70 NE 99 St (2)MIAMI SHORES VILLAGE ,'
PLUMBING INSPECTION DEPARTMENT ' yo 6 75
APPLICATION FOR PLUMBING PERMIT
c„ - 2_ 7
Permit No. ...__ Date..._.
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 ordinance 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 .Jh �.-/ L/"C/n No 7 Street. /O&' 99`3 7
Registered Architect and /or Engineer
Employing Plumber's Name ; c=,. /110 C' .. ° ��2 /. C.. No....,., l'? _g
......... Itre118 C�.�...L 22!i
Location and Legal Description Lot_ Block Subdivision.
q _
Street and Number where work is to be performed —No 7/0 Street -.1 ! e . __9_ / ' _... _.
State work to be performed and purpose of building (By Floors) _____ i r /2e. '? _._ - --
New Building -____ ______ __ - Remodeling Addition Repairs. .__.._... .............. No of Stories ..................._.
Size Septic Tank__ 75:C
Feet of Drain
Nature of Water Supply: City
Amount of Permit $
_ . Type of Tanf r.
Mt. Feet of Tank or Drain Field from Well •
Size of Soakage
ing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli .' ens . an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennan = upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractor 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 sit'b of the work such public notice or ces as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on to be pert - under > permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1 u
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, dilly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly swarm, upon oath deposes and says that he is the _.._..._..._..._.__... _ _... _._....
of the above described construction, that be has carefully read the ®ains application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Publb. State of Florida
NOTE: A re- inspection fee of $1.00 will be made whim such usisspeottoa is taedrnonssary by improper notion fa laspealioa, or faulty
materials and /or workmsnsbip.
CLOSETS
BATH
TUGS
$ MOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tusa
URINALS
CATCH
BASIN
F LOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SWIM'O
POOL
SEPTIC
TANK
SEWER
CONN.
DRAIN
F IELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRICLR
S
Comm
LIST
CHICK
MIAMI SHORES VILLAGE ,'
PLUMBING INSPECTION DEPARTMENT ' yo 6 75
APPLICATION FOR PLUMBING PERMIT
c„ - 2_ 7
Permit No. ...__ Date..._.
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 ordinance 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 .Jh �.-/ L/"C/n No 7 Street. /O&' 99`3 7
Registered Architect and /or Engineer
Employing Plumber's Name ; c=,. /110 C' .. ° ��2 /. C.. No....,., l'? _g
......... Itre118 C�.�...L 22!i
Location and Legal Description Lot_ Block Subdivision.
q _
Street and Number where work is to be performed —No 7/0 Street -.1 ! e . __9_ / ' _... _.
State work to be performed and purpose of building (By Floors) _____ i r /2e. '? _._ - --
New Building -____ ______ __ - Remodeling Addition Repairs. .__.._... .............. No of Stories ..................._.
Size Septic Tank__ 75:C
Feet of Drain
Nature of Water Supply: City
Amount of Permit $
_ . Type of Tanf r.
Mt. Feet of Tank or Drain Field from Well •
Size of Soakage
ing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli .' ens . an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennan = upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractor 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 sit'b of the work such public notice or ces as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on to be pert - under > permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1 u
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, dilly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly swarm, upon oath deposes and says that he is the _.._..._..._..._.__... _ _... _._....
of the above described construction, that be has carefully read the ®ains application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Publb. State of Florida
NOTE: A re- inspection fee of $1.00 will be made whim such usisspeottoa is taedrnonssary by improper notion fa laspealioa, or faulty
materials and /or workmsnsbip.
BUILD* 1G
ELECTRICAL
''.UMBING
Architect
Contractor
or Builder
,•
MIAMI SHORES VILLAGE, FLORIDA
DATE C.�� --n = � 194
Contractor's
License No.
PERMIT N? 8111
Work to to be performed under this Permit
•
Legal Lot ° Bl.
Description
Address of , - - -- • Value of Amt. of
Building r 0 7 /� _�-'o G Project Permit 7 r� ''
This pe it is granted to the contractor or uilder named above to construct the building or to install the equipment or device described in the appli-
cation 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-
Sign . L '� f' ~�1 '- ' ri`� ,
By
sibility for work done by his agents, servants or employees.
/1
Subdi-
vision
Q 1/-
' 7" :3
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with o�rdinances and rr�� nsN)
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritiEs �f Miami Shorbs�ge.15
In accepting this permit assume responsibility for a work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY
AUTHORITY