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229 NE 101 St (6)Signa FEES: PE Notary as to Owner and/or Condo President My Commission Expires: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date t..5a, Job Address Q 4R ? d 6, /0/ J Tax Folio /29//9-� / sha s Sec., / �,a 1 Legal Description L /b -70 Historically Designated: Yes j � � -9 No -T Owner/Lessee / Tenant I am e S l� n- y6. r Master Perm it 4 g z W Z/ Owners Address 02,29 At , / (3/ 5 7 Phone Contracting Co. Pit put) KA 1 LJ C-1 , Address I 0 g- 4 b W. ' in PL. 4. t3 3 /“ 7 i-Thr Cei.n1) h eft./ SS# _ Phone,. 5,5 787 C? Competency # Ins. Co. Qualifier State # Municipal # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING /J //i ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION f) efl ( 6tJ 4,0 SV V✓ )/�f -ri`t) /1 /� Y r- et yea, (; iVt) r(os Square Ft. Estimated Cost (value) AC. 7P, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN MT_ PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENTER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the fore:oing inform on is accurate and that a work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I •' abo named contracto o the w stated. APPROVED: Zoning • Building Mechanical /aa /9, Date .5 Date Notary as to Contractor or'Owner -Buie Date My Commission Exptis 4 rt CAoh9ky MY COMMISSION 0 CC820360 EXPIRES March 24 2003 • Rr4C0 BONDED THIRD TROY FAIN INSURANCE INC //3.206 ®/3 L/ lno Signature of Contractor or Owner uilder C.C.F. ° NOTARY . J \ BOND Electrical TOTAL DUE 75 Plumbing Structural Engineer Zoning Mechanical OWNERS AFFIDAVIT: I certify that all the construction and zoning. Furthermore, I a Notary as to Owner and/or Condo President My Commission Expires: 0 B /� FEES PERMIT `"7 / 0 RADON APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address a29 >✓i 101 STee& Tax Folio 1/ 3a ®( 0/3 g7` c, Legal Description 17 4 140.41 ShOaS , '€ c t e6 10-70 Historically Designated: Yes No ✓ LOT (Scito Owner/Lessee / Tenant TA e6 t 'f(i4ye lg Master Permit # 4 l.1 g 69'j- Owners Address oc Q9 PV' 6, /0/ S% e-r- Phone O C - '? 9 93S7 Contracting Co. / RE_ 602 :L1V VEST" M T &Ogl Address 8 9'0 SO) /307 Qualifier ( RD R. (5RA -iSk7 SS# Phone 3p.S"- aSy -9aa2 State # CC, CA 15738' Municipal / # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): : UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION I /1 W TEE S WER- W i99Ai 13R FLOOR 1 y , (/ [ ('me J T oov isp,t/ R h Square Ft. Estimated Cost (value) ' / 3 as cr° WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENT OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRIC*, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. Signatur, , owner and/or Co ' , ' -. ident Date Fe • ransky OM ON Apr' 9, term Buil ES c Date ion is accurate and that all work will be done in compliance with all applicable laws regulating named contractor to do the work stated. ,/.C.F. Plumbing / Signature of Contractor or Owner -Bui Notary as to Contractor or Owner- Builder / Date My Commission Expires: s g • I'y'••, Fern Oransky pa • • ... , . MY COMMISSION # CC831515 EXPIRES April 29, 2003 •f•• F hd BONDED THRU TROY FAIN INSURANCE, INC. NOTARY — b— BOND n Electrical TOTAL DUE 5/=19 Date 52 9 Structural Engineer BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING PERMIT N? 10029 ROOFING ❑ 0 Work to be performed under this Permit Owner of f y k Building Architect Contractor ... • :> or Builder � _ ✓ `' Legal Lot 1 Description 11 Bl. Address of Building _ ° r' - ' C : ' 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 or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. CONTRACTOR or BUILDER Signed:_; ., (INSPECTOR) BY In consideration of the issuance to nne of this permit' agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dfawtngs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. r Contractor's License No Date =� Subdi- vision Sq Ft Value of II Amount of Project $ 11 Permit $ BY AUTHORITY i,! 19' : Permit No _/__a0. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i' hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildng 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 th 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.....li 7' Owner's Name and Address. City Plumbing Compa 4646 1 W. 17th Avenue - -- o . -- � .� Registered Architect and /or Engineer _ .—___.___ — ___ —_____ --. — -- --__ -- -- --- - --- -__ —.- _ _ Employing Plumber's Name SUN_ C OI J) SERVICE , - Mil. NoP.. 0. ---.B Q X 7 2 6 7___ S lam _ S t a ti o n Location and Legal Description Lot_ _ —.—.__.- _.___._._____. —._. -_ Bloch__ Subdivision_ .- - Street and Number where work is to be performed —No 229 N . E . 101 Street Strom State work to be performed and purpose of building (By Floors)__._ New Building _. Remodeling ____ ____. ._. Addition Size Septic Tank_. _ - 7 -5 0 --gal-1 on -- •- - -- - Type of Tank __ -...se p t i c-- - - - - -- - - -- - Feet of Drain Tile.__... 5 _ Dist. Feet of Tank or Drain Field from Well .. Nature of Water Supply: City —Well . __ . Size cif Soakage Pit _ plus pump___ and_ kill_ off old___tank__ - _ Amount of Permit $ 7 . 00 STATE OF FLORIDA, } COUNTY OF DADE. (Signed) ( Signed _- Date _ay 21 1 Repairs. No. of Stories - _. .Capacity Gals. 750 - - gal.. .. . PL::mbing In.pecto. 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 I.as r om- 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 w such public no or no as are required by the Act. The undersigned agrees to employ only such subcontractors, on w and s per nit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall 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 .ads 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 SE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL F XTURE6 CONTR. LIST CHECK - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST ■ CHECK Permit No _/__a0. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i' hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildng 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 th 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.....li 7' Owner's Name and Address. City Plumbing Compa 4646 1 W. 17th Avenue - -- o . -- � .� Registered Architect and /or Engineer _ .—___.___ — ___ —_____ --. — -- --__ -- -- --- - --- -__ —.- _ _ Employing Plumber's Name SUN_ C OI J) SERVICE , - Mil. NoP.. 0. ---.B Q X 7 2 6 7___ S lam _ S t a ti o n Location and Legal Description Lot_ _ —.—.__.- _.___._._____. —._. -_ Bloch__ Subdivision_ .- - Street and Number where work is to be performed —No 229 N . E . 101 Street Strom State work to be performed and purpose of building (By Floors)__._ New Building _. Remodeling ____ ____. ._. Addition Size Septic Tank_. _ - 7 -5 0 --gal-1 on -- •- - -- - Type of Tank __ -...se p t i c-- - - - - -- - - -- - Feet of Drain Tile.__... 5 _ Dist. Feet of Tank or Drain Field from Well .. Nature of Water Supply: City —Well . __ . Size cif Soakage Pit _ plus pump___ and_ kill_ off old___tank__ - _ Amount of Permit $ 7 . 00 STATE OF FLORIDA, } COUNTY OF DADE. (Signed) ( Signed _- Date _ay 21 1 Repairs. No. of Stories - _. .Capacity Gals. 750 - - gal.. .. . PL::mbing In.pecto. 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 I.as r om- 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 w such public no or no as are required by the Act. The undersigned agrees to employ only such subcontractors, on w and s per nit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall 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 .ads 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. Permit No. ./0 G 2,,C__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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. �� J l Owner's Name and Address_ '" /r/S L4' . . _'_ Ji:_� °l 1 9. /(rCeS-: N -'�- .24C _ , 2 ,daseeeCCll4,-.1 2 Registered Architect and /or En eer__ _______ Employing Plumber's Name _ �Gi 7W1.- _ 6 ' No. l? L' N _ L7 4 ' .) �-u i_ �-�,—J Location and Legal Description Lot-_-_ _-.__-..... ,— _____— _________ —_______ lock-_ — Subdivision ,, Street and Number where work is to be performed— No.__r2 Street•:Pl7,' 7 , 7! S/4 -S,c - I/ Repairs No. of Stories Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ 1D State work to be performed and purpose of building (By Floors)_______ • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTME-iv`�' APPLICATION FOR PLUMBING " p New Building Remodeling__ ______________________ Addition__.. 1 •"" -- Size Septic Tank = (Signed)_ (Sign Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Date 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 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. Master Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned auth rity, a n ry 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. 1WIALtl @•STATE of FLORIDA at LARGE MY COMMISSION EXPIRES APR. 23, 1971 - B0N4). fl- •ZKRi3- NiP.Y)' • •,n ." ,Mr, arENCY 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 LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES LIST CONTR. / ! / / // CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / CHECK Permit No. ./0 G 2,,C__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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. �� J l Owner's Name and Address_ '" /r/S L4' . . _'_ Ji:_� °l 1 9. /(rCeS-: N -'�- .24C _ , 2 ,daseeeCCll4,-.1 2 Registered Architect and /or En eer__ _______ Employing Plumber's Name _ �Gi 7W1.- _ 6 ' No. l? L' N _ L7 4 ' .) �-u i_ �-�,—J Location and Legal Description Lot-_-_ _-.__-..... ,— _____— _________ —_______ lock-_ — Subdivision ,, Street and Number where work is to be performed— No.__r2 Street•:Pl7,' 7 , 7! S/4 -S,c - I/ Repairs No. of Stories Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ 1D State work to be performed and purpose of building (By Floors)_______ • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTME-iv`�' APPLICATION FOR PLUMBING " p New Building Remodeling__ ______________________ Addition__.. 1 •"" -- Size Septic Tank = (Signed)_ (Sign Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Date 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 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. Master Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned auth rity, a n ry 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. 1WIALtl @•STATE of FLORIDA at LARGE MY COMMISSION EXPIRES APR. 23, 1971 - B0N4). fl- •ZKRi3- NiP.Y)' • •,n ." ,Mr, arENCY 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. BUILDING ELECTRICAL PLUMBING Owner of Building CONTICACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 1944 ERM1T N? 7578 Work to be performed under this Permit Architect Contractor �� d or Builder �. ��•� Legal Lot Description Address of , p Value of Building .-,,2 �` 7 �� / �� Project 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 appli- cation 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 or drawings or in the state ents or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. l ,f Signed ._ 1 9= INSPECTOR In consideration of the issuance to me of this permit I agree to perform a work covered hereunder in compliance with ai11 a/d gt�atippQns pertainingg��l1iereto and in strict conformity with the •lans, drawings, stateme is or specifications submitted to the proper authorities of Mia i`Sho�s'Villffge.• In accepjdng r rm 7hsst E r .ponsib y for . 6 work done by either myself, my agent, servant or employee. a. Bl. Subdi- vision BY Contractor's License No Amt. of Permit b 7 Y AUTHORITY OWN ' LOT . BLOCK SUBDIVI4ION SUBDIVIWO . „ ,I. free , r ,;„, ! ‘....; / 14, ‘ -..0 — . :,,,, '., (t V .7 01IP 1 ,.. V f ..i / •e Issued to aiami Aoren F 1. 0 ft 1 D A PLUMBING PERMIT , 1 ;' L . • e' 4 4 to install the follovg described plumbing, in accordance lations of Miami Shores Village, Florida and the State of drainage work done in Miami Shores Village, Florida. ( For a _ / story building at Fixtures Fixtures Sewer •ic Tank Total $47 with the laws, statutes and regu- Florida, governing plumbing and " /4/4/ • ,',"•• .7" Village Plumbing Inspector-- /..,/ Received Payment by 4 r N9 1045 NO. STREET ,A' PART OF LOT LOT BLOCK SUBDIVISION,- ;`;f`" ; 3" de COST OF BUILDING PERMIT FEE FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE Frame Tile Concrete tucco Residence, Apts. Stores, Hot . f � "^^'smaa • BUILDING PERMIT Owner of Building Architect ` Contractor or Builder Miami Shores Village, Florida, , 19 PROPOSED LOCATION DESCRIPTION OF BUILDING MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR This permit is issued to 4 i .6 . � y • /4Y' • ► the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of .the State of Florida and with the building ordinances and zoning laws,,pf Miami Shores Village, and rules and r egulations of the building department of Miami Shores Village. This permit may be revoked at any time upgrii he violation of any provisions of said �ws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorize l I5 'the bu}lding inspector. tigE Dated ,19 7 • To �s>_ y► .r,1* , fAA N° 430 In consideration of the issuance to me of this. building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami ,Shores Village. 4t 440 BUILDING INSPECTOR (SEAL) . OWNER LOT BLOCK SUBDIVISION ti Date Issued to ddl.iami �hores9 llage F L O R I D A PLUMBING PERMIT ■° 1088 to irltall the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story ,F i building at Fixtures Fixtures $ Sewer $ Septic Tank / $ Total $ Village Plumbing Inspector_ - Received Payment by ° °`�" OWNER LOT BLOCK SUBDIVISION • . ^` o X, ai .4 4 , , r a aiami A o F L O PLUMBING PERMIT N9 1045 Date Issued to a� to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For f story building at Fixtures Fixtures Sewer Septic Tank $ Total $ Village Plumbing Inspector Received Payment by CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL. FIXTURES a. / / / / XT V A•244 5M 9.98 I herewith submit the following plan of plus ing for approval: Employing Plumber New Fora Dwelling Plan No. / O 7.J Owner or Agent or Contractor is /l DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA Old ❑ Address 7 � /, /64 Sewer Connections At center of St. ❑ Date ROUGH -IN INSPECTION Ground Rough -In Rain Leader • AM `.) P M Approved by 6 Condemned by REMARKS Store ❑ Garage ❑ Lot No. / 674 Block No. 3 6- At curb ❑ Subdivision Date SEWER INSPECTION AM —P M. Approved by Condemned by REMARKS Sewer Permit No. Work executed by Story ❑ / Addition ❑ Remodeled ❑ Apartment ❑ Hotel ❑ Office Bldg. ❑ Address 3 `EL / Q Q ''11)4 Address / ,, 7, At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank Er 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 FINAL INSPECTION AM 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 correspond with the opening shown in floor plan or ground plan on opposite page. t . r ∎ A PERSPECTIVE SKETC PROVIDED THE WORK C 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 locations 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. W EST NORTH A EAST Remarks: NORTH • 1, 5,1 SOUTH � . /),/, THIS SPACE FOR PLAN SKETCH Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock con- nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build- ing showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in ref- erence to same. Septic Tank New Installed by: ( New For a ( Store ( ( Garage wash floor Building has: LOT NO. Owner or Agent: 0t /g4 /6- Old No. of Plumbing Fixtures Garage DEPARTMENT OF PUBLIC SERVICE DIVISION OF PLUMBING INSPECTION CITY OF MIAP!I, FLORIDA I herewith submit the following application for a permit covering the installation of a: Stores; Offices Soakage Pit Story (J ,Addition Remodeled Apt. Fotel Office Bldg. Res. Date BLOCK NO. SUBDIVISION Waste water from a: Address:.) Relaying Apts. Hotel Rooms Bedrooms Address of work: a1 r . p c . /j e � r P. /nov Laundry Tubs Floor Drains Nature of water supply - City Q Well Feet distant from all wells Type of tank installed .1Zt.,::,a Size of Soakage Pit Additional information Ready for Inspection - Date ( o / Approved by: Remarks: PERMIT /d $ Tank capacity in gallons Purpose of same Time, Condemned by: by: / $7 1p • fiv,0