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PLUMBINGPermit No I 13 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 1_,IN _ ... 14.1_17a A No._1Y ? Al i;': afeet_?.? s 7 . building during progress of work. Owner's Name and Address 64 Registered Architect and /or En ineer 5:1"40-1-6_- Employing Plumber's Name___ _o__ � �/ _ / Street__ — Location and Legal Description Lot____________ _ —____________— __, �j Block_ _ Subdivision _ ___________ Street and Number where work is to be performed—No --/-q------,A1--/-q------,A--/-q------,A1.4 7 3 Street State work to be performed and purpose of building (By Floors) N Building ______ ___ Remodeling_ _______ Addition____ Repairs No. of Stories. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank e a� Type of Tank_ Capacity Gals. Feet of Drain e -- v� sf . Feet of Tank or Drain Field from Well Nature of Water Supply: City — ell.________ _ ___ -_Size of Soakage Pit Amount of Permit $ My Commission Expires (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi':. ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractor o ub- contractors : , , oyed b _ him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site f the wo •s public no 'ce or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on ork to • e , e r ed nd this perinit, as are licensed by Miami Shores Village. Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CSETS LO BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK - Permit No I 13 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 1_,IN _ ... 14.1_17a A No._1Y ? Al i;': afeet_?.? s 7 . building during progress of work. Owner's Name and Address 64 Registered Architect and /or En ineer 5:1"40-1-6_- Employing Plumber's Name___ _o__ � �/ _ / Street__ — Location and Legal Description Lot____________ _ —____________— __, �j Block_ _ Subdivision _ ___________ Street and Number where work is to be performed—No --/-q------,A1--/-q------,A--/-q------,A1.4 7 3 Street State work to be performed and purpose of building (By Floors) N Building ______ ___ Remodeling_ _______ Addition____ Repairs No. of Stories. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank e a� Type of Tank_ Capacity Gals. Feet of Drain e -- v� sf . Feet of Tank or Drain Field from Well Nature of Water Supply: City — ell.________ _ ___ -_Size of Soakage Pit Amount of Permit $ My Commission Expires (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi':. ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractor o ub- contractors : , , oyed b _ him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site f the wo •s public no 'ce or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on ork to • e , e r ed nd this perinit, as are licensed by Miami Shores Village. Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /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 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. Size Septic Tank_. Feet of Drain Tile Amount of Permit S- r .a 1 STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date___. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / / Owner's Name and Address No Registered Architect and /or Engint¢r Employing Plumber's Name --_ -- - -- - - - -_— __- �____ -- L -- `�h No._. -.___ L - - ". Location and Legal Description Lots �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______________ Type of Tank . Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _Block Street Size of Soakage Pit (Signed) (Signed) Street Stree Subdivision_ '"? _Capacity The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida T Plumbing Inspector. 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.