )- L� ✓Le� Repairs Date..!` 1. ___ r My Commission Expires Notary Public, State of Florida No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi': • ons as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Ferman Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors em • • 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 required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as licensed by Miami Shores Village. L-,g+, _ .� Master Plumber. are are STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 be did sign the same, and that all facts therein by him stated are true. • NOTE: A re- inspection fee of MOO will be made when such re- inspection is made•neeessary by improper notice for inspection, or faulty materials and/or woalamtwab tUILDING LECTRICAL , LUMBING per of t iding architect : ontractor yr Builder 7escription sip Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N 4338 Work to be performed under T - uLfrvs"..zk.b.• Bl. this Permi Subdi- vision DATE - 194.. Contractor's / y License No. I` dT ldin of + r t ti .. . 4 ,, ' "' of 1 Project Permit ;wi lding_ .t .v , This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an fans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revo t any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which .ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the- ordinances Lions pertaining to the work covered hereby whether shown on the plans or drawings or in the ftteme is or specifications and thJ a assume r ty for work done by his agents, servants or employees. Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations,- .ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this, t - assinne responsibility for a work done by either mys , my agent, servant or a loyee. CONTRA OR' BUILDER AUTHORITY APPLICATION FOR PLUMBING PERMIT Permit No.-__ _ _ _ -__ !' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No.__ _l /' , ___ =E. � - ;+. ar Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank \-5`4L e7s Feet of Drain Tile/ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well. ______ Y! ?_,. =;� Amount of Permit $_ The undersigned applicant for this building permit does hereby certify that e understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT . d Type of Tank l !v-l?_;I_1 -Alr Capacity Gals. ___s2__ Size of Soakage Pit (Signed No Date___s.,,. - -' Street - � Street Master Plumber. STATE OF FLORIDA, ss. 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. Notary Public, State of Florida 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 f CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST I/ ✓ CHECK APPLICATION FOR PLUMBING PERMIT Permit No.-__ _ _ _ -__ !' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No.__ _l /' , ___ =E. � - ;+. ar Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank \-5`4L e7s Feet of Drain Tile/ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well. ______ Y! ?_,. =;� Amount of Permit $_ The undersigned applicant for this building permit does hereby certify that e understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT . d Type of Tank l !v-l?_;I_1 -Alr Capacity Gals. ___s2__ Size of Soakage Pit (Signed No Date___s.,,. - -' Street - � Street Master Plumber. STATE OF FLORIDA, ss. 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. Notary Public, State of Florida 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. 791 Permit No. Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. / Owner's Name and Address s.! My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT � � Date- ( of the detailed statement of the plans and specifications herewith submitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at Amount of Permit $______— ' _— _________ ______________ — __(Signed) No Registered Architect nd /or Engineer _________ ______ ____—_ —_______ ___________________— Employing PI er's Name :44" (-1.1 t r � ` '" � No _ _ 7 -" " Location and Legal Description Lot____ __ ___w____ —_— —____— / Block— _ Street and Number where work is to be performed— No. _ 7 r4 ____1L__ State work to be performed and purpose of building (By Floors) _ ______—__r_ New Building_ Remodeling Addition__ Repairs —_____ No. of Stories. Size Septic Tan1L__,Nre Type of Tank. 4eG Feet of Drain __ _________ _ _ __ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well j ..4 Subdivision_ _ ____ Street_ _Size of Soakage Pit (Signed Street_ F - -- -- Street_ 2 — Capacity Gals. The undersigned applicant for this building permit does hereby certify that ' e understands and accept s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori 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. Notary Public. State of Florida Plumbing Inspector. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared - - -� —_ —___------____--- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL Firmness CONTR. LIST CHECK SEPTIC SEWER TANK CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL LIST CHECK 791 Permit No. Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. / Owner's Name and Address s.! My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT � � Date- ( of the detailed statement of the plans and specifications herewith submitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at Amount of Permit $______— ' _— _________ ______________ — __(Signed) No Registered Architect nd /or Engineer _________ ______ ____—_ —_______ ___________________— Employing PI er's Name :44" (-1.1 t r � ` '" � No _ _ 7 -" " Location and Legal Description Lot____ __ ___w____ —_— —____— / Block— _ Street and Number where work is to be performed— No. _ 7 r4 ____1L__ State work to be performed and purpose of building (By Floors) _ ______—__r_ New Building_ Remodeling Addition__ Repairs —_____ No. of Stories. Size Septic Tan1L__,Nre Type of Tank. 4eG Feet of Drain __ _________ _ _ __ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well j ..4 Subdivision_ _ ____ Street_ _Size of Soakage Pit (Signed Street_ F - -- -- Street_ 2 — Capacity Gals. The undersigned applicant for this building permit does hereby certify that ' e understands and accept s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori 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. Notary Public. State of Florida Plumbing Inspector. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared - - -� —_ —___------____--- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. vommoollim 1 i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ' 44,6°7- Date..--- •- .----- .._..._. __ ...._ .r.. - -.— 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 Addres'a., hRv ,5,94/7ivss N o / 3 22 street. Z f° Sr Registered Architect and /or En Meer eer �--� Emir ing Plumber's f, own d r more Subdmdon.? �l' _A Street and Number where work is to be performed —No / 36 1J" 6 Street.. 4' ..._S�'. State work to be performed and purpose of building (By Floors) _ _ ____._. —.__ New Building -- _ ------- ........_.. Remodeling - -. _. —__ Addition. Size Septic Tank_.. Type of Tank—_.. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—WeIL Size of Soakage Pit. Ce.:24 4 9 R Amount of Permit $ .1,57; D 0 Q� ?��l(Slgned My Comarission Erpins Repairs 5xr - Notary Public, State of Fkdda No. of Stories . ......... Plumbing In spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Ili' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort• 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 err 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) t-4 ..fil er Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to me well known, and who, being by me first duly swan, upon oath deposes and says that be is the ._ -• -_ - -_ --- •---- -..... - - - - -• -- of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re inspection fee of $1.00 will be made whoa rims r iaspaatlaa Y nnads.asosseary by Improper notice far dspection, or faulty matarialr and /ar worlaraoship. CLOSETS BATH Tus. SNOW[Ra LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUa• URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N• TOTAL FIIITUREN CONTR. LIST CHECK _ SEPTIC TANK SEWER CONN. DRAIN FItLD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL S ►RKLR. S SWIM'O POOL CONTR. LIST .-- CHECK 1 i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ' 44,6°7- Date..--- •- .----- .._..._. __ ...._ .r.. - -.— 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 Addres'a., hRv ,5,94/7ivss N o / 3 22 street. Z f° Sr Registered Architect and /or En Meer eer �--� Emir ing Plumber's f, own d r more Subdmdon.? �l' _A Street and Number where work is to be performed —No / 36 1J" 6 Street.. 4' ..._S�'. State work to be performed and purpose of building (By Floors) _ _ ____._. —.__ New Building -- _ ------- ........_.. Remodeling - -. _. —__ Addition. Size Septic Tank_.. Type of Tank—_.. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—WeIL Size of Soakage Pit. Ce.:24 4 9 R Amount of Permit $ .1,57; D 0 Q� ?��l(Slgned My Comarission Erpins Repairs 5xr - Notary Public, State of Fkdda No. of Stories . ......... Plumbing In spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Ili' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort• 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 err 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) t-4 ..fil er Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to me well known, and who, being by me first duly swan, upon oath deposes and says that be is the ._ -• -_ - -_ --- •---- -..... - - - - -• -- of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re inspection fee of $1.00 will be made whoa rims r iaspaatlaa Y nnads.asosseary by Improper notice far dspection, or faulty matarialr and /ar worlaraoship. PgS •237 11/79 • - eoWN T 422 Gd• 7 77' Ex /5 SECTION SCALE r DWG. BY e Z- a P eoples GAS SYSTEM • Inc. / 4// 6771 5• ,�- /,,,sue..' f�,�s DATE 6 /_5 / SHEET of r J.O. A.F.E. -w. /36' /144= �,,' (#40445-,,?