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PLUMBING PERMITOwner of Buildin Architect ;Joniractor or Builder Legal Description Address of Building This permit is w herefor in strict om drawinte..taeemeott lacy time if she work is est `ranted to the ae _ dPletaityatise .�--_ CLO•ET• BATH TU88 SNOW LAVA TORIES SINKS SLOP SINKS LAUNDRY TU88 U CATCH BASIN FLOOR DRAIN NQ FOUNT FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK .. - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I POOL COWIN. us? CHECK Application is hereby n,aile for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other stricture 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 Mienu 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 Plumber's Name Amount of Permit $__ STATE OF FLORIDA, I u. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ..... ._ No.___ — ___ Street Street___ Location and Legal Description Block. Subdivision Street and Number where work is to be performed— No.2 State work to be performe8 and purpose of building (By Floors)____.._ ..... New Building _._ Remodeling _____.__.__.__- ._ -_ -_ Addition Repairs No. of Stories.. . ...............•__.. Size Septic Tank � - Type of Tank Feet of Drain Tile 7 -� �_ -_ --- ____ -- _-_Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._______ __________________Size of Soakage Pit (Signed) _ Capacity Gals .... The undersigned applicant for this building permit does hereby certify that he understands and accepts his o . 'gallons as an employer of labor...» under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe ' anent Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub- contracto 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. 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 Plum • ing Inspector. X &e%: . ),t .14 cam Master Plumber. 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 SNOW[R• LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tu•• URINAL/ CATCH BASIN - FLOOR DRINKING DRAIN FOUNT'NS *---r— TOT,,L PIKTI R[S CONTR. LI•T CHECK SEPTIC TANK SEWER CONN. DRAIN F ICLD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. I -� HIC K CHICK .�, 1 Penn, Nu.. _ _ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT k hereby trade for the approval of the detailed statement of the plans and specifications herewith subrr• .a for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi. ! Shores Village, Florida, and 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of agQl plans and spec ficatlons must be kept at ' .)uilding during progress of work. `)wner s Name and Address 3 • ^� ?-`P�s to°�e -_� — �IV N '' egict red Architect and /or Engineer —_ -� Street. .. . :mploying Plumber's Name 0.G.� ?0� 3gi;LiCl_ ��a �!:�. 3°7' 8Q ..� �- e ,.,,.,. r — 9 l No .- St reet..:...... :,,...., Location and Legal Description Lot_ Block Street and Number where work is to be performed —No 4 5 9 N ' _9 1 t Street State work to be performed and purpose of building (By Floors) — New Building . ..... ............. Remodeling__ _ --- _ - - --- Addition Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. (Signed)_ (Signed). Repairs C Date .: °` . _ 2 . r ._ Capacity ' .als.. Subdivision___.. NC of Stones 3 c Size Septic Tank_ ._.-- -------- ..__— ...-- •- - - - -_— .__..Type of Tank Feet of Drain Tile.__. 2C' s�� : � L_®- _ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well..__ _..._- ._..... of Soakage Pit My Conuniasion Expires Notary Public, State of Florida Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n, loyct of toho under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Cum lenient, and liar es)l z- 1 lird with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in • ,, rk performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub,: notice r no icer 4s a• required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed t s this > 11 In, ,:., aYt licensed by Miami Shores Village. Masts Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, peir;urr: ; , ppear!u 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- inspecdo is made•neoessary by improper notice fog inspeetion, tlr butt) materials and /or workmanship. Amount of Permit $ `f .i / ,)f /' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT / Permit No. 4) _ _ti ' 7" rf 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. Owner's Name and Address No ss. APPLICATION FOR PLUMBING PERMIT _____ ( Signed) ( Signed) ■ n - ^ L •-- Street - 1 ' Registered Architect and /or Engineer Employing Plumber's Name___ No Street_ Location and Legal Description Lot Block Subdivision 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 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that h derstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled G 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. 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. 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 INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST I ■ I CHECK ) -- - _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G P001. CONTR. LIST CHECK Amount of Permit $ `f .i / ,)f /' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT / Permit No. 4) _ _ti ' 7" rf 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. Owner's Name and Address No ss. APPLICATION FOR PLUMBING PERMIT _____ ( Signed) ( Signed) ■ n - ^ L •-- Street - 1 ' Registered Architect and /or Engineer Employing Plumber's Name___ No Street_ Location and Legal Description Lot Block Subdivision 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 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that h derstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled G 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. 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. 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.