479 NE 102 StPermit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date _�- 2�11/6� ...... -•
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th <' 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_ M':_ .w7,._11- ells -- _ -- - _ - -- _ - - N 1±79 ___ -___ -- N.E. Street- .102
Registered Architect and /or Engineer _._ .. ..
Employing Plumber's Name A. B . S • PLUMBING
Location and Legal Description Lot___-- ___._.— -- . - - - -__ _- - -._._ . _Block___ Subdivision.
Street and Number where work is to be performed —No 479 NAL 102 Street
State work to be performed and purpose of building (By Floors). _ __ ___ . - _. _
New Building -- Remodeling____ ye e..__ _... _.._ Addition_--_
Size Septic Tank.. _ _ -_ -- -- - -- - - - - --
Feet of Drain Tile ____..
Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
- --Type of Tank - -
_
_Dist. Feet of Tank or Drain Field from Well
__ _ . Size of Soakage Pit
17100 No. N_. W. 2_CCt. Street.___. - Miami,_
( Signed) _ . 0
•
Capacity Gals..
No. of Stories . ...... .
Pimbing In:pecto.
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 I'as 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 no'ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo..i.ed under this per nit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgu!ents, personal) - 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 .acts
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•neces 'sry by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS BS
SHOWER.
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUB.
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
C�1 8 1
p OSa
TOTAL
F- %TURES
CONTR.
LIST
CHECK
pp
A
-
X
X
2
2
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM•G
POOL
CONTR.
LIST
=
--
CHECK
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date _�- 2�11/6� ...... -•
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th <' 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_ M':_ .w7,._11- ells -- _ -- - _ - -- _ - - N 1±79 ___ -___ -- N.E. Street- .102
Registered Architect and /or Engineer _._ .. ..
Employing Plumber's Name A. B . S • PLUMBING
Location and Legal Description Lot___-- ___._.— -- . - - - -__ _- - -._._ . _Block___ Subdivision.
Street and Number where work is to be performed —No 479 NAL 102 Street
State work to be performed and purpose of building (By Floors). _ __ ___ . - _. _
New Building -- Remodeling____ ye e..__ _... _.._ Addition_--_
Size Septic Tank.. _ _ -_ -- -- - -- - - - - --
Feet of Drain Tile ____..
Nature of Water Supply: City —Well.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
- --Type of Tank - -
_
_Dist. Feet of Tank or Drain Field from Well
__ _ . Size of Soakage Pit
17100 No. N_. W. 2_CCt. Street.___. - Miami,_
( Signed) _ . 0
•
Capacity Gals..
No. of Stories . ...... .
Pimbing In:pecto.
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 I'as 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 no'ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo..i.ed under this per nit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgu!ents, personal) - 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 .acts
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•neces 'sry by improper notice for inspection, or faulty
materials and /or workmanship.
02
Village of Miami Shores
JOB 4, 0.11
ADDRESS
1 N. E / � Z =�
INSPECTION P H P6 t
TIME READY
REMARKS 4 3-576. 7
N° 4565
INSPECTOR DATE
BUILDING
ELECTRICAL
PLUMBING
Pl
Il PERMIT N? 10633
Owner of
Building --
Architect
Contractor
or Builder ,;
Legal Lot Bl.
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE''
Contractor's
License No
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
Amt. of
Permit $
1951
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or 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
t '
' = INSPECTOIj .. F, ... ^ • � s _y
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
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.
BY AUTHORITY
Permit No/
Owner's Name and Address__, -`.__
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
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 wor
Registered Architect and /or Engineer_
�. � .
.�. - .f � �, Ali.. it <
Employing Plumber's Name__. �' .a
Location and Legal Description Lot_ 24 ___� .. No
Block
Street and Number where work is to be performed —No ? t Street
2-
-
Date__ / �+
No YI 2 c7 Streeta' V ° - - - -- - -.. .=d
Street/V • 7 -�
q
Subdivision_
/-` - .1,
State work to be performed and purpose of building (By Floors),
New Building v Remodeling Addition Repairs No. of Stories
Type of Tank Capacity Gals
rr
Size Septic Tank __e
Feet of Drain Tile
Nature of Water Supply: City —Well. Size of Soakage Pit
Dist. Feet of Tank or Drain Field from Well
Amount of Permit $_3 (Signed)
Plumbing Inspector.
Thelundersigned 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 corn-
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 pennit, as are
licensed by Miami Shores Village.
(Signed
My Commission Expires Notary Public, State of Florida
ve
Master Plumber.
STATE OF FLORIDA, 1
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
' \ �
� `
fl —
SINKS
1
— / —
.. 7 .( -
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK ING
FOUNT' NS
W A S ii►
.4 .07...........
A
A
TOTAL
FIXTURES
G UST
LIST
—I-- / �J , ✓ (
-7.4
CHECK
0
•��l ✓ h
/ -
`�w
./ t/ �
SEPTIC
Tt1NK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
II
LIST
CHECK
Al
F - 1`..... --
ffff'"'���
i A
Permit No/
Owner's Name and Address__, -`.__
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
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 wor
Registered Architect and /or Engineer_
�. � .
.�. - .f � �, Ali.. it <
Employing Plumber's Name__. �' .a
Location and Legal Description Lot_ 24 ___� .. No
Block
Street and Number where work is to be performed —No ? t Street
2-
-
Date__ / �+
No YI 2 c7 Streeta' V ° - - - -- - -.. .=d
Street/V • 7 -�
q
Subdivision_
/-` - .1,
State work to be performed and purpose of building (By Floors),
New Building v Remodeling Addition Repairs No. of Stories
Type of Tank Capacity Gals
rr
Size Septic Tank __e
Feet of Drain Tile
Nature of Water Supply: City —Well. Size of Soakage Pit
Dist. Feet of Tank or Drain Field from Well
Amount of Permit $_3 (Signed)
Plumbing Inspector.
Thelundersigned 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 corn-
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 pennit, as are
licensed by Miami Shores Village.
(Signed
My Commission Expires Notary Public, State of Florida
ve
Master Plumber.
STATE OF FLORIDA, 1
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.