823 NE 96 St (2)pz,5
Ow.m.er s Name and Address
Registered Architect and /or Engineer
�L sec.
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
New Building - _---- _ - -• -• - - - -_ -- Remodeling___ _
Sine Septic Tank
STATE, OF FLORIDA, l
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date /L G C, C C
Apr?icatiJi i> hereby anaut 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 ail 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
bulldirg during progress of work.
No. __w _ Street/ 4Z: -
/7 - --- -- ---'/71� -
_:3sAl&'1______ ` .._ Street_
_--_--• --
B1oek Subdivision _
-g h
fl~ Street_. .
Floors)--- r= - y� - - -� ii._...,e'e
Addition Repairs No. of Stories . . ... . .. .......
Amount of Permit $_ (Signed) _
Type of Tank Capacity Gals.
Feet of Drain 'Tile ` __Dist. Fe t of T r Drain Field from Well
P
Nature of Water Supply: C ity -- Well.__ � P _. _ ____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 F:orida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus com-
plied with the previsions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed rude: 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
re114. :I by the Act The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
iirensed by Miami Shores Village.
( Signed )-- -444e14-' pi.e -,e -L__-
p Master l umber.
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
mate_Miats and /or workmanship.
CLOarr
BATH
TUBS
SHOWERS
LAVA•
TORIES
SINKS
SLOP
SINK{
LAUNDRY
TUBS
URINAL{
CATCH
BA {IN
FLOOR
DRAIN
DRINKING
FOUNT'
TOTAL
FI %TURFS
CONTR.
LteT
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
- -- J
CHECK
pz,5
Ow.m.er s Name and Address
Registered Architect and /or Engineer
�L sec.
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
New Building - _---- _ - -• -• - - - -_ -- Remodeling___ _
Sine Septic Tank
STATE, OF FLORIDA, l
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date /L G C, C C
Apr?icatiJi i> hereby anaut 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 ail 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
bulldirg during progress of work.
No. __w _ Street/ 4Z: -
/7 - --- -- ---'/71� -
_:3sAl&'1______ ` .._ Street_
_--_--• --
B1oek Subdivision _
-g h
fl~ Street_. .
Floors)--- r= - y� - - -� ii._...,e'e
Addition Repairs No. of Stories . . ... . .. .......
Amount of Permit $_ (Signed) _
Type of Tank Capacity Gals.
Feet of Drain 'Tile ` __Dist. Fe t of T r Drain Field from Well
P
Nature of Water Supply: C ity -- Well.__ � P _. _ ____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 F:orida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus com-
plied with the previsions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed rude: 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
re114. :I by the Act The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
iirensed by Miami Shores Village.
( Signed )-- -444e14-' pi.e -,e -L__-
p Master l umber.
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
mate_Miats and /or workmanship.
Permit No../ .
Date--- . 4- - i _L. _Q
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 7 ,
Owner's Name and Address__
Employing Plumber's Name
Size Septic Tank Type of Tank
Nature of Water Supply: City—Well .
Amount of Permit $__
SS.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
Registered Architect and /or Engine
7
Location and Legal Description Lot — _.— ._______ Block
Street and Number where work is to be performed —No .- '2 ___
( Signed)
8 2 3 Alt -
No No Street
Street
(Signed --
Street 7b
Subdivision
9 „ 6 AI
State work to be performed and purpose of building (By Floors)
New Building -) Remodeling Addition Repairs No. of Stories
Capacity Ca
Feet of Drain Tile Dist. Feet 'of Tank or Drain Field from WeIL
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 permit, as are
licensed by Miami Shores Village.
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 $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
SIN"
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT' Ns
IC--
TOTAL
FIXTURES
CONTR.
LIST
�,
f
1
20
/
/
r /.�
/ �
CHECK , 9S7
_ _
�j (
11
�r
/ �`
S
JJ
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
&et
—yt
- '{.
0_� /_
�/�-
CONTR.
LIST
CHECK
/
r�S
t /
Permit No../ .
Date--- . 4- - i _L. _Q
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 7 ,
Owner's Name and Address__
Employing Plumber's Name
Size Septic Tank Type of Tank
Nature of Water Supply: City—Well .
Amount of Permit $__
SS.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
Registered Architect and /or Engine
7
Location and Legal Description Lot — _.— ._______ Block
Street and Number where work is to be performed —No .- '2 ___
( Signed)
8 2 3 Alt -
No No Street
Street
(Signed --
Street 7b
Subdivision
9 „ 6 AI
State work to be performed and purpose of building (By Floors)
New Building -) Remodeling Addition Repairs No. of Stories
Capacity Ca
Feet of Drain Tile Dist. Feet 'of Tank or Drain Field from WeIL
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 permit, as are
licensed by Miami Shores Village.
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.