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PLUMBING PERMIT0 DA* 1 Contractor's L o No cAu. SING 1 Permit'No / J 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 M- Location and Legal Description Lot ).--r Street and Number where work is to be performed— No.//__2.___ State work to be performed and purpose of building (By Floors) New Building 1� O t/] 0) ELI Q Re>hodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Type of Tank / -' t C L.- rE 0 U 0) . ( Signed) Date No._ll 1A4- 7 Y Street No 7_he J W, 7 9 Street (� �� Subdivision ` -4 Street Size Septic Tank___ ._1 Feet of Drain Tile____140 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Capacity Gals. __ e/ Plumbing Inspector. Ify that he understands and accepts his obligations as an employer of labor ■mpiled General Laws of Florida Permanent Supplement, and has com- Sm all contractors or sub - contractors employed by him in the work to be >ection on the site of the work such public notice or notices as are lb- contractors, on work to be performed under this permit, as are E — Q (Signed) ized to administer oaths and take acknowledgments, personally appeared ;poses and says that he is the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida Master Plumber. .inspection is made necessary by improper notice for inspection, or faulty 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK , Permit'No / J 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 M- Location and Legal Description Lot ).--r Street and Number where work is to be performed— No.//__2.___ State work to be performed and purpose of building (By Floors) New Building 1� O t/] 0) ELI Q Re>hodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Type of Tank / -' t C L.- rE 0 U 0) . ( Signed) Date No._ll 1A4- 7 Y Street No 7_he J W, 7 9 Street (� �� Subdivision ` -4 Street Size Septic Tank___ ._1 Feet of Drain Tile____140 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Capacity Gals. __ e/ Plumbing Inspector. Ify that he understands and accepts his obligations as an employer of labor ■mpiled General Laws of Florida Permanent Supplement, and has com- Sm all contractors or sub - contractors employed by him in the work to be >ection on the site of the work such public notice or notices as are lb- contractors, on work to be performed under this permit, as are E — Q (Signed) ized to administer oaths and take acknowledgments, personally appeared ;poses and says that he is the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida Master Plumber. .inspection is made necessary by improper notice for inspection, or faulty Permit Notp_fky5 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 No '� • Street r Location and Legal Description Lot: Block' Subdivision Street and Number where work is to be performed—No . . ,.._/,/ 2 - e 9 State work to be performed and purpose of New Building Remodeling Addition__ _ Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ 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 f 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. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -- ,F L_a__l_ JI_! No Street building (By Floors) Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) ( Signed) Date Street_ 4.4 __Capacity Gals - — 1 My Commission Expir Notary Public, State of Florida Plumbing Inspector. ✓'F C Master Plumber. 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 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 , . 97 ,, . e u / ( TOTAL (TURES � CONTR. LIST , �__ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL • CONTR. LIST CHECK . Permit Notp_fky5 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 No '� • Street r Location and Legal Description Lot: Block' Subdivision Street and Number where work is to be performed—No . . ,.._/,/ 2 - e 9 State work to be performed and purpose of New Building Remodeling Addition__ _ Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ 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 f 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. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -- ,F L_a__l_ JI_! No Street building (By Floors) Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) ( Signed) Date Street_ 4.4 __Capacity Gals - — 1 My Commission Expir Notary Public, State of Florida Plumbing Inspector. ✓'F C Master Plumber. 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 inspection, or faulty materials and /or workmanship. ale k-S Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub tted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of 4liaml 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 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 Floors) . New Building_ ______ _______ ___ Remodeling Addition My Commission Expires MIAMI SHORES VILIAGE PLUMBING INSPECTION DEPARTMEK: APPLICATION FOR PLUMBING MIT Size Septic Tank. Type of Tank Amount of Permit $ . (Signed)_ Date. / AS -. 79 No. tisigl Street.W6_. e 4" f 44 ' No. 7 / Blook (Signed)___ Street Repairs No. of Stories. 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 - 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-contractor - ork to be per ormed under this permit, as are licensed by Miami Shores Village. 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 birn stated are true. Notary Public, State of Florida Master Plumber. 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 SIN" SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTI'S. LIST - CHECK • • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL Fat 444r. CONTR. LIST CHECK ale k-S Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub tted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of 4liaml 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 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 Floors) . New Building_ ______ _______ ___ Remodeling Addition My Commission Expires MIAMI SHORES VILIAGE PLUMBING INSPECTION DEPARTMEK: APPLICATION FOR PLUMBING MIT Size Septic Tank. Type of Tank Amount of Permit $ . (Signed)_ Date. / AS -. 79 No. tisigl Street.W6_. e 4" f 44 ' No. 7 / Blook (Signed)___ Street Repairs No. of Stories. 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 - 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-contractor - ork to be per ormed under this permit, as are licensed by Miami Shores Village. 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 birn stated are true. Notary Public, State of Florida Master Plumber. 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. Permit No< 6 ft k _ 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 No Street Registered Architect and /or Engineer Employing Plumber's Name :_'__�L Location and Legal Description Lot _ ." :i Block � Subdivision_ i 4 ...f... ) " ''' Street and Number where work is to be performed—No ii 9 7 d Size Septic Tank r eet of Drain Tile Mature of Water Supply STATE OF FLORIDA, t - :OUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Well No Y— (Signed) (Signed) _ itbio • , ,:, Street?i r _ State work to be performed and purpose of building (By Floors) New Building v Remodeling Addition Repairs No. of Stories ,l Type of Tank Capacity Gals s� ' e Dist Feet of Tank or Drain Field from Well �_ , / �' O • • Size of Soakage Pit spector. The undersigned' applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor nder the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- ed with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be ,erformed 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 equired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are tensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts erein 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 terials and /or workmanship. CLOSETS TABS TUBS SHOWERS LAVA-1 TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS /�• ry � / . ill;? / TOTAL FIXTURES L CONTR. LIST C. L / 1 c- f ' K CHECK /.2.0 I 7 9,y e) . 7s '' $ O 3 � , -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST —2.0 _ ,CHECK /- �/� J + 6 ie D 2 Permit No< 6 ft k _ 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 No Street Registered Architect and /or Engineer Employing Plumber's Name :_'__�L Location and Legal Description Lot _ ." :i Block � Subdivision_ i 4 ...f... ) " ''' Street and Number where work is to be performed—No ii 9 7 d Size Septic Tank r eet of Drain Tile Mature of Water Supply STATE OF FLORIDA, t - :OUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Well No Y— (Signed) (Signed) _ itbio • , ,:, Street?i r _ State work to be performed and purpose of building (By Floors) New Building v Remodeling Addition Repairs No. of Stories ,l Type of Tank Capacity Gals s� ' e Dist Feet of Tank or Drain Field from Well �_ , / �' O • • Size of Soakage Pit spector. The undersigned' applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor nder the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- ed with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be ,erformed 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 equired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are tensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts erein 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 terials and /or workmanship. i w 'r in compliance with ail or the proper authorities of dm emy• ° or osesidaratias of the issuance to at Of this p `� . Wei and in stria conformity I& the permit I assume rtspousgrility .fat all • w y Permit No J-4 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 a building during progress of work. Owner's Name and Address _ __._ _ �/' _ Z. . � — ��S No. - - - -� � z � --- - - - - -- Street__!" Z7. Registered Architect and /or E _- ------ _ — ctst . Employing Plumber's Name 6. —____ Street_ Location and Legal Description Lot Block -4 Subdivision Street and Number where work is to be performed —No 1/ 2 9 4 • C' Street State work to be performed and purpose of building (By Floors) New Building_.-_ -_ —__ _ Remodeling_ -___ — .._.__ -_ Addition_ Size Septic Tank Feet of Drain Tile. _______ Nature of Water Supply: City — Well Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed Date Repairs Type of Tank Capacity Gals 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 hi under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor performed under this permit; and will post or cause to be posted' for inspection on the site of the wprk required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. L Notary Public, State of Florida Master Plumber. No. of Stories. PI mbing Inspector. igations as an employer of labor anent Supplement, and has com- employed by him in the work to be ch public notice or notices as are erformed under this permit, as are 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. 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 /aer,workmanship. CLOEL76 BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR 4 DRAIN DRINKINO 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 Permit No J-4 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 a building during progress of work. Owner's Name and Address _ __._ _ �/' _ Z. . � — ��S No. - - - -� � z � --- - - - - -- Street__!" Z7. Registered Architect and /or E _- ------ _ — ctst . Employing Plumber's Name 6. —____ Street_ Location and Legal Description Lot Block -4 Subdivision Street and Number where work is to be performed —No 1/ 2 9 4 • C' Street State work to be performed and purpose of building (By Floors) New Building_.-_ -_ —__ _ Remodeling_ -___ — .._.__ -_ Addition_ Size Septic Tank Feet of Drain Tile. _______ Nature of Water Supply: City — Well Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed Date Repairs Type of Tank Capacity Gals 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 hi under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor performed under this permit; and will post or cause to be posted' for inspection on the site of the wprk required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. L Notary Public, State of Florida Master Plumber. No. of Stories. PI mbing Inspector. igations as an employer of labor anent Supplement, and has com- employed by him in the work to be ch public notice or notices as are erformed under this permit, as are 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. 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 /aer,workmanship. Nature of Water Supply: City—Weft AeI fie# 1)/i2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ta< 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 Vill age 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. fI , ,Q ZIT FGG Zs N //a e l Street... N �� 5 Owaei s Name and Address — •• R te - -...._ . Employing Plumber'i Name —00"2/ , .., N /0a2� ._.....,. trMl.a�. / �T Location and Legal Description Lot. J Bkx4 Subdivision_ _ —_— Street and Number where work is to be performed —No Street. State work to be performed and purpose of building (By Floors)___ New Building.___.._ — _.._...._......_._ Remodeling-- ._..__________ Addition.. ___ ...__._... Repairs No. of Stories... .... Size Septic Tank__. Type of Tank Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well -. -__--- Size of Soakage Pit. c.� (Signed) ✓. 1 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 Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to lx- 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. Muter Plum 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 be 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 whoa wet n4speodoe is 1011118'88o wy by improper notice for llaspecction, or faulty materials and /or workmanship. CLOSETS BATS TUBE $NOWIRS LAVA. TORIES a1NKi SLOP e1N KS LAUNDRY Tuna U RINAL[ CATCH B BASIN FLOOR DRAIN DRINKING FOYNT'NE TOTAL FIXTURES CONTR. LIST — CHICK a SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DIIP WELL SPRKLR. S SWIM'G POOL I CONTR. LIST CN[CR Nature of Water Supply: City—Weft AeI fie# 1)/i2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ta< 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 Vill age 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. fI , ,Q ZIT FGG Zs N //a e l Street... N �� 5 Owaei s Name and Address — •• R te - -...._ . Employing Plumber'i Name —00"2/ , .., N /0a2� ._.....,. trMl.a�. / �T Location and Legal Description Lot. J Bkx4 Subdivision_ _ —_— Street and Number where work is to be performed —No Street. State work to be performed and purpose of building (By Floors)___ New Building.___.._ — _.._...._......_._ Remodeling-- ._..__________ Addition.. ___ ...__._... Repairs No. of Stories... .... Size Septic Tank__. Type of Tank Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well -. -__--- Size of Soakage Pit. c.� (Signed) ✓. 1 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 Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to lx- 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. Muter Plum 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 be 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 whoa wet n4speodoe is 1011118'88o wy by improper notice for llaspecction, or faulty materials and /or workmanship.