361 NE 100 St (3)Permit No. 5—.S 31
Registered Architect and /or E ineer
f
m to Plumbei s Name � "
E p ying
New Building _
•
Amount of Permit $_
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 al
building during progress of work.
Owner's Name and Address No.___.___.__..____ Street
tr
Location and Legal Description Lot..__.._._.._ Block ._ ._ _......._ Subdivision
Street and Number where work is to be performed —No _ .L L Street.
State work to be performed and purpose of building (By Floors)._
Remodeling Addition.
Size Septic Tank Type of Tank_._ Capacity Gals.
Feet of Drain Tile __.._.__.__.._. __ . _ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. __ ___.Size of Soakage Pit
(Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and ccepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of •rids Permanent Supplement, and h'Is com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- o' tractors 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 s work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contracto to be performed under this permit, as arc
licensed by Miami Shores Village.
(Signed)._
Repairs_
1
Street.
Date
No. of Stories
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 iac
therein by him stated are true.
STATE OF FLORIDA, �.
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SIN"
S
SLOP
SINKS
LAUNDRY
TUBS
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTUREI
CONTR.
LIST
__
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'S'
POOL
CONTR.
LIST
CHECK
Permit No. 5—.S 31
Registered Architect and /or E ineer
f
m to Plumbei s Name � "
E p ying
New Building _
•
Amount of Permit $_
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 al
building during progress of work.
Owner's Name and Address No.___.___.__..____ Street
tr
Location and Legal Description Lot..__.._._.._ Block ._ ._ _......._ Subdivision
Street and Number where work is to be performed —No _ .L L Street.
State work to be performed and purpose of building (By Floors)._
Remodeling Addition.
Size Septic Tank Type of Tank_._ Capacity Gals.
Feet of Drain Tile __.._.__.__.._. __ . _ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. __ ___.Size of Soakage Pit
(Signed)
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and ccepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of •rids Permanent Supplement, and h'Is com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- o' tractors 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 s work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contracto to be performed under this permit, as arc
licensed by Miami Shores Village.
(Signed)._
Repairs_
1
Street.
Date
No. of Stories
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 iac
therein by him stated are true.
STATE OF FLORIDA, �.
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
My Commission Expires Notary Public, State of Florida
Master Plumber.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul
materials and /or workmanship.
BUILDING ❑
ELECTRICAL ❑ PERMIT N° 15531
PLUMBING
ROOFING ❑ Work to be performed under this Permit
Owner of
Building 1 c
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
w C...
A
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of
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 application
herefor is 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 responsibility for work
done by his agents, servants or employees.
Signed • ti... ... BY
INSPECTOR
DATE ! +' 7 N 195
Contractor's
License No
Amt. of
Permit $ / .r
In sideralion of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertain1 g ereto. d in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In acceppi s e it I assume responsibility for all work done by either, myself, my agent, servant or employee.
! f
I (") It • y l id . k
CO RACTOR OR B BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE 1 "
PERMIT •9 3214
Work to be performed under this Permit
Architect
Contractor w 'Y"'" F
or Builder ' - � . fi l
Legal Lot r Bl.
Description
Address of "2 ,
Building ,1
r _1
Subdi-
vision
Value of
Project
Contractor's
License No. i '
•
Amt. of
Permit („)
194'
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
application 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 npmed above assumes the responsibility for a thorortgh knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown oi t),IR plans or drawings -or in the statements for specifications and
that he assumes responsibility for work done by his agents, servants or employees. /+•
Signed • f- , By , +'
I INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In acc pting this permit assume responsibility for all work done by either myself, my agent, servant or employee.
"TRA O / O BUILDER BY AUTHORITY
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTAINS
TOTAL
FIXTURES
/
/
A -244 5 -35 5M
' 1 MIAMI, FLORIDA
I herewitFi submit the following plan of plumbing for approval:
Employing Plumber
New
Builder or Contractor is 81 e
DIVISION OF PLUMBING INSPECTION
DEPARTMENT OF PUBLIC SERVICE
Old ❑ / Story ❑
Work executed by
Owner or Agent J � � Address
Address
Addition ❑ Remodeled ❑
For a
Dwelling ❑ Store ❑ Garage Apartment Hotel ❑ Office Bldg. ❑
Lot No. Block No. 6'" Subdivision
Address ,.
Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
To septic tanlExisting 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.
d�
Date f
ROUGH -IN INSPECTION
Ground Rough -In Rain Leader
AM / PM.
j/ .
Approved by
Condemned by
REMARKS
AM PM.
Approved by
Condemned by
REMARKS
Date —
SEWER INSPECTION
Plan No f Sewer Permit No
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
DRINKANO
FOUNTAIINS
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 5M
Lot No.
DEPARTMENT OF PUBLIC SERVICE
. ' MIAMI, FLORIDA
Fi
I herewit
submit the following plan of plumbing for approval:
Employing Plumber
New Old ❑
For a
Dwelling ❑ Store ❑
Owner or Agent , 2
Builder or Contractor is o, c
Block No. 5 9 Subdivision
Address e,,,, E
Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Exlsting in alley ❑ Existing bldg. sewer ❑
To septic tank--- isting bldg. drain ❑ To dry well ❑
A charge of $1.00 will be made for correcting any inaccuracies in the foregoin information.
DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLJMBING INSPECTION ONLY.
Date
ROUGH -IN INSPECTION
Ground Rough -In /f Rain Leader
A M P M.
Approved by
Condemned by
REMARKS
Plan No { 1
DIVISION OF PLUMBING INSPECTION
is 7 Work executed by
Garage
Story ❑
Apartment
SEWER INSPECTION
Address
Address
Date—
A M P M.
Approved by
Condemned by
REMARKS
Sewer Permit No
19s.:5 -,
Addition ❑ Remodeled ❑
Hotel ❑ Office Bldg. ❑
A 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.
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.
Permit jE .1 9 ?
Permission is hereby granted
Fora At No.
MIAMI SHORES VILLAGE
Plumbing "•Fermi t
Miami Shores Village, Fla.,
to install the following described plumbing, in accordance with th -,
laws, statutes and regulations of Miami Shores Village, Florida and
the State of Florida, governing plumbing and drainage work done in
Miami Shores Village, Florida.
Lot Block Subdivision
Fixtures
As Shown on attached approved plans.
FIXTURES ROUGHED IN .'
FIXTURES SET
SEWER
SEPTIC TANK
TOTAL
Payment Received
By
Village Plumbing Inspector
This permit issued subject to approval of County Plumbing Inspector
41
Permit
49 5
Permission is hereby granted
/-,
r
f �, t t" ,� •a,I
Village Plumbing Inspector
MIAMI SHORES VILLAGE'
Plumbing "Permit
Miami Shores Village, Fla.
�t.
Y
to install the following described plumbing, in accordance with the
laws, statutes and regulations of Miami Shores Village, Florida ancT
the State of Florida, governing plumbing and drainage work done in
Miami Shores Village, Florida. •
For a r �` � 4't 7 At No. j h i it. C.
Lot x Blocky Y Subdivision . .. . <.;;,, ,y f
Fixtures
As Shown on attached approved plans.
FIXTURES ROUG HED IN f $ -' w
FIXTURES SETT ,C 42
• SEWER / $ --
/ Payment R ceived '/ `y
SEPTIC TANK
cE I „j ! I., BY •w .1� :. �4'Z�:.- -- - 4"i''
TOTAL'.' w
This permit issued subject to approval of County Plumbing Inspector