432 NE 100 St (3)MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1/6
Permit No.4A
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 _4 pp No
4 32, st . E J 00-
Registered Architect and /or Engin ..
r AM t rcan a 40✓1 •p'st
L.oa tion a �ga >� pt
Descri 7 Mork �9 yP � !!L
{
Street and Number where work L to be performed —No 3 i t .t
tr ea..._..1 o � �
State work to be performed and purpose of building (By Floors) _J s P _ / 013":1 1 1/' . `} e, 1
Repairs I . No. of Stories...........
New Building.._..._ _ _.._........ - -._.. Remodeling Addition
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
My Commission Expires
undersigned applicant or this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and her com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort' to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work ch public notice or notices as err
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to ormed under this perinit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admowledgnients, 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 be has carefully read the foregoing application. and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Plumbing Inspector.
Muter Plumber.
NOTE: A re- inspection fee of SLOB will be shade when asst rolaspaodas Y made•naoasaary by improper notice for Wspecdon, or faulty
materials and /or wal®anship.
CLos T•
BATH
Turns
M OWER•
LAVA.
TORI[•
SINK•
SLOP
SINK •
LAUNDRY
TUa•
U RINALS
BAN
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TONAL
FI /TUK[•
CONTR.
LIST
_
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
CUSP
WELL
.
S
SWIM'S
POOL
CONTa.
LIST
1
II
CHICK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1/6
Permit No.4A
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 _4 pp No
4 32, st . E J 00-
Registered Architect and /or Engin ..
r AM t rcan a 40✓1 •p'st
L.oa tion a �ga >� pt
Descri 7 Mork �9 yP � !!L
{
Street and Number where work L to be performed —No 3 i t .t
tr ea..._..1 o � �
State work to be performed and purpose of building (By Floors) _J s P _ / 013":1 1 1/' . `} e, 1
Repairs I . No. of Stories...........
New Building.._..._ _ _.._........ - -._.. Remodeling Addition
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
My Commission Expires
undersigned applicant or this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and her com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort' to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work ch public notice or notices as err
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to ormed under this perinit, as are
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admowledgnients, 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 be has carefully read the foregoing application. and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Plumbing Inspector.
Muter Plumber.
NOTE: A re- inspection fee of SLOB will be shade when asst rolaspaodas Y made•naoasaary by improper notice for Wspecdon, or faulty
materials and /or wal®anship.
Permit No 1 S I Ye
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
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 1'--------------------- - -__ -- - _..__ No -------------------- -_ -___ Street.
Registered Architect and/or Engineer a r t o n & Barton General Contractors
Employing Plumber's Name Rose Septic Tank Co. P . 0 . Btu 344 Hialeah street~___ _._._ .......... _.
Location and Legal Description Lot t__ _ _ .___ _ __ — _ — Block_ Subdivision
Street and Number where work is to be performed —No 432 N N. E . l OC? t h S t r e e a tr
State work to be performed and purpose of building (By Floors)_
New Building __ -_ --. Remodeling —_ X _---- -- -_ -_ Addition__ -- Repairs No. of Stories . .. ......... ...... . ....
v v u i••• w- - _Type of Tank ___
Feet of Drain Tile._______ __.__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: ..... of Soakage Pit
Size Septic Tank
Amount of Permit $_ 4.00
STATE OF FLORIDA, I as.
COUNTY OF DADE.
(Signed)_ ( // 6
.
Capacity Gals.
1 robing 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 tlie 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.
4/28/71
My Commission Expires Notary Public, State of Florida
_
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made' necessary by improper notice for insp, • -n, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SI NKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
1
_
CHECK
900 •• �
75 t
Permit No 1 S I Ye
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
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 1'--------------------- - -__ -- - _..__ No -------------------- -_ -___ Street.
Registered Architect and/or Engineer a r t o n & Barton General Contractors
Employing Plumber's Name Rose Septic Tank Co. P . 0 . Btu 344 Hialeah street~___ _._._ .......... _.
Location and Legal Description Lot t__ _ _ .___ _ __ — _ — Block_ Subdivision
Street and Number where work is to be performed —No 432 N N. E . l OC? t h S t r e e a tr
State work to be performed and purpose of building (By Floors)_
New Building __ -_ --. Remodeling —_ X _---- -- -_ -_ Addition__ -- Repairs No. of Stories . .. ......... ...... . ....
v v u i••• w- - _Type of Tank ___
Feet of Drain Tile._______ __.__Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: ..... of Soakage Pit
Size Septic Tank
Amount of Permit $_ 4.00
STATE OF FLORIDA, I as.
COUNTY OF DADE.
(Signed)_ ( // 6
.
Capacity Gals.
1 robing 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 tlie 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.
4/28/71
My Commission Expires Notary Public, State of Florida
_
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.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made' necessary by improper notice for insp, • -n, or faulty
materials and /or workmanship.
Permit No Crig
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. Sr; Owners Name and Address _�_/ _ _ No.� - --_ -. Street 7_ /!!. O a
Registered Architect and /or Engineer ,(-- p � - / ----- f•�
Employing Plumber's Name -_rLL�.1_j_�/_ ..- 4'( -150 )LJ INo.. ___._ _�_.�__ - Street_ J gi `� 1_ ?
Location and Legal Description Lot_.______..._. _ .__- __ Block _---- __------ _ - �___ - --
Street and Number where work is to be performed -No
Street.
State work to be performed and purpose of building (By Floors)
New Building _--- -- ----- --_- --_.__ -- Remodeling —._- Addition
Size Septic Tank
Feet of Drain Tile.
Nature of Water Supply: City- Well.__-..___ __.__ ....... ___._- .___________- .___Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_ - Capacity Gals._
- -Dist. Feet of Tank or Drain Field from Well
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 bus 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.
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 inspz.•ti ^n, or faulty
materials and /or workmanship.
10
Date - -
Repairs No. of Stories. .
(Signed)-A)
CLOSETS
BATH
TUB8
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CoNTR.
LIST
- --
CHECK
Permit No Crig
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. Sr; Owners Name and Address _�_/ _ _ No.� - --_ -. Street 7_ /!!. O a
Registered Architect and /or Engineer ,(-- p � - / ----- f•�
Employing Plumber's Name -_rLL�.1_j_�/_ ..- 4'( -150 )LJ INo.. ___._ _�_.�__ - Street_ J gi `� 1_ ?
Location and Legal Description Lot_.______..._. _ .__- __ Block _---- __------ _ - �___ - --
Street and Number where work is to be performed -No
Street.
State work to be performed and purpose of building (By Floors)
New Building _--- -- ----- --_- --_.__ -- Remodeling —._- Addition
Size Septic Tank
Feet of Drain Tile.
Nature of Water Supply: City- Well.__-..___ __.__ ....... ___._- .___________- .___Size of Soakage Pit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_ - Capacity Gals._
- -Dist. Feet of Tank or Drain Field from Well
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 bus 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.
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 inspz.•ti ^n, or faulty
materials and /or workmanship.
10
Date - -
Repairs No. of Stories. .
(Signed)-A)