Loading...
3333Permit No.. _. Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VIL? AGE PLUMBING INSPECTION DEPARTMEiv APPLICATION FOR PLUMBING f': +�` MMc (79 Application is hereby made for the approval of the detailed statement of the plans and speciii ations 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 net 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 Engineer yy Employing Plumber's Name Mimi, PieaEER �'p7l( //ii/K No. Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performe8 and purpose of building (By Floors) k T ' -- ai No . _. � / 3 .. street. / 76 Blorlc Date Street V i ki 6 Subdivision 1P30 0 Street---__&_' ' 2, A ve New Building Remodeling Addition Repairs ..__._ Type of Toole Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit_ (Signed) No. of Stories_ _Capacity Gds.-.__ - _ _ ....... Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob gations 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 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, , k to ed under this permit, as are lieu by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undyed authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 hhn stated are true. My Commission Expires Notary Public, State of Florida ve NOTE: A re-inspecidon 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. CLOSET. BATH TUBS SHOWER . L TORIES SINKS SLOP SINK. LAUNDRY Tees URINAL. CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE. 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 Permit No.. _. Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VIL? AGE PLUMBING INSPECTION DEPARTMEiv APPLICATION FOR PLUMBING f': +�` MMc (79 Application is hereby made for the approval of the detailed statement of the plans and speciii ations 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 net 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 Engineer yy Employing Plumber's Name Mimi, PieaEER �'p7l( //ii/K No. Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performe8 and purpose of building (By Floors) k T ' -- ai No . _. � / 3 .. street. / 76 Blorlc Date Street V i ki 6 Subdivision 1P30 0 Street---__&_' ' 2, A ve New Building Remodeling Addition Repairs ..__._ Type of Toole Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit_ (Signed) No. of Stories_ _Capacity Gds.-.__ - _ _ ....... Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob gations 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 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, , k to ed under this permit, as are lieu by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undyed authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 hhn stated are true. My Commission Expires Notary Public, State of Florida ve NOTE: A re-inspecidon 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.