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Septic from 1965Permit No ( 0 L E _ I Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittetI 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 building Miami�Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at uring progress of work. Owner's Name and Address Amount of Permit $� ______ _ -- STATE OF FLORIDA, t COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I L!iVJ - _ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ Street and Number where work is to be performed —No No. Date _.__._._ CLS Str '��� r State work to be performed and purpose of building (By Floors)_____ _____ 61 - ( ej,, _.__.. 4 __. _ ___ New Building__________________ ___ _______ Remodeling_ -- _- ____ -_ Addition -------- •- -. -_ -- ____ -. Repairs No. of Stories..... ........... _.. 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 . Capacity Gals. (Signed)._ - — - CA-4 ......... - 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 - contrac ' em•loyed 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 . rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, . ork t be per ed under this permit. as are licensed by Miami Shores Village. 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 Master Plumber. 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 Tuss 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 CHICK Permit No ( 0 L E _ I Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittetI 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 building Miami�Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at uring progress of work. Owner's Name and Address Amount of Permit $� ______ _ -- STATE OF FLORIDA, t COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I L!iVJ - _ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ Street and Number where work is to be performed —No No. Date _.__._._ CLS Str '��� r State work to be performed and purpose of building (By Floors)_____ _____ 61 - ( ej,, _.__.. 4 __. _ ___ New Building__________________ ___ _______ Remodeling_ -- _- ____ -_ Addition -------- •- -. -_ -- ____ -. Repairs No. of Stories..... ........... _.. 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 . Capacity Gals. (Signed)._ - — - CA-4 ......... - 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 - contrac ' em•loyed 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 . rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, . ork t be per ed under this permit. as are licensed by Miami Shores Village. 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 Master Plumber. 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.