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PLUMBINGPermit No. Application is h reby made for the approval of the uretalied statement of the plans and specifications herewith submitted for tl-e building or othze structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shor;;s Village, F1ordu ¢;.id all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, v,hether herein specified or not. A copy of approved plans and specifications niust be kept at 'a d ring progress of work. Owners Nuns azd Address - Registered Architect and /or Fnginees __- Employing Plumber's Name Location a.;_d becal Description Lot _ - _�- --- - -- --' State work to be pe--.icyrned and purpose of building (By Floors) New wilding _ -_.- `��_ -_—, ��. . •.� ; - DAYud CLfiZ3L:B .rV 03 Size Septic ierlk F t of Pain Na pre of Water �appiy; u�.ity ' J nzusit of Pe.�iit 0- .. - DRAIN SOAKAGE 7'i LD PI".' M A C SHORES VILLAGE r te;, e, it NS? C T iON LDE 4ARTMEN"T APPLICATION FOR PLUMING PERMIT ate No._ Street No,.__ - ..._. .__ - _ Str:>et_.- Alois 5ubdivision Street and Nu . :ate where work is t© t- performed -No. Street ' Rcmn.;eling ..__ Addition--.-_ ____ __ - --- -___ Repairs S s?/l SI ER TARE COKE. SHOWERS LAVA. TORIES GREASE TRAP DEEP SPRKLR. SWI11 0 HEATER WELL SYSTEM P001. FLOOR DRINKING DRAIN ,FOUP.T•NS SLOP LAUNDRY URINALS CATCH I NA(.9 &INKS Tune 3ASIN Type of Tank_ - Dist. Feet of Tank or Drain Field from WeIl Size of Soakage Pit. .._..., � � ,/ (Signed)__... / - — • __Capacity Oats. ...... __ No. cf Stor'es__ -.•_ -- -- •....... / y C9r:t tiss`cn Ez Nata y Public, State of Florida IOTA_ FIETUREI :`/'aster ?lumber. Plumbing( ?ns L or. The uadersigr. d applicant for this busldin rrit does hereby certify that he und,crsta ids -and ne a is his ob..igations as : employer of labor the Florida 7 t,Vorhinzn s Comparnaticn Act, herd., Socton 5988, Compiled feral Laws cf Florida Permanent Supplement, ar,d b:.: tee; with the prov sions t .e and w :ec,u;ire similP_z compliance from all contractors or sub contractors employed by him :r. the w,ror;: �c be pc:43 reed z e- tais permit; and w-Ji ;sor3 c :: cz:ase to he posted for inspcctIon on the site of the work such public notice or i: ca are ;acrired by the .Asa. The un;:.e :s c^'d rgu ,s to e.-z:.t loy o: ey etch sub-contractors, on work to he performed under Ors rI -; it, as art l'iamw..ri by Miami Endres ` i rage. 02.4;21Z ®F Iv ivOB :DA, 1 cn, COUNTY OF DADE. Before me, tc-e :yd.ersigneii authority, a nags public, du"y ao, es$ to administer oaths and take acknowledgments, personally ,,ppe.are tV. rit^. weE known, cod who, being by rrie fist duly Sii;i3 , 1272' C e 'E�'.a'�II.�'. aad1 says that he io the ... .... .. ....... .._-.-- _ _ of tk.e. above descr he : construction, that ha i"rias ca.cfa1 y .,cad the foregoing application, end that he did sign the same, rand that all prix• Cl :ain by him atated are tine.:-. NOTE: A re- inspes,tion fee of $r..03 ✓iy 'ze snide wken rush re-inspection is mode necessary by improper notice for inspe;.tion, or i,.z,l >w a3e:;ials and /or wor:manshiio. • Application is hereby anode flea tLe @pgrodal e the detailed otatcortent o5 Om plans an specifications herewith submitt , fo:: the building sr. es'e.r structure herein described. This application is ntade in compliance and conformity with the Building Ordinance of Miami SFores Yt4lage, s ' a, and all provisions of the RZW of the State of Fiazida, all or wa of Miami Shares Village and all aides and regulations of the IBoildirg ea.v-'s` of . Miai i Shares Qldbing¢ shall be =nnplicti with, whether b sty specified or net. A copy of approved pans and specificatWets trust be kept at k.ilding during progress cf Ws?li. >� s Name and Address Llegis3o2 - ed Are test and /or lEngimrr ( 3.40 erg Hoop:oar when work In to Ito geafo 1—Ns Street. - - State work to loo performer cad p.s-pa^. of aziaa (ley rt"'r s)__ _ — - L�ouilding- ------ •-- -•• -.. - ... - -• 7deatodol ng_____ . _ _ . -- AddEaian. C6®9RY F,IOY Caagt3 same t3aW661 TAPoK COM. .kEls.at of 1�¢F�nn3 BATH Fuoo Sim Septic Fee3 of Drain Va. C ^ `" Nature of doter Supply: City—Well. LAVA. 6MOVitg 3O YOAIQ® DRA::J SOAKAOR P1KL® Pr 02= sk 3 GAGA 0 2N OLLA PLUME '©' NPECTCOX i EPARY NT QPP CATM R PR. MBI Y'G PERMIT GREASE TRAP CLOP L3OLAG£ P4 'LAT¢R STATE 07 Ye LOIRXOA, 001i./l°rrOFDAD . Wore me, the Undersigns nut sai4y, n astas7 f l to roe well known, and who, being by me fist sadly srwa o, oata of the above ewes-11)=1 constaacetc , Asa 0 1 T seed the e I�ir� slat cwo true. ILAUgDa tuns DaaP WELL 3, uniataw ( Sim) BeRaLa. SYSTEM -Mx, TaTi i tg2. L'c 3 cif Tons car I3t L a Bepaira CATCH eA.IN 13w1In'a POOL FLOOR DRAIN Sim of Stctkage 'It. €apsaity Gals / fir / DRINKING FO JNT' N® - Plumbing %mepeCre:•. The undersigned applicant for this haeilding go:mit ce=3 hereby certify that It understands and accepts his obligations as an employes,. of P3hr under tho Florida Workmen's Coanpensation Act, being Section 5966, Coanpil General Laws of Florida Permanent Supplemer:t, and itaq com- plied with the provisions thereof, and will rc uiro similar compliance 6aom all contractors or sub - contractors employed by him in the woe to >- perf�� under this permit; and i art rase ii �.stdfo an the site of the work tuck public notice r notices �a `? 1:Qq aM:11 by ties Act The tandersignei agreos to employ only an sob-con • actors, on work' be performed under this p rioi3, ::o 1 t red y Miser Shy V 1i� o. i c Mastw PlT b r. ter oaths and take acknowbdionteasts, peosena.,y a rva. OWN ERMER cay that is the._.__ nagoisag pliwtion, and that he e. t ' ri to ,'a,. same, the ffReai No. of Stories Notary Public, State of Florida YG "AL 7 NOTE: A fco e SIlM c C Da& wbsw b made" by iseguoper notice fir inapecd.ors, s Esta+ cnsals Y/ee ems. ,_. •h