916 NE 96 St (5)Amount of Permit ;-
Permit No.
Apph:.ation is herby made for the approval of the detailed statement of the plans and specifications here+fth submitted for the building or other
structure herein described. This ai plication 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, a'l ord:r ances of Miami Shores Village and all rules and r gu;laticns of the Building Divisior
of Miami Shores Vi11agA shall be complied with, whether herein spec'fied or not. A copy of approved plans and specifications must be kept al
build ng dur ng progress of work.
Owner's Name and Address . ...- t» __ __ _.___, No __ Street.. ..
Registered Architect and/or Engineer _ . � Y.. � . " , �' - - = _ t k -.��1 ` 41-
No._
Employing Plumber's Name.
Location and Legal Description Lot_ _ _ __ _ , .— Block
Street and Number where work is to be performed —No L , P ° 't
Stet: work to be performed and purpose of building (By Floors)* --•--_---._....--•----•--_--
N. Building - - -- - • - -• - --- - -..._ _._. -_._.. Remode .mg_ _ Addition__._ . _._.- RepAirs. -_- - --. - _.. -- •- _ -- No. of Stories_
Size Septic Tank __ 1 Q `J
r '
Feet of Drain Tile -
Nature of Water Supply; City —Well.
My Commission :spires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
(signed)-
Street. -
Subdivision
- St eet. ._._.
Type of Tank_ _ _ _ _ _ ___. __ .... __ ___._ Capacity Cals.
Dist. Feet of Tank or Drain Field from We1L .. _ . _- _ -- __ - _ -- _ -•_- ... _ .
__-.___Size of Soakag_ Pit
• A A
Date t " -- ;- -... ..._..
Plumb'ng Inspector.
The undersigned applicant for this building permit does hereby certify that he undersc ?nds and accepts hi:; obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled Genera' Laws of Florida Permanent Supplement, and hvs com-
plied with the provisions thereof, and will require similar compliance from all contras o• s o-. sub - contractors employed by him in the w:uk to be
per ormed under this permit; and will post or cause to be posted for inspection on the site of it e 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 arc
licensed by Miami Shores Villages
STATE OF FLORIDA, l
COUNTY OF DADE.
Before me, the undersigned aut or.ty, a notary public, duly authorized to administer oaths and :ake acknowledgments, personally appeare
1
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is th :
t the above
by him ese�bed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fat.
Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- nspection if made n°cessary b ;mproper notice for inspection, or Lill
materials and /or workmanship.
CLOSETS
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SHOWERS
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SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
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B ? SIN
FLOOR
DRAIN
DRINKING
FOUNT NS
TOTAL
FIXTURE:
--
CO'TR.
Li T
-
CH CK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
¶OAKAG°
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H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POO.
COI`.TR •
LIST
CHECK
_
Amount of Permit ;-
Permit No.
Apph:.ation is herby made for the approval of the detailed statement of the plans and specifications here+fth submitted for the building or other
structure herein described. This ai plication 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, a'l ord:r ances of Miami Shores Village and all rules and r gu;laticns of the Building Divisior
of Miami Shores Vi11agA shall be complied with, whether herein spec'fied or not. A copy of approved plans and specifications must be kept al
build ng dur ng progress of work.
Owner's Name and Address . ...- t» __ __ _.___, No __ Street.. ..
Registered Architect and/or Engineer _ . � Y.. � . " , �' - - = _ t k -.��1 ` 41-
No._
Employing Plumber's Name.
Location and Legal Description Lot_ _ _ __ _ , .— Block
Street and Number where work is to be performed —No L , P ° 't
Stet: work to be performed and purpose of building (By Floors)* --•--_---._....--•----•--_--
N. Building - - -- - • - -• - --- - -..._ _._. -_._.. Remode .mg_ _ Addition__._ . _._.- RepAirs. -_- - --. - _.. -- •- _ -- No. of Stories_
Size Septic Tank __ 1 Q `J
r '
Feet of Drain Tile -
Nature of Water Supply; City —Well.
My Commission :spires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
(signed)-
Street. -
Subdivision
- St eet. ._._.
Type of Tank_ _ _ _ _ _ ___. __ .... __ ___._ Capacity Cals.
Dist. Feet of Tank or Drain Field from We1L .. _ . _- _ -- __ - _ -- _ -•_- ... _ .
__-.___Size of Soakag_ Pit
• A A
Date t " -- ;- -... ..._..
Plumb'ng Inspector.
The undersigned applicant for this building permit does hereby certify that he undersc ?nds and accepts hi:; obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled Genera' Laws of Florida Permanent Supplement, and hvs com-
plied with the provisions thereof, and will require similar compliance from all contras o• s o-. sub - contractors employed by him in the w:uk to be
per ormed under this permit; and will post or cause to be posted for inspection on the site of it e 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 arc
licensed by Miami Shores Villages
STATE OF FLORIDA, l
COUNTY OF DADE.
Before me, the undersigned aut or.ty, a notary public, duly authorized to administer oaths and :ake acknowledgments, personally appeare
1
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is th :
t the above
by him ese�bed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fat.
Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- nspection if made n°cessary b ;mproper notice for inspection, or Lill
materials and /or workmanship.