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PLUMBING PERMITSPermit No Application is hereby ma a for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein describe . 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 Registered Architect and /or Engineer Employing Plumber's Name (( Location and Legal Description Lot Street and Number where work is to be performed —No O , Street Ai' State work to be performed and purpose of building (By Floors) New Building 74— Remodeling Addition Repairs No. of Stories Size Septic Tank a — SO 0 Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $___ 3 Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT e t No. Street Block / � Subdivision ( Signed) ( Signed) Date 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 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. Master Plumber. STATE OF FLORIDA, 1 ss. 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. 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 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST 3 J I Y 3 , — � �A( may[ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SE SYSTYSTEM M S O'G POOL CI) ® t IA I� I // ie CONTR. LIST __ CHECK Permit No Application is hereby ma a for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein describe . 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 Registered Architect and /or Engineer Employing Plumber's Name (( Location and Legal Description Lot Street and Number where work is to be performed —No O , Street Ai' State work to be performed and purpose of building (By Floors) New Building 74— Remodeling Addition Repairs No. of Stories Size Septic Tank a — SO 0 Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $___ 3 Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT e t No. Street Block / � Subdivision ( Signed) ( Signed) Date 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 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. Master Plumber. STATE OF FLORIDA, 1 ss. 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. 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. IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ° 't•LMMIT Permit No 0 ______ Date State work to be performed and purpose of building (By Floors ) _ New Building _ ______ Remodeling Addition. Amount of Permit $ _ My Coxnmmission Expires No.___ o! (Signed). Application is hereby i 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/ • Engineer___- -_-. __ _ Employing Plumber's ° • �- ; ` �� -- - — �' - -- ;__ _- ��e_v__. No.------- -- - - -- .56 Street_ - .�� Subdi n_ ___-- -_ - __ Street and Number where work is to be performed—No.______ 4 0 V, Street Location and Legal Description Lot_____._______________ — Block__ 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 (Signed)_ _ /��� Plumbing -I pect6r. 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 Pr4nanent 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. Master Plumber. 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. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS I NALS URINALS CATCH BASIN FLOOR DRAIN DRINKI NG FOUNT'N6 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. LIST CHECK IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ° 't•LMMIT Permit No 0 ______ Date State work to be performed and purpose of building (By Floors ) _ New Building _ ______ Remodeling Addition. Amount of Permit $ _ My Coxnmmission Expires No.___ o! (Signed). Application is hereby i 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/ • Engineer___- -_-. __ _ Employing Plumber's ° • �- ; ` �� -- - — �' - -- ;__ _- ��e_v__. No.------- -- - - -- .56 Street_ - .�� Subdi n_ ___-- -_ - __ Street and Number where work is to be performed—No.______ 4 0 V, Street Location and Legal Description Lot_____._______________ — Block__ 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 (Signed)_ _ /��� Plumbing -I pect6r. 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 Pr4nanent 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. Master Plumber. 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. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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.