160 NE 102 St (12)•
Permit No
New Building _----- _---- -- -- -- - -- -_ -- Remodeling
Size Septic Tank
13
Nature of Water Supply: City —Well.
Amount of Permit $
My Commission Expires
IIAMI SHORES VIC-_ ,
PLUMBING INSPECTION DEPARTMEI ' :
APPLICATION FOR PLUMBING
Type of Tank
Date March 23 1966
Application is hereby made for the approval of the detailed statement of gro plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conf.,i gi n; ;y with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami ;.3res Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specifies' v ter', A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address 4.,....F.1.uLIlS- . _ - -- No. -._ 1.60 _-- __ - . - _ _ - -- Street N • . 102 St
Registered Architect and /or Engineer — .- _.- _--- ---- .. ____.. ._------ ___ - -•
Employing Plumber's Name LAS S B TER _ P LUmB I N G coy._ street .B c .
Location and Legal Description Lot _____.____.__________._.._._._ Block— .__._. Subdivision__._.:__ __.___...____.__ —_
Street and Number where work is to be performed —No. 1_60
State work to be performed and purpose of building (By Floors)
Street Nl. E . 102 at .
Addition X. Repairs No. of Stories .
Capacity Gals
Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)_ -!_d_�
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hissbligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent 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 sit 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 performe under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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
SHOWIRf
ORIE
TORIES
SINKS
SLOP
SINKS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N5
�/
�•{•
TOTAL
FIXTURES
2:ONTR.
LIST
I
/
/
- // 9
/y s�
)
CHICK
!/-
-
-'
--
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
P IT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•O
POOL
CONTR.
LIST
J
CHICK
•
Permit No
New Building _----- _---- -- -- -- - -- -_ -- Remodeling
Size Septic Tank
13
Nature of Water Supply: City —Well.
Amount of Permit $
My Commission Expires
IIAMI SHORES VIC-_ ,
PLUMBING INSPECTION DEPARTMEI ' :
APPLICATION FOR PLUMBING
Type of Tank
Date March 23 1966
Application is hereby made for the approval of the detailed statement of gro plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conf.,i gi n; ;y with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami ;.3res Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specifies' v ter', A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address 4.,....F.1.uLIlS- . _ - -- No. -._ 1.60 _-- __ - . - _ _ - -- Street N • . 102 St
Registered Architect and /or Engineer — .- _.- _--- ---- .. ____.. ._------ ___ - -•
Employing Plumber's Name LAS S B TER _ P LUmB I N G coy._ street .B c .
Location and Legal Description Lot _____.____.__________._.._._._ Block— .__._. Subdivision__._.:__ __.___...____.__ —_
Street and Number where work is to be performed —No. 1_60
State work to be performed and purpose of building (By Floors)
Street Nl. E . 102 at .
Addition X. Repairs No. of Stories .
Capacity Gals
Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit
(Signed)_ -!_d_�
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hissbligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent 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 sit 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 performe under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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.