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PLUMBING PERMITfiP7 Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING '"` tih liIT 2 L5 / Date - - - - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bdilding 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 AddresskCa.-c.... _ �• : =� No.------- _--- •.— •-_-- --- - -- Street Registered Architect and /or Engineer ... _ ._ -- ------- _ - __ - Employing Plumber's Name - r.?..C- __Z_'i,y 7 ;_e. i! ` = _ _ _._. No.?'?�_�C r1. Location and Legal Description Lot 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 Amount of Permit $ STATE OF FLORIDA, u. COUNTY OF DADE. My Commission Expires • `f Block_ $ - Street Street.`'' �1�.. Repairs No. of Stories Size Septic Tank -- _---- •----------- - - - - -- Type of Tank_ Feet of Drain ........ _ .__ ^_ —Dist. Feet of Tank or Drain Field from Well .___........___._ __ Nature of Water Supply: City—Well. _ ___— _______.__.____.____ — ____Size of Soakage Pit Capacity Gals. Notary Public, State of Florida ;1" Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor .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 tlie 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)_ Master Plumber. Before me, the undersigned 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 him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWER! LAVA- TORIES SINKS SLOP SINKS I .Y .UN0l T,U 8 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LsT ■3 / Z .3 / ., CHECK . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT Gee*SE IRA.R seusAs' Fth� -�R . DEEP WELL Swy,41.G. SiM SWIwG POOL CONTR. LIST / �. � • CHECK • fiP7 Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING '"` tih liIT 2 L5 / Date - - - - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bdilding 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 AddresskCa.-c.... _ �• : =� No.------- _--- •.— •-_-- --- - -- Street Registered Architect and /or Engineer ... _ ._ -- ------- _ - __ - Employing Plumber's Name - r.?..C- __Z_'i,y 7 ;_e. i! ` = _ _ _._. No.?'?�_�C r1. Location and Legal Description Lot 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 Amount of Permit $ STATE OF FLORIDA, u. COUNTY OF DADE. My Commission Expires • `f Block_ $ - Street Street.`'' �1�.. Repairs No. of Stories Size Septic Tank -- _---- •----------- - - - - -- Type of Tank_ Feet of Drain ........ _ .__ ^_ —Dist. Feet of Tank or Drain Field from Well .___........___._ __ Nature of Water Supply: City—Well. _ ___— _______.__.____.____ — ____Size of Soakage Pit Capacity Gals. Notary Public, State of Florida ;1" Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor .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 tlie 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)_ Master Plumber. Before me, the undersigned 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 him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. G 0 Permit No 7 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 __ -- . No. 4 Street_ - - .- Registered Architect and /or Eng e Employing Plumber's Name,‘ .f2aa- Location and Legal Description Lot_ Amount of Permit $ G _ -- ___ - -- - -Type of Tank_, y 0 STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r- ;keMIT t — No. � _ _ Street--_I B1orti Subdtvlsion_._- (Signed) _ (Signed). Street and Number where work is to be performed —No Street_ - -_- Tom- State work to be perform nd purpose of building (By Floors)_-__-__ New Building_______ _ ± _._ Remodeling__ ____ ______ Addition_______._ Repairs No. of Stories_ . _. Capacity Gals Size Septic Tank_ Feet of Drain Tile. —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____— ______- _ ------ _.-_________________Size of Soakage Pit Date AO 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 5988, Compiled General Laws of Florida Permanent Su plement, 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 publi 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. _ 6(ivz..6......„ Plumbing Inspector. Muter 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•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TOR 1E8 1 SINKS SLOP SINKS LAUNDRY Tuee URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 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 r G 0 Permit No 7 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 __ -- . No. 4 Street_ - - .- Registered Architect and /or Eng e Employing Plumber's Name,‘ .f2aa- Location and Legal Description Lot_ Amount of Permit $ G _ -- ___ - -- - -Type of Tank_, y 0 STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r- ;keMIT t — No. � _ _ Street--_I B1orti Subdtvlsion_._- (Signed) _ (Signed). Street and Number where work is to be performed —No Street_ - -_- Tom- State work to be perform nd purpose of building (By Floors)_-__-__ New Building_______ _ ± _._ Remodeling__ ____ ______ Addition_______._ Repairs No. of Stories_ . _. Capacity Gals Size Septic Tank_ Feet of Drain Tile. —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____— ______- _ ------ _.-_________________Size of Soakage Pit Date AO 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 5988, Compiled General Laws of Florida Permanent Su plement, 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 publi 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. _ 6(ivz..6......„ Plumbing Inspector. Muter 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•necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE. FLORIDA ELECTRICAL ❑ DATE PLUMBING in PERMIT N? 9979 Contractor's ROOFING ❑ License No •� :: t . � • BUILDING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 1 ❑ Work to be performed under this 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. CONTRACTOR OR BUILDER Bl. Subdi- vision sq. Ft Value of Project $ r -" f Amt. of Permit $ BY AUTHORITY . • y 17 $ UILDING ELECTRICAL El DATE ' PLUMBING © PERMIT N? 9403 R OOF 1NG ❑ wner of Aiding rchitect )retractor Builder !gal )scription ldress of .ilding Lot MIAMI SHORES VILLAGE. FLORIDA Bl. Work to be performed under this Permit 2 Subdi- vision 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 efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations taining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications red that he assumes responsibility for work le by his agents, servants or employees. Signed: '' ' . 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 taining thereto and in strict conformity with the plans, drawings, statements or specifications to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent; servant or employee. • i CONTRACTOR OR BUILDER sq. Ft Value of /Project $ • 4 . Contractor's License No. 1 Amt. of Permit $ BY AUTHORITY oil 3UILDING ❑ ,LECTRICAL ❑ ?LUMBING ll PERMIT N? 9259 3OOFING ❑ iddress of ; uilding MIAMI SHORES VILLAGE, FLORIDA owner of luilding architect : ontractor T Builder .egal Lot >escription CONTRACTOR OR BUILDER B i. ' f, Work to be performed under this Permit �� "' Subdi- vision r Sq. Ft Value of Project $ BY DATE r Contractor's License No - Amt. of Permit $ .4 AUTHOR 195 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 erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or,specif' ations and that he assumes responsibility for work one by his agents, servants or employees. Signed; "< < ,a ' 4y a 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 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 7 UILDING ❑ LECTRICAL ❑ P ERMIT o LUMBING © N. 9403 OOFING ❑ wner of Aiding chitect intractor Builder gal scription (dress of ilding Lot MIAMI SHORES VILLAGE. Bl. Work to be performed under this 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 efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations taining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications dnd that he assumes responsibility for work le 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 aining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Subdi- vision FLORIDA DATE / Contractor's License No Sq. Ft Value of Project $ Amt. of Permit $ 4 195_ I7 MIAMI SHORES VILLAGE. FLORIDA ;UILDING ❑ DATF 195 - LECTRICAL ❑ 'LUMBING PERMIT N? 9259 iOOFING ❑ )caner of . uilding achitect 'ontracto r Builde egal )escripti ddress uilding Signed• Contractor s License No Work to be performed under this Permit - " ► e ' { et 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 erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me 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 -anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations z rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or.specif ations and that he assumes responsibility for work 3 n by his agents, servants or employees. , 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 zrtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY -; AUTHORITY a r t ) r // t i C -, / t.-",- +t.•`7 n Lot i G Bl. ! s S vision Sq. : , ` ' .•�+- --""" ` "`" + ye Amt. of Permit $ 2 t, If / / ?, / f f - f^ .• _ Value of Project $ MIAMI SHORES VILLAGE. FLORIDA ;UILDING ❑ DATF 195 - LECTRICAL ❑ 'LUMBING PERMIT N? 9259 iOOFING ❑ )caner of . uilding achitect 'ontracto r Builde egal )escripti ddress uilding Signed• Contractor s License No Work to be performed under this Permit - " ► e ' { et 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 erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me 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 -anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations z rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or.specif ations and that he assumes responsibility for work 3 n by his agents, servants or employees. , 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 zrtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY -; AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING g] ROOFING ❑ Owner of Building f Legal Description Address of Building Lot • MIAMI SHORES VILLAGE. FLORIDA DATF 3 19 PERMIT N? 9979 Contractors r , License No 1 Architect Contractor or Builder CONTRACTOR OR BUILDER Bl. Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project $ 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• t• 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 respojflibility for all work done by either, myself, my agent, servant or employee. iF ^ wro A � J $ ✓ P T t_ BY AUTHORITY Permit No MIAMI SHORES VILAG2 PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 7'MIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the b ilding 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:2-21a...: No.._ Registered Architect and/or Engineer___ Employing Plumber's Name Location and Legal Description Lot. Street:2 / Street and Number where work is to be performed—No 7/ Street State work to be performed and purpose of building (By Floors)_ New Building__ Remodeling Addition Block_ / -s Subdivisionk. ... ......... 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 C$ Aniount of Permit STATE OF FLORIDA, } COUNTY OF DADE. Capacity Gals. Date. (Signed)_ WA■ " 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 5968, Compiled General Laws of Florida Per anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractor_. 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 permit, as are licensed by Miami Shores Village. 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSITS BATH TUBS SHOWER. LAVA- TORIES SINKS / ... SLOP SINKS LAUSOR:f ii Timis ,47 1 .. URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST ■ ? / a 3 CHECK . ' • • .. _..... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT 00.E*64 ;AAA. SO.LAIP •PETER O' 6W -- 4— DCEF WELL N SKR44‘11. 4 —---- f SW I IN 0 POOL CONTR. LIST / CHECK Permit No MIAMI SHORES VILAG2 PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 7'MIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the b ilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.C:2-21a...: No.._ Registered Architect and/or Engineer___ Employing Plumber's Name Location and Legal Description Lot. Street:2 / Street and Number where work is to be performed—No 7/ Street State work to be performed and purpose of building (By Floors)_ New Building__ Remodeling Addition Block_ / -s Subdivisionk. ... ......... Repairs No. of Stories. Size Septic Tank Type of Tank Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit C$ Aniount of Permit STATE OF FLORIDA, } COUNTY OF DADE. Capacity Gals. Date. (Signed)_ WA■ " 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 5968, Compiled General Laws of Florida Per anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractor_. 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 permit, as are licensed by Miami Shores Village. 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 necessary by improper notice for inspection, or faulty materials and/or workmanship. 3' Pe : No -- �� Size Septic Tank__ Feet of Drain Tile___ Nature of Water Supply: City — Well.___ Amount of Permit $ -L S -..)k. STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 or 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. Owners Name and Address___ Registered Architect and /or Engineer________ Y Employing Plumber's Name____h_41 Location and Legal Description L o t . . 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_ E 446 1)F. -- (Signed)_ ( Signed)_.__ No. t — 1 . _ Block Dist. Feet"of Tank or Drain Field from Well s' Subdivision Street My Commission Expires Notary Public, State of Florida Street_44 - IL- ---.__ --- - - - - -- ------ .__- __------ ____ -- -Size of Soakage Pit ..sy E 1 Master Plumber. Repairs No. of Stories. _Type of Tank Capacity Gals P . mbing Inspect The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio.: as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ . 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 p,I. is o: or notices as • are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be p ;, d f d s 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 hire 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. CLOSS"S BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT *NS TOTAL FISTURE6 CONTR. LIST -'-' CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CO Pali • LIST - CHECK Pe : No -- �� Size Septic Tank__ Feet of Drain Tile___ Nature of Water Supply: City — Well.___ Amount of Permit $ -L S -..)k. STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 or 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. Owners Name and Address___ Registered Architect and /or Engineer________ Y Employing Plumber's Name____h_41 Location and Legal Description L o t . . 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_ E 446 1)F. -- (Signed)_ ( Signed)_.__ No. t — 1 . _ Block Dist. Feet"of Tank or Drain Field from Well s' Subdivision Street My Commission Expires Notary Public, State of Florida Street_44 - IL- ---.__ --- - - - - -- ------ .__- __------ ____ -- -Size of Soakage Pit ..sy E 1 Master Plumber. Repairs No. of Stories. _Type of Tank Capacity Gals P . mbing Inspect The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio.: as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ . 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 p,I. is o: or notices as • are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be p ;, d f d s 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 hire 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.