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PLUMBING PERMITPermit No 90/ 9 Size Septic Tank -- Feet of Drain Tile - 1 it SS. Registered Architect and /or Engineer Employing Plumber's Name P MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ _ — — — — � — — __ (Signed) ill - 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 applic 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. (�� 7 97,---___/----- Owner's Name and Address /h — ( No ! Street No G Street_ ,G .--- ____ Block_ Subdivision-- __-- .-- _---- __._________ Location and Legal Description Lot _L Street and Number where work is to be performed —No 7 Street 01- _L _ State work to be performed and purpose of building (By Floors) _ New Building R modeling Addition Repairs No. of Stories __.___Type of Tank Capacity Gals __Dist. Feet of Tank or Drain Field from Well Nature of Water Supp y Y — Well ! Size of Soakage Pit Plum . • _ F 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 o 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 : s are required by the Act. The undersiod agrees to employ only' such sub - contractors work to be performed under his perm', as are licensed by Miami Shores Village. Master Plwnber. 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 fac 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 CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK • SEPTIC TANK SEWER CONN. DRAIN FI ELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No 90/ 9 Size Septic Tank -- Feet of Drain Tile - 1 it SS. Registered Architect and /or Engineer Employing Plumber's Name P MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ _ — — — — � — — __ (Signed) ill - 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 applic 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. (�� 7 97,---___/----- Owner's Name and Address /h — ( No ! Street No G Street_ ,G .--- ____ Block_ Subdivision-- __-- .-- _---- __._________ Location and Legal Description Lot _L Street and Number where work is to be performed —No 7 Street 01- _L _ State work to be performed and purpose of building (By Floors) _ New Building R modeling Addition Repairs No. of Stories __.___Type of Tank Capacity Gals __Dist. Feet of Tank or Drain Field from Well Nature of Water Supp y Y — Well ! Size of Soakage Pit Plum . • _ F 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 o 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 : s are required by the Act. The undersiod agrees to employ only' such sub - contractors work to be performed under his perm', as are licensed by Miami Shores Village. Master Plwnber. 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 fac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. .'• ti F d •' E Azitect :.aid: Biliktiag drA 0, 8 One if. fbal massy giro. in OASif i ttif3A cry LottOning theta*. h i il , -f f$ • . • .. . . ItRipact„...,..•••• EcThTCAi L PLUMBING ownlar ot khng Architect cAntradet Buikler • Leg Address GI • Building • 4 f 7. Title petal* a�pgI.te tek • hetrefor.in �t tom "ifio .74* ad &wing% siatemenia or. etedy4.0490 • - titiktt if. the work :not dona na•• gamed ie • umitittanOing :4420 wWntng. to the • Oistifoodlitr41,,. •400. yh1s nano, •te.ivonto. • • , . . . • • .` coneitletation. of the issumeei this pnank I assione r ePtaining thereto and in stria ennforinit+ • - • 3 ORI - • • • DAT wider ilk nviainitteti to .the • anief •servaat or caroloyoe. : s • . , .:X91:#011Spf -;.] T BUILDING ELECTRIC PLUMBING ROOFING Owner of f Building Architect Contractor r •' or Builder' / Legal Lot Description. Address of Building 4 7 .71- MIAMI SHORES VILLAGE. FLORIDA D Q PERMIT 'N? 11086 ❑ Wor to be performed Midi this Permit 4 $i r This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applicati herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to, and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and reguations �il pertaining'to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responity for work done by has 4gents, servants or employees. BY In consideration of the issuance to me% f this permit I agr.e petforlii the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity wit the plans, drawl tatements or specifications submitted to the proper authorities of Miami Shores Village. In acceptinp this permit I assume responsibility for all work don .y either, myself, my agent, servant or employee. / el 0 0 7$ 0. 440.--- r: o Subdi- vision Value of Project $ DATF - 195 Contractor's License No 1 1 Amt. of Permit C AUTHORITY APPLICATION FOR PLUMBING PERMIT Permit No f-- i -- Date__ --s/ V u _ j 2 Application is hereby m for the approval of the detailed statement of the plans and specifications herewith su itted for the ilding or other Miami Shores illage, 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. � v Owner's Name and Address____T1__ __ __I No Street Registered Architect and /or Engineer L Employing Plumber's Name_2 .! 4- . No. yy _ I Location and Legal Description Lot _l!f____' _ � J ____ Block_ _W___. structure herein described. This application is made in compliance and conformity with the Building Ordinance Street and Number where work is to be pe I ormed— No.__,__ State work to be performed d purpose ofIbuilding (By Floors) New Building Remodeling Addition Repairs - No. of Stories Size Septic Tank 4; Feet of Drain Tile l MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. My Commission Expires (Signed) (Signed) Street_ ________ 4 ___ Subdivision %# S f Street D Type of Tank Apt Capacity Gals._____ 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 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 o 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. Mas er PT w'nbe 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 wil 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 CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PITT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No f-- i -- Date__ --s/ V u _ j 2 Application is hereby m for the approval of the detailed statement of the plans and specifications herewith su itted for the ilding or other Miami Shores illage, 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. � v Owner's Name and Address____T1__ __ __I No Street Registered Architect and /or Engineer L Employing Plumber's Name_2 .! 4- . No. yy _ I Location and Legal Description Lot _l!f____' _ � J ____ Block_ _W___. structure herein described. This application is made in compliance and conformity with the Building Ordinance Street and Number where work is to be pe I ormed— No.__,__ State work to be performed d purpose ofIbuilding (By Floors) New Building Remodeling Addition Repairs - No. of Stories Size Septic Tank 4; Feet of Drain Tile l MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. My Commission Expires (Signed) (Signed) Street_ ________ 4 ___ Subdivision %# S f Street D Type of Tank Apt Capacity Gals._____ 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 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 o 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. Mas er PT w'nbe 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 wil be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.__,!__ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 avi4lt, d'hether herela.Agimedfied or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 Owner's Name and Address ...... 4 No / 1 Street 9/-kt-1( Registered Architect and /or Engine r 3. _ _ :,__ —_____ . . -, ' No. U ,' .b, Employing Plumber's Name ,� _L4_C_ �{.qi_ __..✓ -- xL� :__ _ �_� *�t __:_ Street .. 3_:i__ =� Location and Legal Description Lot ____✓__d_ __ _,! ___L _ --".`•" Block__ ____ T ( „ Subdivision .—.1.--' �, Street and Number where work is to be performed —No `2t. J / 9is' Street ,. - #•? " State work to be performed and purpose of building (By Floors ) __— _,:..c:..-- New Building Remodeling Addition Repairs No. of Stories / Size Septic Tank .1 -- - - -i Type of Tank _�_i� Capacity Gals L__ Feet of Drain Tile /4 C= Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well +_l i _ Size of Soakage Pit Amount of Permit $ 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 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) - // rh' C'G' G ,'; Gl/ / -.., �.-3.--x.. � Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared SS. ( Signed) 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 U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE I PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK I Permit No.__,!__ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 avi4lt, d'hether herela.Agimedfied or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 Owner's Name and Address ...... 4 No / 1 Street 9/-kt-1( Registered Architect and /or Engine r 3. _ _ :,__ —_____ . . -, ' No. U ,' .b, Employing Plumber's Name ,� _L4_C_ �{.qi_ __..✓ -- xL� :__ _ �_� *�t __:_ Street .. 3_:i__ =� Location and Legal Description Lot ____✓__d_ __ _,! ___L _ --".`•" Block__ ____ T ( „ Subdivision .—.1.--' �, Street and Number where work is to be performed —No `2t. J / 9is' Street ,. - #•? " State work to be performed and purpose of building (By Floors ) __— _,:..c:..-- New Building Remodeling Addition Repairs No. of Stories / Size Septic Tank .1 -- - - -i Type of Tank _�_i� Capacity Gals L__ Feet of Drain Tile /4 C= Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well +_l i _ Size of Soakage Pit Amount of Permit $ 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 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) - // rh' C'G' G ,'; Gl/ / -.., �.-3.--x.. � Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared SS. ( Signed) 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No./.j 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. C / Owner's Name and Address ' ' No I/ 7 ^ 2 1 Iii Street r Registered Architect and /or En i neer Employing Plumber's Name II U Location and Legal Description Lot L a f I 7 Street and Number where work is to be performed —No S ti S W ' (� ) & u..—< - No. Street 7 Blo 1 Street Date ' Subdivision State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well ( Signed) __J Z jt - 1 e Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that- 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 work to be performed under this permit, as are licensed by Miami Shores Village. C 'v1,4:x - CA. et, v r t Amount of Permit $_ ss. My Commission Expires Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) STATE OF FLORIDA, t 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 pine first duly sworn, upon oath deposes and says that he is the of the above described construction, I 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 inspection, or faulty materials and /or workmanship. Notary Public, State of Florida Master P1umb`er. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST / / ( / / / CHECK 0. 1 I4 AS �' �+� Z( _. r �J !J . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No./.j 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. C / Owner's Name and Address ' ' No I/ 7 ^ 2 1 Iii Street r Registered Architect and /or En i neer Employing Plumber's Name II U Location and Legal Description Lot L a f I 7 Street and Number where work is to be performed —No S ti S W ' (� ) & u..—< - No. Street 7 Blo 1 Street Date ' Subdivision State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well ( Signed) __J Z jt - 1 e Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that- 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 work to be performed under this permit, as are licensed by Miami Shores Village. C 'v1,4:x - CA. et, v r t Amount of Permit $_ ss. My Commission Expires Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) STATE OF FLORIDA, t 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 pine first duly sworn, upon oath deposes and says that he is the of the above described construction, I 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 inspection, or faulty materials and /or workmanship. Notary Public, State of Florida Master P1umb`er. v, Permit No. / AO ( _ „ 3 2 •Z Owner's Name and Address Size Septic Tank 3-X7 X Feet of Drain Tile / ..� Amount of Permit $ ,STATE OF FLORIDA, ) COUNTY OF DADE. ss. 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 her @in 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. Registered Architect and /or Engin Employing Plumber's Name ,,C ,/ �dw Gy �N o � _Q Q_L�l Street ? A Location and Legal Description Lot LII 1 _ ! ) / � 7 Block f Subdivision___ Street and Number where work is to be performed —No .7___1 !� St re t State work to be performed and purpose if b (By Floors) _ ��eNs, New Building r Remodeling Addition Repairs No. of Stories Type of Tank Dist. Feet of Tank or Drain Field from Well No Street Capacity Gals 7o,o Nature of Water Supply: City —Well Size of Soakage Pit Date- - / - -j '2/4 _ . r — S1_ (Signed) ____ f - _ Plumbing Inspect The undersigned applicant for this . building permit does hereby certify that h• and accepts his obligations as an employer of lab 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. 1 1 441Pet.,A--42.024-d0 I (Signed) 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. My Commission Expires j 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 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 CHECK .. 7 Permit No. / AO ( _ „ 3 2 •Z Owner's Name and Address Size Septic Tank 3-X7 X Feet of Drain Tile / ..� Amount of Permit $ ,STATE OF FLORIDA, ) COUNTY OF DADE. ss. 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 her @in 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. Registered Architect and /or Engin Employing Plumber's Name ,,C ,/ �dw Gy �N o � _Q Q_L�l Street ? A Location and Legal Description Lot LII 1 _ ! ) / � 7 Block f Subdivision___ Street and Number where work is to be performed —No .7___1 !� St re t State work to be performed and purpose if b (By Floors) _ ��eNs, New Building r Remodeling Addition Repairs No. of Stories Type of Tank Dist. Feet of Tank or Drain Field from Well No Street Capacity Gals 7o,o Nature of Water Supply: City —Well Size of Soakage Pit Date- - / - -j '2/4 _ . r — S1_ (Signed) ____ f - _ Plumbing Inspect The undersigned applicant for this . building permit does hereby certify that h• and accepts his obligations as an employer of lab 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. 1 1 441Pet.,A--42.024-d0 I (Signed) 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. My Commission Expires j 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. - BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA Date — ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 9019 Contractor's �� License No. f ROQFIN , ❑ Owner of Building Architect or Builder zCs+ f, Legal Description Address of Building Lot Subdi- vision Sq Ft Value of Project $ II Amount of II Permit $ Work to be performed under this Permit 3 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed CONTRACTOR or BUILDER BY (INSPECTOR) In consideration of the issuance to me of this permit I . •,' to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vi lage. In accepting this permit I assume responsibility for all work done by either, rpy lf, - y agent, servant or employee. i A