1201 NE 102 St (10)Amount of Permit $
Registered Architect anittp Engin
Employing F1 At erb's Name A.
Location and Legal Description Lot.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building . - - - -._ _-------- ....... -__ Remodeling_-__-__
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No ..a
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 /
Ownei s Name and Address Vital N)1 M e i-v 1 �/ a No. 120L S F -i 2 -(/-°47..
•
Size Septic Tank_- Type of Tank__
Feet of Drain Tile rise- Feet of Tank or Drain Field from Well - - -__.
Nature of Water Supply: City—WeIL Size of Soakage Pit.
(Si
12-
Q c Street_.
Floors ___ Addition._- _____..___ Repairs.
(Si Y
441,47421/0. "
Subdivision.____
..1.` ' 1°2 47
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 5986, Compiled General Laws of Florida Permanent Supplement, and Ilan com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worir to be
performed under this permit; and will post or cause to be posted for inspection on the site of the ch public notice or notices as an. required by die Act. The undersigned agrees to employ only such sub - contractors, on work � •'- ..y nder this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, t is.
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 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 when mob re•lespaotlan is made•aeoaaserr by 6np oiler notice for inspection, or faulty
materials and /or workmanship.
CLOaR S
BATH
Twos
S NOW[RS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
UR INAL[
CATCH
SASIN
FLOOR
DRAIN
ORINKINO
FOUNT' NS
TOTAL
virtuous
CONTR.
LIST
CHICK
■
SEPTIC
TANK
SEWER
'CONN.
DRAIN
FIILO
SOAKAO[
PIT
G
TRAP
SOLAR
MATER
DEEP
W[LL
1 .
SYSTEM
SWIM•O
POOL
CONTR.
LIST
r�
CHECK
Amount of Permit $
Registered Architect anittp Engin
Employing F1 At erb's Name A.
Location and Legal Description Lot.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
New Building . - - - -._ _-------- ....... -__ Remodeling_-__-__
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No ..a
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 /
Ownei s Name and Address Vital N)1 M e i-v 1 �/ a No. 120L S F -i 2 -(/-°47..
•
Size Septic Tank_- Type of Tank__
Feet of Drain Tile rise- Feet of Tank or Drain Field from Well - - -__.
Nature of Water Supply: City—WeIL Size of Soakage Pit.
(Si
12-
Q c Street_.
Floors ___ Addition._- _____..___ Repairs.
(Si Y
441,47421/0. "
Subdivision.____
..1.` ' 1°2 47
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 5986, Compiled General Laws of Florida Permanent Supplement, and Ilan com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worir to be
performed under this permit; and will post or cause to be posted for inspection on the site of the ch public notice or notices as an. required by die Act. The undersigned agrees to employ only such sub - contractors, on work � •'- ..y nder this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, t is.
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 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 when mob re•lespaotlan is made•aeoaaserr by 6np oiler notice for inspection, or faulty
materials and /or workmanship.
Permit No 11 L
Feet of Drain Tile
Owner's Name and Address
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.
Registered Architect and /or Engineer
rs
Employing Plumber's Name C , c No
Location and Legal Description Lot
Street . and Number where work is to be performed —No
Size Septic Tank____ _At x +3/41' X �' {
Nature of Water Supply: City —Well
ss.
My Commission Expires
MIAM.I SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/ 2-
;ew Building) Remodeling Addition
Type of Tank 1
( Signed)
Date
6
Subdivision
4
/ 3 /..1
No Street
CV ?� / £tie-° _.�
Street_/' E • /47 / �G- 1
State work to be performed and purpose of building (B Floors)
Repairs No. of Stories
Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
C c-o
Amount of Permit $ ( Signed)
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.
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before nee, 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.
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
LAVAL
TORIES
SINKS
SLOP
$INKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
'PIT.
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No 11 L
Feet of Drain Tile
Owner's Name and Address
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.
Registered Architect and /or Engineer
rs
Employing Plumber's Name C , c No
Location and Legal Description Lot
Street . and Number where work is to be performed —No
Size Septic Tank____ _At x +3/41' X �' {
Nature of Water Supply: City —Well
ss.
My Commission Expires
MIAM.I SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
/ 2-
;ew Building) Remodeling Addition
Type of Tank 1
( Signed)
Date
6
Subdivision
4
/ 3 /..1
No Street
CV ?� / £tie-° _.�
Street_/' E • /47 / �G- 1
State work to be performed and purpose of building (B Floors)
Repairs No. of Stories
Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
C c-o
Amount of Permit $ ( Signed)
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.
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before nee, 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.
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.