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PLUMBING PERMITs "eistit Application is hereby made 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 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 Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot B1 Street and Number where work is to be performed— No.... Q. State work to be performed and purpose of building (By Floors) New Building - -. Remodeling— __._.___._ _ Addition._ Size Septic Tank h _ Feet of Drain Tile___s2_� Nature of Water Supply: City —Well Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Street__ Street_ Repairs No. of Stories_ _ _Type of Tank_ Capacity Gals. 4.Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit (Signed)_ (Signed)._ My Commission 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 employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 regnired 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, I 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. NOTE: A re- inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA. TORIES S INKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK __ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGL PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK s "eistit Application is hereby made 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 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 Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot B1 Street and Number where work is to be performed— No.... Q. State work to be performed and purpose of building (By Floors) New Building - -. Remodeling— __._.___._ _ Addition._ Size Septic Tank h _ Feet of Drain Tile___s2_� Nature of Water Supply: City —Well Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Street__ Street_ Repairs No. of Stories_ _ _Type of Tank_ Capacity Gals. 4.Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit (Signed)_ (Signed)._ My Commission 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 employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 regnired 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, I 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. NOTE: A re- inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 'Permit No. 2 7 ! Date ec1 fir' 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 J Miami Shures 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. Registered Architect and /or Engineer___________ Employing Plumber's Name Location and Legal Descriptio Block Street and Number where work is to be performed— No.___J 6 5 -L - Street State work to be performed and purpose of building (By Floors)_ _______________. _-- -_.____ New Building k Remodeling_ Addition___ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature of Water Supply /'City- Well • Amount of Permit $ is IN/7- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street (Signed)- (Signed). Street Subdivision.--- ------ • -_____ _- --- Type of Tank___ Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi • . bli: tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida %-.nn. • •nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract nployed 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. .‘ - r� r.- Master Plumber. STATE OF FLORIDA, 1 au 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 ithproper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUGS SHOWERS LAVA. TORIES S INKS SLOP SINKS LAUNDRY Tuns U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST _ —+� . f' / /t 1 CHECK - I SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP 41160111 HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL •c Al I CONTR. LIST / __ / CHECK 'Permit No. 2 7 ! Date ec1 fir' 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 J Miami Shures 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. Registered Architect and /or Engineer___________ Employing Plumber's Name Location and Legal Descriptio Block Street and Number where work is to be performed— No.___J 6 5 -L - Street State work to be performed and purpose of building (By Floors)_ _______________. _-- -_.____ New Building k Remodeling_ Addition___ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature of Water Supply /'City- Well • Amount of Permit $ is IN/7- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street (Signed)- (Signed). Street Subdivision.--- ------ • -_____ _- --- Type of Tank___ Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi • . bli: tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida %-.nn. • •nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract nployed 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. .‘ - r� r.- Master Plumber. STATE OF FLORIDA, 1 au 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 ithproper notice for inspection, or faulty materials and /or workmanship. MIA :AI SHORES VILLAGE, FLA. N? 3396 JOB ADDRESS II S INSPECTION P-0„.... 4 pL„..10.-.... TIME READY 7,- 1_ — Co REMARKS • /€pa-k-v 4-1 .Lod 'W /Caz o4 a INSPECTO DATE