825 NE 97 StI herewith submit the following application for a permit covering the installation
of a Septic Tank So Pit:
Relaying:
Installed by:
(NEW
:
For a (Store:
Building has: / Stores; Offices; Apts.; Hotel Ris; Bedrms
i
Owner or Agent:
LOT HO.
Address of work:
ZIc. of Plumbing Fixtures:
Additional information:
Ready for Inspection: Date:
APPROVED BY:
Remarks: %
PERMIT
Old: Story:
Garage:
DIVISION OF PLUMBING INSPECTION
,\ BLOCK NO.
DADE COUNTY ZONING OFFICE
Form #11
(Garage wash floor: Waste water from a:
New:
SUBDIVISION
Purpose of same;
i
•
CONDEMNED BY:
Date:
Feet of drain tile:
Address:
Addition: Remodelod:
Apt.: Hotel: Office Bldg Res:
Address:'
Laundry Tubs: / Floor Drains:
Nature of water supply: City: ,�`� Well: Feet distant from all wells:
Type of tank installed: Tank capacity inllons:
Size of Soakage Pit:
Time:
THIS SPACE FOR PLAN SKETCH
Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the
stack 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.
J
Sketch position of building and lot lines in squa e (which represents_an entire city block), showing on which
street the building and lot faces; also show elta„st 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.
W EST
NORTH
A
EAST
Remarks:
NORTH
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 SKETCI
PROVIDED THE WORK C.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
/
,--'
A-244 5M 5-39
DIVISION OF Plit,IINSPECTION
DEPARTMENT OF PURL 'SERVICE
MIAMI, FLORIDA
I herewith submit the following plan of plumbing for approval:
- 4?
Employing Plumber
New
For a {
Address
Sewer Connections
Ground
Date
k
Plan No //
Old
0
ROUGH-IN INSPECTION
Rough-In Rain Leader
AM PM
Approved by
Condemned by
REMARKS'
Sewer Permit No
Story
Work executed by
• Lot N Block No.
Dwelling Store 0 Garage 0 Apartment 0
Owner or Agent 49 ' / / ---", i ) - Address :,----2
Builder or Contractor is ;, 'ddress /
-----
.-----1 t
At center of St. 0 At curb 0 At property line 0
To septic tank
A charge of $1.00 wil 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.
-9-
Date
SEWER INSPECTION
AM PM
L p°
Approved by
Condemned by
REMARKS
el
, 9
Addition 0
Hotel
Remodeled
Office Bldg. 0
Existing in alley 0 Existing bldg. sewer 0
bldg. drain 0 To dry well 0
Date
FINAL INSPECTION
AM PM
Approved by
Condemned by
REMARKS
veby made for the approval of the planF; and
iierewith 'submitted fo-r -the building or other
described. This application is made ir.. com-
pl iance and conformation•with the Building.Ordinance of the
Miami Shores Village, Florida; and all provisions of the Laws
of the State of Florida, all Ordinances of I:Iiami Shores
Village, and all rules and regulations of the building
Department of Miami Shores Village, shall be complied with,
whether specified or not.
OWNER
ARCHITECT.
LOT /j BLK.SUBDIVISTON STR # >• _
NEW ,; %ADDITION
TOTAL COST
Building to be used for and no other use
I hereby submit all the plans and specifications for said.
building.
STATE OF FLORIDA)
COUNTY OF DADE )
Before me, the undersigned authority, a notary public, duly
authorized to administer oaths and take acknowledgment,
personally appeared _ . to me well
known, and who, being by me first duly sworn, upon oath
deposes and says gnat he is the builder of the above described
construction, that he has read the foregoing application,
and that he did sign the same, and that facts stated by him
are true. Read, Sworn and Subscribed before me,
My Commission expires
Cubic Feet
Chairman
Member
Member
Secretary
Building Inspector
Permit No.,
Electrical Permit No.
BUILDINU 1 --
MIAMI SHORES VILLAGE
FLORIDA .
APPLICATION
REPAIRS NUMBER OF STORIEi.S `' ROOF
Signed
*Notary Public (Signed)
Cubic Feet required in this Block
PLi.NNING BOARD
Issued to
DATE
CONTRACTOR
•
Date
Plumbing Permit No
LIST OF SUI3- CONTRACTO1
'�� Painting
Plastering
Lathing
Electrical
Mason & Concrete
Plumbing
Roofing
Glazing
Tile
Miscellaneous