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270 NE 101 St (11)i —_ CLOS(T$ BATH Tua• SMOWtRa LAVA. Tomes SINKS SLOP •INKS LAUNDRY Tua• URINALS CATCH BASIN FLOOR GRAIN DRINKING FOUNT' NS TOTAL Flit URLS CONTK. LIST CHICK SLPTIC TANK SEWIR CONN. DRAIN FIELD SOAKAGL PIT G TRAP SOLAR DRIP WILL B►RKLR. SYSTEM SW IM'O POOL !' CONTR. LIST / NEATER / 4 v/// V j 1( r CHICK ey si" , ( 5s itIM P 11 32-e‘ / 910/T Permit No Amount of Permit $ STATE OF FLORIDA, 1 µ COUNTY OF DADE. I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot. Block Street and Number where work is to be performed —Nom -� /V-5' / State work to be performed and purpose of building (By Floors) Building--- _- _--- •---- ....- -•• - -- Remodeling _....__ Addition. (signed)_• B'L Date....._! /P6P! 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. / Owners Name and Address _5'. �S No 7 ° Street.& , ®/ .$ Registered Architect and /or Engineer - Employing Plumber's limo 4. 6! .� "E s s e4- 1 !,!_ .., Na d�� . L ! . It t6S� °S .. Repairs No. of Stories ............ Type of Tank Size Septic Tank__ / -�f' =— �� tY C +► - .._._. fZ / . _.._ Feet of Drain Tile —.Dist. Feet of Tank or Drain Field from Nature of Water Supply: City —Well. Size of Soakage Pit 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 5968, 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 arr 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) eZe _..--- _... —._ 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 dep oses and says that be is the .... •- _. -------- - -_ -•- - - .... —. of the above described construction, that be has carefully read the foregoing application, and that be 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 whoa smolt miureotb V saad.•aaossaary by bapoper notion for Inspection, or faulty materials and/or workmanship. Sketch position of building and lot lines in square (which rep resents an entire city block) , showing on which street the building and lot faces; also show exact locations of "Y" n street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpo e of this plan is to have an accurate layout of all underground pipes for future references. W EST NORTH A EAST Remarks: NORTH SOUTH Show location of stacks and horizontal d nections as shown on the elevation sketch ing showing location of walls, partitions, c erence to same. THIS SPACE FOR PLAN SKETCH ains inside building, lettering each opening to correspond with the stock con - n opposite page. Where ground work is concealed, draw floor plan of build - .lumns, etc., and the location of all horizontal soil and waste pipes, in ref- CLOSETS BATH TUBS $ROWERS LAVA- TORIES $INKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES 2 1. / A•244 5M 9•33 I herewith submit the following, plan of plumbing for approval: Employing Plumber 4 a Work executed by,�, �',��r .„ For a a Lot No. Address New Sewer Connections Ground Dwelling L,!/ Old ❑ Store ❑ Owner or Agent `' A Builder or Contractor is /r 00 Date 1 - - :- PLOUGH -IN INSPECTION DIVISION . OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA Garage ❑ Block No. 3 '4/ Subdivision At center of St. ❑ At curb ❑ Rough -In, Rain Leader X AM P M Approved by 6` Y ��'�v�I Condemned by � REMARKS r )i(N GV / :� (: Story ❑ Apartment ❑ Address 9 Address // To septic tank ❑ Date SEWER INSPECTION A M P M Approved by Condemned by REMARKS Plan No. /0 € ) Sewer Permit No Addition ❑ Hotel ❑ At property line ❑ Existing in alley ❑ Existing bldg. drain s? 19 Remodeled ❑ Office Bldg. ❑ Existing bldg. sewer 0 ❑ 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. • s ./ - A PERSPECTIVE SKETC; PROVIDED THE WORK C / I) ,• ../5 , - .--- '-' A," .., ...," . ;": ■ i ',... ,;.i I -Gfe ...,* ../ .-, yr -- ,_. .... !..., :56- OWNER LOT BLOCK ` .. , r tr J /' / :,..: if 4 94 '. :: :. r / { SUBDIVISION.,. J ` P` l f . ! ': Fixtures Fixtures $ r / Sewer $ Tank $ ddliami cShores�illage F L O A I D A PLUMBING PERMIT N9 1086 Date Issued to • • _ 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. r' building at ,�' For a�story �� g r .�' � , �' Total Village Plumbing Inspector Received Payment by /./ - .......r OWNER LOT BLOCK SUBDIVISION a. Date Issued to PLUMBING PERMIT N9 1097 dd iami Aiores9llage F L O A ID 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 a drainage work done in Miami Shores Village, Florida. For a story ° - building at Village Plumbing Inspector Received Payment by +' " Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ OWNER LOT BLOCK, SUBDIVISIO iir ciarni Aores F L 0 S I D A PLUMBING PERMIT to install the fonowing described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing a ;d drainage work done in Miami Shores Village, Florida. . building ''' }�' Fora story �� g at , Fixtures Fixtures $ $ Sewer •tic Tank Total $ Village Plumbing Inspector Received Payment by N9 1097 OWNER ' LOT { BLOCK SUBDIVISIO cJhores F L O R 1 D PLUMBING PERMIT N9 1086 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 a_i_story eid building at 7 /" 0/(1 / ate` Fixtures Fixtures j $ 7 d � Sewer / $ y' •tic Tank $ Total $ Village Plumbing Inspector Received Payment by