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PLUMBING PERMITPermit No. Size Septic Tank_ Nature of Water Supply STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned MIAMI SIHORES VILPIGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date____ �? - --- - - ---- - - --- - -- Employing Plumber's Name —_ Location and Legal Description Lo _Block— Street and Number where work is to be performed— No. __ /2_-_'_.3 __ / Street State work to be performed and purpose of building (By Floors) _____lll�ee ss. Well. My Commission Expires Notary Public. State of Florida 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 Engi egr No �4 � L4_ -__ _— Street-___ / /Y '6"." ><3 No. -5 {. Street_- Subdivision--__ _ New Building_-__— ____________-__ —_ Remodeling_ Addition Repairs No. of Stories _Capacity Gals._____________— ____--_ Type of Tank Feet of Drain Tile___--- ___________ -__j_____ Dist. Feet of Tank or Drain Field from Well_ fTh Size of Soakage Pit ..... __-_---_- _- --_-______-_-_—_-____-_--_-_- .- -- ._-- -_ Amount of Permit S_ -- _- -_- -__ --- __(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 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 i y him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by 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. Master Plumber. authority, a notary public:, duly authorized to administer oaths and take acknowledgments, personally appeared to me well k wn, and who, being by me first duly sworn, upon oath deposes and says that he is the ' of the abo described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by am 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 !, 1. J. TOTAL FIXTURES CONTR. LIST , )• / / / ,Q CHECK a 5 0 ? S \ ! / J -z / Jb 7-s! 21 SEPTIC TANK SEWER CONN. DRAIN SOAKAGE FIELD PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O�j� POOL ..00TT''PPtt''�rJJ CONTR. LIST d � W, - 1C V 4 CHECK / (YT Permit No. Size Septic Tank_ Nature of Water Supply STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned MIAMI SIHORES VILPIGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date____ �? - --- - - ---- - - --- - -- Employing Plumber's Name —_ Location and Legal Description Lo _Block— Street and Number where work is to be performed— No. __ /2_-_'_.3 __ / Street State work to be performed and purpose of building (By Floors) _____lll�ee ss. Well. My Commission Expires Notary Public. State of Florida 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 Engi egr No �4 � L4_ -__ _— Street-___ / /Y '6"." ><3 No. -5 {. Street_- Subdivision--__ _ New Building_-__— ____________-__ —_ Remodeling_ Addition Repairs No. of Stories _Capacity Gals._____________— ____--_ Type of Tank Feet of Drain Tile___--- ___________ -__j_____ Dist. Feet of Tank or Drain Field from Well_ fTh Size of Soakage Pit ..... __-_---_- _- --_-______-_-_—_-____-_--_-_- .- -- ._-- -_ Amount of Permit S_ -- _- -_- -__ --- __(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 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 i y him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by 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. Master Plumber. authority, a notary public:, duly authorized to administer oaths and take acknowledgments, personally appeared to me well k wn, and who, being by me first duly sworn, upon oath deposes and says that he is the ' of the abo described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by am 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. O to b.- ')'3 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 1d ❑ PERMIT MIAMI SHORES VILLAGE. :N? 2413 FLORIDA DATE - r 195 Contractor's License No. Work to be performed under this Permit BI i Subdi- vision Value of Project $ Amount of Permit $ ( This permit is granted to the contractor or builder named above to construc 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 may 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 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 the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done 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 a 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 Nature of Water Supply: City —Well. Amount of Permit $_G? STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No *!�_ Date 1‘ 19 " Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi(d 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- .- - _ ._ __C�._..4. _ ---- _ No. 7 ' 2 2 o - Street_ 5 9: Registered Architect and /or Engineer__ ___,_____ Employing Plumber's Nam e'� No._____� J Street _lL _�___.� _. _' Block Subdivision Street Repairs No. of Stories. Size Septic Tank____ - l° 00 -------- - - - - -- - Type of Tank____Q /fie Capacity Gals Feet of Drain Tile Zi gh/ - - -- -Dist. Feet of Tank or Drain Field from Well- --- ---- ---- -- _ 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 the Florida Workmen's Compensation Act, being Secticm 5966, Compiled General Laws of Florida Pennanent Supplement, and bus 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 posited' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. , � _ � (Signed)_. er _ _'!� 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 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. CLOUTS BATH Tu88 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS RINALS 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. Liar ` -- - CHICK .9 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 Nature of Water Supply: City —Well. Amount of Permit $_G? STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No *!�_ Date 1‘ 19 " Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi(d 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- .- - _ ._ __C�._..4. _ ---- _ No. 7 ' 2 2 o - Street_ 5 9: Registered Architect and /or Engineer__ ___,_____ Employing Plumber's Nam e'� No._____� J Street _lL _�___.� _. _' Block Subdivision Street Repairs No. of Stories. Size Septic Tank____ - l° 00 -------- - - - - -- - Type of Tank____Q /fie Capacity Gals Feet of Drain Tile Zi gh/ - - -- -Dist. Feet of Tank or Drain Field from Well- --- ---- ---- -- _ 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 the Florida Workmen's Compensation Act, being Secticm 5966, Compiled General Laws of Florida Pennanent Supplement, and bus 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 posited' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. , � _ � (Signed)_. er _ _'!� 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 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.