1180 NE 102 St/pub
Permit No -
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 l
Owner's Name and Address r _ -- __---- _____� No.-___—_— ..... --- _-- .... __ -_ -_ Street
Registered Architect and /or Eng'
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description
Street and Number where work is to he performed —No /1 $a 14 f► 1 J "street
State work to be performed and purpose of building (By Floors)_.
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
$i
Amount of Permit $_--- ___ - _ - — — --
No._
(Signed)_
( Signed) ___
Date 1. • ?1-
Street_
Subdivision
Repairs No. of Stories.
Gals
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.
STATE OF FLORIDA, I
COUNTY OF DADE.
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 inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUaB
INALS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' N6
TOTAL
FIXTURES
Corms.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
$W IM' G
POOL
cowrie.
LIST
CHECK
/pub
Permit No -
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 l
Owner's Name and Address r _ -- __---- _____� No.-___—_— ..... --- _-- .... __ -_ -_ Street
Registered Architect and /or Eng'
Employing Plumber's Name
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description
Street and Number where work is to he performed —No /1 $a 14 f► 1 J "street
State work to be performed and purpose of building (By Floors)_.
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
$i
Amount of Permit $_--- ___ - _ - — — --
No._
(Signed)_
( Signed) ___
Date 1. • ?1-
Street_
Subdivision
Repairs No. of Stories.
Gals
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.
STATE OF FLORIDA, I
COUNTY OF DADE.
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 inspection, or faulty
materials and /or workmanship.
Permit No iql
Date 14?- L 6 '-
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
Registered Architect and /or Engin r .....
--- _ —___ -_ - -- •-- �_�__._
Employing Plumber's Name ___ _ - -± _ ° No..______ _ --- Street_
Location and Legal Description Lot.___.__ ________ __ Block _________._____ Subdivision.--_.:____
Street and Number where work is to be performed —No / / i'4 �'a :.S .___LP Ima■ Street
State work to be performed and purpose of building (By Floors)_-____ _________
New Building Remodeling_ --_ -- — - -___ Addition__ -- Repairs
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
Amount of Permit $_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed) _
( Signed __ --
No .__.______ ..... ____...... - - - -- Street_ —
My Commission Expires Notary Public, State of Florida
No. of Stories
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, ork to be p' formed , ° nder this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. j
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 inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWER!
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIKTURE6
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FI ELD
SOAKAGE
P IT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
-
Permit No iql
Date 14?- L 6 '-
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
Registered Architect and /or Engin r .....
--- _ —___ -_ - -- •-- �_�__._
Employing Plumber's Name ___ _ - -± _ ° No..______ _ --- Street_
Location and Legal Description Lot.___.__ ________ __ Block _________._____ Subdivision.--_.:____
Street and Number where work is to be performed —No / / i'4 �'a :.S .___LP Ima■ Street
State work to be performed and purpose of building (By Floors)_-____ _________
New Building Remodeling_ --_ -- — - -___ Addition__ -- Repairs
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
Amount of Permit $_
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed) _
( Signed __ --
No .__.______ ..... ____...... - - - -- Street_ —
My Commission Expires Notary Public, State of Florida
No. of Stories
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, ork to be p' formed , ° nder this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. j
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 inspection, or faulty
materials and /or workmanship.