293 NE 100 St (4)w
JO B:
BUILDING
ELECTRICAL
PLUMBING
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Inspector's Report: -
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REQUESTED
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WORK
DONE BY
The following is ready for Inspeption:
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WILL BE READY
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JOB:
BUILDING
ELECTRICAL
PLUMBING
Inspector's Report: -
AD:
WORK
DONE BY
REQUESTED
•
The following is ready for Inspection:
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WILL BE READY
PLUMBING INSPECTION DEPARTMENT
Permit No
MIAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
J627
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for tfie 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
a ltet_i! eele+K!Sr!!r!_ No. Street
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name __ i=-d I No 0 dqt Y Street
Location and Legal Description Lot_ ____ __ 2-' 1 I Block_
Street and Number where work is to be performed —No ,+ __2_
ss.
My Commission Expires
C }.
Amount of Permit $____ e (Signed) _
Date__ __
Size Septic Tank_ Type of Tank . Capacity Gals
Feet of Drain ________________________ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Subdivision___
street -- - - - - -- -fi - ----- ------ -- - - --
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Plumbing Inspector.
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 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 un• r this permit, as are
licensed by Miami Shores Village.
(Signed) a4e/tt't -! 1 t _j�
Master Plumber.
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.
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
DRINKING
FOUNT•NS
TOTAL
FIXTURES
CONTR.
LIST
2
Z.
1
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
PLUMBING INSPECTION DEPARTMENT
Permit No
MIAMI SHORES VILLAGE
APPLICATION FOR PLUMBING PERMIT
J627
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for tfie 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
a ltet_i! eele+K!Sr!!r!_ No. Street
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name __ i=-d I No 0 dqt Y Street
Location and Legal Description Lot_ ____ __ 2-' 1 I Block_
Street and Number where work is to be performed —No ,+ __2_
ss.
My Commission Expires
C }.
Amount of Permit $____ e (Signed) _
Date__ __
Size Septic Tank_ Type of Tank . Capacity Gals
Feet of Drain ________________________ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
Subdivision___
street -- - - - - -- -fi - ----- ------ -- - - --
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Plumbing Inspector.
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 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 un• r this permit, as are
licensed by Miami Shores Village.
(Signed) a4e/tt't -! 1 t _j�
Master Plumber.
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.
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.
¶sp
c•6
vs
Permit No._�...f�___f __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. '/ 92 Owner's Name and Address _�;'- ' J ___ ti "wy+- y I 4..1 0 No..t Street/ / � • j : '
Registered Architect and /or Engineer r __ _— _________
1, j`' `/ 61 ` f '
Employing Plumber's Name _ `_ ,4_�_E'� c .. ,' ' f" • ' r ' 1 _ ___ No. �1
'__._ �. 4. -1// t'� . Atreet____ ,r t_ .1 _ _
. r r f—
i rI -
Location and Legal Description Lo _,�:r___ :Awe___ Block___ Subdivision . -r '
Street and Number where work is to be performed— No.___ /1 Lor i -
Amount of Permit $- 2
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date___,e_,t __y
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Capacity Gals.
Size Septic Tank Type of Tank
Feet .of Drain Tile______ _______________________________ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Plumbing Inspector.
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 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. i '
(Signed) , r' N ,. , , ' �. ,:f
�.d' L1 c c....... Master lumber.
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.
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
TUDS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
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._�...f�___f __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. '/ 92 Owner's Name and Address _�;'- ' J ___ ti "wy+- y I 4..1 0 No..t Street/ / � • j : '
Registered Architect and /or Engineer r __ _— _________
1, j`' `/ 61 ` f '
Employing Plumber's Name _ `_ ,4_�_E'� c .. ,' ' f" • ' r ' 1 _ ___ No. �1
'__._ �. 4. -1// t'� . Atreet____ ,r t_ .1 _ _
. r r f—
i rI -
Location and Legal Description Lo _,�:r___ :Awe___ Block___ Subdivision . -r '
Street and Number where work is to be performed— No.___ /1 Lor i -
Amount of Permit $- 2
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date___,e_,t __y
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Capacity Gals.
Size Septic Tank Type of Tank
Feet .of Drain Tile______ _______________________________ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit
Plumbing Inspector.
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 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. i '
(Signed) , r' N ,. , , ' �. ,:f
�.d' L1 c c....... Master lumber.
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.
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.