Loading...
897 NE 91 Terr-C So MIAMI SHORES VIL':AG PLUMBING INSPECTION DEPARTMLN - : APPLICATION FOR PLUMBING .k. I " 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 confor n :ty 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 not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address f �� �� No. Registered Architect and /or En ineer_ Employing Plumber's Name._ _ a. A4f Sep_pc A n t.z. (o Location and Legal Description Lot_ Block__ Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors r New Building Remodeling Addition__ _____� -- Repairs Size Septic Tank Type of Tank e �'_ =( Capacity Gals SS 6 ( '14 .. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Feet of Drain Tile Amount of Permit $ 2 � STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, My Con''mission Expires Date 4, ( ,j and acceptyhis o s of Florida Permanent sub - contractors employe f e work such p r k to be—perf rm ed° The undersigned applicant for this building permit does hereby certify that he understan under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge " eral La plied with the provisions thereof, and will require similar compliance from all con actors o performed under this permit; and will post or cause to be posted' for inspection o. the site required by the Act. The undersigned agrees to employ only such sub - contra +.rs, on licensed by Miami Shores Village. No. of Stories. _ . Notary Public, State of Florida P C717 Street_i Street Subdivision ...... -- ........... ___________ ....... Plumbing Inspector. tions as an employer of labor upplement, and has com- by him in the work to be c notice or notices as are nder, this permit, as ar Masterr"Plurnber: ster oaths and take ackno iedgments, 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 TUBE [ S LAVA• TORIES S INKS 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 SWIM•G POOL CONTR. LIST CHECK / _ , -C So MIAMI SHORES VIL':AG PLUMBING INSPECTION DEPARTMLN - : APPLICATION FOR PLUMBING .k. I " 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 confor n :ty 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 not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address f �� �� No. Registered Architect and /or En ineer_ Employing Plumber's Name._ _ a. A4f Sep_pc A n t.z. (o Location and Legal Description Lot_ Block__ Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors r New Building Remodeling Addition__ _____� -- Repairs Size Septic Tank Type of Tank e �'_ =( Capacity Gals SS 6 ( '14 .. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Feet of Drain Tile Amount of Permit $ 2 � STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, My Con''mission Expires Date 4, ( ,j and acceptyhis o s of Florida Permanent sub - contractors employe f e work such p r k to be—perf rm ed° The undersigned applicant for this building permit does hereby certify that he understan under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge " eral La plied with the provisions thereof, and will require similar compliance from all con actors o performed under this permit; and will post or cause to be posted' for inspection o. the site required by the Act. The undersigned agrees to employ only such sub - contra +.rs, on licensed by Miami Shores Village. No. of Stories. _ . Notary Public, State of Florida P C717 Street_i Street Subdivision ...... -- ........... ___________ ....... Plumbing Inspector. tions as an employer of labor upplement, and has com- by him in the work to be c notice or notices as are nder, this permit, as ar Masterr"Plurnber: ster oaths and take ackno iedgments, 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. M! MI SHORES VILLAGE, FLA. JOB ADDRESS d it INSPECTIONQ TIME READY — - s"--1 -4 -7 REMARKS: INSPECTOR MIAMI , ;: VILLAGE, FLA. JOB ADDRESS 1 INSPECTION 2 TIME READY REMARKS: — N? 6040 DATE N° 6051