320 NE 96 St (3)MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS
INSPECTION
ALL c/ei,
TIME READY
REMARKS:
N? 5701
/ 2
INSPECTOR DATE
Permit No
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING
Block_
3 20
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
(steed)- - -'
( Signed
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fir 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 ! !!__- . - - - -_� .Y �_�_ !v -- -- - _ - -- •_ --- No.
Registered Architect and /or Engineer_
Employing Plumber's Name -
Location and Legal Description Lot. ____.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By F'hoors)_ .___._____ A/F ` F L \L/
New Building —_ ___ Remodeling_ _____________ Addition______ _________. Repairs No. of Stories
Street
Subdivision
3 2 -0 street ! 6 S
ed
Notary Public, State of Florida
C/Yt C C /� C� PPTi c �►;1./ 1' No.- j 7 Street____ At_A G (
2,5
Capacity Gals.
�O Cfc
Pl bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and Ilas com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em . ;yed 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
required by the Act. The undersigned agrees to employ only such sub- contractors, on ork to b
licensed by Miami Shores Village.
blic notice or notices as are
this permit, as are
aster Plumber.
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 i$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-
To/time
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
I NAS
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
Permit No
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING
Block_
3 20
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
(steed)- - -'
( Signed
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fir 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 ! !!__- . - - - -_� .Y �_�_ !v -- -- - _ - -- •_ --- No.
Registered Architect and /or Engineer_
Employing Plumber's Name -
Location and Legal Description Lot. ____.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By F'hoors)_ .___._____ A/F ` F L \L/
New Building —_ ___ Remodeling_ _____________ Addition______ _________. Repairs No. of Stories
Street
Subdivision
3 2 -0 street ! 6 S
ed
Notary Public, State of Florida
C/Yt C C /� C� PPTi c �►;1./ 1' No.- j 7 Street____ At_A G (
2,5
Capacity Gals.
�O Cfc
Pl bing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and Ilas com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em . ;yed 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
required by the Act. The undersigned agrees to employ only such sub- contractors, on ork to b
licensed by Miami Shores Village.
blic notice or notices as are
this permit, as are
aster Plumber.
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 i$1.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty
materials and /or workmanship.