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PLUMBINGMIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT / APPLICATION FOR PLUMBING PERMIT PermitNo....- ..... Date_ _-----..--.-------.--..._......__.__.----. Application is hereby mode 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A Copy of approved plans and specifications must be kept :U building during progress of work. I ', C Owners Name and Address ...... �! ._.. ..-._ No._---.--.-._---.- Street .... ..... ._....- Registered Architect and/or Employing Plumber's Name Location and Legal Description Lot---_—.— —Block----- Subdivision— —__ Street and Number where work is to be performed—No.-1_ (ISZ_ _.0-� .1 �.�___. r State work to be performed and purpose of building (By Fkwrs)--._.----.---.--_._-...-.--.-.-- .............. _..... . .......................... New Building._'-_ .-.---- Remodeling----. Addition...—'--_._.. Repairs ---- .--_.-...---------- No. of Stories ------- .................. . CLOSETS SKOW[RB LAVA• TORTE[ 61NK8SLOP SINKB LAUNDRY TUee URINALB CATCH BABIN FLOOR DRAIN DRINKING FOUNY NE TOTAL FI%TURCI LIST C LIeT CHICK SYSTEM SYSTEM SPOOL POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GR AP TRAP SOLAR HEATER DEEP WELL CC Yn LIBT CN[CN Size Septic Tank__—.-..------- --Type of Tan k.-------.--.-..._..—.---------Capacity Gals .-.-----.--.---...--.--- Feet of Drain Tile ---- _-_- -- --------- ----_—Dist. Feet of Tank or Drain Field from Well_..----.----.---..._--...... ....-----.---..--............. Nature of Water Supply: Clty—WelL- .------- —Size of Soakage Pit._..--._._-_--_--.-_'......... ... --...--.......... U� Amount of Permit $_j - -- Inspector. The undersigned applicant for this building permit does hereby certify that he undehTrnds and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5980, 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 undersigned agrees to employ only such sub -contractors, on work to be performed under this permit, as err licensed by Miami Shores Village. (Signed )---------------------------- ------------------------ Master Plumber. STATE OF FLORIDA, l COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me wellknown, and who, being by me first duly mom, 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 fac 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 faul materials and/or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUMDING ❑ DATF ImcnuCAL❑PERMIT N° 13594 Contractor's MB PLUING u.{ License No_ ROOFING ❑ Work to be performed under this Permit Owl Buil Arc] -on or B Legi Des( Add Buil ss— ier of ling iitect ractor wilder 11 Lot Bl, Subdi- aiption vision ress of Value of Amt. of ling Project $ 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 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. 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES lJIL:..a.c PLUMBING INSPECTION DEPARTMU APPLICATION FOR PLUMBING ",,,mIT Permit No.---� .^7 nRta 1 ^ I Cl 6 0 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. ��Y'" 1 �` Owners Name and Address-__!..!—. I� C Via --..--.--.--. No.—..J.��----.-- Street--N .....- Registered Architect and/or Employing Plumber's Name Location and Legal Description Lot --- Street and Number where work is to be No. Street__ 4/ 7-�IR -----•-- Block —-----.. u\, State work to be performed and purpose of building (By Floors)—_ "h, 12_91_�aV_—I1J v IV t. -- ------- ----------- No. of Stories-- -..........-.......-. BATH LAVA" SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TOPICS SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT -No FIKTUREE C LIST LIBT — CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM-0 TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tenk_----.---------------Type of Tank—_-.---.--.------- ----------- Capacity Feet of Drain Tile---------- TMRt Feet of Tank or Drain Field from Nature of Water Supply: Amount of Permit of Soakage Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts bis 1igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5900, Compiled General Laws of Florida Pfinanent 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 a site of the work ch public notice r notices Rs are required by the Act. The undersigned agrees to employ only such sub-contraeto on� t be formed under permit, Ks are licensed by Miami Shores Village. L (Signed --- ---- ...----------. —. _ � .. _..................... M Plumber. STATE OF FLORIDA, t a& 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. ---------- 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. MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195— PLUMBING ❑ PERMIT NY 9940 Contractor's License No. ROOFING ❑ ❑ Work to be performed under this Permit --- Owner of Building Architect Contractor or Builder Legal Lot Ill. Subdi- Description vision Eq. Ft. Address of Value of Amt. of _. Building Prof ect $ 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 application berefor m 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 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT — - APPLICATION FOR PLUMBING PERMIT i'oralt Na._._-._._...._._.----- -- Date --- ----- ..- ... _ . _. .----' -------._..-------- Application is hereby nia ie 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 Lf 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_ - _ ., n A Owner's Name and Registered Architect and/or Empi .- --- -- -.-- — --- ..... — -- - ... - ..._..---__--------_._-- Employing Plumbers Name ...... Street Location and Legal Description Lot.._—..__—._.-- Blocti Subdivision.— the 'W_ 4%l' -- Street and Number where work is to be performed —No. t.� � State work to be performed and purpose of building (By Floors)-- ------- ----.----... No. of Stories. _..._.. - Remad _...—_ Addition_.—_—.. . A --.--.._.._. .......-...._. New Building_------------ eBug---- ---- Repairs. BATH LAVA. SLOP LAUNDRY CATCX FLOOR DRINKING TOTAL CLOERB TU66 6XOW[RB TORIEB SINNe 81NK6 TUBS URINALS BASIN GRAIN FOUNT, FIXTURES CONTR. LIST CHa" SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEW SPRKLR, 6WIM-O TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONrR. LIST -- CN[CK Sim Septic Tank..----`--J�p of Feet of Drain Tile. —.-----------•-----Dist. Feet of Tank or Drain Field from W Nature of Water Supply: C(ty—Well-----------'-"----------Size of Soakage 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 5908, Compiled Cenral 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 undersigned agrees to employ only such sub -contractors, on work to be performed under this permit, its are licensed by Miami Shores village. STATE OF FLORIDA, t COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well komv% 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 hum 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.