395 NE 96 St (6), .•
RE VEST FOR INSPECTION
^ompany
V . job
Address
Inspection
Time Ready
Date Ready
PHONE
0 uU g a 1. _ _ - T y p e of Tank__
Size Septic Task_- -- - - -- _.— --
Amount of Permit $ $4.00
STATE OF FLORIDA, t w.
COUNTY OF DADE.
(Signed)
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed )
Repairs
Capacity Cals.__._
Feet of Drain Tile._ •s- Cfr ° f t-s._ ---fit. Feet of Tank or Drain Field from Well _.._._..... _ _
Nature of Water Supply: City—Well Size of Soakage Pit
Max I have some more
permit applications,
Please;thank you
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.
McCormick Boyett Plbg. No.
Owners Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name Rose e tic
Location and Legal Description Lot- Block _ —.—
Street and Number where work is to be performed —No. 395 N.E. 9th s t r e c facet_
State work to be performed and purpose of building (By Floors)- . _..___ - - ..
New Building — Remodeling Addition
Date 797 -76
. - -- •- •----- . ..._....- - - - - -�
No. of Stories
mbing IsCsbector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ' ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, 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.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acln owledgments, 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.neeessary by improper notice for inspection, or faulty
materials and /or worlananship.
CLOSETS
BATH
TUB•
SHOWER.
LAVA•
TORIES
SINK•
SLOP
SINKS
LAUNDRY
Turns
URINAL{
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
—
LIST
CHECK
SEPTIC SEWER
TANK CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H
DEEP
WELL
SPRKLR.
SYSTEM
SW 114'0
POOL
('�
C LI { 9OflW /
CHECK
0 uU g a 1. _ _ - T y p e of Tank__
Size Septic Task_- -- - - -- _.— --
Amount of Permit $ $4.00
STATE OF FLORIDA, t w.
COUNTY OF DADE.
(Signed)
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed )
Repairs
Capacity Cals.__._
Feet of Drain Tile._ •s- Cfr ° f t-s._ ---fit. Feet of Tank or Drain Field from Well _.._._..... _ _
Nature of Water Supply: City—Well Size of Soakage Pit
Max I have some more
permit applications,
Please;thank you
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.
McCormick Boyett Plbg. No.
Owners Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name Rose e tic
Location and Legal Description Lot- Block _ —.—
Street and Number where work is to be performed —No. 395 N.E. 9th s t r e c facet_
State work to be performed and purpose of building (By Floors)- . _..___ - - ..
New Building — Remodeling Addition
Date 797 -76
. - -- •- •----- . ..._....- - - - - -�
No. of Stories
mbing IsCsbector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ' ons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, 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.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acln owledgments, 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.neeessary by improper notice for inspection, or faulty
materials and /or worlananship.
I S
Application is hereby made for the approval of the detailed statement of the plans and speci is tions herewit submitted for the�uildin1 or other
structure herein described. This application is made in compliance and conformity with the Buildi - nce of Miami Shores illage, 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. n n •
Permit No.
Owner's Name and Address
Registered Architect and /or En
Employing Plumber's Name V ti
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 Floors
Size Septic Tank //��
Feet of Drain Tile 1 Q --0 r Dist. Feet of Tank or Drain Field fr
Nature of Water Supply: City —Well Size of S
Amount of Permit $__, r '
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
(Signed)
( Signed)
3
Date_
Street
fa . No. Street
Block Subdivision
Street
ry) fi
New Building Remodeling Addition Repairs No. of Stories
m Wei
age P
Type of Tank Capacity Gals
mg
The undersigned applicant for this building pi'pit d . understands and accepts his obligations as an empl. -r 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.
Master 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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
/
1
I S
Application is hereby made for the approval of the detailed statement of the plans and speci is tions herewit submitted for the�uildin1 or other
structure herein described. This application is made in compliance and conformity with the Buildi - nce of Miami Shores illage, 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. n n •
Permit No.
Owner's Name and Address
Registered Architect and /or En
Employing Plumber's Name V ti
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 Floors
Size Septic Tank //��
Feet of Drain Tile 1 Q --0 r Dist. Feet of Tank or Drain Field fr
Nature of Water Supply: City —Well Size of S
Amount of Permit $__, r '
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
(Signed)
( Signed)
3
Date_
Street
fa . No. Street
Block Subdivision
Street
ry) fi
New Building Remodeling Addition Repairs No. of Stories
m Wei
age P
Type of Tank Capacity Gals
mg
The undersigned applicant for this building pi'pit d . understands and accepts his obligations as an empl. -r 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.
Master 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.
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.