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PLUMBING PERMITS 91 NE 91 STPermit No 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 72 kfti. Registered Architect and/or Engineer Employing Plumber's Name No._ Street_ yy - 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 Nature of Water Supply: City—Well STATE OF FLORIDA, t COUNTY OF DADE. Amount of Permit $ u. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r'' MT //E. Street Addition (Signed)_ Repairs Date - Block Subdivision Street Size Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit 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 Pennanent 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 are klcensed by Miami Shores Vffiage. Aaster Plumber. Tiefore 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 b7 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 materials and/or worlcmanship. CL°8"6 BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns .. 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 8W IMO P001. CONTR. LieT ____-- CHECK Permit No 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 72 kfti. Registered Architect and/or Engineer Employing Plumber's Name No._ Street_ yy - 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 Nature of Water Supply: City—Well STATE OF FLORIDA, t COUNTY OF DADE. Amount of Permit $ u. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r'' MT //E. Street Addition (Signed)_ Repairs Date - Block Subdivision Street Size Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit 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 Pennanent 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 are klcensed by Miami Shores Vffiage. Aaster Plumber. Tiefore 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 b7 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 materials and/or worlcmanship. e 7 ermit Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami�Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at builtlseg during progress of work. Owner's Name and Address _ Mrs Carl C$1ol iex No. __ N.E.__________ Street 91 &t.__ STREET.._......_ Registered Architect and /or Engineer_________ ________________ Employing Plumber's Name Leo t 6. P 1 t lmh i r g-- Zeririe_gn_a No. __ _143.54 __DI Location and Legal Description Lot________ Block_ Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building ___ Remodeling X Addition_________________ ______ Repairs No. of Stories Amount of Permit $ ------------ _- _ -__ -- — — ( Signed)_ _ Type of Tank __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed). Capacity Gals 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 Worlanen'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 required by tlie 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. Date 0Q1ioier_14 1958 street Avenue Street 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. 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 SNOWERB LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS UR INALS CATCH BASIN FLOOR DRAIN DRINKI Nowag FOUNT•NED ac n TOTAL FIXTURES ° L ` T 1 1 1 1 CHECK __ ___. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SW IM•G POOL CONTR. LINT CHECK -- e 7 ermit Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami�Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at builtlseg during progress of work. Owner's Name and Address _ Mrs Carl C$1ol iex No. __ N.E.__________ Street 91 &t.__ STREET.._......_ Registered Architect and /or Engineer_________ ________________ Employing Plumber's Name Leo t 6. P 1 t lmh i r g-- Zeririe_gn_a No. __ _143.54 __DI Location and Legal Description Lot________ Block_ Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building ___ Remodeling X Addition_________________ ______ Repairs No. of Stories Amount of Permit $ ------------ _- _ -__ -- — — ( Signed)_ _ Type of Tank __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed). Capacity Gals 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 Worlanen'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 required by tlie 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. Date 0Q1ioier_14 1958 street Avenue Street 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. 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. • BUILDING INSPECTION DEPARTMENT 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, 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 ept at building during pr.:res of he work. 4 _ 7 , 4 0 , i % "O if I / Owner's Name and Ad Registered Architect and /or Engineer.... Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision.. - Street and Number where work is to be done q ,- i State work to be done and purpose of building (by floors ). --_ -c zn f ( - -.2,4_ 4- 0. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering O O Estimated Total cost of improvements $ 6Th - Amount of Permit $ ' �o — Zone cubage required Plan Cubage.e,rs..., Distance to next nearest building Size of Building Lot z 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 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 complied 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 subcontractors, on work t. be •erfori ed under this permit, as are licensed by Miami Shores Village. / / / Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowl peared to me well known, and who, being by me first duly sworn, upon oath depos and-says that he is the of the above described construction. that he has careful] read the,fo`regoing application, and that he did sign the same, and that all facts therein by him stated are, e. Permit No 7, Date Disapproved (Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT ress. Date /a 27. Date /b — 2 -3 - , 19 No Street Read, S'.rn to and Subscribed before me. otary Public, State of Florida mc� personally ap- Building Ins", or My Commission Expires PPLANNING 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 been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. •� J I� MIAMI SHORES VILLAGJE PLUMBING INSPECTION DEPARTMENT. APPLICATION FOR PLUMBING PERMIT ~► • No. of Stories Permit No. Date Application is hereby ma • e 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_ nr Registered Architect and /or Engineer Employing Plumber's Name _.__ = _:_'._. " ' No y T " Street 1 Location and Legal Description Lot Block 1. ` 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 t , - ----" Remodeling Addition Repairs Size Septic 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 $ STATE OF FLORIDA, 1 COUNTY OF DADE. �-! [■ Type of Tank Capacity Gals ( 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 corn- 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 4equired 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. ss. (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for 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 TOTAL FIXTURES CONTR. LIST ,A CHECK ' SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SW IM'G POOL (I r r , „,, CONTR. LIST _ CHECK MIAMI SHORES VILLAGJE PLUMBING INSPECTION DEPARTMENT. APPLICATION FOR PLUMBING PERMIT ~► • No. of Stories Permit No. Date Application is hereby ma • e 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_ nr Registered Architect and /or Engineer Employing Plumber's Name _.__ = _:_'._. " ' No y T " Street 1 Location and Legal Description Lot Block 1. ` 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 t , - ----" Remodeling Addition Repairs Size Septic 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 $ STATE OF FLORIDA, 1 COUNTY OF DADE. �-! [■ Type of Tank Capacity Gals ( 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 corn- 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 4equired 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. ss. (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Owner's Name and Address / " D p Amount of Permit $__ STATE OF FLORIDA, t COUNTY OF DADE. • ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 6 , ( Signed) No Date Street__ • G' Q, Y u V" `) ( Signed) �'" _ • Plumbing Inspector. � A4 er '7tif17C 4 P icy et My Commission Expires Notary Public, State of Florida 0 c ll: 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. Registered Architect and /or Enginn er p Employing Ply s Name r i? P b Q P d Lei b . `a' / IP t t No. Y ®Q Street !� �/ /S � r rd• , ,. d r-, e Location and Legal Description Lot Block Subdivision -,r Street and Number where work is to be performed —No. JJ n St j et State work to be performed and purpose of building (By Floors � f" 01.0 O�p(� e ' S 7 J Vyz-f New Building Remodeling Addition Repairs No. of stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that He understands and accepts his ob ions 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 - contractors, on ork to be performed under this permit, as are licensed by Miami Shores Village. 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 sarpe, and that all facts therein by hint 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- TQRI ES 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 $W IM'G POOL CONTR. LIST CHECK Permit No Owner's Name and Address / " D p Amount of Permit $__ STATE OF FLORIDA, t COUNTY OF DADE. • ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 6 , ( Signed) No Date Street__ • G' Q, Y u V" `) ( Signed) �'" _ • Plumbing Inspector. � A4 er '7tif17C 4 P icy et My Commission Expires Notary Public, State of Florida 0 c ll: 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. Registered Architect and /or Enginn er p Employing Ply s Name r i? P b Q P d Lei b . `a' / IP t t No. Y ®Q Street !� �/ /S � r rd• , ,. d r-, e Location and Legal Description Lot Block Subdivision -,r Street and Number where work is to be performed —No. JJ n St j et State work to be performed and purpose of building (By Floors � f" 01.0 O�p(� e ' S 7 J Vyz-f New Building Remodeling Addition Repairs No. of stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that He understands and accepts his ob ions 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 - contractors, on ork to be performed under this permit, as are licensed by Miami Shores Village. 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 sarpe, and that all facts therein by hint 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. Permit No 7 7 .37 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 �Q_ _ 1 No V/ Street_________ /_i!_, 9/ J Registered Architect and /or Engineer ) Q � Employing Plumber's Name 1 ?L.!/ . %� _ ies1 " No a./ Z / Street F7 ' Location and Legal Description Lot Block Q /Subdivision Street and Number where work is to be performed —No. aC___./ Street____ A , � State work to be performed and purpose of building (By Floors) l 11'sar_ New Building Remodeling Addition Repairs No. of Stories Nature of Water Supply: City —Well Amount of Permit $___ /a STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) ( Signed) _ Date 441' The undersigned applicant for this building permit does hereby certify that he understands and accepts hi g ons 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 perfonned 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. s Ib i ati My Commission Expires Notary Public, State of Florida Plumbing Inspector. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' 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 1 CHECK Permit No 7 7 .37 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 �Q_ _ 1 No V/ Street_________ /_i!_, 9/ J Registered Architect and /or Engineer ) Q � Employing Plumber's Name 1 ?L.!/ . %� _ ies1 " No a./ Z / Street F7 ' Location and Legal Description Lot Block Q /Subdivision Street and Number where work is to be performed —No. aC___./ Street____ A , � State work to be performed and purpose of building (By Floors) l 11'sar_ New Building Remodeling Addition Repairs No. of Stories Nature of Water Supply: City —Well Amount of Permit $___ /a STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) ( Signed) _ Date 441' The undersigned applicant for this building permit does hereby certify that he understands and accepts hi g ons 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 perfonned 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. s Ib i ati My Commission Expires Notary Public, State of Florida Plumbing Inspector. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Work to CONTRACTOR OR BUUII.DER MIAMI. SHORES VILLAGE, FLORIDA P" RMIT N? 6214 performed under this Permit 1 2 elF Architect Contrabto or ,build Legal Descripti Address of Building This perm), _ anted 'o e contract. or builder named above to construct the building or to install the equipment or device described in 'the appli- cation herefor it /trict 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 ' thesst. ements ofpecifi tions and thathe assumes respon- sibility for work done by his agents, servants or employees. -� � - r Signed. In consideration of the issuance to me of this permit I agree to perform the work covered hereund 'in comph:nce 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. ^'R .5 : l 0 4 Subdi- vision Value of Project DATE Contractor s License No. s Amt ... Perms BY AUTHORITY 1942 BUILDING ❑ ELECTRICAL ❑ PLUMBING ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description efcyr,n q a ' Lot Address of Building 7/ / `� • / CONTRACTOR OR BUILDE MIAMI SHORES VILLAGE. FLORIDA DATE 195 Contractor's License No PERMIT N? 8247 F .. BI. Work to be performed under this 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 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 ;I'? Subdi- vision So. Ft Value of Project • $ Amt. of Permit BY AUTHORITY fie 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. (! v 1 i t d ?_,;;,, ' :'L4` i ,M 17 BUILDING ❑ ELECTRICAL ❑ PERMIT PLUMBING I AT . 7921 ROOFING ❑. Owner of Building Address of Building Architect Contractor 7 or Builder Lot MIAMI SHORES VILLAGE. FLORIDA Legal Description CONTRACTOR OR BUILDER Work to be performed under this Permit Pt Subdi- vision Sq. Ft Value of Project DATES 195- Contractor's License No. 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 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 specification s and that he assumes responsibility for work done by his agents, servants or employees. + fr 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 accepting this permit �I assume responsibility for all work done by either, myself, my agent, servant or employee. 6' Amt. of Permit $ BY AUTHORITY 1 4C:›17 BUILDING ❑ ELECTRICAL ❑ 195 PLUMBING p PERMIT N? 8708 ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot c. MIAMI SHORES VILLAGE. FLORIDA P CONTRACTOR OR BUILDER Bt. Subdi- vision 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 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. /..fir a'4, t ` . , . (�,y Y 1 Sq. Ft Value of Project $ • DATE ° +t k� Contractor's License No O Amt. of Permit $ Signed. i'. , . rZ. r> • gy -.. _ .. 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 accepting this permit I assume responsibility for all work done by either, myself, my aggtt, servant or employee. BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING ROOFING ❑ 0 Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot • W1,2, • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 8735 trj BI. Work to be performed under this Permit Subdi- vision BY c DATE Contractor's License No Sq. Ft Value of Project $ Amt. of 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 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. 7 - / \` Signed • l .• , 15 Q 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 accepting this permit I assume responsibility :or�ll done by either, myself, my agent, servant or employee. }: , r ., h /1 - ,.. , ) AUTHORITY 195 17 BUILDING ELECTRICAL PLUMBII4' Owner of Building Architect Contractor or Builder Legal Description Lot • MIAMI SHORES VILLAGE, FLORIDA DATE �� D 199- Contractor's License No PERMIT N? 7751 • Work to be performed under this Permit Address of J Value of Amt. of f nn Building / 1 ^ e f . ' . P roject I Permit F/ /' a 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 respon- sibility for work done by his agents, servants or employees. SignedL n ., .1.- - By s' r�`� . INSPECTOR In consideration of the issuance to.me of this permit I agree to perform the work covered hereunder in compliance with all ordinances aud NgplatioDs pertaining thereto and in strict conformity with the plans, drawings, statemenid or specifications submitted to the proper auffeities of' Miami Skofe§Villa. In acceptin this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR /OR BUILDER )12 BL Subdi- vision BY AUTHORITY BUILDING ELECTRI4AL PLUMBING In consideration of pertaining thereto and in In agcfrpting this permit I M e s t P. CONTRACTOR OR ®BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE v PERMIT N? 7741 Owner of Building -- 72 Work to be performed under this Permit Architect Bl. the issuance to me of this permit I agree to perfo strict conformity with the plans, drawings .,statem assume responsibility for all work done 1jeither Contractor or Builder Legal Lot Description Address of Building This permit is granted to the contractor or builder named above to construct the uilding or to install the equipment or device described in the appli- cation 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 respon- sibility for work done by his agents, servants or employees. Subdi- vision Value of Project BY eh Amt. of Permit Signed.' -.- " err wof By SPECTOR Contractor's License No. . S 0 1941_ AUTHORITY e work covered hereunder in compliance with all ordina and regulations is or specifications submitted to the proper authorities of Miami Shores Village. my agent, sery ant or employee. PER 3.0 0 �S STATE OF FLORIDA { DEPARTMENT OF HEALTH AND ONSITE SEWAGE DISPOSAL S CONSTRUCTION PERMIT Authority: Chapter 381, CONSTRUCTION PERMIT FOR: [V] New System [44,/Existing System [7] Repair [ ] Abandonment • Hplding Tank APPLICANT: — e- S? S t L ` t 0- 7) s"fr PROPERTY STREET ADDRESS: d77 q/ s LOT: AIV BLOCK: ,SUBDIVISION: PROPERTY ID #: REHABILITATIVE SERVICES DATE PAID' /U' / � 41 /'° YSTEM . FEE PAID $ RECEIPT # f c1 3 77J- FS & Chapter 10D -.6, FAC PERMIT # ] Temporary /Experimental Other(Specify) AGENT: 42,9,T._ ,v( Sst4 Pe- [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST•BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D- 6,•FAC REPAIR PERMITS AND. HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE•ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY.' PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE'APPLICANT'TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS - 6 /.J oo� / T [kill ]�ALL,QIIS✓4 GPIl`]. SEPTIC T /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] cl aQUARE Fj,.ET-PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [ ] TRENCH f N O7' F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE 1/0 '1] [INCHES /FT] ABOVE/BELOW]- BENCHMARK /REFS "E BOTTOM OF DRAINFIELD TO BE-[ ..15- a _ l[INCHES/' T] [ABOV BELOWpBENCH L D FILL•REQUIRED: [ ] INCHES • EXCAVATION REQUIRED: [, ] INCHES INSTAL „ `° r� ^ ,". R rt`Ifi L o UNDER B071 :..sr Vii. 7 ::c- 1 _.< ::•_.--.LIT T SUBMIT BENCH_14AIJK BE ,2 1:; •° ''y' Cr a ION H THIS PERMIT IS NOT FOR A is r.r77:3N(SS) E INVERT RT.EVA r :C. i S",‘) R PfTTfM G)F DRAINFIRM F.E PVATT €)N )C`J SPECIFICATIONS BY: APPROVED BY: DATE ISSUED/o SYSTEM [ ] FILLED [ ] MOUND [ ] [ Cl_BED HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 001 - 4016 - 0) APPLO©1 IT TITLE: [ ] TITLE: / zijr � �Q CPHU EXPIRATION,.DATE: pb� SEPVBC TANN SHALL 02 PUMPED AHD Q SW �9D NT Page 1 of 2 INSTRUCTIONS: PERMhT NUMBER: Permit tracking number assigned by CPHU. APPLICATION FOR: Check type of permit, if °Other° specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID /i: 27 character id number for property. (CPHU may require property appraiser ID 11 or section/township /range /parcel number) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 10D-6, FAC. DRAINFIELD: Minimum specifications from Chapter I0D-6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by n registered engineer must be sealed. APPROVED BY: County Public Health Unit (CPHU) personnel reviewing and approving permit. DATE ISSUED: Daie permit is issued by CPHU. EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. 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.P%%G: _ - _ > -. No. __9/ Street. Registered Architect and /or Engineer _________ Employing Plumber's ' No._ _ d ___ Street__' W: 7 r Location and Legal Description Lot____ --___....... Block__ Street and Number where work is to be performed —No._ State work to be performed and purpose of building (By Floors)_-_-- New Building Remodeling Nature of Water Supply: City —Well . Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN' APPLICATION FOR PLUMBING Addition__ _____._ Repairs No. of Stories .. . ............ .. .... Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) (Signed) Street Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acge•ts 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- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Subdivision 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 /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. /// / _ - -.— CHECK K CHEC / - . 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.P%%G: _ - _ > -. No. __9/ Street. Registered Architect and /or Engineer _________ Employing Plumber's ' No._ _ d ___ Street__' W: 7 r Location and Legal Description Lot____ --___....... Block__ Street and Number where work is to be performed —No._ State work to be performed and purpose of building (By Floors)_-_-- New Building Remodeling Nature of Water Supply: City —Well . Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN' APPLICATION FOR PLUMBING Addition__ _____._ Repairs No. of Stories .. . ............ .. .... Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) (Signed) Street Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acge•ts 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- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Subdivision 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 /or workmanship. Permit No ?2c f Size Septic Tank -_ -6 ' ` Type of Tank_ Feet of Drain Nature of Water Supply: Cit —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING "`r�iilT .________ Dist. Feet of Tank or Drain Field from Well Amount of Permit $ ®?� _____— _-------- _-- ^__ -_ -- (Signed) No._____ _.Y Street__ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub6nitted 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 L 1 Stree Registered Architect and /or En ineer_ Employing Plumber s Name Location and Legal Description Lot______ __-- _- _--- ____ Subdivision Street and Number where work is to be performed— No.__________ — Street State work to be performed and purpose of building (By Floors) _______— New B Remodeling Addition Repairs No. of Stories. Capacity Gais. ._Size of Soakage Pit • Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acceptt ,} is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has coin - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perfonmed 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 performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. :heir/re 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 t;ie 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 $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 SHOWER! LAVA. TORIES SINKS INKS SLOP SINKS LAUNDRY Tues R INALS 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 F.ATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK / V Permit No ?2c f Size Septic Tank -_ -6 ' ` Type of Tank_ Feet of Drain Nature of Water Supply: Cit —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING "`r�iilT .________ Dist. Feet of Tank or Drain Field from Well Amount of Permit $ ®?� _____— _-------- _-- ^__ -_ -- (Signed) No._____ _.Y Street__ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub6nitted 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 L 1 Stree Registered Architect and /or En ineer_ Employing Plumber s Name Location and Legal Description Lot______ __-- _- _--- ____ Subdivision Street and Number where work is to be performed— No.__________ — Street State work to be performed and purpose of building (By Floors) _______— New B Remodeling Addition Repairs No. of Stories. Capacity Gais. ._Size of Soakage Pit • Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acceptt ,} is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has coin - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perfonmed 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 performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. :heir/re 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 t;ie 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 $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship.