150 NE 102 St (14)MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
C APPLICATION FOR PLUMBING PERMIT
Permit a O % U 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.
Owners Name and Address
Registered Architect and /or Engineer
e / 3/ a ..A_,., t.1 No. / ) Ni4 /47 'Street. --
1 di an Description l.ot ' J� E / 1 / Bice+
Street and Number where work is to be performed —No /S) Street. ./..0.4 _._.. e-
State work to be performed and purpose of building (By Floors)-- ._._/�.. / 1__.(2 Ji SJ`.' '...... •` -e)! . d 1 ' 0
New Building..__.._ --- •-- ........._.. Remodeling___ —. -- Addition
Size Septic Tank_._ Type of Tank__.__ —.— •------- ••----- ...__...Capadty CSIL.._..._ -. - -- -- -- _
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well..._. —_. --- _. —...._
Nature of Water Supply: City —WeIL Size of Soakage Pit
Amount of Permit 8
My Commission Expires
Repairs No. of Stories 1 ...
(Signed) . // �� -,Z
¥yam
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 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 [hie Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, I µ
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acimowledgments, 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 Plaids
NOTE: A re- Inspection fee of 81.00 will be made whin snce rolaspeottas is snide any by hamper notice for impectio , a faulty
materials and/as worl®aaship.
CLOtETa
BATH
Tut.
"°"" "°""
LAVA•
TORIES
SINK[
SLOP
SINKS
LAUNDRY
Tue.
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT' NS
TOTAL
FIXTURES
CowTa.
LIST
U
1
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
NEATER
DELP
WELL
8PRKLR.
SYSTEM
SW 1111'0
POOL
CONTR.
LIST
CHECK
r
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
C APPLICATION FOR PLUMBING PERMIT
Permit a O % U 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.
Owners Name and Address
Registered Architect and /or Engineer
e / 3/ a ..A_,., t.1 No. / ) Ni4 /47 'Street. --
1 di an Description l.ot ' J� E / 1 / Bice+
Street and Number where work is to be performed —No /S) Street. ./..0.4 _._.. e-
State work to be performed and purpose of building (By Floors)-- ._._/�.. / 1__.(2 Ji SJ`.' '...... •` -e)! . d 1 ' 0
New Building..__.._ --- •-- ........._.. Remodeling___ —. -- Addition
Size Septic Tank_._ Type of Tank__.__ —.— •------- ••----- ...__...Capadty CSIL.._..._ -. - -- -- -- _
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well..._. —_. --- _. —...._
Nature of Water Supply: City —WeIL Size of Soakage Pit
Amount of Permit 8
My Commission Expires
Repairs No. of Stories 1 ...
(Signed) . // �� -,Z
¥yam
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 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 [hie Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, I µ
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acimowledgments, 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 Plaids
NOTE: A re- Inspection fee of 81.00 will be made whin snce rolaspeottas is snide any by hamper notice for impectio , a faulty
materials and/as worl®aaship.
Permit No. / ✓ i"
Application is hereby made r the approval of the detailed statement of the plans and specifications herewith submitted for the building or oth. i
structure herein described. T 's application is made in compliance and conformity with the Budding 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.
Owners Name and Address ...l :._: _ � No._ / — _ -- ¢_- Street 0 -2. , - -
Registered Architect and /or Engineer
Employing Plumber's NameCM-4" . - -.. . = _ _._ _ _
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 1 � _._ e Street. -__� �� - . '= 1
State work to be performed and purpose of building (By Floors )__._... ._.._._._____...__
New Bu °lding _ Remodeling Addition-- ._---- -_ - -.. _. _. Repairs.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank � Type of Tank. _
—Fevre lliE Tile Dist. Feet of Tank or Drain Field from We1L .___._..
Nature of Water Supply: City —Well . __ —.._ Size of Soakage Pit
(Signed)_
- -- -
Date
No. of Stories
Capacity Gals
Amount of Permit $....- - ....... ...... -- -. - -- -- ---- ._____._._.._ — (Signed)__ ._ -..
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ^i, employer of labor
under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and bus of,m-
plled with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 put,tic aoi.�a or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this i•cmiit, as an
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare
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 tar
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 f..ul
materials and /or workmanship.
CLOSET.
BATH
Toes
SHOWERS
LAVA.
TORICs
SINKS
BLOT
SINK.
LAUNDRY
Tuss
URINAL.
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT•Ne
TOTAL
FIXTURII
-- —
CONTR.
LIST
CHECK
$ Pit.:
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GRFA$I
TRAP
SOLAR
N EATER
DICP
WILL
SPRKLR.
SYSTEM
SWIM•.
POOL
Comm.
LINT
CHICK
Permit No. / ✓ i"
Application is hereby made r the approval of the detailed statement of the plans and specifications herewith submitted for the building or oth. i
structure herein described. T 's application is made in compliance and conformity with the Budding 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.
Owners Name and Address ...l :._: _ � No._ / — _ -- ¢_- Street 0 -2. , - -
Registered Architect and /or Engineer
Employing Plumber's NameCM-4" . - -.. . = _ _._ _ _
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 1 � _._ e Street. -__� �� - . '= 1
State work to be performed and purpose of building (By Floors )__._... ._.._._._____...__
New Bu °lding _ Remodeling Addition-- ._---- -_ - -.. _. _. Repairs.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank � Type of Tank. _
—Fevre lliE Tile Dist. Feet of Tank or Drain Field from We1L .___._..
Nature of Water Supply: City —Well . __ —.._ Size of Soakage Pit
(Signed)_
- -- -
Date
No. of Stories
Capacity Gals
Amount of Permit $....- - ....... ...... -- -. - -- -- ---- ._____._._.._ — (Signed)__ ._ -..
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ^i, employer of labor
under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and bus of,m-
plled with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 put,tic aoi.�a or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this i•cmiit, as an
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare
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 tar
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 f..ul
materials and /or workmanship.
CLOSETS
-
BATH
Tuns
-
/
SHOWERSI LAVA-
I TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
/ 1 2
/
/
o O
A•244 SM 3-38
Employing Plumber
For a
Owner or Agent J, 71t ,,,,,�►
Builder or Contractor is / '
Address
Ground
AM P M
Approved by
Condemned by
REMARKS
Plan No.
DIVISION OF PLUMBING INSPECTION
DEPARTMENT OF PUBLIC SERVICE
MIAMI, FLORIDA
I herewith submit the following plan of plumbing for approval:
e rdi Work executed by
{
New L
Dwelling Store ❑
Datr
ROUGH -IN INSPECTION
Rough -In Rain Leader
Old ❑ Story
Garage ❑
Address
Lot No. Block No. pi / Subdivision
Sewer Connections At center of St. ❑ At curb ❑
Apartment ❑
Address
444
Date
SEWER INSPECTION
AM P M
Approved by
Condemned by
REMARKS
Sewer Permit No
JI ` L —
Addition ❑ Remodeled ❑
Hotel ❑
A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information.
r/—
At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
To septic tank Existing bldg. drain ❑ To dry well ❑
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
Office Bldg. ❑
F
in
W
3
WEST
Sketch position of building and lot lines in square (which represents an entire city block) , showing on which street
the building and lot faces; also show exact locations of "Y" in street and position of lateral or septic tank. Show
sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all
underground pipes for future references.
NORTH
A
EAST
SOUTH
Remarks:
NORTH
SOUTH