345 NE 100 St (14)Permit No
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 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 Q .E - L4 5 G E
No. . Street-.- /C?t? Sr-
Registered Architect and /or Engineer
Employing P) �/,gpp���Jy{ /. _ -C' i
L�.mb Name /�L/ -# r-.CJI.7tr: —xr:a N xzaaxstsaaamnassxxxaeseae : a:x beet-- .
Location and Legal Description Lot_ l q � / F'N B1 3
SubdivialoctBl?1inL /
Street and Number where work is to be performed —No 24.5' /V Lf street .. ZOO " Sl ____ --
State work to be performed and purpose of building (By Floors)
New Building_ _ ._ _ _._.___....- - -._.. Remodeling________ _______ Addition...____..._ -_ Repairs_ -_ No. of Stories.
Size Septic Tank__ _Type of T dka
Feet of Drain Tile. 7.-C r Dist Feet of Tank or Drain F i e l d f r o m Well __ - --
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit $
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 5966, 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 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.
STATE OF FLORIDA,
COUNTY OF DADE. f "
( Signed)- ._�___.�.._.._
Plumbing Inspector.
( Signed) 1
Capacity Cale..._... -)
z _
0 e q„,,
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 Ezpires Notary Public, State of Florida
matm O TE: wor b on of $1.00 will be made when such re- inspect is made . necessary by improper notice for inspection, or faulty
CLOSSTS
BATH
Tue{
SHOWER{
LAVA.
Tom
SINKS
SLOP
SINKS
LAUNDRY
Turn
U RINAL {
CATCH
BASIN
FLOOR
DRAIN
—
DRINKING
FOUNT•N{
TOTAL
FIXTURES
CoNTn.
LIST
C HECK
....
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAO[
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
8
SYSTEM
SWIM . 43
POOL
CONTR.
LIST
CHECK
Q�j
rj/y'
c/
��—
�IM — 9/
Permit No
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 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 Q .E - L4 5 G E
No. . Street-.- /C?t? Sr-
Registered Architect and /or Engineer
Employing P) �/,gpp���Jy{ /. _ -C' i
L�.mb Name /�L/ -# r-.CJI.7tr: —xr:a N xzaaxstsaaamnassxxxaeseae : a:x beet-- .
Location and Legal Description Lot_ l q � / F'N B1 3
SubdivialoctBl?1inL /
Street and Number where work is to be performed —No 24.5' /V Lf street .. ZOO " Sl ____ --
State work to be performed and purpose of building (By Floors)
New Building_ _ ._ _ _._.___....- - -._.. Remodeling________ _______ Addition...____..._ -_ Repairs_ -_ No. of Stories.
Size Septic Tank__ _Type of T dka
Feet of Drain Tile. 7.-C r Dist Feet of Tank or Drain F i e l d f r o m Well __ - --
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit $
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 5966, 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 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.
STATE OF FLORIDA,
COUNTY OF DADE. f "
( Signed)- ._�___.�.._.._
Plumbing Inspector.
( Signed) 1
Capacity Cale..._... -)
z _
0 e q„,,
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 Ezpires Notary Public, State of Florida
matm O TE: wor b on of $1.00 will be made when such re- inspect is made . necessary by improper notice for inspection, or faulty
BUILDING ❑
ELECTRICAL ❑
PLUMBING PERMIT Np
ROOFING ❑
Architect
Contractor
iti
or Builder /' • r ' , < tilt !" , - r • L c ,�
Legal Lox
Description 11 B1
Address of Z d j t � ' , �� t
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ Work to be performed under this Permit
Owner of
Building t .� 1 / , t-?C i< < 1
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether. shown on the plans • drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants ay employee3r r , .
Signed• w l - At -"' 0, ECTOR) BY
In consideration of the issuance to me of this permit I agree . perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawin:- • tatements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this per ass se responsibility for all work do, by either, myself, my agent, servant or employee.
Date
9283
BY AUTHORITY
t, 1 ••1 `r
19 —
Contractor's d , -
License No.
r
Subdi-
vision
Sq. Ft.
Value of 11 Amount of S
Project $ H Permit $
Size Septic Tank._ - -
Feet of Drain Tile. _-- _. _
Nature of Water Supply. City —Well.
Amount of Permit $ .
Permit No -- -_
STATE OF FLORIDA,
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
__ _ _ _ _Dist. Feet of Tank or Drain Field from Well._ _
__ _ Si of Soakage Pit
- ( Signed). • - - -"-
Date
_ .. qG 7
Appl, cation 1 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other
structure herein described This application is made in comphance 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 th Building Di sion
of Miami Shores Village shall be comphed with, whether herein specified or not A copy of approved plans and specifications must be kept at
building during progress of work. /+ y
Owner's Name and Address_'________. ��!. _ if •
Registered Architect and /or Engineer
Employing Plumber's Name �' /AI)tL_ 0i ee -G
Street . 1 f ®t✓
Street . 4 ,." Y _ _
Location and Legal Description Lot____ -- _ -- _ -- _ -_ -___ — — — _ Block. - Subb d ...
Street and Number where work is to be performed —No
State work to be performed and - f
LAT. � q �- Y..
purpose of building (By Floors)- _ L° i.A .- - _ !_A� _ e[-.� _. � � .R.� _ .CJC _ .....
New Building____ -- -___ -- _ - • -• - -. --- Remodeling______ ___ __ ... _ Addition_--- Repairs- ___ No. of Stories .
. Capacity Gals.
Pl
The undersigned applicant for this building permit does hereby certify that he understands and acc. !Its his obligations a
under the Florida Workmen's Compensatiosi Act, being Section 5968, Compiled General Laws of Florida Permanent Sup
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b
performed under this permit; and will post or cause to be posted' for inspection on the site of tha wor . • c . ublic notice
required by tlie Act. The undersigned agrees to employ only such sub contractor . g work to .e perfo ed under this
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall
b In:pecto.
e nployer of labor
ent, ^n1 I a<; om•
in in the woik to be
or no ices as are
per nit, as are
Master Plumber.
appeared
to me well known, and who, being by me first d'iy sworn upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing apphcatron, and that he did sign the same, and that all .acts
therein by him stated are true.
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
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATC'i
BASIN
FLOOR
DRAM'
DRINKING
FOU "T'NS
TOTAL
F XTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE GREASE
PIT TRAP
SOLAR
HEATER
DEEP
WE.L
SPRKLR.
SYSTEM
SWIM•G
POOL
CONTR.
LIST
CHECK
■®
Size Septic Tank._ - -
Feet of Drain Tile. _-- _. _
Nature of Water Supply. City —Well.
Amount of Permit $ .
Permit No -- -_
STATE OF FLORIDA,
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
__ _ _ _ _Dist. Feet of Tank or Drain Field from Well._ _
__ _ Si of Soakage Pit
- ( Signed). • - - -"-
Date
_ .. qG 7
Appl, cation 1 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other
structure herein described This application is made in comphance 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 th Building Di sion
of Miami Shores Village shall be comphed with, whether herein specified or not A copy of approved plans and specifications must be kept at
building during progress of work. /+ y
Owner's Name and Address_'________. ��!. _ if •
Registered Architect and /or Engineer
Employing Plumber's Name �' /AI)tL_ 0i ee -G
Street . 1 f ®t✓
Street . 4 ,." Y _ _
Location and Legal Description Lot____ -- _ -- _ -- _ -_ -___ — — — _ Block. - Subb d ...
Street and Number where work is to be performed —No
State work to be performed and - f
LAT. � q �- Y..
purpose of building (By Floors)- _ L° i.A .- - _ !_A� _ e[-.� _. � � .R.� _ .CJC _ .....
New Building____ -- -___ -- _ - • -• - -. --- Remodeling______ ___ __ ... _ Addition_--- Repairs- ___ No. of Stories .
. Capacity Gals.
Pl
The undersigned applicant for this building permit does hereby certify that he understands and acc. !Its his obligations a
under the Florida Workmen's Compensatiosi Act, being Section 5968, Compiled General Laws of Florida Permanent Sup
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b
performed under this permit; and will post or cause to be posted' for inspection on the site of tha wor . • c . ublic notice
required by tlie Act. The undersigned agrees to employ only such sub contractor . g work to .e perfo ed under this
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall
b In:pecto.
e nployer of labor
ent, ^n1 I a<; om•
in in the woik to be
or no ices as are
per nit, as are
Master Plumber.
appeared
to me well known, and who, being by me first d'iy sworn upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing apphcatron, and that he did sign the same, and that all .acts
therein by him stated are true.
Notary Public, State of Florida - -
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
---
CLOSETS
BATS
TU86
S HOWERS
LAVA
TORIES
SINK8
SLOP
SINKS
LAUNDRY
TUBS
U
CATCH
B
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FI %TYRES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE'
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
- -
_
CHECK
&' L.ui4 iNc. 1 _ z .4.0 -Z_ Date Z
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or. other
atr±:.cture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
'n all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
buaing during progress of work. /� �/r {�
Owner's Name and Address__-.... .._. ! Ce_d41..! -..._- Y_�s?_O _.___. ...... No._ 3 �" Street N /® b 7tr
Registered Architect and /or Engineer_-_-____ __.._ T y •� C e
Employing Plumber's Name- -M!_1. 1.11A_i[; i �a ' C -,Ct�! L No.-- _- -_---1- ! _ � __.____- Street. _ ks$ ST:
Location and Legal Description Lot_.
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Block Subdivision ------- _--- ___ -_-
�`S street. iV E LAC
State work to be performed and purpose of building (By Floors)_-_.__ ! S L S . Z _ _ _ 9 1 . 1 1 t i c° / C.' r? LO C N
New Building __. _ -- Remodeling — -......__ Addition..-___ Repairs No. of Stories..... ......... .....
Size Septic Tank_..____..__.__.._.._ - -._- _-------- -.Type of Tank.
Feet of Drain Tile ..... _____............. _--___-__-.Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City — Well.___.____.__.___..... ________... __._ - -_____._ -Size of Soakage Pit
Amount of Permit $
(Signed)._
Capacity Gals.
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 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 ern . - ed 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 :. pub notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contract • s, on work to perfo under this permit, as are
licensed by Miami Shores Village.
My Commission Expires Notary Public, State of Florida
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to a• .Sster oaths and take aclmowledgments, 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 31.00 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
FOUNTAINS
TOTAL
FIXTURES
r
i
'
A -244 5 -35 531
Lot No.
Address
Ground
I herewith submit the following plan of plumbing for approval:
Employing Plumber e *, -_ , ,
New l
For a
Dwelling
Owner or Agent
Builder or Contractor is
Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
A charge of $1.00 will 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
❑ Store ❑ Garage ❑
Block No. Subdivision
ROUGH -IN INSPECTION
Rough -In Rain Leader
A M P M
Approved by
Condemned by
REMARKS
DIVISION OF PLUMBING INSPECTION
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
Old ❑ Story ❑
Work executed by
SEWER INSPECTION
Apartment ❑
Address
Address
To septic tank ❑
Date_
A M P M
Approved by
Condemned by
REMARKS
Plan No. Sewer Permit No
19
Addition ❑ Remodeled ❑
Hotel ❑ Office Bldg. ❑
Existing bldg. drain ❑ To dry well ❑
Date
FINAL INSPECTION
AM PM.
Approved by
Condemned by
REMARKS
Sketch position of building and lot lines in square (which represents an entire city block), showing on which
street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic
tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate
layout of all underground pipes for future references.
WEST
NORTH
A
EAST
Remarks:
NORTH
SOUTH
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTAINS
TOTAL
FIXTURES
Sketch position of building and lot lines in square (which represents an entire city block), showing on which
street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic
tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate
layout of all underground pipes for future references.
WEST
NORTH
A
SOUTH
EAST
Remarks:
- -_
NORTH
SOUTH
A -244 5 -35 551
I herewith submit the following plan of plumbing for approval:
Employing Plumber ;
For a
Dwelling ❑
Owner or Agent
Builder or Contractor is
Lot No.
Address
Sewer Connections
Ground
New [} Old ❑
Date
ROUGH -IN INSPECTION
Rough -In Rain Leader
A M P M.
Approved by
Condemned by
REMARKS
DIVISION OF PLUMBING INSPECTION
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
Store ❑ Garage ❑
Block No. Subdivision
At center of St. ❑ At curb ❑
Work executed by
Story ❑ Addition ❑
SEWER INSPECTION
Apartment ❑
Address
Address
At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
To septic tank ❑ Existing bldg. drain ❑ To dry well ❑
A charge of $1.00 will 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—
A M P M.
Approved by
Condemned by
REMARKS
Plan No Sewer Permit No
19
Hotel ❑ Office Bldg. ❑
Date
FINAL INSPECTION
A M
Remodeled ❑
P M.
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
_orrespond with the opening shown in floor plan or ground plan on opposite page.
dal
-4,
A PERSPECTIVE SKETCH WILL BE SUFFICIENT
PROVIDED THE WORK CAN BE CLEARLY SHOWN
THIS SPACE FOR PLAN SKETCH
Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the
stock 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.