456 NE 102 St (11)Permit
71
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and/or Engineer
Ey,Yi? Pltter;: Ipt,37.120
Location andLegal lee.si;riptt Lot I/=
Street and Number where work is to be performed—No 9 S Street
State work to be performed and purpose of building (By Floors)ARJA.c.rAe....-14...
New Building Addition_ _ Repairs
Size Septic Tank_ Type of Tank__
Feet of Drain Tile _Dist Feet of Tank or Drain Field from Wan .
Nature of Water Supply: City—Well. Size of Soakage Pit
My Commission Expires
Amount of Permit $ II
(signed)_L°
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obis
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pe
plied with the provisions thereof, and will require similar compliance from all contractors ub-contracto
performed under this pemiit; and will post or cause to be posted for inspection on the the wor
required by the Act. The undersigned agrees to employ only such sub-contractors, to
licensed by Miami Shores Village.
Date _19 .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 rpecificatiom mug be kept at
building during progress of work.
.
Owners Name and Address fS. d' A- No. 4 1 S
subctivhdoniaidifis siejr—
iQ . foa-
•
No. of Stories
...
Plumbing Inspector.
ions as an employer of labor
upplement, and lids com-
by him in the work to he
notice or notices as are
under this permit, RS are
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeued
to me well Imown, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he bas carefulbr read the foregoing application, and that be did sign the nun% 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 whoa asob relaspeotioe is medeneeemary by improper notice kw inspection, or faulty
materials and/ar workmanship.
CLoarra
BATH
TUBS
s"walo
LAVA-
TORIES
sitom
SLOP
s t ".
LAUNDRY
Apro tte.....
/ /
Unipodus
CATCH
ISASIN
FLOOR
DRAIN
DRINK i NO
FOUNT • NS
TOTAL
•IXTUREIP
CP■
Comic
/
CHICK
_
—
SEPTIC
SEWE R
CONN.
RII
DRAIN
FIELD
SOAKAG
PIT
G
TRAP
so LA N
HEATER
W
DE TANK
WELL
SPRKLR.
8 M
SW IN0
'
POOL
Cowls.
Liar
Clack
Permit
71
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Registered Architect and/or Engineer
Ey,Yi? Pltter;: Ipt,37.120
Location andLegal lee.si;riptt Lot I/=
Street and Number where work is to be performed—No 9 S Street
State work to be performed and purpose of building (By Floors)ARJA.c.rAe....-14...
New Building Addition_ _ Repairs
Size Septic Tank_ Type of Tank__
Feet of Drain Tile _Dist Feet of Tank or Drain Field from Wan .
Nature of Water Supply: City—Well. Size of Soakage Pit
My Commission Expires
Amount of Permit $ II
(signed)_L°
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obis
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pe
plied with the provisions thereof, and will require similar compliance from all contractors ub-contracto
performed under this pemiit; and will post or cause to be posted for inspection on the the wor
required by the Act. The undersigned agrees to employ only such sub-contractors, to
licensed by Miami Shores Village.
Date _19 .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 rpecificatiom mug be kept at
building during progress of work.
.
Owners Name and Address fS. d' A- No. 4 1 S
subctivhdoniaidifis siejr—
iQ . foa-
•
No. of Stories
...
Plumbing Inspector.
ions as an employer of labor
upplement, and lids com-
by him in the work to he
notice or notices as are
under this permit, RS are
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeued
to me well Imown, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he bas carefulbr read the foregoing application, and that be did sign the nun% 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 whoa asob relaspeotioe is medeneeemary by improper notice kw inspection, or faulty
materials and/ar workmanship.
•
Permit No " � '�
APPLICATION FOR PLUMBING PERMIT
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
Size Septic Tank
Feet of Drain Tile__
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
_Block — _____________ Subdivision__
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Aro' Repairs No. of Stories____ /
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit.
/_,___ .....00
_(Signed) —'- I . 1``,., d• '
Amount of Permit $_� __ f
___ __
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, CompiledtGeneral 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
SS.
- ?- ji- NO - I Street---- L'
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Et IL'
:_t Street___
Type of Tank . Capacity Gals .....
_________ —__�—
(Signed)
Notary Public. State of Florida
STATE OF FLORIDA,
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.
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
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
r
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 " � '�
APPLICATION FOR PLUMBING PERMIT
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
Size Septic Tank
Feet of Drain Tile__
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot
_Block — _____________ Subdivision__
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Aro' Repairs No. of Stories____ /
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit.
/_,___ .....00
_(Signed) —'- I . 1``,., d• '
Amount of Permit $_� __ f
___ __
lumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, CompiledtGeneral 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
SS.
- ?- ji- NO - I Street---- L'
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
Et IL'
:_t Street___
Type of Tank . Capacity Gals .....
_________ —__�—
(Signed)
Notary Public. State of Florida
STATE OF FLORIDA,
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.
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 e'✓ 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. C Ire' �y
Owner's Name and Address j A 3 LXL. t7LU �, 1 Sj No ��?___ Street.___
Registered Architect and /or Engineer / T 1_' .h__t_ r 1 __4t
Employing Plumber's Name _
New Building _ Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot_____,__—__ ____________Block Subdivision_ _________ _________________________
Street and Number where work is to be performed—No __� Street J _4_ 2r ___________________
State work to be performed and purpose of building (By Floors)
Addition ie."'
No._t _se It
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $_____= f '�___
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
8S.
My Commission Expires
Dist. Feet of Tank or Drain Field from Well
_ (Signed)
(Signed
Repairs No. of Stories___
Type of Tank . Capacity Gals
/2
_______ __________ -- - - - --
lumbing Inspector.
rtify that understands and accepts his obligations as an employer of labor
Compiled eneral Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
Date
Street
authorized to administer oaths and take
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
acknowledgments,
personally
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
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
To AL
Fl --
��
_
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 e'✓ 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. C Ire' �y
Owner's Name and Address j A 3 LXL. t7LU �, 1 Sj No ��?___ Street.___
Registered Architect and /or Engineer / T 1_' .h__t_ r 1 __4t
Employing Plumber's Name _
New Building _ Remodeling
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Location and Legal Description Lot_____,__—__ ____________Block Subdivision_ _________ _________________________
Street and Number where work is to be performed—No __� Street J _4_ 2r ___________________
State work to be performed and purpose of building (By Floors)
Addition ie."'
No._t _se It
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $_____= f '�___
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
8S.
My Commission Expires
Dist. Feet of Tank or Drain Field from Well
_ (Signed)
(Signed
Repairs No. of Stories___
Type of Tank . Capacity Gals
/2
_______ __________ -- - - - --
lumbing Inspector.
rtify that understands and accepts his obligations as an employer of labor
Compiled eneral Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
Date
Street
authorized to administer oaths and take
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
acknowledgments,
personally
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.
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE 194 /
Contractor's
License No
PERMIT N9 2027
Work to be performed under this Permit
Owner of
Building
Bl.
Subdi-
vision
Value of Amt. of
Project Permit��
This permit is granted to the contractor or builder named above to construct the building or to install the equipment. - r device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
JOB:
BUILDING
ELECTRICAL :
PLUMBING
The following is ready for Inspection:
Inspector's Report:
• •
• •
• •
• •
• •
• •
4.
•
•
: WORK
•
: DONE BY:
•
•
•
•
REQUESTED : WILL BE READY
1
•
4o'
•
4
o f r
0
1
Permit # 522
Permission is hereby granted
4 4
/ I ' •
Lot
Fixtures
SEPTIC TANK
TOTAL' "
Block Subdivision
Village Plumbing Inspector
MIAMI SHORES VILLAGE
Plturib-
Miam' Shores Village, Fla.
lg. •
1
III to install the following described plumbing, in accordance with th
laws, statutes and regulations of Miami Shores Village, Florida and
the State of Florida, governing plumbing and drainage work done in
Miami Shores Village, Florida.
4• 4 , '
0
// '
g
, ,e - r"
1
, 3
For a ' ' At No, ',,,,, '_
. '
As Shown on attached approved plans.
FIXTURES ROUGHED IN
A 0'
FIXTURES SET 1
.i. .-.'.
III SEWER $ ,
Paymerrq Received . 0 -
By
.j i i . ;
\it,.• ' l
• A
...4
This permit issued subject to approval of County Plumbing Inspector
C.9
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNTAINS
TOTAL
FIXTURES
1
1
/
.
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 location 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.
WEST
NORTH
A
SOUTH
EAST
Remarks:
NORTH
SOUTH
tri
H
A -244 5 -35 5M
Employing Plumber
For a
Owner or
Builder or Contractor is
Lot No.5 d Y2 h Block No.
Address
New V
Dwelling
Agent 0.
Sewer Connections
Date 0 t 29 ' `-
Approved bya14 4-A- w"-
Condemned by
REMARKS
DIVISION OF PLUMBING INSPECTION
tv DEPARTMENT OF PUBLIC SERVICE
I herewith submit the fol}pwing •lan of umbing for approval:
Old ❑
Store ❑
Garage ❑
At center of St. ❑ At curb ❑
ROUGH -IN INSPECTION
Ground Rough -In Rain Leader
A M 6 P M.
MIAMI, FLORIDA
Subdivision
Work executed by
Story
Apartment ❑
Date—
SEWER INSPECTION
A M P M
Approved by
Condemned by
REMARKS
Plan No. t� F% Sewer Permit No
Addition ❑
Hotel ❑
Address ' " ,' . . /0,2/
Address �- 4-
cRif-0?
At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑
To septic tank ❑ Existing bldg. drain ❑ To dry well ❑
A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information.
DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY.
Date
FINAL INSPECTION
A M P M.
Approved by
Condemned by
REMARKS
Remodeled ❑
Office Bldg.
19JC
THIS SPACE FOR ELEVATION SKETCH
In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to
correspond with the opening shown in floor plan or ground plan on opposite page.
A PERSPECTIVE SKETCH WILL BE SUFFICIENT
PROVIDED THE WORK CAN BE CLEARLY SHOWN
THIS SPACE FOR PLAN SKETCH
Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the
stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw
floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal
soil and waste pipes, in reference to same.