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1041 NE 93 St (8)p o PLUMING INSPECTION DEPARTMENT APPLocoB© m [COQ PEURAEUCJ© PNQMO4 Permit No 1 3 1 3)--- 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 Mi anti Shorts Village and all rules and regulations of the Building Division of Miami Shores Village shall be implied with, whether herein specified or mot. A copy of approved plena and spedficatbns must be kept et building during progress of work. Owner's Name and Address .CL 1 A'S t N 65 1 T1 C eV s e No t 04 t gta q .._ Ne c'iS era._ ... Registered Architect and /or Engineer N01-.1 E Empl oytnli F1wttbaa'8 Name -- 9a,.a �.�....... � .�...�. ::.... ... - ...� ...._ Location and Legal Dascription Lot. ! 3 —1 s1 su W bddvongELl/ � Street and Number where work is to be performed —No ) b 4 1 N e or 3 Street-._..__ 16 !1,.n1ii 1 S )4 State work to be performed and purpose of building (By F'l as s) __.__ New Building - -M._ _ _.._........ -. - -.- Remodeling____ ._.__ __ Add1t.on...__ ✓ _ Repairs No. of Stories............ Size Septic Tank_ 1°50 6e ` Uon� f.T "��_ _.____.. ._.- ...OlJpQ 71Qy YXeJ9d.___.....__.__._ F� of Drain Tile._.__5 Dist. Feet of Ton& ar Das in Field from Well. «_.__... — .1 Nature of Water Supply: City —WeUL Siam of Sage Pit. Amount of Permit $ NOTE: A re-inspection fee e b :n& materials andiee a ealatrat4aa ( Signed &-_- - .•4 My Commiersiom Eapin of State u Florida Plumbing Inspec The undersigned applicant for this building permit does hsreby certify that he understands and accepts his obli ; . Hons 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 eomplianco from all contractors or sub - contractors employed by him in the work to be performed wider this permit; and will post or cause to be posed for inspection an the oito of the wort: such public notice or notices as are required by the Act. The undersigned agrees to employ only such sob-centractoro, on work to be performed under this permit, as are licensed by Miami Shares Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a =dory gublit, i .y at azd to cdminioter Baths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sea, upn EtZitb asp= nil cnyo that Its io tha ._.�.- -. - - -. - _---- - -_ - -• - - ...._. _.. of the above described construction, that he has caret 7 seed alto foreorireg appMi and that be did sign the same, and that all facts therein by him stated are true. b r make for huipaction, or faulty URIgAI.D CATCH DAOIPo FLOOR DRAIN ORIHRIPIO F0UNT'q. TOTAL FIXTURES CLOOCTG OATH TUDO aH04f 6R0 LAVA• vealoo OIPoKO SLOP OtI O LAUD DRY TUIID CONTR. 1 LI64 6404 CHUCG _ - — - SEPTIC TANK OVIVICFI COPoPo. DRAIN PIaLD OOA4(ACa PIT ORWBQ' TRAP 10LAR m aATEQ map WILL QPRIILR. OTOT= Orneve POOL CONTR. LI OT - - -- -- - CHQCII p o PLUMING INSPECTION DEPARTMENT APPLocoB© m [COQ PEURAEUCJ© PNQMO4 Permit No 1 3 1 3)--- 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 Mi anti Shorts Village and all rules and regulations of the Building Division of Miami Shores Village shall be implied with, whether herein specified or mot. A copy of approved plena and spedficatbns must be kept et building during progress of work. Owner's Name and Address .CL 1 A'S t N 65 1 T1 C eV s e No t 04 t gta q .._ Ne c'iS era._ ... Registered Architect and /or Engineer N01-.1 E Empl oytnli F1wttbaa'8 Name -- 9a,.a �.�....... � .�...�. ::.... ... - ...� ...._ Location and Legal Dascription Lot. ! 3 —1 s1 su W bddvongELl/ � Street and Number where work is to be performed —No ) b 4 1 N e or 3 Street-._..__ 16 !1,.n1ii 1 S )4 State work to be performed and purpose of building (By F'l as s) __.__ New Building - -M._ _ _.._........ -. - -.- Remodeling____ ._.__ __ Add1t.on...__ ✓ _ Repairs No. of Stories............ Size Septic Tank_ 1°50 6e ` Uon� f.T "��_ _.____.. ._.- ...OlJpQ 71Qy YXeJ9d.___.....__.__._ F� of Drain Tile._.__5 Dist. Feet of Ton& ar Das in Field from Well. «_.__... — .1 Nature of Water Supply: City —WeUL Siam of Sage Pit. Amount of Permit $ NOTE: A re-inspection fee e b :n& materials andiee a ealatrat4aa ( Signed &-_- - .•4 My Commiersiom Eapin of State u Florida Plumbing Inspec The undersigned applicant for this building permit does hsreby certify that he understands and accepts his obli ; . Hons 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 eomplianco from all contractors or sub - contractors employed by him in the work to be performed wider this permit; and will post or cause to be posed for inspection an the oito of the wort: such public notice or notices as are required by the Act. The undersigned agrees to employ only such sob-centractoro, on work to be performed under this permit, as are licensed by Miami Shares Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a =dory gublit, i .y at azd to cdminioter Baths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sea, upn EtZitb asp= nil cnyo that Its io tha ._.�.- -. - - -. - _---- - -_ - -• - - ...._. _.. of the above described construction, that he has caret 7 seed alto foreorireg appMi and that be did sign the same, and that all facts therein by him stated are true. b r make for huipaction, or faulty