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815 NE 91 Terr (5)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 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. Owner's Name and Address.... Registered Architect and/or Engineer Employing Plumbs Name Location and Legal Description Lot Subdivision State work to be performed and purpose of building (By Floors) Z1.4 N.Z- /Li P Street and Number where work is to be performed—No New Building Remodeling Addition Repairs 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 Amount of Permit $ 0 t) (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 Worlanen's Compensation Act, being Section 5968, 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 pennit as are licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. No Street. /c 36 "),(-) ?JO Al i,t) a 2 ae Block (Signed)_ No. of Stories Master Plumber. 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 wnecessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES &NU SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRI N K I NO FOUNT• NS 1 TOTAL FIXTURES CONTR. LIST CHICK .-.- .....■.■....... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM • 0 POOL CONTR . LIST CHECK 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 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. Owner's Name and Address.... Registered Architect and/or Engineer Employing Plumbs Name Location and Legal Description Lot Subdivision State work to be performed and purpose of building (By Floors) Z1.4 N.Z- /Li P Street and Number where work is to be performed—No New Building Remodeling Addition Repairs 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 Amount of Permit $ 0 t) (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 Worlanen's Compensation Act, being Section 5968, 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 pennit as are licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. No Street. /c 36 "),(-) ?JO Al i,t) a 2 ae Block (Signed)_ No. of Stories Master Plumber. 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 wnecessary by improper notice for inspection, or faulty materials and/or workmanship. Permit No .,2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ ____ 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'diIring progress of wor Owner's Name and Address__ Registered Architect and /or Engyneer Employing Plumber's Name - No._ _ 5 Street 9 /% No. 7 cif Street__ __L'- ' 7 Location and Legal Description Lot_ ___R ). Block Subdivis' �'�'_ /' Imo' 4 — C Q 6 ✓G� Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile 7_F Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ 7 ( S i g n e - - - - - ' A � ' _ !'-' - ‘,., )Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he �, stands and accepts his obligarinns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge eral 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, .n work to be peformed under this permit, as are licensed by Miami Shores Village. ss. My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, 1 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. ' 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 TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CL LI57 / 1 a / / / -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 1 / - / I CHECK . Permit No .,2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ ____ 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'diIring progress of wor Owner's Name and Address__ Registered Architect and /or Engyneer Employing Plumber's Name - No._ _ 5 Street 9 /% No. 7 cif Street__ __L'- ' 7 Location and Legal Description Lot_ ___R ). Block Subdivis' �'�'_ /' Imo' 4 — C Q 6 ✓G� Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile 7_F Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ 7 ( S i g n e - - - - - ' A � ' _ !'-' - ‘,., )Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he �, stands and accepts his obligarinns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge eral 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, .n work to be peformed under this permit, as are licensed by Miami Shores Village. ss. My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, 1 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. ' 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. CLI BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA 19 �, Dates ,_ ELECTRICAL ❑ CQ PLUMBING o PERMIT N? 10592 Contractor's ROOFING ❑ License No. ❑ Work to be performed under this Permit Owner of • 1". Building 'a v 3 l Architect Contractor n`r or Builder � ` c � a 0 =, t` ij qe� Legal Lot 11 Description 11 Bi. Address of Building :� . V ,. ;: CONTRACTOR or BUILDER Subdi - vision Sq Ft Value of 11 Amount of - ' r' -- Project $ 11 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 applica- tion 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, on the , plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees —• ( Signed— 4 =`� - l ' !'tt..� ISPECTOR) BY In consideration of the issuance to me of this it I erm a re p g d'tb perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawinOestatements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work doi6 by either, myself, my agent, servant or employee. f BY ° AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Address of Building Lot Ei PERMIT N9 9403 Work to be performed under this Permit Owner of - Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of 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. 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. BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /y,/).7 /‘ 3 2--3 7 '7` Date - - 7 �V 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. Owner's Name and Address __,c�' <_ J ' / / ` v(_4 No.____rJ_-/ J Street_ ,j7 - E 7 --- ° 71 4 Registered Architect and /or Engineer .... ___________/____ __ Employing Plumber's Name ?"�_ - � "- ___ •A" No.f '��- Street s/• Location and Legal Description Lot Block____ _ ____ Subdivision Street and Number where work is to be performed— No._______-__. / __ __ _^ Street ' / / E' .e State work to be performed and purpose of building (By Floors) _ New Building Remodeling Addition Repairs No. of Stories. . ..... ....... . Nature of Water Supply: City —Well ---------------------------------- • - - - -- - / Amount of Permit $ / -t ` U 0 STATE OF FLORIDA, J ss. COUNTY OF DADE. Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga o' as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane t supplement, and lias com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl ed 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 are licensed by Miami Shores Village. (Signed) __ My Commission Expires Notary Public, State of Florida Plumbing Inspector. Master Plumber. 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. 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 TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Gown. LIST / / 2 CHECK i,/ (� (f // n / // , e/&2. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST _ CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /y,/).7 /‘ 3 2--3 7 '7` Date - - 7 �V 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. Owner's Name and Address __,c�' <_ J ' / / ` v(_4 No.____rJ_-/ J Street_ ,j7 - E 7 --- ° 71 4 Registered Architect and /or Engineer .... ___________/____ __ Employing Plumber's Name ?"�_ - � "- ___ •A" No.f '��- Street s/• Location and Legal Description Lot Block____ _ ____ Subdivision Street and Number where work is to be performed— No._______-__. / __ __ _^ Street ' / / E' .e State work to be performed and purpose of building (By Floors) _ New Building Remodeling Addition Repairs No. of Stories. . ..... ....... . Nature of Water Supply: City —Well ---------------------------------- • - - - -- - / Amount of Permit $ / -t ` U 0 STATE OF FLORIDA, J ss. COUNTY OF DADE. Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga o' as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane t supplement, and lias com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl ed 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 are licensed by Miami Shores Village. (Signed) __ My Commission Expires Notary Public, State of Florida Plumbing Inspector. Master Plumber. 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. 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. Permit No / ( Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. L _12 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 69 -1300 30 (Signed) --' (Signed) Date.__ — 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. t1. C . Batndola 815 NE 91 Terrace Owner's Name and Address-------- --------------------_---------- _-- -- ---- _-- --- ____ —_ No._ - -- - Street_ - Registered Architect and /or Engineer - - -- Employing Plumber's Name Peoples Gas System No _ 564 ICE _ Street__ 125th Street Location and Legal Description Lot______._ —_ _______—_______________ Block_____ Subdivision Street and Number where work is to be performed—No.__ State work to be performed and purpose of building (By Floors) New Building Remodeling____ Addition.___ Repairs No. of Stories . Street Size Septic Tank_ Type of Tank Capacity Gals._. Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit t Master Plumber. bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent .pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 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 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 TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK I NG Space FOUNT' NS Htr • 1 TOTAL F XTUREB 1 CONTR. LIST - CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIOT CHECK Permit No / ( Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. L _12 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 69 -1300 30 (Signed) --' (Signed) Date.__ — 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. t1. C . Batndola 815 NE 91 Terrace Owner's Name and Address-------- --------------------_---------- _-- -- ---- _-- --- ____ —_ No._ - -- - Street_ - Registered Architect and /or Engineer - - -- Employing Plumber's Name Peoples Gas System No _ 564 ICE _ Street__ 125th Street Location and Legal Description Lot______._ —_ _______—_______________ Block_____ Subdivision Street and Number where work is to be performed—No.__ State work to be performed and purpose of building (By Floors) New Building Remodeling____ Addition.___ Repairs No. of Stories . Street Size Septic Tank_ Type of Tank Capacity Gals._. Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit t Master Plumber. bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent .pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 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 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. La A0 SHORES VOLd PLUMBING INSPECTION DEPARTMENT APPIOCAVOON ©R PWWMBD ©P[ I IT Gr.& Permit No --- -_ �� 9 Date ?'' 9 / / p 4. r Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di" lion 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. �J� Q_ ll((L r 4i N - N o. — / .. - --- ..... - - Streett / ' ( h�%!/ i,.. Owner's Name and Address Registered Architect and /or En Employing Plumber's Name Amount of Permit $ _ 5ke ¢ - Location and Legal Description Lot-- _ - __ - - -- --- __ -- -- p — /Si -- Block -- -- _ _ -- _ _- ___ -- -. - - -___ -- Subdivision. Street and Number where work is to be performed —No. _ 9 _ _ i _7 / - State work to be performed and purpose of building (By Floors) _ New Building ____ -- - - --- --- - -- Remodeling- -- -___ -_ _ -- -- -_ _ Addition_--- Size Septic Tank___ _ Feet of Drain Tile - -__(1r Nature of Water Supply• City —Well. street 94/0a—Vtdieak - __ Type of Tank _ _Dist. Feet of Tank or Drain Field from Well _ Si ' of Soakage Pit Repairs_ No. of Stories - (Signed)_ ( Signed) -. Capacity Gals. Master Plumber My Commission Expires _ — Notary Public, State of Florida Pk.mbirg In.pecto. - 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 5968, Compiled General Laws of Florida Permanent Supplement, :-'rid 1 as om- 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 na Ices as are required by the Act. The undersigned agrees to employ only such sub contractors, o k to be perf this per nit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgu ents, personall 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 .acts therein by him stated are true. 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 OWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT •NS TOTAL F XTUREB CONTR. LIST CHECK - SEPTIC TANK SEWER CONN. DRAIN FI ELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WE_L SPRKLR SYSTEM SW IM•G POOL CONTR. LIST - CHUCK La A0 SHORES VOLd PLUMBING INSPECTION DEPARTMENT APPIOCAVOON ©R PWWMBD ©P[ I IT Gr.& Permit No --- -_ �� 9 Date ?'' 9 / / p 4. r Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di" lion 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. �J� Q_ ll((L r 4i N - N o. — / .. - --- ..... - - Streett / ' ( h�%!/ i,.. Owner's Name and Address Registered Architect and /or En Employing Plumber's Name Amount of Permit $ _ 5ke ¢ - Location and Legal Description Lot-- _ - __ - - -- --- __ -- -- p — /Si -- Block -- -- _ _ -- _ _- ___ -- -. - - -___ -- Subdivision. Street and Number where work is to be performed —No. _ 9 _ _ i _7 / - State work to be performed and purpose of building (By Floors) _ New Building ____ -- - - --- --- - -- Remodeling- -- -___ -_ _ -- -- -_ _ Addition_--- Size Septic Tank___ _ Feet of Drain Tile - -__(1r Nature of Water Supply• City —Well. street 94/0a—Vtdieak - __ Type of Tank _ _Dist. Feet of Tank or Drain Field from Well _ Si ' of Soakage Pit Repairs_ No. of Stories - (Signed)_ ( Signed) -. Capacity Gals. Master Plumber My Commission Expires _ — Notary Public, State of Florida Pk.mbirg In.pecto. - 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 5968, Compiled General Laws of Florida Permanent Supplement, :-'rid 1 as om- 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 na Ices as are required by the Act. The undersigned agrees to employ only such sub contractors, o k to be perf this per nit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgu ents, personall 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 .acts therein by him stated are true. 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.