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PLUMBING PERMIT
Permit No. _ - ._ 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 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 Fn Employing - FPlpnsber's Name f f t s _.__ z. No 'r '` Location and Legal Description Lot Block____ _- Street and Number where work is to be performed —No. __ ,1_____ Street State work to be performed and purpose of building (By Floors) New Building Remodeling _ ___ - ____ Addition . Repairs Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well . Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank ' No. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) 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 Perma.aent 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are iicensed by Miami Shores Village. (Signed) Capacity Gals. 1 Street Street Subdivision My Commission Expires Notary Public, State of Florida No. of Stories -_ Master Plumber. ing Inspector. STATE OF FLORIDA, j ss. 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 fact:; 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS URINALS CATCH FLOOR DRAIN DRINKING FOUIVT'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 Permit No. _ - ._ 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 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 Fn Employing - FPlpnsber's Name f f t s _.__ z. No 'r '` Location and Legal Description Lot Block____ _- Street and Number where work is to be performed —No. __ ,1_____ Street State work to be performed and purpose of building (By Floors) New Building Remodeling _ ___ - ____ Addition . Repairs Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well . Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank ' No. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) 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 Perma.aent 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are iicensed by Miami Shores Village. (Signed) Capacity Gals. 1 Street Street Subdivision My Commission Expires Notary Public, State of Florida No. of Stories -_ Master Plumber. ing Inspector. STATE OF FLORIDA, j ss. 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 fact:; 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. 4 .J orl': C,' _ Ct o7 _L. PCr :alit ft. To cut 1 •Ip Owner's Name and Addre s Registered Architect and/ot Engineer Employing Pktatbefs Nan"? # Amount of Permit $ SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT – 7 Permit No 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 with, whether herein specified or not. A copy of approved plans and specifications must be kep: at building during progress of work. State work to be performed and purpose of building (By Floors) New Building_ Remodeling Addition Type of Tank No Street Location and Legal Description Lot Block Subdivision ,^ ' Street and Number where work is to be performed—No. , Street 41 Repairs Size Septic Tank A Feet of Drain Tile 4 1A-c Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit 4. _ ing 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 under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) (Signed) Street _ Capacity Gals STATE OF FLORIDA, 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. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of S1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. No. of Stories Master Plumber. CLOS:n 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 1 •Ip Owner's Name and Addre s Registered Architect and/ot Engineer Employing Pktatbefs Nan"? # Amount of Permit $ SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT – 7 Permit No 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 with, whether herein specified or not. A copy of approved plans and specifications must be kep: at building during progress of work. State work to be performed and purpose of building (By Floors) New Building_ Remodeling Addition Type of Tank No Street Location and Legal Description Lot Block Subdivision ,^ ' Street and Number where work is to be performed—No. , Street 41 Repairs Size Septic Tank A Feet of Drain Tile 4 1A-c Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit 4. _ ing 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 under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) (Signed) Street _ Capacity Gals STATE OF FLORIDA, 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. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of S1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. No. of Stories Master Plumber. 244 •.M CLOSETS BATH TL85 Approved by Condemned by I herewith submit the following plan of plumbing for approval: Employing Plumber Owner or Agent Builder or Contractor is Lot No. 1.1 Block No. Address Sewer Connections SHOWERS. LAVA- TORIES Date_ ROUGH -IN INSPECTION Ground Rough -In R 'r Leader A M - _'. M. REMARKS DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE INA.Mi, FLORIDA At center of St. ❑ Old ❑ Story Ne�s• For a Dwelling ❑ Store ❑ Garage ❑ SINKS At curb 0 Subdivision SLOP 1 LAUNDRY SINKS TUDs M Approved by Condemned by Work executed by Apartment Address Plan No Sewer Permit No Address 19 Addition ❑ Remodeled ❑ Hotel ❑ Office Bldg. ❑ At property line ❑ Existing in alley ❑ Existing bidg. :;ewer ❑ To septic tank 1 Existing bldg. drain P. Tr dry well ❑ URINALS I CATCH 1 BASIN FLOOR DRAIN A charge of 51.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Dat DRINKING FOUNT'NSI SEWER INSPECTION FINAL INSPECTION P M, REMARKS REMARKS Approved by _ Condemned by Date TOTAL FIXTURES _i.M. - - - -- - - -_ P. M. THIS SPACE FOR ELEVATION SKETCH A PERSPECTIVE SKETC. PROVIDED THE WORK C In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond with the opening shown in floor plan or ground plan on opposite page. G/ WILL BE SUFF:C:EN'" THIS SPACE FOR PLAN SKETCH AN HE CLEARLY SHC V Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock ccn- nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build- ing showing location. of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in -ef erence to same. W EST t 1 Sketch position of building and lot lines in square (which represents an entire city block) , showing or which street the building and lot faces; also show exact locations of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. NORTH A EAST Remarks: NORTH SOUTH BUfEDING ELECTMAL PERMIT A N? 74 PLUMBING Owner of Building Architect and or Engineer Contractor er°Bultder Proposed Location LOT NAME NAME NAME BLOCK SUB- DIVISION ADDRESS ADDRESS ADDRESS - ■■■•■•••....N.41. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT . 19 LICENSE NO. LICENSE: NO. NO. „ STREET This permit is issued to To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of. said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized ,by the building inspector. • AMOUNT RECD. PAYMENT ACCT. DEPT. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted. and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building,- departpteut of Miami Shores Village. Dated �- 19 f . (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. 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 ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ DATE 195 PERMIT N9 3056 Contractor's License No. Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description Address cf Building Bl. Subdi- vision Value of I Amount of Project $ I Permit $ 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 application herefor in strict compliance with all ordinances pertaining thereto and with :ho 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 ff 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 tha ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work clone by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree 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 Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 8 6UFEDiftlf E#. €eTiTiEAL } PERMIT A AT° PLUMBING v ner of Building Architect and /or Engineer °`. Contractor -. er -_ Proposed Location AMOUNT Dated____ ,_, NAME NAME NAME RECD. PAYMENT ACCT. DEPT. _74 ADDRESS ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 1 LICENSE NO. LICENSE NO. / _ S LOT BLOCK SUB- DIVISION ' .. NO . �. STREEET ,, This permit is issued :o / r = t ` To „ / e l ,/ the building above described, as . ter application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules And regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances rr rules and regulations, or upon any change in the plans and specifications unauthorize45y,t1e building inspector. 19 INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and ans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Ilorida, all the bui ".ding ordinances and zoning laws of Miami Shores Village and all rules and regulations of the buiyin lie a ent of } Miami Shoree Village. %", (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. 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. -- - ----.-- -- ---- --- CLoOaTa -- OATH Tuos _ Skoweao LAVA. 70, 41E 0 SINK° SLOP $R1(3 LAUNDRY 'Nos URINAL° CATCH DADI N FLOOR DRAIN DRINK I NG FOUNT' N6 - - ------ TOTAL FIKTUPED Co. LICV / ip D642.1C% SEPTIC TANK CiaimaR DONN. DRAIN FIELD SOAKAGE FIT GREASE TRAP SOLAR HATER DEEP WELL SPRKLR. SYSTEM SW 114 POOL COnth LIST ll_carca —/--- --- - -- -- Permit No Location and 1T.gral Description Lot_ "O&G\n0 ©Elms VBOA,a(SE PLUMDOK© ONSPECTEON DEPARTMENT nPFL ME2 LDMISOR90 PEE°2M07 Application is hereby made for he approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein descrilnd. This application is made in co Mplam.C3 MCI conformity with the Building Ordinance of Miami Shores Village, Florida, and all provU.ons of the Laws of the State of Florida, arclinamces 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. aariltafC Name and Address No. __ street_ pi Registmed Architect and/or Emp:oying Pluthrx'S Name .0.. street‘ Mork Subd Street and Numhza. r.rhere or is to be performed—No Street_ 9/ State work to be. performed and purpose of builrling (By New Building Etemcaleling Addition Repairs Amount of ?emelt 0 (Sign )- . _Capacity Gals. Size Septic _Type of Tank_ Feet of Drain Tile_ __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: ... of Soakage Pit No. of Stoaies 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 lorida Workmen's Compensation Act, being Section 5&88, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provons 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 remand by Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are lice/mad. numovas STATE 07 FLORIDA, COUNTY OF *ADE. Before me, the undersigned authority, a notary public, claaly authorized to administer oaths and take acknowledgments, personally appeared to sne well 6. trvia, and who, being by me first duly sworn, upon on deposes and says that he is the._ of the above described construction, that he has carefully read the foregeing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission F.npires NOTE: A re-insp=tion fee of 01.08 gill materials MCVC:3 Weimfirkerkis). MCC& whoa (3111th ff6= ( Si Notary Public, State of Florida Master Plumber. speed= is matle•itvaessfary by improper notice for ing n, or faulty Permit No ) Application is hereby made for the approval cf 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 darting progress of work. o Qf, 7 "I 1.7 Owner's Name and Address No._ 0 .. Street Registered Architect and/or Employing Plonsbx's Name nt ILLiDa_....61 rr111- No._ ..2,1!.23 ..... Street__ . ..... . Subdivision..._._ 9 1 St () Location and Legal Description Lot._ Street and Numhor where work is to be performed—No MIAMI SHOIYE VILLAGE PLUMBING INSPECTION DEPARTMENT APPLECATION FOR PLUMBING PERMIT Blopk 533 DI 070 Street Date ........... ILF State work to he peaformell and purpose of building (By Floors)___4(.: New ...... Remotleling Addition Repairs No. of Stories Size Septic of Tank Feat cf alain __Dist Feet of Tank or Drain Field from Well Nature of Watx Supply: City—Well. Size of Soakage Pit Amount of peril 6-_-- STATE OF FLORIDA, sso COUNTY OF DADE. Capacity Gals (Signed) r 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 tmdz7 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 tbe Act. The undersigned agrees to employ only such sub-contractors, on work to be perfonned under this permit, as are limnsed by Mimi Shores Village. (Signed). My Commission Expires Notary Public, State of Florida Master Plumber. Before 13/2, the until:alio/3d authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well kas7.7.re, 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 81.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and/or wor)onanship. CLOSETS OATH TUDS 514 LAVA- TORIES SINKS SLOP SINKS LAUNDRY rues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CI :ECK .._ — - ----- - ------ ---- SEPTIC TM-Z:1 SUVJE:14 CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL COMM. LIST CHIECK Permit No ) Application is hereby made for the approval cf 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 darting progress of work. o Qf, 7 "I 1.7 Owner's Name and Address No._ 0 .. Street Registered Architect and/or Employing Plonsbx's Name nt ILLiDa_....61 rr111- No._ ..2,1!.23 ..... Street__ . ..... . Subdivision..._._ 9 1 St () Location and Legal Description Lot._ Street and Numhor where work is to be performed—No MIAMI SHOIYE VILLAGE PLUMBING INSPECTION DEPARTMENT APPLECATION FOR PLUMBING PERMIT Blopk 533 DI 070 Street Date ........... ILF State work to he peaformell and purpose of building (By Floors)___4(.: New ...... Remotleling Addition Repairs No. of Stories Size Septic of Tank Feat cf alain __Dist Feet of Tank or Drain Field from Well Nature of Watx Supply: City—Well. Size of Soakage Pit Amount of peril 6-_-- STATE OF FLORIDA, sso COUNTY OF DADE. Capacity Gals (Signed) r 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 tmdz7 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 tbe Act. The undersigned agrees to employ only such sub-contractors, on work to be perfonned under this permit, as are limnsed by Mimi Shores Village. (Signed). My Commission Expires Notary Public, State of Florida Master Plumber. Before 13/2, the until:alio/3d authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well kas7.7.re, 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 81.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and/or wor)onanship. Permit No.__, Application is hereby made for the approval of the detailed statement of t..&, plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confer .,;.ty with the Ytiilding 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 Mi*i i Shores Village shall be complied with, whether herein specified o' pet. A copy of approved plans and specifications must be kept at balding during progress of work. atIfiaea Name and Address ._._____.__` Registered Arcbl ect and /or Engineer Employing Plumber's Name 7 �-- ./✓ _ L: cation and Legal Description Lot_.___..__ ..... __________ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Nev building_______.— .--......... - - -- --- Remodeling Aresunt of Permit $ STATE OF E`LOEMDA, J1'gTY ©F MOE. an @ARI SHORES VIL:,Ac Z PLUMBING INSPECTION DEPARTMEN- APPLICATION FOR PLUMBINS 7,107 Type of Tank__ Date Street_° ems. No...././.0 ®_ -- Street.. lib?• nip Subdivision _� Street__.°• � • ,��_ Floors )- - C ��i_ ( � l Caphcity Gals... - - - -4 .- Sim 02p2ic Tank_ ....... __ Feet of Drain liile _Dist. Feet of Tank or Drain Field from Well Nature of Waal Supply: City —Well (Signed) My Commission Expires Notary Public, State of Florida Addition________ -- Repairs No. of Stories- - ._Size of Soakage Pit (Signed) 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 tha 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 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 recztr Z.. by t Ey Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are ki , .lami Shy Village. gefcre me- the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared eo roe well Irma, 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 $L00 will be made why each re- inspection is made•necessary by improper notice for inspection, or faulty matwials and /cr workmanship. CLOSTT6 BATH TUBS SNOWERB - TORIES SINKS SLOP SINKS L TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK I NG FFOU NT' NS TOTAL Fl XTURES CON1%1. LIST CKSCK _ r V SEPTIC TANK ` SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H LATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL COMB. L.188 CC:3C Permit No.__, Application is hereby made for the approval of the detailed statement of t..&, plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confer .,;.ty with the Ytiilding 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 Mi*i i Shores Village shall be complied with, whether herein specified o' pet. A copy of approved plans and specifications must be kept at balding during progress of work. atIfiaea Name and Address ._._____.__` Registered Arcbl ect and /or Engineer Employing Plumber's Name 7 �-- ./✓ _ L: cation and Legal Description Lot_.___..__ ..... __________ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Nev building_______.— .--......... - - -- --- Remodeling Aresunt of Permit $ STATE OF E`LOEMDA, J1'gTY ©F MOE. an @ARI SHORES VIL:,Ac Z PLUMBING INSPECTION DEPARTMEN- APPLICATION FOR PLUMBINS 7,107 Type of Tank__ Date Street_° ems. No...././.0 ®_ -- Street.. lib?• nip Subdivision _� Street__.°• � • ,��_ Floors )- - C ��i_ ( � l Caphcity Gals... - - - -4 .- Sim 02p2ic Tank_ ....... __ Feet of Drain liile _Dist. Feet of Tank or Drain Field from Well Nature of Waal Supply: City —Well (Signed) My Commission Expires Notary Public, State of Florida Addition________ -- Repairs No. of Stories- - ._Size of Soakage Pit (Signed) 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 tha 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 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 recztr Z.. by t Ey Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are ki , .lami Shy Village. gefcre me- the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared eo roe well Irma, 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 $L00 will be made why each re- inspection is made•necessary by improper notice for inspection, or faulty matwials and /cr workmanship.