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PLUMBINGP N j�`d 111 Date Permit o. -- - - -- -- --- -- Application is hereby made for the approval of the detailed statement of the plans and specifications herew /submitted for the wilding or other structure herein described. This application is made in compliance and conformity with the Building Ordin ' 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 erein specified or not. A copy of approved plans and specifications must b kept at building during progress of work. - �l Owners Name and Address f - - -- ;- No. Registered Architect and /or E ` eer________•- TS _ S �{_J_ T�F L � � �33�11 Employing Plumber's Name p �QO B _ 051 _o_ 1 P � — - No._ Street Location and Legal Description Lot Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Gvt i\AAO SNORES VOdz ©1 PLUMBING INSPECTION DEPARTMENT QppLOCUO©N 170 pLURABONG PE MAT Block_ Size Septic Tank Type of Tante Capacity Gal Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit (Signed) (Sign 'lv��treet_ 92 /3` Subdivision Street and Number where work is to be performed- No._ - - -- _ ----- -•-- ---- -- - -_ Street State work to be performed and purpose of building (By Floors) N B Remodeling Addition Repairs 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 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 posted for inspection on the site of the work such public notice or n ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on _work to bjrforfrrgd and —thy a init, as are licensed by Miami Shores Village. ci di Plu e 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. - - ley Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when auch re- inspection is made necessary by improper notice for inspection, or faulty materials and/oz workmanship. CLOSQTS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES CONTR. LICIT CHaCt( SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CoNTR. Li oT -- s, CHOCK P N j�`d 111 Date Permit o. -- - - -- -- --- -- Application is hereby made for the approval of the detailed statement of the plans and specifications herew /submitted for the wilding or other structure herein described. This application is made in compliance and conformity with the Building Ordin ' 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 erein specified or not. A copy of approved plans and specifications must b kept at building during progress of work. - �l Owners Name and Address f - - -- ;- No. Registered Architect and /or E ` eer________•- TS _ S �{_J_ T�F L � � �33�11 Employing Plumber's Name p �QO B _ 051 _o_ 1 P � — - No._ Street Location and Legal Description Lot Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Gvt i\AAO SNORES VOdz ©1 PLUMBING INSPECTION DEPARTMENT QppLOCUO©N 170 pLURABONG PE MAT Block_ Size Septic Tank Type of Tante Capacity Gal Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit (Signed) (Sign 'lv��treet_ 92 /3` Subdivision Street and Number where work is to be performed- No._ - - -- _ ----- -•-- ---- -- - -_ Street State work to be performed and purpose of building (By Floors) N B Remodeling Addition Repairs 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 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 posted for inspection on the site of the work such public notice or n ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on _work to bjrforfrrgd and —thy a init, as are licensed by Miami Shores Village. ci di Plu e 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. - - ley Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when auch re- inspection is made necessary by improper notice for inspection, or faulty materials and/oz workmanship.