585 NE 102 St (16)MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No / _ Date Z 7
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
Registered Architect and /or Enfir�eer
Nature of Water Supply: City—Well.
c90
Amount of Permit $
No._
Employing Plumber's Name__rI — - - - No. - -. _ Street-
Location and Legal Description Lo ___ __ _ _______ __ ___ Block _ Subdivisions
Street and Number where work is to be performed —No aim 4r ` Str / O 2
State work to be performed and purpose of building (By Floors)__-- _'.z�_..____ 2 x_n1 1
New Building _ Remodeling_--- _ -_ -__ Addition._
Size Septic Tank ____ Type of Tank_ Capacity Gals
Feet of Drain Tile___-_ _Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
( Signed)
Repairs
Street .- S_6 Jg14
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob. %ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per ent 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed and this permit, as are
licensed by Miami Shores Village.
No. of Stories.
(Signed)--
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. 1
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_
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.
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 faulty
materials and /or workmanship.
CLOSETS
BATH
TUBE
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
I NALS
CATCH
BASIN
FLOOR
DRAIN
DRINKI NO
FOUNT'N8
TOTAL
FIXTURES
CONTR.
LIST
CHECK
•
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No / _ Date Z 7
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
Registered Architect and /or Enfir�eer
Nature of Water Supply: City—Well.
c90
Amount of Permit $
No._
Employing Plumber's Name__rI — - - - No. - -. _ Street-
Location and Legal Description Lo ___ __ _ _______ __ ___ Block _ Subdivisions
Street and Number where work is to be performed —No aim 4r ` Str / O 2
State work to be performed and purpose of building (By Floors)__-- _'.z�_..____ 2 x_n1 1
New Building _ Remodeling_--- _ -_ -__ Addition._
Size Septic Tank ____ Type of Tank_ Capacity Gals
Feet of Drain Tile___-_ _Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
( Signed)
Repairs
Street .- S_6 Jg14
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob. %ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per ent 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed and this permit, as are
licensed by Miami Shores Village.
No. of Stories.
(Signed)--
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. 1
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_
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.
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 faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PL IIdG
Owier of
Building
PERMIT N° 9649
Work to be performed under this Permit
Architect
Contractor , J
or Builder - f
Legal Lot Bl.
Des
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE z. , .. ,� 195
Subdi-
vision
Value of
Project $
Contractor's
License No
Amt. of r
Permit $ ,�`
This permit is granted to the contractor or builder named above t construct the building or to install the equipment or device described in the application
hereor 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: I # i , - 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 regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepti"fhis permit I assume responsibility for all word' done by either, myself, my agent, servant or employee.
CONTRACTOR OR MI LDER
BY AUTHORITY
EST FOR INSPECTION
Company •
Job
lk Address
Inspection
PHONE
Time Ready
Date Ready
A.M.
P.M.
MISCELLANEOUS INSPECTIONS
PERMIT NO. /// WILL GET
p
L` Y; c :,:_L .r C ` ,.,;_ / e , , �rn
INSTALLED BY: k, (1 c A rt. 4 i.'% a DATE
OWNER t S NAME - —' ADDRESS 5 ? et /e "
LOT BLOCK SUBDIVISION
INSPECTION A. M. P. M.
RELAY DRAINFIELD : % {: WELLS
GAS APPLIANCES WATER PIPING
SOLAR MISCELLANEOUS
APPROVED BY: CONDEMNED BY:
REMARKS
•
( b
TELEPHONE 4-2379
c
C. H. RITZ
PLUMB 1 N G
HEATING - WATER SYSTEMS - WATER SOFTENERS
1200 N. W. THIRTY - FOURTH AVENUE
MIAMI, FLORIDA
to
gumk 6 --,
3 akk 416,-
JOB:
•
BUILDING :
WORK
ELECTRICAL :
• DONE BY:
PLUMBING •
: REQUESTED
AD:
. :
•
. •
The following is roady for Inspection: -
Inspector's Report:
READY