620 NE 101 St (13)Permit No
211
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date... - - .._. d ..
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 st
building during progress of work.
Owner's Name and Address
Architect and /or Engineer .CE,"= "/ �''��r.cT�Jf'
Amount of Permit $
My Commission Expires
No Street-.-L_a
to Plumber's bet's N l 2.'cJF_ S i� %�4: -- -_ . Nt�,. a.Z..9.....�._.:E ItnstZ: ......
�') �s /✓ ;4:°' .
it ycz 1 ai� atrye, ,. /1 �r
Location and Legal Desrtlpdon Lot.1 � � * t ;/d /` Block__,W SubdivWon.4L.1,12 4 1.1. ' .
Street and Number where work is to be performed —No ,‘;r2 C Street ..- 1:6- :._ / /1... `:...._..
State work to be performed and purpose of building (By Floors) __ -_ -- --•--_--_---•-_ - -_ --
New Building.-_-- .__—_.._ ...... ...._.. Remodeling —_.__. ____ Addition.-._--_ —_.__ Repairs
No. of Stories
Size Septic Tank -- Type of Tank__ _ -- ----- _._-------- ... -__ - -- Capacity
Feet of Drain Tile V ®° __Dist. Feet of Tank oe Drain Field from Well ...-- - - - - -.
Nature of Water Supply: City—Wells Size of Soakage Pit.
( Signed) N
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 flag com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worle 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 ex'
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)
Master Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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 be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be roads when snob misspeotloi Ie oada'aaossrary by improper notice for is spectlon, or faulty
materials and /or workmanship.
CLOSET•
BATH
Tulle
SNOW[Ra
LAVA•
TORIES
SINK•
SLOP
SINKS
LAUNDRY
Toss
URINAL/
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
'virtu'',
Comm
LIST
CHECK
—�
•—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
NEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW 114'0
POOL
CONTN.
LIST
.�
CHECK
Permit No
211
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date... - - .._. d ..
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 st
building during progress of work.
Owner's Name and Address
Architect and /or Engineer .CE,"= "/ �''��r.cT�Jf'
Amount of Permit $
My Commission Expires
No Street-.-L_a
to Plumber's bet's N l 2.'cJF_ S i� %�4: -- -_ . Nt�,. a.Z..9.....�._.:E ItnstZ: ......
�') �s /✓ ;4:°' .
it ycz 1 ai� atrye, ,. /1 �r
Location and Legal Desrtlpdon Lot.1 � � * t ;/d /` Block__,W SubdivWon.4L.1,12 4 1.1. ' .
Street and Number where work is to be performed —No ,‘;r2 C Street ..- 1:6- :._ / /1... `:...._..
State work to be performed and purpose of building (By Floors) __ -_ -- --•--_--_---•-_ - -_ --
New Building.-_-- .__—_.._ ...... ...._.. Remodeling —_.__. ____ Addition.-._--_ —_.__ Repairs
No. of Stories
Size Septic Tank -- Type of Tank__ _ -- ----- _._-------- ... -__ - -- Capacity
Feet of Drain Tile V ®° __Dist. Feet of Tank oe Drain Field from Well ...-- - - - - -.
Nature of Water Supply: City—Wells Size of Soakage Pit.
( Signed) N
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 flag com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worle 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 ex'
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)
Master Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
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 be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be roads when snob misspeotloi Ie oada'aaossrary by improper notice for is spectlon, or faulty
materials and /or workmanship.
t 3�O
Amount of Permit $
My Commiuion Expires
Registered and/or %ricer
Employing Plumber's Name
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
Permit No...s?..Z3 2 -413 c/
- —
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 ran" (-4 " l . 1° 1 k Street_ I ° I
f sim
Stork
State work to be performed and purpose of building (By Floon)_ Li7 so
New Building_ Remodeling--.---. Addition
•tt - 0 - 6 3 -
1-7,o.,..4.52...11: ow
(Signed)
Subdivision
6 44-0 street_ / I .
Repairs No. of Stories .....
Size Septic Tan ir Type of Tank .f.t.r.t .....
Feet of Drain Tile ___ _Dist Feet of Tank or Drain Field from ....
Nature of Water Supply: City—WelL Size of Soakage Pit
Notary Public, State of Florida
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 Worlanen's Compensation Act, being Section 5988, 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 woe- 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.
Master Plumber.
STATE OF FLORIDA, I N
COUNTY OF DADE. I
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 whom much rwlespeotion is made lascessary by improper notice far lespection, or faulty
materials and/or workmanship.
CLosrts
BATH
Tulle
SHOWERS
LAVA.
TONICS
IIIN
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
Fur Turn
CONTR.
LIST
CHICK
-■....
SEPTIC
TANK
8IWILP1
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
MEATIER
...........
DRIP
WILL
SPRKLR.
$
SW 1140
POOL
.
CONTR.
LIST
CHECK
t 3�O
Amount of Permit $
My Commiuion Expires
Registered and/or %ricer
Employing Plumber's Name
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
Permit No...s?..Z3 2 -413 c/
- —
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 ran" (-4 " l . 1° 1 k Street_ I ° I
f sim
Stork
State work to be performed and purpose of building (By Floon)_ Li7 so
New Building_ Remodeling--.---. Addition
•tt - 0 - 6 3 -
1-7,o.,..4.52...11: ow
(Signed)
Subdivision
6 44-0 street_ / I .
Repairs No. of Stories .....
Size Septic Tan ir Type of Tank .f.t.r.t .....
Feet of Drain Tile ___ _Dist Feet of Tank or Drain Field from ....
Nature of Water Supply: City—WelL Size of Soakage Pit
Notary Public, State of Florida
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 Worlanen's Compensation Act, being Section 5988, 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 woe- 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.
Master Plumber.
STATE OF FLORIDA, I N
COUNTY OF DADE. I
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 whom much rwlespeotion is made lascessary by improper notice far lespection, or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. _' _ 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 Divisior
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 _ _ No. Street
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot_.._
Block_
No
7-
Street
fit
Subdivision
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 Repairs No. of Stories _____ _ -.__ __. .
Size Septic Tank Type of Tank__— Capacity Gals._.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well_
_Size of Soakage Pit
Nature of Water Supply: City —Well
_- ( Signed) _____, _
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 art
licensed by Miami Shores Village.
Amount of Permit $
( Signed )._
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 fuc
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 fall
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT'NS
TOTAL
FIXTURE:
CONTR.
LIST
--
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. _' _ 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 Divisior
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 _ _ No. Street
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot_.._
Block_
No
7-
Street
fit
Subdivision
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 Repairs No. of Stories _____ _ -.__ __. .
Size Septic Tank Type of Tank__— Capacity Gals._.
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well_
_Size of Soakage Pit
Nature of Water Supply: City —Well
_- ( Signed) _____, _
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 art
licensed by Miami Shores Village.
Amount of Permit $
( Signed )._
Plumbing Inspector.
Master Plumber.
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
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 fuc
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 fall
materials and /or workmanship.