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1955 SEPTIK TANKPermit No Application is hereby ; = de for the approval of the detailed statement of the plans and specifications herewith submitted structure herein descri' .. This application is made in compliance and conformity with the Building Ordinance of Miami and all provisions of a e Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of Miami Shores V' i age shall be complied with, whether herein specified or not. A copy of approved plans and specifi building during progress of woo Owner's Name and Address._�� _'_r , ;!' No. Registered Architect and /or Employing Plumber's Nam Location and Legal Description Lot.______— " Street and Number where work is to be performed —No. —_-Z� State work to be performed and purpose of building (By Floors) New Building Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. Remodeling_ Blo J� My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Additi Size Septic Tank Type of Tank ' v Capaci Feet of Drain Tile ---- - - - - -- ,a _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well _ Size of Soakage Pit The undersigned applicant for this building permit oes hereby under the Florida Workmen's Compensation Act, being S - tion 5988, plied with the provisions thereof, and will require similar . s pliance from a performed under this permit; and will post or cause to be posted' for inspection on the site required by the Act. The undersigned agrees to employ only such sub- contractors, on licensed by Miami Shores Village. (Signed). Date._.. _______ Street Street___ Subdivision 2 Z 41 ■11 Repairs / No. of Stories. rtify that he understands and iled General Laws s d Plumbing Inspec ccepts his obligations as an employer of labor orida Permanent Supplement, and has eom- sub- contractors employed by him in the work to be of the work such public notice or notices as are ork to be per o•••ed_under this permit, �!sa are 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 }Sy him stated are true. Notary Public, State of Florida Master Plumber. for the building or other Shores Village, Florida, of the Building Division cations must be kept at 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 and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS INK6 SLOP SINKS LAUNDRY TUBS U 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 SW IM'G POOL CONTR. LIST � - -- CHECK S _ 9 .. ,/°1 Permit No Application is hereby ; = de for the approval of the detailed statement of the plans and specifications herewith submitted structure herein descri' .. This application is made in compliance and conformity with the Building Ordinance of Miami and all provisions of a e Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of Miami Shores V' i age shall be complied with, whether herein specified or not. A copy of approved plans and specifi building during progress of woo Owner's Name and Address._�� _'_r , ;!' No. Registered Architect and /or Employing Plumber's Nam Location and Legal Description Lot.______— " Street and Number where work is to be performed —No. —_-Z� State work to be performed and purpose of building (By Floors) New Building Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss. Remodeling_ Blo J� My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Additi Size Septic Tank Type of Tank ' v Capaci Feet of Drain Tile ---- - - - - -- ,a _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well _ Size of Soakage Pit The undersigned applicant for this building permit oes hereby under the Florida Workmen's Compensation Act, being S - tion 5988, plied with the provisions thereof, and will require similar . s pliance from a performed under this permit; and will post or cause to be posted' for inspection on the site required by the Act. The undersigned agrees to employ only such sub- contractors, on licensed by Miami Shores Village. (Signed). Date._.. _______ Street Street___ Subdivision 2 Z 41 ■11 Repairs / No. of Stories. rtify that he understands and iled General Laws s d Plumbing Inspec ccepts his obligations as an employer of labor orida Permanent Supplement, and has eom- sub- contractors employed by him in the work to be of the work such public notice or notices as are ork to be per o•••ed_under this permit, �!sa are 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 }Sy him stated are true. Notary Public, State of Florida Master Plumber. for the building or other Shores Village, Florida, of the Building Division cations must be kept at 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 and /or workmanship.