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PLUMBING PERMITPermit No \ 35(0 q 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 E s gineer ..... _ 1 Employing Plumber's N Location and Legal Description L. 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__ -- Repairs No. of Stories... ... .. ..... Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well. I� Qo Amount of Permit $ +� 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 5988, 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- contractors, on work to be performed under this pen n3it, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -- — -- - - No.1 1,24-- -- E Street - -, / �— Block Subdivision. -_ _---- .- _-- - - - -._ __ - -- /I0 -11Zr.: Street ! '?-.ci — - _----- __Type of Tank __Dist. Feet of Tank or Drain Field from Well - - . -___ -- -_ --- _Size of Soakage Pit (Signed)--- - --t'. (Signed) Date_ __ -- - - u No._i .0_6_ Q _ L Capacity Gals. hL� My Commission Expires Notary Public, State of Florida Master lumber. • 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 t h e . _ 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 insj n, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA.. TORIES SINKS SLOP SLOP SINKS LAUNDRY Tues U CATCH BA8IN 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 Permit No \ 35(0 q 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 E s gineer ..... _ 1 Employing Plumber's N Location and Legal Description L. 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__ -- Repairs No. of Stories... ... .. ..... Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well. I� Qo Amount of Permit $ +� 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 5988, 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- contractors, on work to be performed under this pen n3it, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -- — -- - - No.1 1,24-- -- E Street - -, / �— Block Subdivision. -_ _---- .- _-- - - - -._ __ - -- /I0 -11Zr.: Street ! '?-.ci — - _----- __Type of Tank __Dist. Feet of Tank or Drain Field from Well - - . -___ -- -_ --- _Size of Soakage Pit (Signed)--- - --t'. (Signed) Date_ __ -- - - u No._i .0_6_ Q _ L Capacity Gals. hL� My Commission Expires Notary Public, State of Florida Master lumber. • 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 t h e . _ 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 insj n, or faulty materials and /or workmanship. Permit No. 1 00, � e*". 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 at building during progress of work. Owner's Name and Address _- __ -.._ fe.9..- / (-s.:.6 Registered Architect and/or Epg' e er (• - -y tinLo Size Septic Tank G Q Amount of Permit $ Feet of Drain Tile Location and Legal Descrip t_ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name Block_ (Signed) Date o. /_i ___,/Y_ &Street Street_ New Building Remodeling Addition____ Repairs * No. of Stories Type of Tank_ _ Capacity Gals. Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supp1C —Well . 4 -1 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 Perinanent 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 arc licensed by Miami Shores Village. V .,.,plc (Signed). . t t. . 4: 0� Subdivision 1 Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before ate, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat 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 when such re- inspection is made necessary by improper notice for inspection, or flail materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SIN" SINKS LAUNDRY Tue6 U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURE. - CONTR. LIST (� / 1 C.2-- - .1 ,P., CHECK / 7t 7 s 7� _ is 7 4 1 1 , s ,, d. a SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL F -7- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP CONTR. LI6T CHICK , / t 10C3) 30,L; i L'. tt I" .oit t ! Ma , Permit No. 1 00, � e*". 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 at building during progress of work. Owner's Name and Address _- __ -.._ fe.9..- / (-s.:.6 Registered Architect and/or Epg' e er (• - -y tinLo Size Septic Tank G Q Amount of Permit $ Feet of Drain Tile Location and Legal Descrip t_ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name Block_ (Signed) Date o. /_i ___,/Y_ &Street Street_ New Building Remodeling Addition____ Repairs * No. of Stories Type of Tank_ _ Capacity Gals. Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supp1C —Well . 4 -1 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 Perinanent 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 arc licensed by Miami Shores Village. V .,.,plc (Signed). . t t. . 4: 0� Subdivision 1 Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before ate, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat 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 when such re- inspection is made necessary by improper notice for inspection, or flail materials and/or workmanship. STATE OF FLORIDA, 1 COUNTY OF DADE. j ss Disapproved (Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village,'T lnrida. 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 the work. 4 July 9 84 t Date..._...__. — —... —.... -.._ .. ... ,19.. Owner's Name and Address . "/�� / ?� � � S /�._..__ _. No.// Q..L..__. Strom /ll.. r�L._....' Registered Architect and /or f;nglncer Joachim Vasquez • Name and address of licensed contractor Air Flow Ind • Inc. 308 NW 170th St . t N.M.B. Fla 33169 Location and legal description of lot to be built on: Lot 7 Block 3 Subdivision Bay. Lure Street and Number where work is to be done 1182 NE 92nd Street State work to be done and purpose of building (by floors) Swimming Pool Addition New Building Remodeling Addition Po Repairi No. of Stories To be constructed of Kind of foundation t- � )Roof Covering Estimated Total cost of improvements $ 6, 500 t 00 Amount of Permit . l Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to Air Flow Ind Inc 308 NW 170th St. 7 N M.B. Fla 33169 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, Per: nent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or sub contracto.. employe by him in the work to be performed under this permit; and will post or cause to be posted for i v pection on the site o e wor uch public notice or notices as are required by the Act. The undersigned agrees to employ only such su. 4 o work to •r me d under this permit, as are licensed by Miami Shores Village. ` l, Remarks (Signed) Building Inspector BUILDING INSPECTION DEPARTMENT and for no other purpose. 4 pevol 7 1 y4' .9_7 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Gene ._A.... Latham,--- Pstes..----&--- Qualifier, .._Air .._Flaw .._Ind__Ina— to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. Contractor & Qualifier 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 himsstat are true. r Permit No._ l Date 1 ( ) Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires- ...ly ,,.p _: t:,, o; -;.;G g et.{ My Cc - rnlasio.1 d arcs 1-16438 PLANNING BOARD ..._ DATE Chairman Member Member Member Member ...... — _.__._..._._....._..._.._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from the Planning Board. A re inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. - -� CLOSETS BATH TUBS TUBS LAVA. TORIES aINKa SLOP SINKS LAUNDRY Tuna URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIATunas CONTR. LIST CHECK CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT ONCAsa TRAP SOLAR MCATIN DEEP WELL SPRKLR. SYSTEM SWIM'O POOL Amount of Permit $ if 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacit c- (sighed) = ySn Say (sped) Permit No Za 3_ ^' : July 9, 1984 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 Budding Division of Miami Shorei. Village shall be complied with, whether herein spedfled or not. A copy of approved plans and specification must be kept at building during progress o`work. Owner's Name and Address No. Susi No 1182 Street. NE 92nd Street Registered Architect and /or Engineer .T_ Vazquez 300 - — • i'70th' - Ea plug Plwubar's Napte._..Aax F . GQrp M $ I --,- --- - Location and Legal Description Lot 7 m _l__ Subdivlsio Lure 1182 NE 92nd St . 1 Street and Number where work is to be performed —No Stare► State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Pool Repairs.._ No. of Stories Sire Septic Tank Type of Ta"Ic Feet of Drain Tile r)ist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Weil. -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 59138, Compiled Cenral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all oontractars or sub-contractors employed by him in the work to be performed under this permit; and will post or enure to be posted for inspection on the site of the work such public notice notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o, work to be pert licensed by Miami Shores Village. permit, as are Master Plumber. STATE OF FLORIDA, 1 en COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Gene A. Latham, Pres Air Flow Pools & Oralifipr to me well known, and who, being by me first duly sworn, upon oath domes and says that he b _..._. _ _ _.--- .— ..-. of the above described construction, that be has cud* read the foregoing application, and that he did sign the same, and abet all fads therein by him stated are true. Pub:':; Stcto of Florida at Largo My qty .. 688 Notary Public, State of Florida TE: s mdd r of $1A0 will be made when srsi ,-M r r,ollss Y meda�naoassary by improper notion for iaspectioa, a faulty materials BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description, Address of Building Ei ❑ PERMIT IN? 13005 U+14 ❑ Work to be performed under this Permit Lot M IAMI SHORES VILLAGE, FLORIDA r'V " 11 1 Bl. Subdi- vision DATE = 4 - 2 - Contractor's License No Value of Amt. of Signed • 7 BY INSPECTOR 195 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that nni�ay, have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance vbith such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and re ations pertaining to the work covered hereby whether shown on the plans or drawings the state ents or specifications an he assumes respon work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to r form the work covered hereunder in compliance with all ordinances and regulatio s pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mianu Shores Villa . In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CO RACTOR OR BUILD$ BY AUTHORITY Permit No /14 Application is hereby made for the approval of the detelled statement of the plans and specifications herewith submitted for the building or other structure herein described. This application L 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 .t building during progress of work. Owner's Name and Address r&' // firs /I No / /82/ Street &AF L 2 / Registered Architect and /or Engineer Employing Plumber's Name C / c and al Location g ption Lot : MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT BIoA ? Subdivision G �7 - ' 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 Nature of Water Supply: City —Well __._.___. __ .__ Size of Soakage Pit Amount of Permit 1_j — Plumbing In vector. 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 5988, Compiled General Laws of Florida Permanent Supplement, and IIs. /ran - 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 orb - contractors, on under this permit. as are licensed by Miami Shores Villages J ..'"7" - Master Plumber. , Allif . STATE OF FLORIDA, I COUNTY OF DADE. (Sigss.d ) Capacity Cals... _.. ( Signed) _t .. , ' — - _�L'` /_ .._ � . L / -- 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 dep ones and says that be is the ...__.._ .._ ._... •- --... _ _ .._._.._.... _.. of the above described construction, that be her carefully read the foregoing application, and that be did sign the sacs" and t all f acts therein by him stated are true. My Commission Expires Notary Public), fit. of Fla des NOTE: A re- inspection fee of $1.00 will be made when snob Sslaspeotles le made >oamerr by improper sodas far VpeLtloS or fealty materials and /or workmanship. nship. Permit No... L '` 0 (09 cc cc Size Septic Task._ Feet of Drain Tile Nature of Water Supply: City-Well. Owners Name and Address . / L / U $ / No Registered Architect and /or Engineer Employing Plumber's Name Amount of Permit $.-A My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_1 Date... , ._,n .._.....01111=....,,., ItrNt� Location and Legal Description Lot- Block Subdivision Street and Number where work is to be performed -No. / 1 t 7- )) PJ 9 A 51 Street. _...__ _ ..._..._. State work to be performed and purpose of building (By Floors)_ -. _.._ M - ---- •---- __......._....._.._._ New Building..__._ __- .----- ....- - - - -.. Remodeling_-_..--- ..- ._._....__ Addition. Repairs Type of Tank ..... -_—__Capacity Cals..._.. rid_ Feet of Tank oc Drain Field from Well... ___ ------- .- .--- _ -. -•- Size of Soakage Pit Notary Public, State of Florida a Application is hereby made for the approval of the detailed statement of the plans and specifications her submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordi ce 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 et building during progress of work. Street_. /1(rg ,w: 72- No. of Stories.. ...... 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 hay cam - 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 err required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed u this permit, as are licensed by Miami Shores Village (Signed) _ — ._. - . - ............_......_ Master Plumber. STATE OF FLORIDA, t a. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 mad. wh wiu sure paados Ia toads.uso.Mry by bnpropR soda. WD or faulty materials and /or workmanship. CLOSETS BATH TuiS SHOWERS LAVA- T ORIES SINK* SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRA DRINKING FOUNT'N TOTAL PutTull(' CONTR. LIST CHICK SEPTIC TANK SEwtm CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SW IM O POOL � !!° i COHTR. LIST r- I CHECK Permit No... L '` 0 (09 cc cc Size Septic Task._ Feet of Drain Tile Nature of Water Supply: City-Well. Owners Name and Address . / L / U $ / No Registered Architect and /or Engineer Employing Plumber's Name Amount of Permit $.-A My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_1 Date... , ._,n .._.....01111=....,,., ItrNt� Location and Legal Description Lot- Block Subdivision Street and Number where work is to be performed -No. / 1 t 7- )) PJ 9 A 51 Street. _...__ _ ..._..._. State work to be performed and purpose of building (By Floors)_ -. _.._ M - ---- •---- __......._....._.._._ New Building..__._ __- .----- ....- - - - -.. Remodeling_-_..--- ..- ._._....__ Addition. Repairs Type of Tank ..... -_—__Capacity Cals..._.. rid_ Feet of Tank oc Drain Field from Well... ___ ------- .- .--- _ -. -•- Size of Soakage Pit Notary Public, State of Florida a Application is hereby made for the approval of the detailed statement of the plans and specifications her submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordi ce 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 et building during progress of work. Street_. /1(rg ,w: 72- No. of Stories.. ...... 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 hay cam - 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 err required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed u this permit, as are licensed by Miami Shores Village (Signed) _ — ._. - . - ............_......_ Master Plumber. STATE OF FLORIDA, t a. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 mad. wh wiu sure paados Ia toads.uso.Mry by bnpropR soda. WD or faulty materials and /or workmanship.