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1050 NE 93 St (8)Permit No 5v6 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 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 Engineer __ Employing Plumber's Name Amount of Permit $ 0 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot____--_ _ Block Street and Number where work is to be performed— No.___—_ State work to be performed and purpose of building (By Floors)_______________ N Building Remodeling_____ ____ Addition Repairs No _ID (5 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 (Signed ) Plum • ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his •.• .'rations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pert anent 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 Date Street ... __/__!_ 61_2.3 4 27 _ __ Street__ 4/ - O__,� Subdivision a Street E , J A_ No. of Stories. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. J 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 inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS I NALS 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 SW IM'G POOL CONTR. LIST - CHECK Permit No 5v6 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 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 Engineer __ Employing Plumber's Name Amount of Permit $ 0 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot____--_ _ Block Street and Number where work is to be performed— No.___—_ State work to be performed and purpose of building (By Floors)_______________ N Building Remodeling_____ ____ Addition Repairs No _ID (5 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 (Signed ) Plum • ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his •.• .'rations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pert anent 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 Date Street ... __/__!_ 61_2.3 4 27 _ __ Street__ 4/ - O__,� Subdivision a Street E , J A_ No. of Stories. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. J 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 inspection, or faulty materials and /or workmanship. - -•__ CLOSETS BATH Tues SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TU08 URINALS CATCH BABIN FLOOR DRAIN DRINKING FOUNT' NS J I t--- K.c ..ric,"si -- TOTAL FIXTUREI - ^_ CONTR. LIST of v � / A � 1 CHECK 1 - .N ✓S, W) J. � C- _ ' SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Q1 '''' &/ et.E/ T //.., D/J 'h- �I.�`y:. ; A a CONTR. LIST CHECK , / / e / ; J� /i /� C� . D ?. . Permit No. _ / 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address ___ ../V. 1_: - -- &_ No.•_._._ Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot -_• -_. -- -_ -_ -- Street and Number where work is to be performed -No. State work to be performed and purpose of building (By New Building__ . . Remodeling Size Septic Tank Feet of Drain Tile / 1 _ _.Dist. Feet of Tank or Drain Field from Well_ . __ niR� Nature of Water Supply: Cit ell , f - Size of Soakage Pit._ Amount of Permit $- ...... STATE OF FLORIDA, t ss, COUNTY OF DADE. I �n ° Type of Tank_ _ Capacity Gals. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ^II employer of labcv under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the wo -k 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. i �� My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block- ._.____ - _.-- - - - - -- - - - - -- Subdivision ` Street Floors)._ No Addition__._.___._____. ___. Repairs A- (Signed) Street (Signed)_____.N.2"/ -2h Date 0 — `S ", No. of Stories / _ ....... ._ . Notary Public, State of Florida Plumbing Inspectoz. r,= Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally :,ppeare 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 tat. therein by him stated are true. NOT A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Lail materials workmanship.