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PLUMBING PERMITPermit No Amount of Permit $ Owner's Name and Address Registered Architect and /or Engineer_ Employing Plumber's Name STATE OF FLORIDA, ss. COUNTY OF DADE. MI's MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLiCATION 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. No. Location and Legal Description Lot. - _____ —___ _Black Street and Number where work is to be performed -No 6 _!1 k D L Street__ Subdivision. Street_ State work to be performed and purpose of building (By Floors)_ New B Remodeling Addition___- Repairs No. of Stories... _ Size Septic Tank_ fO 0 e, Type of Tank Feet of Drain Tile 7.5 L. �' -------- - - - --- -Dist. Feet of T or Drain Field from Well. Nature of Water Supply: City -Well _ _____________________Size of Soakage Pit (Signed ) - ( Signed) ___ Date. Street_ _Capacity Gals.____ . 19Tp__a0 ..Q C Plu• . ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S . ement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed y 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under . 's 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 insp 'n, or faulty materials and /or workmanship. CLOSETS BATH TUBS 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 SW IM•G POOL CONTR. LIST CHECK n Permit No Amount of Permit $ Owner's Name and Address Registered Architect and /or Engineer_ Employing Plumber's Name STATE OF FLORIDA, ss. COUNTY OF DADE. MI's MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLiCATION 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. No. Location and Legal Description Lot. - _____ —___ _Black Street and Number where work is to be performed -No 6 _!1 k D L Street__ Subdivision. Street_ State work to be performed and purpose of building (By Floors)_ New B Remodeling Addition___- Repairs No. of Stories... _ Size Septic Tank_ fO 0 e, Type of Tank Feet of Drain Tile 7.5 L. �' -------- - - - --- -Dist. Feet of T or Drain Field from Well. Nature of Water Supply: City -Well _ _____________________Size of Soakage Pit (Signed ) - ( Signed) ___ Date. Street_ _Capacity Gals.____ . 19Tp__a0 ..Q C Plu• . ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S . ement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed y 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under . 's 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 insp 'n, or faulty materials and /or workmanship. Permit No. 15/ Registered Architect and /or Engineer r / I (Dyc ,,v, Employing Plumber's Name State work to be performed and purpose of building (By Floors) New Building Remodeling_ Addition._ Nature of Water Supply: City —Well . Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. as. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLiCAT ON FOR PLUMBING PERMIT (Signed) _ ( Signed) 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 � `/ No.___ ' Y (=-, - - -- Street L G No.__} 3— /{ Street___ / y; Location and Legal Description Lot______________________ ______— _____, Block _ Subdivision 1 � r, (1 /1 a c> IL Street and Number where work is to be performed— No._ �__— ______ ______ Street �� S l Repairs No. of Stories ....... ..... . . Size Septic Tank Type of Tank Capacity Gals ...._ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ 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 required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, licensed by Miami Shores Village. Date v Notary Public, State of Florida it' Plumbing I spector. as an employer of labor pplement, and has com- by him in the work to be as as Master Plumber. are are 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 necescary by improper notice for ins1 n, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS UR URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'N6 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 /• (,� 1 lam /) c— (-/ V 1,, CONTR. LIST CHECK 1 f ( _ —_ - -- _ Permit No. 15/ Registered Architect and /or Engineer r / I (Dyc ,,v, Employing Plumber's Name State work to be performed and purpose of building (By Floors) New Building Remodeling_ Addition._ Nature of Water Supply: City —Well . Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. as. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLiCAT ON FOR PLUMBING PERMIT (Signed) _ ( Signed) 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 � `/ No.___ ' Y (=-, - - -- Street L G No.__} 3— /{ Street___ / y; Location and Legal Description Lot______________________ ______— _____, Block _ Subdivision 1 � r, (1 /1 a c> IL Street and Number where work is to be performed— No._ �__— ______ ______ Street �� S l Repairs No. of Stories ....... ..... . . Size Septic Tank Type of Tank Capacity Gals ...._ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ 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 required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, licensed by Miami Shores Village. Date v Notary Public, State of Florida it' Plumbing I spector. as an employer of labor pplement, and has com- by him in the work to be as as Master Plumber. are are 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 necescary by improper notice for ins1 n, or faulty materials and /or workmanship. Street and Number where work is to be performed —No Size Septic Tank___ _ Feet of Drain Tile__ Nature of Water Supply. City —Well. Amount of Permit $ _/ f1. 00 STATE OF FLORIDA, 1 j ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No I - L - — Date "' Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th- 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 4 11131)R-elf? - _ NoC �1n ��_ Street _ - -- - -- Registered Architect and /or En ineer q' _ — ___._______ Employing Plumber's Name __. J _UL( f _____S L, t 7 Location and Legal Description Lot----- _ -_._ -- ------------ -__ --. - -_ —._ Block__ ( .. State work to be performed and purpose of building (By Floors) _ _ New Building LAP _ - - -- - -- - - -- Remodeling— __ -___ ___ __ __ ._ _ Addition_--- . Repairs_ __ Type of Tank _ ___ _Dist. Feet of Tank or Drain Field from Well .. _ Si! of Soakage Pit (Signed)._ Y Street.. Subdivision Capacity Gals. My Commission Expires Notary Public, State of Florida No. of Stories aster Plumber. Plumbing In:pecto. 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 Perinanent Supplement, and 1 as 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 no ices as are required by thie Act. The undersigned agrees to employ only such sub - contractors, on work to be perfo:. ed under is per nit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall 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 acts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made• necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA• TORIES SIN" SLOP SINKS LAUNDRY TUS B URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL F Comm. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LINT CHECK V V -- Street and Number where work is to be performed —No Size Septic Tank___ _ Feet of Drain Tile__ Nature of Water Supply. City —Well. Amount of Permit $ _/ f1. 00 STATE OF FLORIDA, 1 j ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No I - L - — Date "' Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th- 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 4 11131)R-elf? - _ NoC �1n ��_ Street _ - -- - -- Registered Architect and /or En ineer q' _ — ___._______ Employing Plumber's Name __. J _UL( f _____S L, t 7 Location and Legal Description Lot----- _ -_._ -- ------------ -__ --. - -_ —._ Block__ ( .. State work to be performed and purpose of building (By Floors) _ _ New Building LAP _ - - -- - -- - - -- Remodeling— __ -___ ___ __ __ ._ _ Addition_--- . Repairs_ __ Type of Tank _ ___ _Dist. Feet of Tank or Drain Field from Well .. _ Si! of Soakage Pit (Signed)._ Y Street.. Subdivision Capacity Gals. My Commission Expires Notary Public, State of Florida No. of Stories aster Plumber. Plumbing In:pecto. 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 Perinanent Supplement, and 1 as 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 no ices as are required by thie Act. The undersigned agrees to employ only such sub - contractors, on work to be perfo:. ed under is per nit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall 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 acts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made• necessary by improper notice for inspection, or faulty materials and /or workmanship.