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PLUMBING PERMITS MIAMI SHORES VILLAGE " PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit NO. 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 Ml ami"Shores Village and aU rules and regulations of the.Building Division of Miami Shores Village shall bre complied!with,whether herein specifie4 or not. A copy.o#,approved plans and specifications must be kept at building during progress of w04-.n Owner's Name and Ad 4 No Street ' Registered Architect and/or Pod "I Employing Plumber'sName No Suet Location and Legal Description, Zlock-,— — Subdivision — Street and .Number where work is to be ed No Street p 'm State work to be performed and purpose of building (By Floors) New Buildingy Remodeling— Additioa Repairs_ No. of Stories CL086T8 BATH .LAVA SLOP LAUNDRY CATCH FLOOR- DRINKING'A'.Ae .�I1,L TOTAL TUBS -SHOWERS T Eg SINKS SINKS, TU88 URINALS. BASIN DRAIN FOUNT•NS Q FIXTURES LIST C , / LIST - CHECK - I SEPTIC DRAIN- _ SOA OE GREASE SOLAR DEER SPRKLR.. --"SWIM*G - 5 TAHk . �. POOL - - CONN.. - -FIELD- -PIT TRAP HEATER WLLL. �.SYSTEM CONTR. LIST CHECK Size SePRc T„,k Type Of Tam Capacity Gals. Feet of Drain Tile Feet of Tank or D field from Wdl1 Nature of Wk Wr Supply City ell. of Soakage Pit Amount of Permit$ 2--) - (Signed) .Plumbing Inspector. The undersigned applicant for this budding 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 thework 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 permit, as are licensed by Miami Shores Village. (Sed) Master Plumber. STATE OF FLORIDA,. COUNTY OF DADE. ' Before me the undersigned authority,''a notary public,duly authorized to administer oaths and take admowledgments, personally appeared to me wen known,and who,being by me first duly sworn,upon oath imposes and says that he is the of the above described construction, that he has carefully read the folr oing 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-ins peci7ton fee of$1.00 Will be made when such"re-inspection is made necessary by improper notice for Inspection, or faulty materials and/or worlimanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ Permit No. d Application is_hereby Made for the approval of the detailed statement of the plans and'specifications herewith submitted for the building or other structure herein described.This application is made in compliance and conformity with.the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida,all ordinances of Miami_Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with,whether herein,specked or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and No. Sheet Registered Architect and/or E Employing Plumber's N No Street_ " Location and Legal Description Lot "`� B1Ock: `� Subdivision Aet, Ak,� Street and Number where work is to be performed-No l/ '1 • 'Street Stateto be performed and purpose of building (By Floors) New Re?nmodrtHng Addition Repairs NO. of Stories- CLOSETS BATH SHOWERS LAVA- SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL TUBS TORIES SINKS TUBS ,BASIN DRAIN FOUNT'N8 FIXTURE$ -CONTR. LIST - - ;.CHP - - SEPTIC SEWER - DRAIN SOA GE GREASE -SOLAR DEEP SPRKLR. SWIM*G - - - - - TANK - CONN.- FIELD P+T - TRAP HEATER WELL SYSTEM SPOOL COMM' LIST CHECK. Size Septic Tank —Type Of Tank Capacity 'Gait Feet of Drain Tile_ -iii Feet of Tank or Drain Field from Well-- Nature ellNature of Water Supply: City-Well SizA of Soakage PitOf - Amount of Permit $-!' j Plumbing Inspector. The undersigned applicant for this buiding permit does hereby certify that he ds and accepts his oblig ons as an employer of labor under the Florida Workmen's-Compenwtioonn Act,being Section 5988,Compiled General Laws of Mori& 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 , performeI Ander 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 ager m to employ only such sub-contractors, on work .to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me,the undersigned authority, notary public,duly authorized to administer oaths and take adlmowledgments, personally appeared of�above d coItnown,and n ctiobeing n,n,ghat he d��efully�readdthe and sayer that he n the agoing application, and that he did-sign the-same, and that aIl-facts therein by him stated are true. My C4=3a ssion Eapi 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 worli mauship. . ' j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION APPLICATION FOR PLUMBING r kMIT Permit No. Application is hereby made,for the apprlovai of the detailed statement of the pians and specifications herewith su itted or the building or other structure herein described.This application is made in compliance and conformity with the Building Ordinance of Miami Shares 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 with,whether hen specified or not. A copy of approved plans and specifications must be kept at building during progress of w Owner's Name and Address �_. . No. S Registered Architect and/or Engineer �___ ._ Employing Plumber's Name._.__.,... No._____..,. Street Location and Legal Description Subdivision Street and Number where work is to be performed—No State work to be performed and purpose of ba0ding (By --- New B ___ . Renodeliniz __.. _. Repairs _.._.. No. of Stories.-_...... BATH LAVA• SLOP - LAUNDRY CATCH FLOOR DRINKING TOTAL CL08ETs TUBS SHOWERS TWA SINKS SINKS, Tuns URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKI.R. SWIM'S TANK CONN. FjXLO SIT TRAP HEATER WEL SYSTEN POOL CONTR. LIST CHKCK Size Septic Tank._ _ Type of T __ _.____.._.Capacity Cats.__ __-•-._ --•--___-- Feet of Drain T11e _ - Feet of Tank or Field from►Well__ —_ _ _. Nature of Water Supply: CRY—Will- of Soakage Pit.—_ Amount of Permit (Signed) _......................_ 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 5988,Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof,and will'require similar compliance�'!! contractors o�a�fth:ewor;k tors employed by bim in the work to be performed under.this permit;and will post or cause to be posted for on the site such public notice or notfc�es as are rumka by the Act. The undersigned agrees to employ only sucarmed this permit, as are lioersed by Miami Shares Village, Mester Plumber. STATE OF FLORIDA, ML I COUNTY OF DADE. Before me,the undersigned authority,a notary public,duly aufficSized to administer oaths and take acknowledgments. personally appeared tome well known,and who,being by me first duly sworn,upon'oath deposes and.says that he is the of the above described ruction, that he has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. My Commission Ezphw Notary Public,State of Florida materNials to �of$1.00 will be made when such re-inspectiaa is made•r nary by improper notice;for inspection, or faulty MIAMI SHOKES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PWMBING PERMIT permit NO...._... Date.»___.._�.�'...�Jr—x J... .... Application is hereby made for the approval of the detailed stidement of the plana and specificatiow heravith submitted for the building or othm stzvcture herein described.This application 0 made in compliance and conformity with the Building Ordinance of Miami Shwes Wage,Flodda, and all provisions of the Laws of the State of Florida,SO ordi umm of Miand Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with,whether hadn VadRed at not. A copy M approved plana and iPecificatim most be kw at j budding dig progmas of work. Owner's Name and Addr Registered Architect and/or Engineer ..3d" QLi w 40A�e� s�.�,l� .... ..... .�_ - FUployiog PlunabWa Nmo Location and Logai Description Lot 1 wock Sabdividon_. X33/66 Sts+ed and Number where work is to be V P, in ed—No ra State work to be perfarmeS and purpose of budding (By Floors) ./r. .. ................ ...._... ........._.. New Building ... .._._..RedAl +g Addition—__.. _. Repairs. ._. No. of Stories......_.._......... CLOSaTa SATN $NOWaRS LAVA. $INK$ SLOP LAYND Y URINALS CATCH FLOOR DRINKING TOTAL TYSG T'0111a� SIMKG TY/�, '$AitN DRAIN FOYNT'NS FIXTYRSS CONTR. LIST CHUN $[DTIC $EWER DRAIN SOAKA19 CREAM SOLAR DRWP SPRKLR. SWIN'O TANK 'CONN. FIELD PIT TRAP "&^Tan WE L SYSTEM POOL CONTR. LIST r- CHECK site Septic Task_..__ -Type of Fent of Drain XN st- Feet of Talc or Drain Field from Well_ t Nature of Water Supply: City—Wof Soakage Pit--- Amount it .._Amount of Permit *J46 (Seed) ~ lPlumhing In,lpector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obhigadm w an wnplcya of labor under the Florida Worloseds Compensation Act,being Sections 5988,Compiled Cenwah Laws of Florida Permanent Suppkment, and Iwo com- plied with the provisions thereof,and will n qd ko similar compliance from all contractors or sub-contractors employed by him in the work to he performed under this permit.and will post or gauss to be posted for inspection on the die of the work such public notice or notices as am requited by the Act. The undersigned agree, to employ a* such sub-contractors, on work to be performed under this permit, as are liocased by Miami Shorm Wage. a STATE OF FLORIDA, GJ COUNTY OF DADE. Before me,the undersigned authority.a notary publici III*m6orized to administer oaths and take aehlaowledsawnts, pully appeared to me well known,and who.being by me first duly swan.neon oath deposes p and is that In did sip the aims. and tl�at-all fain � the above described coos, that he Lora carefully read the Eo therein by him stated are true. My Commission Expires Notary Pubho.State of 19orda nrwteri L andA wwnbApection fee rl�ip. of 41.00 will Iss,aads whoa so&was wWois h ase&* sosasae3 by irsAbper wdw for b*oc*% or fin*