150 NE 100 St (10)Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date___ 1/-
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 f '4T ____— No._ /uj `7-1Z
7 Street__1 e 0
Registered Architect and /or Engineer_______. —
Employing Plumber's Name . ? -. L._t.. - _ '- e No._ln — 7_ iv Street f _
Location and Legal Description Lot
Bloelr Subdivision
Street and Number where work is to be performed— No.-_-_--__ ___-__ -_ _-
State work to be performed and purpose of building (By Floors)_-_.________________ _
New Building Remodeling_-_-_ Addition____ Repairs
Nature of Water Supply: City — Well.___
Amount of Permit $
(o �
(Signed)_
(Signed)_
Street
No. of Stories
Size Septic Tank — Type of Tank__ — Capacity Gals
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
umbing Inspect r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, 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.
My Commission Expires Notary Public, State of Florida
STATE OF FLORIDA, t
COUNTY OF DADE. J
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.
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
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
INAS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
1
1
1
2
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
/
- --
CHECK
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date___ 1/-
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 f '4T ____— No._ /uj `7-1Z
7 Street__1 e 0
Registered Architect and /or Engineer_______. —
Employing Plumber's Name . ? -. L._t.. - _ '- e No._ln — 7_ iv Street f _
Location and Legal Description Lot
Bloelr Subdivision
Street and Number where work is to be performed— No.-_-_--__ ___-__ -_ _-
State work to be performed and purpose of building (By Floors)_-_.________________ _
New Building Remodeling_-_-_ Addition____ Repairs
Nature of Water Supply: City — Well.___
Amount of Permit $
(o �
(Signed)_
(Signed)_
Street
No. of Stories
Size Septic Tank — Type of Tank__ — Capacity Gals
Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
umbing Inspect r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, 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.
My Commission Expires Notary Public, State of Florida
STATE OF FLORIDA, t
COUNTY OF DADE. J
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.
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.
MIAMI SHORES VIL • GE
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Dat
Type Insp'
Permit No.
Name
Address 1 So " 1_4E • 10 o
Company
-30S "- 67S
Phone #
Inspection Date'' 2.
Approved
Correction
Re- Insp'n Fee
Owner of
Building
Architect
BUILISOG
ELECTRICAL
PLUMBING
Lot
MIAMI SHORES VILLAGE, FLO <IIDA
' ERMIT N? 7406
Work to be performed under this Permit
C
Contractor
or Builder
Legal
Description
Address of
Building
This permit is granted to the contractor •i• builder named abov to construct the building
cation herefor in strict compliance with all ordinances pertaining the o and with the unde tan4lin
plans, drawings, statements or specifications thatEinay have been submitted to and appro Ij
at any time if the work is not done in compliance with such ordinances or if the plans
permit is granted is the understanding that the contractor or builder named above as
regulations pertaining to the work covered hereby whether shown on the plans or
sibility for work done by his agents, servants or employees.
Subdi-
vision
INSPECTOR
DATE
In consider ion of the iss e of this permit I agree .erform work covered hereunder in compliance with,411 ordinances
pertaining there an. i.'ct co formity • the plans, drawings, s . + s or specificatio submitted to the proper auth'rili'es of Miam
In accep g it I assume r spo si.ility r a ork done by either myself, my agent Tip em.loyee.
./R 1 j6i•
CONTRACTOR OR BUILD i' BY U 'RITY
194
Contractor's
License No
to install the equipment or device described in the appli-
that the, work will be performed in compliance with any
roper municipal authorities. This Permit may be revoked
ithout authorization. A further condition upon which this
sponsibility for a thorough knowledge of the ordinances and
in the sta e nt or specifications and that ' ass mes respon-
��.��•e p
hbfes- Village.
HIDING
ECTRICAL
UMBING
.viler of
,ilding
chitect
.1
i
)retractor
Builder
:gal
ascription
'dress of
iilding
This permit
Lot
is grante
CONTRACTOR OR BUILD
MIAMI SHORES VILLAGE, FLORIDA
DATE 1944
Contractor's
License No
PERMIT N° 7406
Work to be performed under this Permit ,d
7
fiR t roei4
B1.
to the contractor or buil er named abov
ion herefor in strict compliance with all ordinances pertaining ther
tns, drawings, statements or specifications that may have been submitted to and approyye3 by t
any time if the work is not done in compliance with such ordinances or if the plans afe chang
unit is granted is the understanding that the contractor or builder named above assumes
=ulations pertaining to the work covered hereby whether shown on the plans or drawing
.ility for work done by his agents, servants or employees.
Subdi-
vision
Value of
Project
Amt. of
Permit
to construct the building or to install the equipment or device described in the appli-
o and with the understandingthat the work will be performed in compliance with any
roper municipal authorities. This Permit may be revoked
ithout authorization. A further condition upon which this
sponsibility for a thorough knowledge of the ordinances and
orm the Sta nt o specifications and that ass mes respon-
In
consider . ion of the issuance.. me of this permit I agree to, perform tlfi work covered hereunder in compliance with all ordinances
taining thereto an. . 'ct conformity the plans, drawings, statenien or specifications submitted to the proper authorities of Miami
accep g th.: it I assume respo sisility r a ..work done by either myself, my agent, . se,. em.loyee.
11 NA&
` Jr
d regulations
hores Village.
• I • h
r.
. MIAMI SHORES VILLAGE
02, PLUMBING INSPECTION DEPARTMENT
� ,,.APPLICATION FOR PLUMBING PERMIT
\
Permit No.___
Application is hereby for th
structure herein d This
and all provision of tha•Laws of t
of Miami Shows Villa shall be c
building d,,'ng progress of workk.�
o, s Name and Address____f.,l_1
Amount of Permit $
Employing Plumber's Name /17 C t."° g._
Location and Legal Description Lot
STATE OF FLORIDA, t
COUNTY OF DADE.
0
Nature of Water Supply: City —Well ®a ,
ss.
of the detailed statement of the plans and specifications herewith submitted for the building or other
n is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
ed with, whether herein specified or not. A copy of approved plans and specifications must be kept at
Street and Number where work is to be performed— No._ __ D
Scat orkao,be performed and purpose of building (By Floors)
New Building) Remodeling
( Signed)
No Jam- /
Size Septic Tank Type of Tank
Feet of Drain Tile - '' Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed) t 't
Date
p;gistered Architect and /or Engineer n t
11 1/14r ` No �+ . 3 4/k/ Street 7
Block , Subdivision
Ai
Street __iCt _Q
Addition Repairs
_ 7 -
Street 9 if
• Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands nd accepts his obligations as an employer of la or
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge eral Law of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contr ,tors 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 t e 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 erformed under this permit, as are
licensed by Miami Shores Village. /lia co / et � r. &le_ hti
▪ / 3 4L
lumbing Inspector.
No. of Stories
My Commission Expires Notary Public, State of Florida
Master Plumber.
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.
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
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
GL W L
,,)'
TOTAL
FIXTURES
CONTR.
LIST
//��
" / fL'�
I
Ff
/
i
/
�_
IT'
_.L T
CHECK
[ �s
r iry
7
1 5
{ ash 5
ww� �/
"1 11�
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
P
i
w; s�
i' ✓ "°
CHECK
• I • h
r.
. MIAMI SHORES VILLAGE
02, PLUMBING INSPECTION DEPARTMENT
� ,,.APPLICATION FOR PLUMBING PERMIT
\
Permit No.___
Application is hereby for th
structure herein d This
and all provision of tha•Laws of t
of Miami Shows Villa shall be c
building d,,'ng progress of workk.�
o, s Name and Address____f.,l_1
Amount of Permit $
Employing Plumber's Name /17 C t."° g._
Location and Legal Description Lot
STATE OF FLORIDA, t
COUNTY OF DADE.
0
Nature of Water Supply: City —Well ®a ,
ss.
of the detailed statement of the plans and specifications herewith submitted for the building or other
n is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
ed with, whether herein specified or not. A copy of approved plans and specifications must be kept at
Street and Number where work is to be performed— No._ __ D
Scat orkao,be performed and purpose of building (By Floors)
New Building) Remodeling
( Signed)
No Jam- /
Size Septic Tank Type of Tank
Feet of Drain Tile - '' Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed) t 't
Date
p;gistered Architect and /or Engineer n t
11 1/14r ` No �+ . 3 4/k/ Street 7
Block , Subdivision
Ai
Street __iCt _Q
Addition Repairs
_ 7 -
Street 9 if
• Capacity Gals.
The undersigned applicant for this building permit does hereby certify that he understands nd accepts his obligations as an employer of la or
under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge eral Law of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contr ,tors 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 t e 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 erformed under this permit, as are
licensed by Miami Shores Village. /lia co / et � r. &le_ hti
▪ / 3 4L
lumbing Inspector.
No. of Stories
My Commission Expires Notary Public, State of Florida
Master Plumber.
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.
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.
THIS SPACE FOR PLAN SKETCH
Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the
stack connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw
floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal
soil and waste pipes, in reference to same.
■
•
Sketch position of building and lot lines in square (which repreIents 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.i e purpose of this plan is to have an accurate
layout of all underground pipes for future references.
WEST
•
NORTH
A
EAST
Remarks:
NORTH
SOUTH
m
CLOSETS
BATH
TUBE
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
--?'
O
•
I.
•
/
4Apfik
A -244 5M 5 -39
I herewith submit the foll wing; of aumbing for approval:
New
Dwelling
Owner or Agent
Old
Store ❑
Builder or Contractor is / ( / /
—
Lot No. W P.IBlock No.
Address / q/ �a t
Date
ROUGH -IN INSPECTION
Ground Rough -In Rain Leader
X AM PM
Approved b ? ° )4
Condemned by
REMARKS
Plan No ��✓
DIVISION OF PUBLIC INSPECTION
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
Work executed by
Story n Addition ❑
Apartment ❑ Hotel ❑
Address
Address �' /
Subdivis4op 7 / o
Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
A charge of 1'1.00 wil 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.
Date
9
SEWER INSPECTION
AM PM
Approved by
Condemned by
REMARKS
Sewer Permit No / 1- / 3
sA
O f
Remodeled ❑
To septic tank ❑ Existing bldg. drain ❑ To dry well ❑
Date
FINAL I 'ION
AM P
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 SKETC
PROVIDED THE WORK