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PLUMBING PERMIT9 Penni Nu. 2 2411,111c:4 t Ion i% 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....._.__ ....... of Soakage Pit Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. • My ConimissionExpires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Sign . / 3 2-& 3 33 -s- J;to si Y1_ /I 2 —/ Date..._ _ licreby made for the approval of the detailed statement of the plans and specifications herewith sub for the building or other ;tructure herein described. This application is made in compliance and conformity with the Building Ordinance of MI:: Shores Village, Florida, Aod all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division ot Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec flotations must be kept at ',uilding during progress of work. ' Name and Address .egist :Jed Architect and/or Engineer !:mploying Plumber's Name . .4/ 0/ )77.z1 Location and Legal Description Lot. Block Street and Number where work is to be performed—No. // P7 street State work to be performed and purpose of building (By Floors)_ New Building Remodeling_ < ._ Addition__ ... Repairs No of Stones _ No. _ZZ_P Street/r-L P 4 -f ' Capacity gds. .. Notary Public, State of Florida - • ..... Plumbin3 Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e ndloy CI of lobo under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent rum lement, and lied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him In • e .' h•erformed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub]: tiqtice y. no leer s required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed ads ,,:ri . licensed by Miami Shores Village. Ca /n Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perior..; 4ppearec . to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the , f the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and filet all acts t sgein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when mei re-inspection la mecle•neoessary by improper notice for inspertIon, nit toult) , ials and/or workmanship. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL CATION 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 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.___1 _l1-_L_ 4 _J___�!_1__ Registered Architect and /or ? a i l ) . Em to Plumber's Name_ !!� No._ _ -/ A i F Street- 9 4 p ying - No.0/2 Street_ 1�� / Location and Legal Description Lot. l ll Subdivision Street and Number where work is to be performed -No .141 �1. street � I Size Septic Tank______ State work to be performed and purpose of building (By Floors)_-- ------------ _-------- _--- - - - -_- New Building_______ -_____ Remodeling____ - _______ Addition____ Repairs No. of Stories. . ..... .. ..... Type of Tank _ Capacity Gals 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 $ !7= (Signed) _ lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat's 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 - 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 permit, as are, licensed by Miami Shores Village. (Signed) 0_ Date - - - - - - - - Master Plumber. STATE OF FLORIDA, I as. 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. 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 insf '►, or faulty materials and /or worlcmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBE 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 30 61 I -- — CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL CATION 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 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.___1 _l1-_L_ 4 _J___�!_1__ Registered Architect and /or ? a i l ) . Em to Plumber's Name_ !!� No._ _ -/ A i F Street- 9 4 p ying - No.0/2 Street_ 1�� / Location and Legal Description Lot. l ll Subdivision Street and Number where work is to be performed -No .141 �1. street � I Size Septic Tank______ State work to be performed and purpose of building (By Floors)_-- ------------ _-------- _--- - - - -_- New Building_______ -_____ Remodeling____ - _______ Addition____ Repairs No. of Stories. . ..... .. ..... Type of Tank _ Capacity Gals 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 $ !7= (Signed) _ lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat's 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 - 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 permit, as are, licensed by Miami Shores Village. (Signed) 0_ Date - - - - - - - - Master Plumber. STATE OF FLORIDA, I as. 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. 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 insf '►, or faulty materials and /or worlcmanship. OWNER LOT BLOCK SUBDIVISION Date ddfiami cfhores9llage F L O R D A PLUMBING PERMIT N9 817 Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by Date - Issued to f ddfiami cfhores F L 0 R I D A PLUMBING PERMIT N9 819 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a ' story building at Fixtures Fixtures Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by OWNER LOT BLOCK SUBDIVISION i ' 1 % ; Date - Issued to f ddfiami cfhores F L 0 R I D A PLUMBING PERMIT N9 819 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a ' story building at Fixtures Fixtures Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by For a story building at Fixtures aiami =rhores9 llage F I. 0 R 1 D A PLUMBING PERMIT N9 817 ate T i ° ' sued to i , I \.A, to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. P (.2 l • Fixtures $ ' Sewer $ s eptic Tank $ r Total $ %, Village Plumbing Inspector Received Payment by OWNER '`)LOT BLOek SUBDIVISION (CI" It /,r ' t -e 1 For a story building at Fixtures aiami =rhores9 llage F I. 0 R 1 D A PLUMBING PERMIT N9 817 ate T i ° ' sued to i , I \.A, to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. P (.2 l • Fixtures $ ' Sewer $ s eptic Tank $ r Total $ %, Village Plumbing Inspector Received Payment by v CLOSETS BATH TUBS SHOWERS LAVA- TORIES NK SINKS SLOP SINKS LAUNDRY Tues URINALS U CATCH BA81N FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CON'1:3. LIST C.NECK m SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G P001. CONTR. LIST - CHECK 0 ) 0 Pernut No._ —_ Date. -._ -- _ / : Application is hereby made for the approval of the detailed statement of tac, plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confor a 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 here's specified oT not. A /copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address � • /3. New Building Sim Septic Tank Nature of Water Suppl City —Well. Amount of Permit $_ :legislated Arc.hicect and /' G Engineer -- — Employing Plumber :ration and Legal Descri on Lot. Street and Number where work is to be performed —No 4 Stale work to be performed and purpose of building (By Floors)._ Remodeling My Commission Expires MIAMI SHORES VIL:.AG PLUMBING INSPECTION DEPARTME :' APPLICATION FOR PLUMBING ,Va67 Street. e Street_. Subdivision- _ -_ - -- S " dy_ Addition_..__._. — Repairs No. of Stories. _ Type of Tank._ — Capacity Gals Feet of Drain Tile _._Dist. Feet of Tank or Drain Field from Well ._Size of Soakage Pit Plumbing Inspector. The undersigned appllcant 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 - 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, 440 be performed under this permit, as are licensed by Miami Shores Village. Cw // �. ‘ 9 A (Signed Notary Public, State of Florida Master Plumber. `ATE OF FLORIDA, L Z UN'TY OF DADE. J I Iefore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to nre tvcil k-nown, and who, being by me first duly sworn, upon oath deposes and says that he is the _.. ci the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts t' hank- by hire stated are true. NOTE: A re- inspection fee of $1.00 will be made when such •e- inspection is made • necessary by improper notice for inspection, or faulty r!^aterials and/or workmanship.