151 NE 101 St (8)Permit No k eit'"
Application is hereby made for the approval of the detailed statement of the plant 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, Maids,
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 word
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name t2 Q • ?-c v ...tt.
Location and Legal Description Lot- Bloelr
Street and Number where work is to be performed —No Street.
State work to be performe8 and purpose of building (By Floors)
New Building----.-_ -._- _ _ Remodeling:_____._.___ Addition-- ___._.__... Repairs..
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
G. to Tc y
_ _ Type of Tank--__ — — -- - - - --
T)lat. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(sires
No•!S n ' Street \ 2 C. • ____
(Signed) k‘
V4 •w .7 uuQ- rc .ewk
Subdivision
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 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 such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-eontracton, on . • • • • j'• •. caned under this permit, as are
�
licensed by Miami Shores Village.
oar
No of Stories
Capacity
M Conrrnissiao Expires Notary Public, State of Florida
Plumbing Inspector-
Master
Plumber.
STATE OF FLORIDA, ( µ
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 sub tr•inpeotlos is =awesomely by improper notice for inspection, er fault'
materials and /or workmanship.
CLosr s
BATH
rums
e HOWERe
LAVA•
Tonics
SINKS
SLOP
SINKS
LAUNDRY
Tins
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT 'NS
TOTAL
FI T
GONTn.
LIST
pew, ,
-
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FI ELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
NEATER
Day
WILL
SPRKLR.
SYSTEM
SW 161'0
POOL
CONTR.
LIFT
IST
CHECK
Permit No k eit'"
Application is hereby made for the approval of the detailed statement of the plant 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, Maids,
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 word
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name t2 Q • ?-c v ...tt.
Location and Legal Description Lot- Bloelr
Street and Number where work is to be performed —No Street.
State work to be performe8 and purpose of building (By Floors)
New Building----.-_ -._- _ _ Remodeling:_____._.___ Addition-- ___._.__... Repairs..
Size Septic Tank_
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
G. to Tc y
_ _ Type of Tank--__ — — -- - - - --
T)lat. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(sires
No•!S n ' Street \ 2 C. • ____
(Signed) k‘
V4 •w .7 uuQ- rc .ewk
Subdivision
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 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 such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-eontracton, on . • • • • j'• •. caned under this permit, as are
�
licensed by Miami Shores Village.
oar
No of Stories
Capacity
M Conrrnissiao Expires Notary Public, State of Florida
Plumbing Inspector-
Master
Plumber.
STATE OF FLORIDA, ( µ
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 sub tr•inpeotlos is =awesomely by improper notice for inspection, er fault'
materials and /or workmanship.
•
P
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 No. ____1 S 1 _.--- __ -___ Street_ NE / O/ c r
Registered Architect and /or Engineer- --- -- - - - -. _ . — �-- -___ ---
Employing Plumber's Name i — _______ No._ � _ Street___W./1r -- .-- _ _._. -..
Location and Legal Description Lot_____ ______.— _______ _._— __ __— Block__ Subdivision
Street __ /VS. 1'/ if k S t
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building .X._ ___ Remodeling — ._____ Addition.___ Repairs No. of Stories
Size Septic Tank_
Feet of Drain Tile ..... . ____ ________Dist Feet of Tank or Drain Field from Well
Nature of Water Supp ell.
Amount of Permit $_ O D
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o.�Pgations as an employer of labor
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank_
__Size of Soakage Pit
(Signed )
Capacity Gals._
Date — ° ° 7
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 performed under this permit, as are
licensed by Miami Shores Village.
(Signed)— __
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.
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.
CLOSETS
BATH
TUBS
S
SHOWERS
LAVA-
TORIES
SINKS
S
SLOP
SINKS
LAUNDRY
TUBS
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
,,AA
('M•
/" 14/.
i v
I
TOTAL
FIXTURES
_/ 2
CONTR.
LIST
^/
a,
-
Q
3
/
- i -
CHECK
^-
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
`.1
7v �' - n' ! v
Si tltLl
CONTR.
LIST
CHECK
I
- --
•
P
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 No. ____1 S 1 _.--- __ -___ Street_ NE / O/ c r
Registered Architect and /or Engineer- --- -- - - - -. _ . — �-- -___ ---
Employing Plumber's Name i — _______ No._ � _ Street___W./1r -- .-- _ _._. -..
Location and Legal Description Lot_____ ______.— _______ _._— __ __— Block__ Subdivision
Street __ /VS. 1'/ if k S t
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building .X._ ___ Remodeling — ._____ Addition.___ Repairs No. of Stories
Size Septic Tank_
Feet of Drain Tile ..... . ____ ________Dist Feet of Tank or Drain Field from Well
Nature of Water Supp ell.
Amount of Permit $_ O D
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o.�Pgations as an employer of labor
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank_
__Size of Soakage Pit
(Signed )
Capacity Gals._
Date — ° ° 7
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 performed under this permit, as are
licensed by Miami Shores Village.
(Signed)— __
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.
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.
NI 0 2 - T 44