229 NE 100 St (2)a ��
C OHTI+.
LIST
BATH
CLOSET'S TUBS
_1y
SHOWERS
LAVA.
Toms
SINKS
SLOP
SINKS
LAUNDRY
Tubs
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL.
FI %TURES
- --
CHECK
+•�'
SEPTIC
TANK
SEWER
CONN.
DRAIN.
FIELD
SOAKAGE
PIT
GREASE'
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
CONS .
LIST
CHECK
-
-
Fe>,rit No _._ 7A
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.
S. Gardner 229 N.E. 100th St.
Owners Name and Address ________�_ No._______ _ _ Street.
Registered Architect and /or Engineer ____ -________.__— _- ___________ — ---------- - - - - -- ---- - - - - --
Employing Plumbers Name Rose Septic Tank — ,_____ No. ..__2_ 12 Street_ W. .2rd Ave.tHialeah
Location and Legal Description Lot________________________ —._ Block Subdivision
Street and Number where work is to be performed—No.__ 229 __ _____.__ _� _.. _ . Street N.E. 100th St.
State work to be performea and purpose of building (By Floors) ___.__
New Building- - - - - -- _ -- Remodeling----- ••------ _- _-- -•__ -- Addition--- _-___. Repairs No. of Stories
Size Septic Tank __ -_ Type of Tank
Feet of Drain Til 25 • of • Re_Wt. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.____ _- ______------- _ -_ - -- ___ -- -Size of Soakage Pit
Amount of Permit $
My Conunission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Capacity Gals
(Signed)-
Plumbing Inspector.
Date 10/10/61
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ig tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permane Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl yed 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
reqiiIrd 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.
(1)-- nom.
Master Plumber.
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 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
NOTE: A re- on fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or wkmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Da te 10
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 Stanley Gardner _ 229 N.E. 100th St.
' _ _ _ No._._.__ ..�.._._.._._.____.__ Street.
Registered Architect and /or Engineer .....
________�__
Precast
Size Septic Tank_ ... - - -- -- - - - - -- - -- Type of Tank
2r Blk. Dr.
Feet of Drain Til _- _____.__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well .___ ____---- _ -____ -_ --Size of Soakage Pit
Additional inform3tion: Pumpout & abandon septic tank
Amount of Permit S__ ......
____ -- t�
(Signed).
Street W. 3rd Ave. , Hialeah
Employing Plumber's Name --- .ROSe_S.t-' C Tank___ No. _ 255 __
Location and Legal Description Lot_____ - _ ---- - -.___ _ _ Block Subdivision
Street and Number where work is to be performed —No 2 �9 street N.E. 100th St•
State work to be performed and purpose of building (By Floors )________________-- _ _.._..._._
New Building__ _ Remodeling -____ -_._._ Addition_
Repairs No. of Stories. -
Capacity Gals 700 Gal.
(Signed) -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga •ns as an employer of labor
der the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinanent • upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employ: 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 pub c notice or notices as . are
regired by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
remised by Miami Shores Village.
r
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 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 hin- 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.
ty
CLOS+1
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N8
TOTAL
FIXTURES
-
CONT. --ll
LIST
--......t — .
CHECK
.
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
•
CON1;
LIST
CHECK
•
-
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Da te 10
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 Stanley Gardner _ 229 N.E. 100th St.
' _ _ _ No._._.__ ..�.._._.._._.____.__ Street.
Registered Architect and /or Engineer .....
________�__
Precast
Size Septic Tank_ ... - - -- -- - - - - -- - -- Type of Tank
2r Blk. Dr.
Feet of Drain Til _- _____.__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City— Well .___ ____---- _ -____ -_ --Size of Soakage Pit
Additional inform3tion: Pumpout & abandon septic tank
Amount of Permit S__ ......
____ -- t�
(Signed).
Street W. 3rd Ave. , Hialeah
Employing Plumber's Name --- .ROSe_S.t-' C Tank___ No. _ 255 __
Location and Legal Description Lot_____ - _ ---- - -.___ _ _ Block Subdivision
Street and Number where work is to be performed —No 2 �9 street N.E. 100th St•
State work to be performed and purpose of building (By Floors )________________-- _ _.._..._._
New Building__ _ Remodeling -____ -_._._ Addition_
Repairs No. of Stories. -
Capacity Gals 700 Gal.
(Signed) -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga •ns as an employer of labor
der the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinanent • upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employ: 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 pub c notice or notices as . are
regired by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
remised by Miami Shores Village.
r
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 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 hin- 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.
ty