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PLUMBINGJs L _ `J Permit No Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. ...... Amount of Permit $ s� --- /�------- - - - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address Registered Architect and /or Engineer__ Employing Plumber's Name_ �_g.LV ` _9_&lte_ _ 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 No .____� New Building Remodeling _ -_ Addition ( Signed) 11 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. Block __ _ Subdivision _. �� Street &' E Repairs Type of Tank_ ____Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Capacity Gals.._ The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per plied with the provisions thereof, and will require similar compliance from all contractors or sub -contra performed under this permit; and will post or cause to be posted' for inspection on th of the w required by the Act. The undersigned agrees to employ only such sub - contractors, on ork to licensed by Miami Shores Village. Street AI Street._ No. of Stories. Plumb STATE OF FLORIDA, t 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 c ZZ ,Q(6 AJI 9g LS7 cob k 41. - g11nspector. obligations as anin4oyer of labor ent Supplement, and has con- ed by hirrfin the work to be blic notice or notices as are ed under this permit, as are Master Plumber. NOTE: A re- inspection fee of 01.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOCFTO BATH TUBS SHOWERS TORIES TO SINKS SLOP SINKS LAUNDRY TUBS INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N6 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 Js L _ `J Permit No Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. ...... Amount of Permit $ s� --- /�------- - - - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address Registered Architect and /or Engineer__ Employing Plumber's Name_ �_g.LV ` _9_&lte_ _ 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 No .____� New Building Remodeling _ -_ Addition ( Signed) 11 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. Block __ _ Subdivision _. �� Street &' E Repairs Type of Tank_ ____Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Capacity Gals.._ The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per plied with the provisions thereof, and will require similar compliance from all contractors or sub -contra performed under this permit; and will post or cause to be posted' for inspection on th of the w required by the Act. The undersigned agrees to employ only such sub - contractors, on ork to licensed by Miami Shores Village. Street AI Street._ No. of Stories. Plumb STATE OF FLORIDA, t 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 c ZZ ,Q(6 AJI 9g LS7 cob k 41. - g11nspector. obligations as anin4oyer of labor ent Supplement, and has con- ed by hirrfin the work to be blic notice or notices as are ed under this permit, as are Master Plumber. NOTE: A re- inspection fee of 01.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. • MIAMI SHORES VILLAGE, FLORIDA ¢UILDING ELECTRICAL PLUMBING Owner of Building • Architect Contractor or Builder Legal Lot Description C °f Building PERMIT N2 5621 B1. Address of wor 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 w it 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 p1an drawings,.or -in the statements or specifications snd hat l ssumes respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the work covere d reun in compliance with��al�ll prdinances an re 1a ions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auth of Miami Sh Viagc. si In accep. g this per it I ame responsibility for all work done ither yself, Iny agent, s rvant or employee. .. i 11 • CONTRACTOR OR BUILDER Work to be performed under this Permit j ).. jef • E re / Subdi- vision Value of Project DATE.. ,''" 194 Contractor's / �� License No Amt. oo�� I PermitP Signed. �/.1L{ B I de BY AUTHORITY