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100 NE 99 St (3)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address /CO NE ?9 s � Legal Description f3¢ J4/ J � 1 I S 1 Master Permit # ( 72 DVy Owner / Owner's Contracting Co. Qualifier State# Square Ft. Lessee / Tenant A4Z,INJ /7f'¢,e ,ot'j _ Address MO < 9 S` Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION ��,4(/)/(' SAddress /taw F7 Competency a 7e) 7 We,/ Ins. Co. `e,4,DEZ. 5; Address Address Address BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature Owner and /or Condo President Signatu Date: Date: ,4%; 46 Nota as o Owner and /o BOttaddBLIOES,gOIttil LORIDA No My C mmission Expires: MY COMMISSION EXPIRES APRIL 16, 1962 My * * * BONDEMIIRU STEMB*.ADAMS & OFEET PERMIT FEE: APPROVED: Fire Zoning Mechanical Building Plumbing Estimated Cost Tax Folio // 3ad6 ) 3 p of pi' s phone ? 5 C1( PZ,s -� phone F% PC e of Contractor or Owner- Builder ak'Xi fj4 yn or Owner - Buil ommission Expires: N01ARY PUBLIC, STA OF FLORFR�i 9Ic �k M*COMMISS*N EX PIRE APRIL 16. 1 BONDED THRU STEM BLER ADAMS & SWEFJ 992 Other /J ( 2" Electrical 1 Engineering Permit 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. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name PLC 6em 'Cie MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No..._I _taP Location and Legal Description Lot_____ ____ _ ._____ . — Block Subdivision_____: 4 Lam` 97 -- Street and Number where work is to be performed —No l 97 Street State work to be performed and purpose of building (By Floors) New Building _._ Remodeling_ Size Septic Tank.. Feet of Drain Tile ---- - - - - -- Nature of Water Supply: City — Well._____ Amount of Permit $ ---------- --- - -- My Commission Expires Addition_________ Repairs No. of Stories Type of Tank_ __Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit ( Signed) (Sign Street Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo performed under this permit; and will post or cause to be posted' for inspection on the site of the work such p required by tlie Act. The undersigned agrees to employ only such sub- contractors, wo to be perform licensed by Miami Shores Village. Date —S STATE OF FLORIDA, O COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared d 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 jr Plumbing Inspector. s as an employer of labor upplement, and has corn - by him in the work to be is notice or notices as der this permit, Master Plumber. are 1 are NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOgii'1'B BATH TUBS LAVA. LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTE. LIST CHECK CONTR. LIST SEPTIC TANK SEWER CONN. -7----- DRAIN PIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•S Pool. CHECK Permit 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. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name PLC 6em 'Cie MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No..._I _taP Location and Legal Description Lot_____ ____ _ ._____ . — Block Subdivision_____: 4 Lam` 97 -- Street and Number where work is to be performed —No l 97 Street State work to be performed and purpose of building (By Floors) New Building _._ Remodeling_ Size Septic Tank.. Feet of Drain Tile ---- - - - - -- Nature of Water Supply: City — Well._____ Amount of Permit $ ---------- --- - -- My Commission Expires Addition_________ Repairs No. of Stories Type of Tank_ __Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit ( Signed) (Sign Street Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo performed under this permit; and will post or cause to be posted' for inspection on the site of the work such p required by tlie Act. The undersigned agrees to employ only such sub- contractors, wo to be perform licensed by Miami Shores Village. Date —S STATE OF FLORIDA, O COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared d 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 jr Plumbing Inspector. s as an employer of labor upplement, and has corn - by him in the work to be is notice or notices as der this permit, Master Plumber. are 1 are NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. Penult No 1.1KFL. Owner's Name and Address Registered Architect and /or Engineer ___ ______��____ ___:__ _._.___ _. Employing Plumber's Name New Building Size Septic Tank 2.c.La Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date /••••" _ _ 6. 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. —' - -- c No. No. _ --_ -1 Gr/_ '71 -r_ Street L ___� Location and Legal Description Lot_- ____ -- _ -- _ —___Y. Block Subdivision --.- _-- -... ___________ Street and Number where work is to be performed —No --(G 0 t 9 Street State work to be performed and purpose of building (By Floors ) Remodeling _______._________________ Addition._._ Repairs___ No. of Stories Type of Tank_ Capacity Gals Z ' U Feet of Drain Tile � ' _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) _ ( Signed ) _ .-__._ Street__ 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 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 INKS 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 Penult No 1.1KFL. Owner's Name and Address Registered Architect and /or Engineer ___ ______��____ ___:__ _._.___ _. Employing Plumber's Name New Building Size Septic Tank 2.c.La Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date /••••" _ _ 6. 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. —' - -- c No. No. _ --_ -1 Gr/_ '71 -r_ Street L ___� Location and Legal Description Lot_- ____ -- _ -- _ —___Y. Block Subdivision --.- _-- -... ___________ Street and Number where work is to be performed —No --(G 0 t 9 Street State work to be performed and purpose of building (By Floors ) Remodeling _______._________________ Addition._._ Repairs___ No. of Stories Type of Tank_ Capacity Gals Z ' U Feet of Drain Tile � ' _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) _ ( Signed ) _ .-__._ Street__ 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 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA ❑ a DATE , 1 ❑ PERMIT N? 3743 Contractor's License No. ❑ Work to be performed under this Permi Lot CONTRACTOR OR BUILDER B1 Subdi- vision Address of . r Value of 1 Amount of ` °f Building ,� `' n -'`" j ' Project $ 1 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. r Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all Ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT PRINT KUILDING ELECTRICAL 'LUMBING tOOFING MIAMI SHORES VILLAGE. FLORIDA r '" t ❑ J DATE - 195 ' PERMIT N° 6651 Contractor's License No. *" (- ❑ ❑ Work to be performed under this Permit )caner of wilding 'a"'�t architect : ontractor I. Builder .egal )escription ddress of uilding / Lot l CONTRACTOR OR BUILDER Value of Project $ !7 BY AUTHORITY Subdi- vision Amount of -' ' Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans .awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any rue if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is .anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ,rtaining to the work covered hereby whether shown on the plans or drawings or in the statements r- specifications and that he assumes responsibility for work fi r one by his agents, servants or employees. Signed A RS BY. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations lrtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- :pting this permit I assume responsibili for all work done by either, myself, my agent, servant or employee. J. M. (BUCK) COUNCIL, PRES. 4150 N. W. SEVENTH AVENUE MIAMI 37. FLORIDA P1.. 9 -5718 Village of Miami Shores Division of Plumbing Inspection 10050 N. E. 2nd Ave., Miami 38, Florida APPL . _. ON FOR PLUMBING PERMIT: FOR: E. D. Jones 100 N. E. 99th St., Connect Dishwasher Connect Disposall .7jee BUCK PLUMBING, INC . January 22, 1958 Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application 'is hereby made for the approval of the detailed statement of the plaris and specifications herewith subs ittedfor 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 7. ? Registered Architect and /or Enginee Employing Plumber's Name Location and Legal Description Lot__45. ° :::0 Street and Number where work is to be performed -No State work to be pe New Buildin • No.//g // J;' 47 Street - 7 4 N Block , ./ Subdivision _% s .F4/ / Street 2 e,`,9 ormed and purpose of building (By Floors) ss. Remodeling Addition No .4 Street _ ( Signed) ( Signed) Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well . Size of Soakage Pit Amount of Permit $ 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. 1 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 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. Date . Plumbing Inspector. Master Plumber. WY CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT'NS {'.= �n;l TOTAL FIXTURES CONTR. IST LIS1 / / J _i___ - `�) CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application 'is hereby made for the approval of the detailed statement of the plaris and specifications herewith subs ittedfor 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 7. ? Registered Architect and /or Enginee Employing Plumber's Name Location and Legal Description Lot__45. ° :::0 Street and Number where work is to be performed -No State work to be pe New Buildin • No.//g // J;' 47 Street - 7 4 N Block , ./ Subdivision _% s .F4/ / Street 2 e,`,9 ormed and purpose of building (By Floors) ss. Remodeling Addition No .4 Street _ ( Signed) ( Signed) Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well . Size of Soakage Pit Amount of Permit $ 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. 1 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 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. Date . Plumbing Inspector. Master Plumber. f BUILDING' ELECTRICAL r PLUMBING ONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE tr . •y'� 3 — 194 Contractor's License No. PERMIT N? Bl. 7363 o k to b p&rfo pied alder this Permit Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building_ This permit is granted to the contractor or b •r n.i ed wove to construct the building or to install the equipment or device escribed in the appli- cation herefor in strict compliance with all ordinance pertaining thereto and with the understanding that the work will be performed m compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes tlie- responsibi 'ty for a thorough knowledge .f e ordinances and regulations pertaining to the work covered hereby whether shown on the plans r awi ( or in the : a ements or spec 'cations and a a h: assumes respon- sibility for work done by his agents, servants or employees. Subdi- vision Value of Project Amt. of Permit Signed - ,, s , _' /. By �T P In consideration of the issuance to me of this permit I agree to perfo work covered hereunder in compliance with all ordinances and regulations pertaining +iereto and in strict conformity with the plans, drawings, statemei, s or specifications submitted to the proper authorities of Miami Shores Village: In accep • p g!this permit I as ..! e responsibility . all work done by either myself, my agent, servant or employee. 11 BY AUTHORITY I herewith submit the following application for a permit covering the installation of a Septic Tank ° Soakage Pit: Feet of drain tile: Installed by: (NEW: For a (Store: (Res: Building has: Bedrums ' - Owner or Agent: Lot No. .41:7/7/ Address of work No. of Plumbing Garage: Stores; Additional information: APPROVED BY: Remarks: PERMIT NO. /® ./7. MIAMI SHORES VILLAGE, FLA. APPLICATION FOR SEPTIC TANK PERMIT •DIVISION OF PLUMBING INSPili['ION Date: : Relaying: /,_ Address: 4 ,, / r Garage wash floor: Offices; Block No. l"J Fixtures: Nature of water supply: City: Ready for Inspection: Date: / 7/1131° (M4114,44 ((- New: Story: / Addition: Remodeled: Apt: Hotel: Office Bldg. ;'taste water from a: Apts; Hotel Rms; r r 'ass./ e/ fez Laundry Tubs: ' Floor Drains: Well: CONDEMNED BY: Feet Distant from all wells: Type of tank installed: Tank capacity in gallons: Size of Soakage Pit: Purpose of same: Time: CLOSETS BATH TUBS SHOWERS • LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN • FLOOR DRAIN DRINKING FOUNT'NS TOTAL. FIXTURES a / / r I / W EST Sketch position of building and lot lines in square (which represents an entire city block) , showing on which street the building and lot faces; also show exact 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. NORTH A SOUTH o EAST Remarks: NORTH SOUTH A -244 5M 9 -98 I herewith submit the following plan of plumbing for approval: Employing Plumber IiP ,��s� Old ❑ Story Gd vA For a { New Owner or Agent Lot No. Sewer Connections Ground Plan No /009 Dwelling CS Store ❑ Garage ❑ Builder or Contractor is Date M 044, Block No. Subdivision Address /I0 7 DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA At center of St. ❑ At curb ❑ Work executed by Apartment Address Address 0 ire At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank ['� Existing bldg. drain ❑ To dry well ❑ A charge of $1.00 will 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. J —/7 3� ROUGH -IN INSPECTION Rough -In Rain Leader P M. Approved by .e ` / e ite' "', Condemned by REMARKS AM Date SEWER INSPECTION P M Approved by Condemned by REMARKS Sewer Permit No _7, ,19 Addition ❑ Remodeled ❑ Hotel ❑ Office Bldg. ❑ Date FINAL INSPECTION _AM P M Approved by Condemned by REMARKS 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 SKETCH WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH PROVIDED THE WORK CAN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock con- nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build- ing showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in ref- erence to same. V OWNS LOT BLOCK SUBDIVISION Date iami cfhores 9' llage F L O R ID A PLUMBING PERMIT N9 1003 Issued to to install the following describd plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a__ story ij -`' building at / Fixtures '• Fixtures $ � c $ / < Sewer , \." Septic Tank $ Total $ Village Plumbing Inspector Received Payment by 1 OWNER aiami cfhoresllage F L 0 A 1 D A PLUMBING PERMIT ■9 1049 Date Issued to LOT BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by OW ,' • r OT BLOCK SUBDIV ION )0/,'.1 if (f; P" x''- , o :1 1 ifi # ay e itsx - r ! t r Issued to � ,,�-° 7i.i �' t to install the following describ4 plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in iami Shores Village, Florida. /!t � -s.wf 7 For a__/story Fixtures 7Y1iami cShores9illage F L O A ID A PLUMBING PERMIT N9 1003 building at Fixtures 1 $ • ' v Sewer / $ /. •tic Tank $ Total $ 7 , t'Z' e /., Village Plumbing Inspector s' .',' E°a ice` r~ Received Payment by t t ' 1 r r ER i,, ' LOT BLOCK SUBDIVISION aiami cSlzores 9' llage F L O A I D A PLUMBING PERMIT Issued C o - to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing ,plumbing and drainage work done in Miami Shoores Village, Florida. For a / story building at Ai '` 1•19 1049 Fixtures Fixtures $ Sewer $ tic Tank $ / " ....„ Total $ / o 'f Village Plumbing Inspector Received Payment by ‘`"\%:„- 1 � j h iC