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PLUMBING PERMITPermit No 17.2.1 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 Robert Looby w- _ No._ —_ 3341 Street NE 170th ST. Registered Architect and /or Engineer________.__._____ Always Better Service Plbg: �� - - - � - 17100 Employing Plumber's Name . --------- No.__ -- __ - __ -_ -- s treet El 2nd Ct . Location and Legal Description Lot_ Block Subdivision _.___:— __._.__.____._______... Street and Number where work is to be performed —No 1010 State work to be performed and purpose of building (By Floors) New Building_____ X _ -- Remodeling Addition_ Size Septic Tank___ Feet of Drain Tile_ Nature of Water Supply: City—Well. Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. $51.75 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ _�__�---- ------- ---- -- -Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) ( Signed)._ April 4 1977 Date - p -- ..._.... NE 92nd Street Street_ -................... _ ..... ...._.�. - - Repairs No. of Stories... ...... _Capacity Gals. umbing 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 Pennanent 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 • 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for insp. ". 'n, or faulty materials and /or workmanship. CLOSETS BATH T UBS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB IOJ�1 • • TR 1 0 48p}.� • ^^ l' 1 TOTAL .FIXTURE[ CONTR. 3 2 2 5 2 CHECK SEPTIC SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL VITIC. SERVC •TY1 1 DISH ,7T c 1 � 1 G LOAT Hake 1 11`lt! CHECK Permit No 17.2.1 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 Robert Looby w- _ No._ —_ 3341 Street NE 170th ST. Registered Architect and /or Engineer________.__._____ Always Better Service Plbg: �� - - - � - 17100 Employing Plumber's Name . --------- No.__ -- __ - __ -_ -- s treet El 2nd Ct . Location and Legal Description Lot_ Block Subdivision _.___:— __._.__.____._______... Street and Number where work is to be performed —No 1010 State work to be performed and purpose of building (By Floors) New Building_____ X _ -- Remodeling Addition_ Size Septic Tank___ Feet of Drain Tile_ Nature of Water Supply: City—Well. Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. $51.75 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ _�__�---- ------- ---- -- -Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) ( Signed)._ April 4 1977 Date - p -- ..._.... NE 92nd Street Street_ -................... _ ..... ...._.�. - - Repairs No. of Stories... ...... _Capacity Gals. umbing 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 Pennanent 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 • 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for insp. ". 'n, or faulty materials and /or workmanship. ilea Vetter Sewcce Plume T CONTRACTS * REPAIRS * RESIDENTIAL Ot E Nu LE � v � °l a ci\-gi-a= Uo --(yA C ` * COMMERCIAL Phones: 652 -3334 652 -3335 17100 N. W. 2nd CT. MIAMI, FLORIDA 33169 "Y) p-e)t4tkiJt -a;. rn .. Permit No 1 r 7-r 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 Robert Looby NE 170th St. _ — 3341 -- -- - ._. No. Street - •- - -- -•- Registered Architect and /or Engineer---- - - - -__ _-- __ -_ -- _ -- Employing Plumber's NameAlwaiS Better _ Service Plbg. N _ 17100 Location and Legal Description Lot Street and Number where work is to be performed —No 1010 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Residential State work to be performed and purpose of building (By Floors) _ _.------- _- __ -_ -_ New Building____ -- X -- Remodeling Addition_ - -- Repairs - 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 Amount of Permit $ 5.00 STATE OF FLORIDA, ss. COUNTY OF DADE. ( Signed) 1 ' Date__ April 1977 Street d 2nd Court Street_ NE 92nd Street No. of Stories. - - Capacity Gals Plumbing spector. 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 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 wor to . erfo • d under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for insr or faulty materials and /ar workmanship. CLOSETS BATH Tues SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY Tubs 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 SWI hi' G POOL piPINC CONTR. LIST 1 CHECK Permit No 1 r 7-r 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 Robert Looby NE 170th St. _ — 3341 -- -- - ._. No. Street - •- - -- -•- Registered Architect and /or Engineer---- - - - -__ _-- __ -_ -- _ -- Employing Plumber's NameAlwaiS Better _ Service Plbg. N _ 17100 Location and Legal Description Lot Street and Number where work is to be performed —No 1010 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Residential State work to be performed and purpose of building (By Floors) _ _.------- _- __ -_ -_ New Building____ -- X -- Remodeling Addition_ - -- Repairs - 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 Amount of Permit $ 5.00 STATE OF FLORIDA, ss. COUNTY OF DADE. ( Signed) 1 ' Date__ April 1977 Street d 2nd Court Street_ NE 92nd Street No. of Stories. - - Capacity Gals Plumbing spector. 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 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 wor to . erfo • d under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for insr or faulty materials and /ar workmanship. C C Permit No Ct Z 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 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 --_ 0��� __ 9X1 -- _ - -- _ - - - -_ _•.-- - -._.- No. 3 - -- _- - - - -- Street--- IIE -.� 7.Q th.. � �.. -. Registered Architect and /or Engineer------------- --- �_------- ----- _ - ---- Employing Plumber's Name�lt�ayS Better_Service P1bg N o. - _ 17100 street_NTI - 2nd - Court — _ Location and Legal Description Lot Street and Number where work is to be performed —No 1010 State work to be performed and purpose of building (By Floors)__ Blorti New Building___ -_ -_- X - - - - -_- Remodeling___- _------- _- -_ -_ -- Addition_ Size Septic Tank_ Feet of Drain Tile_ My Commission Expires NB 92nd Street Street_ ....... - - - ------------ - - - - -- - --- • ________ Repairs No. of Stories... .... _Type of Tank_—_ . __Dist. Feet of Tank or Drain Field from Well Capacity Gals. Nature of Water Supply: City — Well.____— ______- _________— _________— ____Size of Soakage Pit Amount of Permits 5.00 ( Signed) ___ -- a - - -- Plumbing Inhpector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ns 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 o be performed under this perinit, 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. 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 insp n, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SW IM'G POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM CONTR. UST 1 - CHECK C C Permit No Ct Z 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 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 --_ 0��� __ 9X1 -- _ - -- _ - - - -_ _•.-- - -._.- No. 3 - -- _- - - - -- Street--- IIE -.� 7.Q th.. � �.. -. Registered Architect and /or Engineer------------- --- �_------- ----- _ - ---- Employing Plumber's Name�lt�ayS Better_Service P1bg N o. - _ 17100 street_NTI - 2nd - Court — _ Location and Legal Description Lot Street and Number where work is to be performed —No 1010 State work to be performed and purpose of building (By Floors)__ Blorti New Building___ -_ -_- X - - - - -_- Remodeling___- _------- _- -_ -_ -- Addition_ Size Septic Tank_ Feet of Drain Tile_ My Commission Expires NB 92nd Street Street_ ....... - - - ------------ - - - - -- - --- • ________ Repairs No. of Stories... .... _Type of Tank_—_ . __Dist. Feet of Tank or Drain Field from Well Capacity Gals. Nature of Water Supply: City — Well.____— ______- _________— _________— ____Size of Soakage Pit Amount of Permits 5.00 ( Signed) ___ -- a - - -- Plumbing Inhpector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ns 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 o be performed under this perinit, 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for insp n, or faulty materials and /or workmanship. MO - • N*T*et.. C‘011110$ loss TU40 .•.+ ,title riltre LAVA. IQNI • i 5i.op . time . !ALIMONY Time ..a...i...:.r._.+ U —.. . e CAreo. gAe1N .++— ter......, ,,aen p11A1N «ow...T . p (. NT'Na ,,.� , .- ,...+- ,..-,w — .. ..., ........ Tatra. 'aquas* �_ CkeeN . _. , RttNTN4 TANet doyen 6aRtra, gams Plire,n 4n , ► etl,aa PrY GIhtAIt� Itch.. OM AR ►tRAratll POW Rama. WsLU tta eWIM'tl retoe. •.� I. , . A.. Cater :office .. ' ..._ i. PLUMBING, INSPECTION DEPARTMENT ' ; 14 S6 APPUCATION FOR PLUMBING PERMIT � 2 v i Dates,..,:..,..,. - .t • ...a...:...... • .• ••• • Applit<�ttion is hereby , made for *to apprill of the detailed statement of thu plans and specificuttorts harewitlt submitted fur the building or Oilier *MOM bombe dosvribed.. This r<ppbcattau ki raids a tozppllangt wad aoufortnity With the building Ordinance of Miami Shores Village, Florida, *ad sit proviai a of the ,f,swi of the Sight o f m PIM** all iirdltsgncer of Miami Shores Village and all rudest and regulations of the Building D vlmin of Miami Mores Village shall be a ninplie4 with; whether herein lifted 'ear not, A copy of approved plans end specification, must be kept et brats* door,* prep.+ of work I ,_ Nairee"e id eddrest- n.. �.,;�»N s. ........::..:.... l�n. �� .vim /d7 ,�. 14.04 AreNteot.nd /ens 1 K�A t - - ....... ......_, ........ • " r1u ber'etlNacn�t S uN ow l T t N a .»�- �7�sr 'e.l.e.� ��. AVc Ullitialk .*d t14RI s rtptipq intent and /timbre where* work !a ids ps pp a ,No„„ „/ dl x-' ;» of $tr00t•.« ..... ..............4..............,. *eta d( to ormeS 914» t y FigWd), Mod � 13 ....�.. .... .......... .... ...�.,...,... ,.,« ....,,....... «..« ..... , ,.. . • ► ltuiediog <; ..: ...... ....:,llortneedolts.... y ., :.: �.. Addition _ : .. ^_ � , 13epatts..� No. of Steurte+a Sin leptia Tank, .. reek rif Crain Nett* Wattet Supply* Ctt+e.►W. Amount of remit 1). - f) • <1.. ... ._ ...........Cspaefty Casts., Feet of Taalr.asr•Drata Field from Well. H.;.,..___ ._ ... -_ „,..._ _ ... - .... MIAMI $NOIPS . VILLAGE perinea *radar tdtla pesrrrtlti aael Wal peat rsl' talana to ba paateaQ far tnspactton un . dip t eta of t,gttdred by *die Ant. 'flan undersigned age .i to, employ only sucb wb.cauttactors, oe 11) bounced by Miami Shares,* Mite. r i • .. — s' -.. .. ,_..» • ... .. .._ TATE OV A, ' cot= ' T 1:1,4D.-, 1 le. Defoe • ' 'smart*" 41 autbnrfty, rot well bermes, awl who , i>,y sattl q tart bove wise c riborl cos u t, %P i r' bun dated a s true. . xrrtmee 0 ttNl4C wiMP OR 8.410154- ilt 1An fov r■Autle:.ie,rl rxt'irts rANuAnv , t 1 . ' t." ARY 't'U'" IC !;1 "1 Cal'. Fe 0/11r R sf 1." S'''s" NnTI j of BLAB ' bit' a Whin Wilt 1t i i Ba iliadar oeoersery by improper notte o for ins* 'folitirriels Master Plumber. Plumbing InipOrior, `' 3b. ttnd estigneed ai paten fov this b lldtag petertnit does hereby aartlfy that he understands and acerpte'fit• abUgntton' as an etnplaye.r of labor 'nodes. the l imld*'Worlonen's Compensation 4, being Section SON, Compiled Ccnesal Laws of Florida Permanent Supplement, and leby corn- '± plhAl wish the pravi?Imtr rheroof, and will regains similar compliance from OH c milicttzrs or snb*oantrrloturr employ , by lira to the wi to h pooh ter o p atie.�lt tn. nnetae v l/i era perform - u er this permit, oh ore y authortsrecd -tG adodnister oaths and take aalatawleslgmente. Imsemiry appealed �y pa gob th fo rm . on and that he�did" sin tba same ac;;: - that Ali rn«M Notary P4io. State e f Flerieaa .7 n, et ti telly -J Permit No..___.. If 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 e Registered Architect and /or � New Building_-_.._._.._ _ _ _ Remodeling _ Addition Size Septic Tank _Type of Tank STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) 5 -/9-7 7 My Commission Expires Notary Public, State of Florida StreetA/ �� - -- reee Employing Name g +� ' G c. R /Ce /4/6 Nal9 sb At/EAVC 4 iAMi Location and Legal Description Lot Bloch Subdivision Street and Number where work is to be performed — °���� Street. _..__...__ - _._...._. State work to be performed and purpose of building (By Floon)_-_-__...._ - ____M_ : -- _ �_ - • - _-- _ - _- - - - - -- Repairs No. of Stories ................ Capacity Feet of Drain Tile. ..__._ rust- Feet of Tank or Drain Field from Well..._ .. _ . _. __ _._„ -- - -• - -_ _ _ _ —_ _ Nature of Water Supply: City—Well. Size of Soakage Pik-- _....._._.._.___ f /� (Signed)_ vc�� Y —N f__... .... -- �' Plumbing Inspector. The undersigned applicant for this building pp g 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 Pennanent Supplement, and bus 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. 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 r ead the , an d t h a t a - therein by him stated are true. y rob application, and that he did sign the same, and that all facts NOTE: A re inspection fee of $1.00 will be made when such re- inspection is made'neeessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUGS SHOWERS LAVA. TORIES SINK6 SLOP SINKS LAUNDRY TUu URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER D[_a W[I[L / yL- BPRKLR. SYSTEM SW IM'O POOL CONTR. LIST . CHECK ^� Permit No..___.. If 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 e Registered Architect and /or � New Building_-_.._._.._ _ _ _ Remodeling _ Addition Size Septic Tank _Type of Tank STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) 5 -/9-7 7 My Commission Expires Notary Public, State of Florida StreetA/ �� - -- reee Employing Name g +� ' G c. R /Ce /4/6 Nal9 sb At/EAVC 4 iAMi Location and Legal Description Lot Bloch Subdivision Street and Number where work is to be performed — °���� Street. _..__...__ - _._...._. State work to be performed and purpose of building (By Floon)_-_-__...._ - ____M_ : -- _ �_ - • - _-- _ - _- - - - - -- Repairs No. of Stories ................ Capacity Feet of Drain Tile. ..__._ rust- Feet of Tank or Drain Field from Well..._ .. _ . _. __ _._„ -- - -• - -_ _ _ _ —_ _ Nature of Water Supply: City—Well. Size of Soakage Pik-- _....._._.._.___ f /� (Signed)_ vc�� Y —N f__... .... -- �' Plumbing Inspector. The undersigned applicant for this building pp g 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 Pennanent Supplement, and bus 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. 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 r ead the , an d t h a t a - therein by him stated are true. y rob application, and that he did sign the same, and that all facts NOTE: A re inspection fee of $1.00 will be made when such re- inspection is made'neeessary by improper notice for inspection, or faulty materials and /or workmanship.