590 NE 102 St (7)Permit No
cr
3 _.
Tw a—eX 2 :IJf -
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. }
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 2 - - - a- c) � 3
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 0 0 Yk_ _____ � r fi � r€ l / /_
YLS e7 � _--- -te - -- ---- - - - - -- No. Stree
_ � L_ ®--- ------ - - - - -- t_. /! �---- - - - -C 2—
Registered Architect and /or Engineer _____
- _- -------- - -__ -_ __ --
Employing Plumber's Name_) .4 y Z. No. __ ` 5 - 5 -- _ street_
Location and Legal Description Lot.-__._— — _________.__ ( — Block _ y _ Subdivision
Street and Number where work is to be performed -No _ s r g 0 Street_ l E ) 0 ct 5
State work to be performed and purpose of building (By Floors)-
New Building Y Remodeling______ _ Addition Repairs No. of Stories.
Size Septic Tank _____________- Type of Tank_ Capacity Gals
Feet of Drain Tile_ ____________ __________________________Dist. Feet of T, or Drain Field from Well
Nature of Water Supply: City-Well. e- 2 __ La `ece' Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accept is obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Flori s a 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 undersigned agrees to employ only such sub- contractors, on work to be performed under thi permit, as are
licensed by Miami Shores Village.
aster Plumber.
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.
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
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
FOUNT'N6
b?l�
)
TOTAL
FIXTURES
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
1
��\ n �
W ` IY I
�—
CONTR.
LIST
CHECK
Permit No
cr
3 _.
Tw a—eX 2 :IJf -
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. }
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date 2 - - - a- c) � 3
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 0 0 Yk_ _____ � r fi � r€ l / /_
YLS e7 � _--- -te - -- ---- - - - - -- No. Stree
_ � L_ ®--- ------ - - - - -- t_. /! �---- - - - -C 2—
Registered Architect and /or Engineer _____
- _- -------- - -__ -_ __ --
Employing Plumber's Name_) .4 y Z. No. __ ` 5 - 5 -- _ street_
Location and Legal Description Lot.-__._— — _________.__ ( — Block _ y _ Subdivision
Street and Number where work is to be performed -No _ s r g 0 Street_ l E ) 0 ct 5
State work to be performed and purpose of building (By Floors)-
New Building Y Remodeling______ _ Addition Repairs No. of Stories.
Size Septic Tank _____________- Type of Tank_ Capacity Gals
Feet of Drain Tile_ ____________ __________________________Dist. Feet of T, or Drain Field from Well
Nature of Water Supply: City-Well. e- 2 __ La `ece' Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accept is obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Flori s a 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 undersigned agrees to employ only such sub- contractors, on work to be performed under thi permit, as are
licensed by Miami Shores Village.
aster Plumber.
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.
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
PLUMBING
ROOFING
Owner of 1
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE 19 A
• PERMIT N° 3833 ° Contractors if
License No. }
0
❑ Work to be performed under this Permi
Architect
Contractor
or Builder I •
Legal Lot
Description Bl
CONTRACTOR OR BUILDER
Subdi-
vision
Address of Value of I Amount of
Building e' 1 ` ; L ! ' Project $ I Permit $
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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Signed. 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 ac•
cepting this permit I asspme responsibll for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
ASCOT PRINT
Permit No._ __�_I
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 hila lV
Registered Architect and /or Engineer_-.,
Employing Plumber's Name lV/O " J4 � t i .1.1.127 � .- No /Lei
Location and Legal Description Lot---- ..._._ -- ---------- _.____ _____ Block_ 9 ¢
Street and Number where work is to be performed -No._
State work to be performed and purpose of building (By Floors)___; � o�B/ Q - 341; t /)fCaE
New Building Y . Remodeling__-__ - -__ -- Addition________._............ Repairs No. of Stories. _ _... ....
Size Septic Tank
Feet of Drain Tile_
Nature of Water Supply:
Amount of Permit $ _ -- - --
STATE OF FLORIDA, 1
COUNTY OF DADE. j
Well
MIAMI SNORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.______._._____.._ Street_
street__ 162
Type of Tank
Dist. Feet of Tank or Drain Field from Well
— Size of Soakage Pit
(Signed) _
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli . tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri . • 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 the Act. The undersigned agrees to employ only such sub- contractors, on wo a be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)._
(1 }, ID', ,ac 3
Date
/a2/..97 62,
Street__41_._ / 6
My Commission Expires Notary Public, State of Florida
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
SHOWER{
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINAL{
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
',.,
TOTAL
FIXTURES
CONTR.
LIST
3
�J
/
/
3
/
/
(
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._ __�_I
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 hila lV
Registered Architect and /or Engineer_-.,
Employing Plumber's Name lV/O " J4 � t i .1.1.127 � .- No /Lei
Location and Legal Description Lot---- ..._._ -- ---------- _.____ _____ Block_ 9 ¢
Street and Number where work is to be performed -No._
State work to be performed and purpose of building (By Floors)___; � o�B/ Q - 341; t /)fCaE
New Building Y . Remodeling__-__ - -__ -- Addition________._............ Repairs No. of Stories. _ _... ....
Size Septic Tank
Feet of Drain Tile_
Nature of Water Supply:
Amount of Permit $ _ -- - --
STATE OF FLORIDA, 1
COUNTY OF DADE. j
Well
MIAMI SNORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.______._._____.._ Street_
street__ 162
Type of Tank
Dist. Feet of Tank or Drain Field from Well
— Size of Soakage Pit
(Signed) _
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli . tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri . • 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 the Act. The undersigned agrees to employ only such sub- contractors, on wo a be performed under this permit, as are
licensed by Miami Shores Village.
( Signed)._
(1 }, ID', ,ac 3
Date
/a2/..97 62,
Street__41_._ / 6
My Commission Expires Notary Public, State of Florida
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.