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PLUMBING PERMITPermit No 46146 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 b 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. Ownei s Name and Address ‘2 l'- 1 ces?p No Street... �/ S Registered Architect and /or Engineer Employing Plumber's Name oe€YeW 1 --&-gi s / �_ Na.,(� 7S� °.�...m. /trMt.._3 &' -- Location and Legal Description Lot. Subdivision Street and Number where work is to be performed —No 190 N lot Street ._..._. __..__.._._ State work to be performed and purpose of building (By Floors)__.__ _ New Building .___.._------ •-- ......._.. Remodeling___--. _____ Addition Size Septic Tank._- Type of Tank__ Feet of Drain Tile --ne2 0 0 •t. Feet of Tank or Drain Field from Well ..---__..- - Nature of Water Supply: City—Well. Size of Soakage Pit era Amount of Permit Repairs (Signed)_ - i4 (Signed) Date.._.._. 7 / 1 No. of Stories.... 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 5988, Compiled General Laws of Florida Permanent Supplement, and IIa.c 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 err 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. STATE OF FLORIDA, } 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 ba rands when anti re4e paotian 1e. aada•asoaaary by ireproper notice for Inspection. or faulty materials and /or workmanship. CLOUT. CLOr• BATH T SNOW[R• RYA' TORI[S SIN" IN LAUNDRY Tu•• URINALS CATCH BASIN I FLOOR DRAIN N N FOUNT 'N, TOTAL FIXTURES CONTR. LIST —_ CHICK SEPTIC TANK s[w[R CONN. DRAIN 'HMO SOAKAG[ PIT G TRAP SOLAR MIAMI D[ct W[LL S . SYST[M SWIM •G POOL COMM . LIST CHICK 1 r� Permit No 46146 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 b 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. Ownei s Name and Address ‘2 l'- 1 ces?p No Street... �/ S Registered Architect and /or Engineer Employing Plumber's Name oe€YeW 1 --&-gi s / �_ Na.,(� 7S� °.�...m. /trMt.._3 &' -- Location and Legal Description Lot. Subdivision Street and Number where work is to be performed —No 190 N lot Street ._..._. __..__.._._ State work to be performed and purpose of building (By Floors)__.__ _ New Building .___.._------ •-- ......._.. Remodeling___--. _____ Addition Size Septic Tank._- Type of Tank__ Feet of Drain Tile --ne2 0 0 •t. Feet of Tank or Drain Field from Well ..---__..- - Nature of Water Supply: City—Well. Size of Soakage Pit era Amount of Permit Repairs (Signed)_ - i4 (Signed) Date.._.._. 7 / 1 No. of Stories.... 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 5988, Compiled General Laws of Florida Permanent Supplement, and IIa.c 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 err 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. STATE OF FLORIDA, } 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 $1.00 will ba rands when anti re4e paotian 1e. aada•asoaaary by ireproper notice for Inspection. or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL ❑ PER PLUMING 21 Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot In consideration of the to me o pertaining thereto and in strict conformity with In accepting this permit I assume responsibility CONTRACTOR 'OR BUILDER C% ROC (( ❑ W ork to b4 perk) ed Un " ne- c st01 This permit is granted to the contractor herefor in strict compliance with all drawings, statements or specifications time if the work is not dose in routed is the understanding th t tfis c Pertaining o the work covered ! ereby whether s done by his agents, servants of employees. I SHORES VILLAGE. F LORIOA DATE 1: �' - 45 195 W? :14158 lctlue of Project I Amts of Permit v o uct the building or to inseall the equipment. or device deecribed in application understanding that the work will be perfocjn$d > compliance ly , the proper municipal anthorieies. ' Per may be authorization. A further =dittos npan ;Aid& MLA pewit is for a thorough knowledge of the oeaneee an or specifications and that be assumes reeponsibility work covered' hereunder in compliance w# 1; all ordinances and oats specifications submitted' to the proper authorities of Miami Shores Village. et, servant or employee. AUTh0rY Permit No. / i S Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othe) 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address.._ t 1 Li a r ;'` Registered Architect and /or gineer.. - -. -- --- .___ -- ._._ .._ Employing Plumber's Name L.. _ __ No. t - Street___ r 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.- --- _- • -. - -.. _.__ -. Repairs Amount of Permit $. Size Septic Tank Feet of Drain Tile -‘_ 0 _() Dist. Feet of Tank or Drain Field from We1L Nature of Water Suppl STATE OF FLORIDA, } ss. COUNTY OF DADE. Well !._ Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Fa N0._ _AD __:_.._�.:.- Street ' ti_� Block_ Subdivision Street_ Type of Tank_ _ _ Capacity Gals. (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 Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has cc.n- plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 undersided agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed Date No of Stories / Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 lac 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 foul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TuBB I URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS J L,, .3 Of.' TOTAL FIXTUR[1 �_- CONTR. LIST . Y 1. --R....- / Jt) � - . t CHECK i 7 ig 7.r �S TO SWIM '0 POOL ) SEPTIC TANK SEWER DRAIN CONN. FIELD SOAKAGE PIT GREASE TRAP KSISINHIP 14 [ATER DEEP WELL SPRKLR. SYSTEM CONTR. LIST CHECK i ) .3 C - — t e. ? ! Ida O .3 _, v\-p rt �',�,ti. .�-- -- � '. 0 O " / EJ � r wlt`• Permit No. / i S Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othe) 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address.._ t 1 Li a r ;'` Registered Architect and /or gineer.. - -. -- --- .___ -- ._._ .._ Employing Plumber's Name L.. _ __ No. t - Street___ r 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.- --- _- • -. - -.. _.__ -. Repairs Amount of Permit $. Size Septic Tank Feet of Drain Tile -‘_ 0 _() Dist. Feet of Tank or Drain Field from We1L Nature of Water Suppl STATE OF FLORIDA, } ss. COUNTY OF DADE. Well !._ Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Fa N0._ _AD __:_.._�.:.- Street ' ti_� Block_ Subdivision Street_ Type of Tank_ _ _ Capacity Gals. (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 Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has cc.n- plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 undersided agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed Date No of Stories / Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 lac 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 foul materials and /or workmanship.