833 NE 99 St (7)Permit No. __4. 6 _t
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 Divisioi
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 Gairits COMA. C P.
Registered Architect and /or Engineer
Plumber's Name JI.__M.__Counnil__
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No. Street
No.--- - - -_.. -- - - -_._ _.____ Street
r
r
Location and Legal Description Lot_-- 7._7.__&-__..___ _Q_L16 Block- _ 169 _ _ _ Subdivision__ 2hor!l&
Street and Number where work is to be performed -No 2� q Street
State work to be performed and purpose of building (By Floors) _-
New Building 1. Remodeling ___ Addition________.___._.._._.._ Repairs No. of Stories 1 ..__
(Signed)._
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 city____________ 'Size of Soakage Pit
Date June 9/ 19”
(Signed). - - = �� —� •
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 5988, Compiled General Laws of Florida Pennanent Supplement, and has corn-
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.
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 tat.
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or h
materials nd /or workmanship.
CLOSETS
BATH
TUBS
S
SHOWERS
LAVA-
TORIES
SINKS
1NK
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT' NS
TOTAL
FIXTURII
CONBTR.
2
1
1
2
1
CHECK
) IS
• �
7'
/„Sp
som
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
aireet
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
/�y�.�
Jj,p
CONTR.
LI6T
'
. l
7..
1
.3 I)
''aa
`)_V
CHECK
Permit No. __4. 6 _t
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 Divisioi
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 Gairits COMA. C P.
Registered Architect and /or Engineer
Plumber's Name JI.__M.__Counnil__
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No. Street
No.--- - - -_.. -- - - -_._ _.____ Street
r
r
Location and Legal Description Lot_-- 7._7.__&-__..___ _Q_L16 Block- _ 169 _ _ _ Subdivision__ 2hor!l&
Street and Number where work is to be performed -No 2� q Street
State work to be performed and purpose of building (By Floors) _-
New Building 1. Remodeling ___ Addition________.___._.._._.._ Repairs No. of Stories 1 ..__
(Signed)._
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 city____________ 'Size of Soakage Pit
Date June 9/ 19”
(Signed). - - = �� —� •
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 5988, Compiled General Laws of Florida Pennanent Supplement, and has corn-
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.
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 tat.
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or h
materials nd /or workmanship.
r 6
r
Permit No. ... €`g
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otlwl
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 Divisior
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.
Owners Name and Addre No._.___ Street •
Registered Architect and /or Engi eer_-__.
Employing Plumber's Nam
Location and Legal D on Lot.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street
Block__ Subdivision_
Street and Number where work is to be performed —No _. Street_
No._
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 $
STATE OF FLORIDA, ss.
COUNTY OF DADE.
My Commission Expires
_Type„,of Tank_
( Signed) -
( Signed )..
Date
Repairs. .... No. of Stories
Capacity Cals. _ _6
s Feet of Tank or Drain Field from Well
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al; 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 perf . ed under this permit, as an
licensed by Miami Shores Village.
Notary Public, State of Florida
aster Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .;ppeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tat.
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or f
materials and /or wgxkiiianship.
CLOSETS
BATH
TUBS
S
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTUREI
Comm.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No. ... €`g
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otlwl
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 Divisior
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.
Owners Name and Addre No._.___ Street •
Registered Architect and /or Engi eer_-__.
Employing Plumber's Nam
Location and Legal D on Lot.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Street
Block__ Subdivision_
Street and Number where work is to be performed —No _. Street_
No._
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 $
STATE OF FLORIDA, ss.
COUNTY OF DADE.
My Commission Expires
_Type„,of Tank_
( Signed) -
( Signed )..
Date
Repairs. .... No. of Stories
Capacity Cals. _ _6
s Feet of Tank or Drain Field from Well
Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al; 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 perf . ed under this permit, as an
licensed by Miami Shores Village.
Notary Public, State of Florida
aster Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .;ppeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tat.
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or f
materials and /or wgxkiiianship.