1420 NE 101 StI -2 - I
Permit No.
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 Street.d4e_ta, . --
Registered Architect and /or Engineer ---- - -��? - -- - --__._- ,� . .L_
Employing Plumber's Name _____T.._.�_ �(! _-_y.�. -_.. T M___ No..____ �n Street_A im __.
Location and Legal Description Lot Block
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
Size Septic Tank_____ —__-___.____- __- ______ -____ -----Type of Tank
Feet of Drain Tile
Nature of Water Supply: City- Well.___.— _____ ..... ______-________________Size of Soakage Pit
Amount of Permit $
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga , Ss as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on iprk t be pejformed gilder this penult, as are
licensed by Miami Shores Village.
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 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 insp :. m, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
—Dist. Feet of Tank or Drain Field from Well
( Signed)_
( Signed )—
/1/7D
Date - - - - 23 - 70
Subdivision ____:- __- ______--______- - -_____
Street g1 /g/ J5/
Repairs No. of Stories ... ..... . ..
Capacity Gals
My Commission Expires Notary Public, State of Florida
Master Plumber.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
` LI *
3 - G,95 o d
/ ... A1 6.7Z 1
rt C-T
4.7
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
I -2 - I
Permit No.
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 Street.d4e_ta, . --
Registered Architect and /or Engineer ---- - -��? - -- - --__._- ,� . .L_
Employing Plumber's Name _____T.._.�_ �(! _-_y.�. -_.. T M___ No..____ �n Street_A im __.
Location and Legal Description Lot Block
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
Size Septic Tank_____ —__-___.____- __- ______ -____ -----Type of Tank
Feet of Drain Tile
Nature of Water Supply: City- Well.___.— _____ ..... ______-________________Size of Soakage Pit
Amount of Permit $
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga , Ss as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on iprk t be pejformed gilder this penult, as are
licensed by Miami Shores Village.
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 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 insp :. m, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
—Dist. Feet of Tank or Drain Field from Well
( Signed)_
( Signed )—
/1/7D
Date - - - - 23 - 70
Subdivision ____:- __- ______--______- - -_____
Street g1 /g/ J5/
Repairs No. of Stories ... ..... . ..
Capacity Gals
My Commission Expires Notary Public, State of Florida
Master Plumber.
BUILDING HAS
OWNER OR AGENT
ADDRESS OF WORK
LOT
READY FOR INSPECTION: DATE
APPROVED BY:
REMARKS
PERMIT NO.
DIVISION OF PLUMBING INSPEC
BLOCK
ADDITION
SUBDIVISION
CONDEMNED BY:
SEPTIC TANK INSPECTION RECORD.
P Le INSTALLED BY:
NEW OLD
REMODELED
BEDROOMS STORES APTS. HOTEL RMS. OFFICES
Type of Septic Tank installed
Capacity in Gallons 7 U U v Number of feet of draintile J
Feet distant from all wells
Plumber `(/ 640
Additional information
Permit No. 6
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING 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 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
Owner's Name and Address
Registered Architect and /or Engi eer
Employing Plumber's Name
Location and Legal Description Lot_ _?._.__..
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._ __ No. of Stories
Size Septic Tank ° Type of Tank_ - Capacity Gals.
Feet of Drain Tile / 1st. Feet of Tank or Drain Field from Well
Nature of Water Supply: Well — Size of Soakage Pit .._.
My Commission Expires
'� i
c • No. Street •
No.-_ . __ Street. ____..___..
Block—_ ____/ --- _ - - - -_ — _ Subdivision
Street. / �'1�
Date
/ 11 ;
Amount of Permit $ 4 _ - - - -- - - - - -- - ( Signed) _ —___ -- _ -_ - _ --
Plumbi • _ Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e . loyer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple nt, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by m 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 s ice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed) der this permit, as an
licensed by Miami Shores Village. l /°)
(Signed); _�.,_ G
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.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be mad +hen such re- inspection is made necessary by improper notice for inspection, or f. til
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'Ns
TOTAL
FIKTUREI
CONTR.
LIST
4 1
___ !!!
4/
/
__
CHECK
� , { /. ®
4 D
° .� 00
A ^ yJ
'.. �
`
— `
d
t 1
.
F
SEPTIC
TANK
SEWER
ONN.
C �
1
/
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•G
POOL
corm.
LIFT
CHECK
,
/
/ O-t)
��qq
V
Permit No. 6
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING 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 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
Owner's Name and Address
Registered Architect and /or Engi eer
Employing Plumber's Name
Location and Legal Description Lot_ _?._.__..
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._ __ No. of Stories
Size Septic Tank ° Type of Tank_ - Capacity Gals.
Feet of Drain Tile / 1st. Feet of Tank or Drain Field from Well
Nature of Water Supply: Well — Size of Soakage Pit .._.
My Commission Expires
'� i
c • No. Street •
No.-_ . __ Street. ____..___..
Block—_ ____/ --- _ - - - -_ — _ Subdivision
Street. / �'1�
Date
/ 11 ;
Amount of Permit $ 4 _ - - - -- - - - - -- - ( Signed) _ —___ -- _ -_ - _ --
Plumbi • _ Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e . loyer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple nt, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by m 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 s ice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed) der this permit, as an
licensed by Miami Shores Village. l /°)
(Signed); _�.,_ G
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.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be mad +hen such re- inspection is made necessary by improper notice for inspection, or f. til
materials and /or workmanship.
•